Management of Exaggerated Gag Reflex Using Intravenous Sedation in Prosthodontic Treatment
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- Yoshida Harushi
- Department of Special Care Dentistry, Nagasaki University Hospital of Medicine and Dentistry
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- Ayuse Terumi
- Department of Special Care Dentistry, Nagasaki University Hospital of Medicine and Dentistry
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- Ishizaka Satoru
- Division of Clinical Physiology, Nagasaki University Graduate School of Biomedical Sciences
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- Ishitobi Shingo
- Department of Special Care Dentistry, Nagasaki University Hospital of Medicine and Dentistry
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- Nogami Tomoyuki
- Department of Special Care Dentistry, Nagasaki University Hospital of Medicine and Dentistry
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- Oi Kumiko
- Department of Special Care Dentistry, Nagasaki University Hospital of Medicine and Dentistry Division of Clinical Physiology, Nagasaki University Graduate School of Biomedical Sciences
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抄録
The gag reflex is a somatic natural response in which the body attempts to eliminate instruments or agents from the oral cavity by muscle contraction. Some patients suffered from such severe retching that behavioral techniques did not sufficiently reduce gagging in dentistry. In these patients, pharmacological management was thought to be the last alternative to eliminate the reflex. However, the potential of intravenous (IV) sedation as a way to overcome problems in gagging management during prosthodontic (prosthetic) therapy has not been sufficiently explored. We examined the benefit of IV sedation to facilitate prosthodontic treatment for problematic gagging patients intolerable to dental therapy. The subjects were 10 severely retching patients (7 males and 3 females) who received prosthodontic or restorative therapy under propofol IV sedation. The number, location and prognosis of dentures/restorations were reviewed retrospectively. Eight dentures (3 removable and 5 fixed partial dentures) and 22 restorations (18 crowns and 4 inlays) were seated successfully in the oral cavity without serious complications related to IV sedation. The restored teeth were located predominantly in the posterior regions. Throughout the observation period of at least 6 months, no symptoms of postoperative pain or swelling were found. Five of the 10 patients showed improved tolerance to oral inspection, indicating a behavioral adjustment to dental care. In prosthodontic treatment extended to the posterior regions, propofol IV sedation proved useful in managing reflex control.
収録刊行物
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- The Tohoku Journal of Experimental Medicine
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The Tohoku Journal of Experimental Medicine 212 (4), 373-378, 2007
東北ジャーナル刊行会
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詳細情報 詳細情報について
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- CRID
- 1390282679217526400
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- NII論文ID
- 130004459608
- 10019730376
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- NII書誌ID
- AA00863920
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- ISSN
- 13493329
- 00408727
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可