Open wide! Managing gagging in dental patients

0302 Gagging.jpgThe gag reflex is a normal process to protect the throat and airway from foreign objects and prevent choking. Many people have an exaggerated gag reflex that causes distress during dental treatment. This can make it difficult or even impossible to perform the treatment. The interventions used to manage gagging include anti-nausea medicines, sedatives, local and general anaesthetics, herbal remedies, behaviour therapy and cognitive behaviour therapy, acupressure, acupuncture, lasers and prosthetic devices.

We wanted to know how effective and safe these interventions are in helping people to complete their dental treatment with less gagging. We compared them to no intervention or a placebo or to other interventions. Continue reading

Three new titles registered by the Oral Health Group

acupuncture needles

Acupuncture is one of the options for preventing gag reflex, but how effective is it compared to other interventions? A new Cochrane review will consider the evidence. Photo published under GNU Free Documentation License.

The Cochrane Oral Health Group‘s editorial team met last week to consider which new titles to register. OHG have had a number of submissions over the last six months, and three titles have been registered by the Group. The editors identified them as priority topics, and agreed that they did not significantly overlap with any existing reviews:

Interventions for the prevention of osteoradionecrosis of the jaws in patients receiving head and neck radiotherapy

This review will be led by Dr. Amri Azarpazhooh from the University of Toronto in Canada. He will be joined on the team by Dr. Michael Duchnay, Dr. Grace Bradley, Dr. Howard Tenenbaum, Dr. Prakeshkumar S. Shah and Dr. Hamid Reza Raziee, who are all also based at the University of Toronto.

Prevention of gag reflex for patients undergoing dental treatment

Dr. Eachempati Prashanti from Melaka-Manipal Medical College in Malaysia will lead this new review. Dr. P. Renjith George, Professor Nagraj Sumanth Kumargere, Dr. Laxminarayan Karanth and Dr. Htoo Htoo Kyaw Soe will also be on the on the author team.

Autologous platelet concentrates for regeneration of periodontal defects

This review will be a collaboration between authors based in Italy and India. Dr. Massimo Del Fabbro from Università degli Studi di Milano leads the team, his colleagues Dr. Valentina Ceresoli and Dr. Caterina Ceci will join him as authors. Dr. Silvio Taschieri from University of Milan IRCCS Galazzi Orthopaedic Institute is also an author. The author team is completed by Dr. Saurav Panda, Professor Sheeja Varghese, Professor Malaiappa Sankari, Professor N. D. Jayakumar and Dr. Surenda Ramamoorthi from Saveetha University, India.

We look forward to publishing the protocols in the near future, watch this space!