![]() įrequencies were generated for the variables GR stage (T0 and T2), FIS (T0, T1 and T2), and impression success (T1 and T2). The psychological state was again assessed at T2 using FIS. A second impression was then obtained at T2 while the patient played the ICG. If a patient failed the first attempt to obtain an upper impression, the FIS was administered again (T1). The upper impression was attempted with unflavored alginate (Tropicalgin Zhermack ®, Italy) without playing the ICG invented for the study purpose, and which consists of counting different geometrical shapes and colors. The FIS consists of a row of five faces ranging from very happy to very unhappy, and subjects are asked to select the one that best reflects their state of mind. G5: Very severe gagging (the child does not tolerate momentary insertion of dental mirror).Īll children presenting with a G4 or G5 GR were excluded from the study for advanced technical difficulties.Ĭhildren's baseline anxiety was evaluated according to the Buchanan's Facial Image Scale (FIS) before any impression attempt (point T0). The aim of this pilot study is to determine the effect of mental distraction using the intellectual colored game (ICG) on the severity of GR and anxiety in children during dental impression. For example, intraoral procedures can be accomplished successfully while the patient is distracted by audiovisual or intellectual games. Gagging can also be decreased in direct proportion to the reduction of awareness of the stimulus. Peripherally and centrally acting drugs have been used for the management of the GR. Relaxation, desensitization, and distraction have been suggested for anxiety management in children. ![]() Decreasing the rate of dental avoidance in children is essential if we are to improve overall dental care. Psychological factors such as fear and anxiety, which cause approximately 20% of patients to avoid dental treatments, have also been implicated in gagging. Stimulation of these zones generates afferent impulses to the medulla oblongata leading to efferent impulses that create the spasmodic and uncoordinated movements of gagging. ![]() The pharyngeal reflex that prevents choking involves five triggering zones in the oral cavity: the palatoglossal and palatopharyngeal folds, the postpharyngeal wall, the uvula, the palate, and the base of the tongue. Psychological, anatomic, iatrogenic, local and systemic factors influence the GR. The gag reflex (GR) is an innate healthy defense mechanism that helps prevent foreign bodies from entering the trachea. ![]()
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