Evaluation of the effects of acupuncture on P6 and anti-gagging acupoints on the gag reflex

ABSTRA C T Introduction: Hyperactive gag reflex can make dental treatment procedures intolerable for some patients; so, it is highly important for the dentist to control it. Acupuncture is a technique used to control this phenomenon. In this study, the effects of two acupoints, anti-gagging and P6, on the gag r eflex control were analyzed. Materials and Methods: In this clinical trial study, a total number of 100 healthy people were classified into four groups. Acupuncture and psuedo-acupuncture procedures were performed on anti-gagging and P6 points based on the group. Before and after acupuncture or pseudo-acupuncture, gag reflex severity was measured via stimulation of the soft palate, tonsils, and root of the tongue. Obtained data was analyzed using statistical package of social sciences (SPSS) 22 statistical software. Results: Acupuncture reduced gag reflex at both points, but psuedo-acupuncture did not reduce the gag reflex. Moreover, no significant difference was observed between acupuncture on P6 and anti-gagging points. Conclusion: Acupuncture on anti-gagging and P6 points can be effective in controlling the gag reflex during routine dental procedures.

[1]  Chang-Beohm Ahn,et al.  A clinical pilot study comparing traditional acupuncture to combined acupuncture for treating headache, trigeminal neuralgia and retro-auricular pain in facial palsy. , 2011, Journal of acupuncture and meridian studies.

[2]  M. B. Bailey-Van Kuren,et al.  Altering the gag reflex via a palm pressure point. , 2008, Journal of the American Dental Association.

[3]  Richard E. Harris,et al.  The status and future of acupuncture mechanism research. , 2008, Journal of alternative and complementary medicine.

[4]  T. Lundeberg,et al.  Long-term follow-up of patients treated with acupuncture for xerostomia and the influence of additional treatment. , 2008, Oral diseases.

[5]  Satoru Ishizaka,et al.  Management of exaggerated gag reflex using intravenous sedation in prosthodontic treatment. , 2007, The Tohoku journal of experimental medicine.

[6]  A. Shirani,et al.  EVALUATION OF THE EFFECT OF INHALATION SEDATION ON GAG REFLEX IN HYPERACTIVE GAG REFLEX PATIENTS DURING DENTAL TREATMENT , 2006 .

[7]  J. Fiske,et al.  A review of gagging problems in dentistry: I. Aetiology and classification. , 2006, Dental update.

[8]  M. Packer,et al.  The use of relative analgesia in the prosthetic treatment of the 'gagging' patient. , 2005, Dental update.

[9]  V. Sierpina,et al.  Acupuncture: A Clinical Review , 2005, Southern medical journal.

[10]  J. Fiske,et al.  A review of gagging problems in dentistry: 2. Clinical assessment and management. , 2005, Dental update.

[11]  G. Humphris,et al.  The etiology and management of gagging: a review of the literature. , 2004, The Journal of prosthetic dentistry.

[12]  A. Vachiramon,et al.  The Use of Acupuncture in Implant Dentistry , 2004, Implant dentistry.

[13]  G. Bellos,et al.  Gagging prevention using nitrous oxide or table salt: a comparative pilot study. , 2001, The International journal of prosthodontics.

[14]  J. Fiske,et al.  The role of acupuncture in controlling the gagging reflex using a review of ten cases , 2001 .

[15]  J. Reed,et al.  Acupuncture/acupressure to treat gagging dental patients: a clinical study of anti-gagging effects. , 2000, General dentistry.

[16]  B. Peretz,et al.  Response to nitrous-oxide and oxygen among dental phobic patients. , 1998, International dental journal.

[17]  M. Barsby The control of hyperventilation in the management of 'gagging' , 1997, British Dental Journal.

[18]  J. Macmahon,et al.  Pharyngeal sensation and gag reflex in healthy subjects , 1995, The Lancet.

[19]  C. Wilks,et al.  Reducing hypersensitive gagging , 1983, British Dental Journal.

[20]  P. E. Hansen,et al.  Acupuncture Treatment of Chronic Facial Pain ‐‐ a Controlled Cross‐over Trial , 1983, Headache.

[21]  R. Melzack,et al.  Trigger points and acupuncture points for pain: Correlations and implications , 1977, Pain.

[22]  M. L. Schole,et al.  Management of the gagging patient , 1959 .

[23]  Seung-Hun Cho,et al.  Acupuncture for temporomandibular disorders: a systematic review. , 2010, Journal of orofacial pain.

[24]  J. Donnerer The Emetic Reflex Arc , 2003 .