Management of exaggerated gag reflex in dental patients using intravenous sedation with dexmedetomidine
Pharmacological sedation is one of the effective ways of prevention of gag reflex development in patients experiencing anxiety and fright before dental treatment. We are reporting a case where we could successfully eliminate exaggerated gag reflex (intravenous [IV] Gagging Severity Index) in a denta...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Dental Research Journal |
| Subjects: | |
| Online Access: | http://www.drjjournal.net/article.asp?issn=1735-3327;year=2017;volume=14;issue=5;spage=356;epage=358;aulast=Reshetnikov |
| _version_ | 1818541660481519616 |
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| author | Aleksei P Reshetnikov Anton A Kasatkin Aleksandr L Urakov Dmitrii Y Baimurzin |
| author_facet | Aleksei P Reshetnikov Anton A Kasatkin Aleksandr L Urakov Dmitrii Y Baimurzin |
| author_sort | Aleksei P Reshetnikov |
| collection | DOAJ |
| description | Pharmacological sedation is one of the effective ways of prevention of gag reflex development in patients experiencing anxiety and fright before dental treatment. We are reporting a case where we could successfully eliminate exaggerated gag reflex (intravenous [IV] Gagging Severity Index) in a dental patient using IV sedation with dexmedetomidine. IV administration of dexmedetomidine provided elimination of gag reflex at a depth of sedation for the patient with the Richmond Agitation-Sedation Scale score of −2 and −1. The patient received dexmedetomidine 1.0 μg/kg for 10 min and then a continuous infusion of dexmedetomidine 0.4 μg/kg/h. The use of dexmedetomidine for sedation may be an alternative to other pharmacological agents in patients with dental anxiety accompanied by exaggerated gag reflex. |
| first_indexed | 2024-12-11T22:12:08Z |
| format | Article |
| id | doaj.art-84f2929c71374cf3b77dd3a04bef80f3 |
| institution | Directory Open Access Journal |
| issn | 1735-3327 2008-0255 |
| language | English |
| last_indexed | 2024-12-11T22:12:08Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Dental Research Journal |
| spelling | doaj.art-84f2929c71374cf3b77dd3a04bef80f32022-12-22T00:48:44ZengWolters Kluwer Medknow PublicationsDental Research Journal1735-33272008-02552017-01-0114535635810.4103/1735-3327.215967Management of exaggerated gag reflex in dental patients using intravenous sedation with dexmedetomidineAleksei P ReshetnikovAnton A KasatkinAleksandr L UrakovDmitrii Y BaimurzinPharmacological sedation is one of the effective ways of prevention of gag reflex development in patients experiencing anxiety and fright before dental treatment. We are reporting a case where we could successfully eliminate exaggerated gag reflex (intravenous [IV] Gagging Severity Index) in a dental patient using IV sedation with dexmedetomidine. IV administration of dexmedetomidine provided elimination of gag reflex at a depth of sedation for the patient with the Richmond Agitation-Sedation Scale score of −2 and −1. The patient received dexmedetomidine 1.0 μg/kg for 10 min and then a continuous infusion of dexmedetomidine 0.4 μg/kg/h. The use of dexmedetomidine for sedation may be an alternative to other pharmacological agents in patients with dental anxiety accompanied by exaggerated gag reflex.http://www.drjjournal.net/article.asp?issn=1735-3327;year=2017;volume=14;issue=5;spage=356;epage=358;aulast=ReshetnikovDentistrydexmedetomidinegaggingsedation |
| spellingShingle | Aleksei P Reshetnikov Anton A Kasatkin Aleksandr L Urakov Dmitrii Y Baimurzin Management of exaggerated gag reflex in dental patients using intravenous sedation with dexmedetomidine Dental Research Journal Dentistry dexmedetomidine gagging sedation |
| title | Management of exaggerated gag reflex in dental patients using intravenous sedation with dexmedetomidine |
| title_full | Management of exaggerated gag reflex in dental patients using intravenous sedation with dexmedetomidine |
| title_fullStr | Management of exaggerated gag reflex in dental patients using intravenous sedation with dexmedetomidine |
| title_full_unstemmed | Management of exaggerated gag reflex in dental patients using intravenous sedation with dexmedetomidine |
| title_short | Management of exaggerated gag reflex in dental patients using intravenous sedation with dexmedetomidine |
| title_sort | management of exaggerated gag reflex in dental patients using intravenous sedation with dexmedetomidine |
| topic | Dentistry dexmedetomidine gagging sedation |
| url | http://www.drjjournal.net/article.asp?issn=1735-3327;year=2017;volume=14;issue=5;spage=356;epage=358;aulast=Reshetnikov |
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