1/16. Desensitization of the gag reflex in an adult with cerebral palsy: a case report.Severe oral hypersensitivity and aversive oral behaviors present a significant barrier to dental treatment and compromise oral health status. Although several authors have addressed the reduction of oral hypersensitivity and aversive behaviors (such as gagging, retching, and vomiting) in the otherwise well dental patient, treatment for patients with severe disability has not been explored. The successful management of oral hypersensitivity and aversive behavior can have significant health benefits. These can be described via an outcomes paradigm as physical and social benefits for the patient, psychological benefits for the patient, carer, and practitioner, and organizational benefits for the institutions providing dental care and medical management. This paper summarizes the management of a severely disabled patient whose aversive behaviors were eliminated with non-invasive therapy techniques. oral hygiene was facilitated and health benefits were identified across a number of domains following successful multi-disciplinary management.- - - - - - - - - - ranking = 1keywords = reflex (Clic here for more details about this article) |
2/16. The management of blood phobia and a hypersensitive gag reflex by hypnotherapy: a case report.Coping with a hypersensitive gag reflex can be a cause for concern for both the patient and the operator. This report describes a case of blood phobia directed solely towards the oral cavity, linked with the inability to tolerate dentures due to a hypersensitive gag reflex. Management by hypnotherapy using a systematic desensitization technique allowed for extraction of teeth and permanent elimination of the gagging problem.- - - - - - - - - - ranking = 1.5keywords = reflex (Clic here for more details about this article) |
3/16. Treatment of a dental phobic with pronounced aversion to rubber gloves.This case illustrates where excessive dental stress on the swallowing reflex caused retching then nausea and eventually dental phobia. Swallowing relaxation enabled normal variable function to be quickly restored, which allowed the phobia to be brought under control.- - - - - - - - - - ranking = 0.25keywords = reflex (Clic here for more details about this article) |
4/16. Treatment planning in a case of restoration of the maxilla and mandible using osseointegrated implants with four types of bone graft.A case is reported of a 66-year-old woman who could not use a conventional, full upper denture because of a gag reflex. In the maxillary alveolar ridge, restoration was performed on a moderately atrophied, edentulous anterior area and a small defect in the right-side posterior area. In the mandibular alveolar ridge, restoration was performed on a moderate osseous defect in each molar area resulting from tooth extraction due to severe periodontal disease. Based on careful treatment planning, four types of bone graft were used with previously designed osseointegrated implants. The atrophied maxillary alveolar ridge was restored with veneer iliac bone grafts to avoid fenestration during implant placement, while alveolar process deficiency was restored using inlay and sinus bone grafts as placements for long implant fixtures. The defects in the mandibular alveolar bone were filled with corticocancellous bone chips at the implant placement sites. A combination of immediate and secondary placement of Branemark fixtures was used. Bone-anchored bridge-type implant prostheses were fitted approximately twelve months after surgery. Three years later, there had been no failure of implant fixtures and satisfactory functional and cosmetic restoration had been maintained.- - - - - - - - - - ranking = 0.25keywords = reflex (Clic here for more details about this article) |
5/16. Behavioral analysis and treatment of reflexive vomiting associated with visceral sensations: a case study of interoceptive conditioning?behavior analytic methods are applied to the conceptualization and treatment of a complex case of interoceptive classical conditioning. The subject exhibited a gagging and vomiting response to bladder and/or similar visceral sensations. A two-factor learning model of the problem led to a successful exposure and response prevention intervention, which was based on single-case experimental methodology. We discuss the possible relevance of this case in the context of the growing attention to interoceptive conditioning in behavioral problems, and comment upon the importance of behavior analytic principles and procedures to the behavioral clinician.- - - - - - - - - - ranking = 1keywords = reflex (Clic here for more details about this article) |
6/16. "Hypnopuncture"--a dental-emergency treatment concept for patients with a distinctive gag reflex.The present case report describes a newly developed dental treatment concept for patients with a distinctive gag reflex. "Hypnopuncture" is a combination therapy of hypnosis and acupuncture. Its simple, fast, and effective application autonomous of the cause makes it a valuable tool for dental-emergency treatment procedures. Physiologic and psychological aspects of gagging are influenced at the same time. The protocol is illustrated in the case of a 76-year-old patient with a severe gag reflex who was successfully treated by this combination approach. Necessary and effective therapeutic measures from both acupuncture and hypnosis are portrayed.- - - - - - - - - - ranking = 1.5keywords = reflex (Clic here for more details about this article) |
7/16. A long-term therapeutic treatment for patients with a severe gag reflex."Hypnopuncture," a combination treatment of hypnosis and acupuncture, provides a therapeutic treatment plan for long-term therapy for patients with a distinctive gag reflex. The treatment is applied independently of the cause. In cases of emergency treatment in dentistry, the immediate compliance of a patient is of utmost importance. The long-term goal of any therapeutic measure is control of the gag reflex. A new treatment protocol is illustrated in the case of a 50-year-old patient with a severe gag reflex. After only 5 visits, dental treatment could be conducted without any auxiliary means. hypnosis is applied in the form of hypnosedation (not as psychotherapy), while stereognosis occupies a central position for desensitization.- - - - - - - - - - ranking = 1.75keywords = reflex (Clic here for more details about this article) |
8/16. The use of relative analgesia in the prosthetic treatment of the 'gagging' patient.Obtaining a stable and retentive denture base is a major factor in achieving a successful outcome when providing complete or partial removable dentures.The best results are obtained when the denture bases are well extended, especially in the upper arch.This is complicated when the patient experiences difficulty with the impression phase of treatment due to a hypersensitive gag reflex. Relative analgesia (RA), also termed inhalational sedation, may be employed to facilitate the taking of dental impressions in patients with a hypersensitive gag reflex.Three patients, who had previous failed attempts to produce a satisfactory dental impression, have been used to illustrate the technique and outcome. It must be noted that the concentration of nitrous oxide required to produce suppression of the gag reflex will vary from patient to patient.This may be irrespective of size and weight; therefore each subject should be individually monitored. CLINICAL RELEVANCE: Relative analgesia (inhalational sedation) may be employed to facilitate the taking of dental impressions in patients with a hypersensitive gag reflex.- - - - - - - - - - ranking = 1keywords = reflex (Clic here for more details about this article) |
9/16. Swallowing disorders in patients with prolonged orotracheal intubation or tracheostomy tubes.Eleven patients were tested for swallowing dysfunction after prolonged orotracheal intubation. Ten had a tracheostomy tube. Mean duration of orotracheal intubation was 19.9 days, mean age 65 yr, and no patient had a concomitant neurologic deficit. All patients had a modified barium swallow with videofluoroscopy. All patients had at least one defect of 11 defects characterized. There was a mean of six defects/patient. The most common defects were delayed triggering of the swallow response (present in all patients) and pharyngeal pooling of contrast material (n = 9). Follow-up videofluoroscopy was performed in five patients (all had improved) with mean defects decreasing from 6.1 to 2.8/patient. With one exception, no patient had any defect that was worse than mild in severity. We concluded that prolonged orotracheal intubation with or without tracheostomy may cause prolonged and severe swallowing dysfunction. The deficits improve with time. The presence of a gag reflex does not confer protection against aspiration of pharyngeal contrast.- - - - - - - - - - ranking = 0.25keywords = reflex (Clic here for more details about this article) |
10/16. A new approach to the reduction of acute dislocation of the temporomandibular joint: a report of three cases.Various methods of reduction of temporomandibular joint dislocation are reviewed. The utilisation of the gag reflex provides a new alternative treatment of acute dislocation. This method is simple, rapid and safe and can be advocated in all cases of acute dislocation. The advantages and the rationale of this approach are discussed. Three cases of acute dislocation treated by this method are presented.- - - - - - - - - - ranking = 0.25keywords = reflex (Clic here for more details about this article) |
| | Next -> |