Kumar Satheesh, Satheesh Preeti, Savadi Ravindra C
N Y State Dent J. 2011 Jun-Jul;77(4):22-7.
Gagging is a protective reflex to stop unwanted entry into the mouth and oropharynx. Some people have a reduced or absent reflex, while others have a pronounced one. Pronounced gag reflexes can compromise all aspects of dentistry, from the diagnostic procedures of examination and radiography to any form of active treatment. In some patients with marked gagging reflexes, it can lead to avoidance of treatment. Many techniques have been described that attempt to overcome this problem, and a variety of management strategies is necessary to aid the delivery of dental care. This is a review of the etiology of gagging problems, clinical assessment, and their classification and categorization prior to clinical treatment. It discusses as well methods for managing patients with gag reflexes during dental treatment.
恶心反射是一种保护性反射，可阻止异物进入口腔和口咽。有些人的反射减弱或缺失，而另一些人则反射明显。明显的恶心反射会影响牙科治疗的各个方面，从检查和放射照相的诊断程序到任何形式的积极治疗。在一些恶心反射明显的患者中，这可能导致避免治疗。已经描述了许多试图克服这个问题的技术，并且需要多种管理策略来辅助牙科护理的实施。这是一篇关于恶心问题的病因、临床评估以及在临床治疗前对其进行分类和归类的综述。它还讨论了在牙科治疗期间管理有恶心反射患者的方法。
