Borsjé C
Ned Tijdschr Tandheelkd. 2017 Jul;124(7-8):361-363. doi: 10.5177/ntvt.2017.07/08.17103.
A patient was referred to a centre for special care dentistry due to problems with a severe gag reflex and dental care-related anxiety. A regular treatment was started with gradual exposure in vivo in combination with breathing exercises, which involved the patient doing exercises at home. In addition, she was referred to an (external) speech therapist. During the treatment the patient suffered from pain in [molar] tooth 27 and a short-term solution was necessary. Regular treatment was not (yet) possible due to the existing severe gag reflex. Treatment with nitrous oxide was chosen to address the pain, in combination with the treatment that had already been started, so that the nitrous oxide could eventually be reduced again. Due in part to the patient's motivation and a multidisciplinary approach a good and stable result has been achieved.
一名患者因严重的 gag 反射问题和与牙科护理相关的焦虑症被转诊至特殊护理牙科中心。开始了常规治疗，采用体内逐步暴露结合呼吸练习的方法，患者需在家中进行练习。此外，她还被转诊给了一名（外部）言语治疗师。在治疗过程中，患者的 27 号[磨牙]牙齿疼痛，需要一个短期解决方案。由于现有的严重 gag 反射，目前还无法进行常规治疗。选择使用一氧化二氮来缓解疼痛，并与已经开始的治疗相结合，以便最终可以再次减少一氧化二氮的使用。部分由于患者的积极性和多学科方法，取得了良好且稳定的效果。
