Gucyetmez Topal Burcu, Falay Civelek Sıdıka Beril, Tiras Melike, Yigit Tugba
Department of Pediatric Dentistry, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey.
Private Dental Clinic, Antalya, Turkey.
J Oral Rehabil. 2023 May;50(5):376-382. doi: 10.1111/joor.13432. Epub 2023 Feb 23.
Gag reflex may occur in patients of all ages and often considered having a multifactorial aetiology.
The aim of the study was to evaluate the prevalence and influencing factors of gag reflex in Turkish children aged 7-14 years in the dental setting.
This cross-sectional study was carried out among 320 children aged between 7 and 14 years. First, an anamnesis form which include sosyodemographic status, monthly level of income, children past medical and dental experiences was filled by mothers. Children's fear levels were evaluated using the Dental Subscale of Children's Fear Survey Schedule(CFSS-DS) while mother's anxiety levels using the Modified Dental Anxiety Scale(MDAS). The revised dentist section of gagging problem assessment questionnaire (GPA-R-de) was used for both children and mothers. Statistical analysis was done with SPSS program.
The prevalence of gag reflex among children was 34.1%, among mothers was 20.3%. The association between child and mother gagging was found statistically significant (χ = 53.121, p < 0.001). When the mother of the child gagged, the risk of child gagging increases 6.83 times (p < 0.001). Higher CFSS-DS scores of children increase risk of gagging (OR = 1.052, p = 0.023). Children who were previously treated mostly in public hospitals significantly more likely to gag compared with private dental clinics (OR = 10.990, p < 0.001).
It was concluded that negative past dental experiences, previous dental treatments with local anaesthesia, history of hospital admission, number and place of previous dental visits, dental fear level of children, and low education level and gagging of mother have an influence on the gagging of children.
gag反射可发生于所有年龄段的患者，其病因通常被认为是多因素的。
本研究旨在评估土耳其7至14岁儿童在牙科环境中gag反射的患病率及其影响因素。
本横断面研究在320名7至14岁儿童中进行。首先，由母亲填写一份包含社会人口统计学状况、月收入水平、儿童过去的医疗和牙科经历的问诊表。使用儿童恐惧调查量表（CFSS-DS）的牙科分量表评估儿童的恐惧水平，同时使用改良牙科焦虑量表（MDAS）评估母亲的焦虑水平。儿童和母亲均使用gagging问题评估问卷（GPA-R-de）的修订牙医部分。使用SPSS程序进行统计分析。
儿童中gag反射的患病率为34.1%，母亲中为20.3%。发现儿童和母亲的gagging之间存在统计学显著关联（χ = 53.121，p < 0.001）。当儿童的母亲出现gagging时，儿童出现gagging的风险增加6.83倍（p < 0.001）。儿童较高的CFSS-DS得分会增加出现gagging的风险（OR = 1.052，p = 0.023）。与私立牙科诊所相比，之前大多在公立医院接受治疗的儿童出现gagging的可能性显著更高（OR = 10.990，p < 0.001）。
得出的结论是，过去的负面牙科经历、之前的局部麻醉牙科治疗、住院史、之前牙科就诊的次数和地点、儿童的牙科恐惧水平以及母亲的低教育水平和gagging对儿童的gagging有影响。
