![]() Service evaluation of a nurse-led dental anxiety management service for adult patients. Preparing for practice: Dental team learning outcomes for registration. The future dental workforce? Br Dent J 2009 206: 195–196. Gagging and its associations with dental care-related fear, fear of pain and beliefs about treatment. Randall C L, Shulman G P, Crout R J, McNeil D W. Hand pressure device to diminish gag reflex response. Acupuncture/acupressure to treat gagging dental patients: a clinical study of anti-gagging effects. ![]() ![]() The etiology and management of gagging: A review of the literature. A review of gagging problems in dentistry: 1. This is a great opportunity for team building, joint continuing professional development and practice building.ĭickinson C M, Fiske J. On further communication with the GDC and several indemnity providers it was advised that there must be a clear prescription for the patient for acupuncture it is also beneficial for at least one referring dentist to also be qualified in acupuncture and that registrants with additional skills should be competent and suitably indemnified. 23 This reiterates the importance of being skilled and competent and the responsibility registrants have in acting in the best interests of their patients. It describes the areas in which you have the knowledge, skills and experience to practise safely and effectively in the best interests of patients’. The GDC state in their Scope of practice document that ‘The scope of your practice is a way of describing what you are trained and competent to do. In order to practise acupuncture it is essential to attend appropriate training and gain a formal qualification. The GSI and GPI were recorded prior to and after treatment respectively by statistical analysis which demonstrated success in 81% of participants. Although no controls were implemented in this study, the methodology was robust and all participants underwent the same dental treatment of three stage maxillary impressions. 13 Similarly an audit of dental patients found that acupuncture to CV-24 enhanced tolerance to treatment with an average mean improvement of 53% ( p <0.0001) between GSI and GPI scores. Statistical analysis demonstrated significant differences, with the acupuncture group experiencing considerably less gagging than the sham group ( p = 0.037), and even less so than the non-acupuncture group ( p = 0.013). Participants underwent this procedure with either acupuncture, sham acupuncture or no acupuncture. TEE reportedly causes nausea or gagging in approximately 60% of people. A blinded, randomised, controlled study (RCT) on transesophageal echocardiography (TEE) patients has demonstrated the efficacy of this point. One of the most commonly investigated points is cheng jiang, also known as CV-24, which is located in the labio-mental fold. 3 The acupoints of interest for the relief of gag reflex are outlined in Table 1. ![]() 13 Acupressure, alternatively, is a variation of acupuncture involving constant pressure on acupoints without puncture of the skin. 12 Acupuncture can be defined as the insertion of a solid needle into specific body parts for therapy and health maintenance. Therapeutic application to acupoints has evolved to encompass needling, pressure and massage amongst others. 13 If applying this theory to heightened gag reflexes it is reasonable to presume that Yin is insufficient thus making the patient gag, yet stimulation to acupoints will restore balance, consequently relieving gagging. 11 Yin and Yang are a balance which define health and are complementary representations of dynamic equilibrium: Yin provides qualities such as tranquillity and rest whereas Yang is responsible for activation and transformation. It is believed that energy known as ch’i runs through 14 various pathways in the body and that 361 acupoints can rebalance Yin and Yang.
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