Effect of Diospyros kaki L. fruit extract on gag reflex
الموضوعات : مجله گیاهان دارویی
الهام شادمهر
1
(بخش اندودانتیکس دانشکده دندان پزشکی اصفهان، اصفهان، ایران؛)
احسان حکمتیان
2
(بخش تخصصی رادیولوژی ماگزیلوفاشیال دانشکده دندان پزشکی اصفهان، اصفهان، ایران؛)
غلام رضا اصغری
3
(مرکز تحقیقات علوم دارویی دانشکده داروسازی، اصفهان، ایران؛)
الکلمات المفتاحية: Extract, Gag reflex, Diospyros kaki L, Dental procedures,
ملخص المقالة :
Background & Aim: A gag reflex (GR) can be a problem to compliance and delivery of dental treatment. The aim of this study was to evaluate the use of Diospyros kaki L. fruit extract in controlling gag reflex during dental treatment. Experimental: Our study was a randomized double blind controlled trial with convenient sampling on 84 patients that is candidate for radiographic procedures in Dental School, Isfahan University of Medical Sciences. Randomization procedure entered in each group of intervention with Diospyros kaki L. extracts or placebo. Before and after intervention gag reflex was categorized in 4 score (0 to 3) and evaluated. Data analysis and comparing performed with SPSS software and Chi-square and McNamara tests. Results & Discussion: Gag reflex in soft palate region & tensile was found on all patients. After intervention the decrease on gag reflex was recorded 97.6 and 100 percent for case and 19.4 and 16.6 percent for control group on soft palate region and tensile respectively. Statistical significant decreased between intervention (case) & placebo groups (pIndustrial and practical recommendations: Our results indicate that consumption of Diospyros kaki L. extracts are seems to be an effective method of controlling gag reflex during dental treatment. It can be a confidence method to use on dental procedures especially radiographic.
Barsby, M.J. 1994. The use of hypnosis in the management of 'gagging' and intolerance to dentures. Br Dent J, 176: 97-102.
Bassi, G.S., Humphris, G.M. and Logman, LP. 2004. The etiology and management of gagging: review of the literature. J Prosthet Dent, 91:459-67.
Bei, W., Peng, W., Ma, Y. and Xu, A. 2005. Flavonoids from the leaves of Diospyros kaki reduce hydrogen peroxide-induced injury of NG108-15 cells. Life Sci, 76: 1975-88.
Chidiac, J.J., Chamseddine, L. and Bellos, G. 2001. Gagging prevention using nitrous oxide or table salt: a comparative pilot study. Int J Prosthodont, 14: 364-6.
Conny, D.J. and Tedesco, L.A. 1983. The gagging problem in prosthodontic treatment. Part II: Patient management. J Prosthet Dent, 49: 757-61.
Eitner, S. Wichmann, M. Holst, S. 2005. A long-term therapeutic treatment for patients with a severe gag reflex. Int J Clin Exp Hypn, 53:74-86.
Friedman, M.H. and Weintraub, M. I. 1995. Temporary elimination of gag reflex for dental procedures. J Prosthet Dent, 73: 319.
Ghonemy, A.M., Wagih, I.M. and Farag, A.A. 1974. The effect of pH changes on the precipitating action of tannic acid on alkaloids. J Egypt Med Assoc, 57: 475-478.
Gordon, M.J., Mayes, G.R. and Meyer, G.W. 1976. Topical lidocaine in preendoscopic medication. Gastroenterology, 71: 564-569.
Heggie, J.F. and Heggie, R.M. 1940. Tannic-acid jelly for burns. Lancet, 236: 391.
Lagrone, R.G. 1993. Hypnobehavioral therapy to reduce gag and emesis with a 10-year-old pill swallower. Am J Clin Hypn, 36: 132-136.
Mirvish, I. 1938. Tannic acid jelly in the treatment of infantile stomatitis. The Lancet, 232: 1292-1293.
Molloy, M.J. 1972. Control of gagging. N Z Dent J, 68: 316.
Neumann, J.K. and McCarty, G.A. 2001. Behavioral approaches to reduce hypersensitive gag response. J Prosthet Dent, 85: 305.
Packer, M.E., Joarder, C. and Lall, B.A. 2005. The use of relative analgesia in the prosthetic treatment of the 'gagging' patient. Dent Update, 32: 544-6, 548-50.
Rosen, M. 1981. The control of gagging by suggestion and nitrous oxide sedation-a case report. J Dent Assoc S Afr, 36: 619-621.
Rosted, P., Bundgaard, M., Fiske, J. and Pedersen, A.M. 2007. The use of acupuncture in controlling the gag reflex in patients requiring an upper alginate impression: an audit. Br Dent J, 202: 300.
Rosted, P. 2009. Acupuncture and gagging reduction during oral airway insertion. Anaesthesia, 64: 783-784.
Sari, E. and Sari, T. 2010. The role of acupuncture in the treatment of orthodontic patients with a gagging reflex: a pilot study. Br Dent J, 208: E19.
Sounders, R.M. and Cameron, J. 1997. Psychogenic gagging: identification and treatment recommendations. Compend Contin Educ Dent, 18: 430-3.
Yoshida, H., Ayuse, T., Ishizaka, S., Ishitobi, S., Nogami, T. and Oi, K. 2007. Management of exaggerated gag reflex using intravenous sedation in prosthodontic treatment. Tohoku J Exp Med, 212: 373-378.
