Intranasal Midazolam May Prevent Gagging Reflex: a Case Report

Background: Gagging can become a conditioned response that makes dental treatment difficult or impossible for both the individual and the dentist. The aim of this study is to report a 50 year old female and two children (15 and 11 years old) with exaggerated gag reflex referred to Faculty of Dentist...

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Main Authors: Meral Arslan Malkoc, Necla Demir, Zehra Ileri, Aybuke Erdur, Seza Apiliogullari
Format: Article
Language:English
Published: Lithuanian University of Health Sciences, Faculty of Odontology 2013-10-01
Series:eJournal of Oral Maxillofacial Research
Subjects:
Online Access:http://www.ejomr.org/JOMR/archives/2013/3/e5/v4n3e5ht.htm
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author Meral Arslan Malkoc
Necla Demir
Zehra Ileri
Aybuke Erdur
Seza Apiliogullari
author_facet Meral Arslan Malkoc
Necla Demir
Zehra Ileri
Aybuke Erdur
Seza Apiliogullari
author_sort Meral Arslan Malkoc
collection DOAJ
description Background: Gagging can become a conditioned response that makes dental treatment difficult or impossible for both the individual and the dentist. The aim of this study is to report a 50 year old female and two children (15 and 11 years old) with exaggerated gag reflex referred to Faculty of Dentistry of Selçuk University.Methods: During obtaining records, taking impression procedure was elicited the patients’ hypersensitive gagging reflex. Therefore, it was decided to administer intranasal midazolam to facilitate the taking of accurate dental impressions. After given verbal information about the procedure, 2.5 mg intranasal midazolam (Demizolam, Dem Medikal, Istanbul) were applied incrementally in both nostrils.Results: Five minutes later; patients had no gagging reflex and allowed the clinician to take satisfying impressions. No serious adverse effects were observed and the patients remained cooperative during the entire procedure which was completed to the full satisfaction of all involved. The short absorption time and the fast relief process of anaesthetics transferred to the systemic circulatory system are important advantages of nasal application.Conclusions: Intranasal midazolam may be very useful for the treatment of gag reflex probably effecting on the depression of upper airway reflex sensitivity.
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publisher Lithuanian University of Health Sciences, Faculty of Odontology
record_format Article
series eJournal of Oral Maxillofacial Research
spelling doaj-art-e8c313f1af084df6a855b8cc703f081d2025-08-20T03:19:08ZengLithuanian University of Health Sciences, Faculty of OdontologyeJournal of Oral Maxillofacial Research2029-283X2013-10-0143e510.5037/jomr.2013.4305Intranasal Midazolam May Prevent Gagging Reflex: a Case ReportMeral Arslan MalkocNecla DemirZehra IleriAybuke ErdurSeza ApiliogullariBackground: Gagging can become a conditioned response that makes dental treatment difficult or impossible for both the individual and the dentist. The aim of this study is to report a 50 year old female and two children (15 and 11 years old) with exaggerated gag reflex referred to Faculty of Dentistry of Selçuk University.Methods: During obtaining records, taking impression procedure was elicited the patients’ hypersensitive gagging reflex. Therefore, it was decided to administer intranasal midazolam to facilitate the taking of accurate dental impressions. After given verbal information about the procedure, 2.5 mg intranasal midazolam (Demizolam, Dem Medikal, Istanbul) were applied incrementally in both nostrils.Results: Five minutes later; patients had no gagging reflex and allowed the clinician to take satisfying impressions. No serious adverse effects were observed and the patients remained cooperative during the entire procedure which was completed to the full satisfaction of all involved. The short absorption time and the fast relief process of anaesthetics transferred to the systemic circulatory system are important advantages of nasal application.Conclusions: Intranasal midazolam may be very useful for the treatment of gag reflex probably effecting on the depression of upper airway reflex sensitivity.http://www.ejomr.org/JOMR/archives/2013/3/e5/v4n3e5ht.htmdental impression techniquedental anesthesiagaggingmidazolam.
spellingShingle Meral Arslan Malkoc
Necla Demir
Zehra Ileri
Aybuke Erdur
Seza Apiliogullari
Intranasal Midazolam May Prevent Gagging Reflex: a Case Report
eJournal of Oral Maxillofacial Research
dental impression technique
dental anesthesia
gagging
midazolam.
title Intranasal Midazolam May Prevent Gagging Reflex: a Case Report
title_full Intranasal Midazolam May Prevent Gagging Reflex: a Case Report
title_fullStr Intranasal Midazolam May Prevent Gagging Reflex: a Case Report
title_full_unstemmed Intranasal Midazolam May Prevent Gagging Reflex: a Case Report
title_short Intranasal Midazolam May Prevent Gagging Reflex: a Case Report
title_sort intranasal midazolam may prevent gagging reflex a case report
topic dental impression technique
dental anesthesia
gagging
midazolam.
url http://www.ejomr.org/JOMR/archives/2013/3/e5/v4n3e5ht.htm
work_keys_str_mv AT meralarslanmalkoc intranasalmidazolammaypreventgaggingreflexacasereport
AT neclademir intranasalmidazolammaypreventgaggingreflexacasereport
AT zehraileri intranasalmidazolammaypreventgaggingreflexacasereport
AT aybukeerdur intranasalmidazolammaypreventgaggingreflexacasereport
AT sezaapiliogullari intranasalmidazolammaypreventgaggingreflexacasereport