Title of article
Management of exaggerated gag reflex in dental patients using intravenous sedation with dexmedetomidine
Author/Authors
Reshetnikov, Aleksei P Departments of Surgery - Dental Clinic ReSto, - Izhevsk, Russia , Kasatkin, Anton A Departments of Surgery - Dental Clinic ReSto, - Izhevsk, Russia , Urakov, Aleksandr L Department of General and Clinical Pharmacology - Izhevsk State Medical Academy - Izhevsk, Russia , Baimurzin, Dmitrii Y Departments of Surgery - Dental Clinic ReSto, - Izhevsk, Russia
Pages
3
From page
356
To page
358
Abstract
Pharmacological sedation is one of the effective ways of prevention of gag reflex development in
patients experiencing anxiety and fright before dental treatment. We are reporting a case where
we could successfully eliminate exaggerated gag reflex (intravenous [IV] Gagging Severity Index) in
a dental patient using IV sedation with dexmedetomidine. IV administration of dexmedetomidine
provided elimination of gag reflex at a depth of sedation for the patient with the Richmond
Agitation‑Sedation Scale score of −2 and −1. The patient received dexmedetomidine 1.0 μg/kg for
10 min and then a continuous infusion of dexmedetomidine 0.4 μg/kg/h. The use of dexmedetomidine
for sedation may be an alternative to other pharmacological agents in patients with dental anxiety
accompanied by exaggerated gag reflex.
Keywords
Dentistry , dexmedetomidine , gagging , sedation
Journal title
Astroparticle Physics
Serial Year
2017
Record number
2472156
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