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2013 Jul-Sep; Vol 4, No 3:e5 |
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Intranasal Midazolam May Prevent Gagging Reflex: a Case Report J Oral Maxillofac Res 2013 (Jul-Sep);4(3):e5 doi:10.5037/jomr.2013.4305 |
Intranasal Midazolam May Prevent Gagging Reflex: a Case Report
1Department of Prosthodontics, Faculty of Dentistry, İnönü University, Malatya, Turkey.
2Department of Prosthodontics, Faculty of Dentistry, Selçuk University, Konya, Turkey.
3Department of Orthodontics, Faculty of Dentistry, Selçuk University, Konya, Turkey.
4Department of Anesthesia and Intensive Care, Faculty of Medicine, Selçuk University, Konya, Turkey.
Corresponding author:
Selçuk University, Faculty of Dentistry, Department of Orthodontics
42075 Konya
Turkey
Phone: +90 332 223 11 63
Fax: +90 332 241 00 62
E-mail: zehra.ileri@gmail.com
ABSTRACT
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.
J Oral Maxillofac Res 2013 (Jul-Sep);4(3):e5
doi:10.5037/jomr.2013.4305
Accepted for publication: 6 September 2013
Keywords: dental impression technique; dental anesthesia; gagging; midazolam.
To cite this article: Intranasal Midazolam May Prevent Gagging Reflex: a Case Report. J Oral Maxillofac Res 2013;4(3):e5 URL: http://www.ejomr.org/JOMR/archives/2013/3/e5/v4n3e5ht.htm |
Received: 6 February 2012 | Accepted: 6 September 2013 | Published: 1 October 2013
Copyright: © The Author(s). Published by JOMR under CC BY-NC-ND 3.0 licence, 2013.