Comparison of “Earplug and Temporal Tap Technique” with Standard Distraction Method on Gag Reflex Related to Maxillary Impression Making in 6–12-year-old Children: A Crossover Study

JOURNAL TITLE: Journal of South Asian Association of Pediatric Dentistry

Author
1. Swati S Samaleti
2. Ashwin M Jawdekar
ISSN
DOI
10.5005/jp-journals-10077-3051
Volume
3
Issue
2
Publishing Year
2020
Pages
5
Author Affiliations
    1. Department of Pediatric and Preventive Dentistry, Dr G. D. Pol Foundation\'s Y. M.T. Dental College and Hospital, Mumbai, Maharashtra, India
    1. Department of Paedodontics, Dr GD Pol Foundation\'s YMT Dental College and Hospital, Navi Mumbai, Maharashtra, India
  • Article keywords

    Abstract

    Introduction: Exaggerated gag reflex affects dental care. Few studies have reported effectiveness of earplug and temporal tap technique (E-TTT) in children. Aim: To compare “earplug and temporal tap technique” with standard distraction method (control) on gag reflex (GR) related to maxillary impression-making in 6 to 12-year-old children. Materials and methods: A maxillary impression with standard distraction method, followed by another impression with E-TTT after a 10 minute washout, was made in group I (n1 = 15). The order was reversed in group II (n2 = 15). Gag prevention index (GPI) and five-point patient response scales were used to measure the GR. Result: Mean differences in GPI at 2 minutes within groups I and II were 0.333 (p value = 0.399) and 0.267 (p value = 0.579); and between the groups were 0.333 (p value = 0.462) and 0.267 (p value = 0.532). The 95% confidence intervals ranged from −1.131 to 0.465 and −0.706 to 1.239 within groups I and II, whereas they were −1.248 to 0.581 and −0.597 to 1.130 between the groups. As per the 5-point patient-reported scale, 80% children with E-TTT (of group I) when compared to 46.6% with control (of group II) reported same to superior experience (p = 0.046*). Conclusion: E-TTT did not mitigate the GR during impression making but led to a better experience.

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