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Some people cannot undergo dental work
Dentists have found a way to help patients unable to undergo treatment
because of an exaggerated gagging reaction.
They have found that the response can be effectively controlled by using ear
acupuncture.
Some patients are so sensitive to dental equipment that they will gag
uncontrollably as soon as an instrument touches their mouth. Others will
start to gag at the mere thought of dental work.
This makes it impossible for dentists to carry out any kind of work at all.
100% success
You would not expect 100% success with just a placebo effect
Dr Janice Fiske
Researchers found that the technique had a 100% success rate in controlling
the gag reflex when tested on a group of ten volunteers.
The treatment involved inserting acupuncture needles into an anti-gagging
point on each ear, followed by manipulation of the needles before dental
treatment was started.
Participants in the study who had previously avoided dental treatment or who
had only been able to receive treatment with sedation, were all able to
withstand a trip to the dentist's chair.
They successfully received a range of treatments including fillings and
tooth extractions and on all occasions were fit to leave the surgery and
travel home unaccompanied.
However, the researchers have stressed that ear acupuncture should only be
carried out by people properly trained in the technique.
Vagus nerve
It is thought that this form of acupuncture might work by causing the
release of chemicals that influence the functioning of the vagus nerve that
controls swallowing and gagging.
The researchers did not rule out the possibility that the patients simply
relaxed because they thought the acupuncture would do them good.
But lead researcher Dr Janice Fiske, of the department of sedation and
special care dentistry at Guy's Hospital, told BBC News Online: "You would
not expect 100% success with just a placebo effect especially as the
patients had had the problem for a long, long time and their attitude was it
probably won't work."
Acupuncture has been successfully used to stop nausea and vomiting in
chemotherapy patients and pregnant women.
The research is published in the British Dental Journal.
Information resource:
http://news.bbc.co.uk/1/hi/health/1383004.stm
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