Journal of South Asian Association of Pediatric Dentistry

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VOLUME 3 , ISSUE 2 ( July-December, 2020 ) > List of Articles

Original Article

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

Swati S Samaleti, Ashwin M Jawdekar

Keywords : Gag, Gag reflex management, GPI index, Temporal tapping,Earplugs

Citation Information : Samaleti SS, Jawdekar AM. 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. J South Asian Assoc Pediatr Dent 2020; 3 (2):49-53.

DOI: 10.5005/jp-journals-10077-3051

License: CC BY-NC 4.0

Published Online: 20-01-2021

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


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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