Evidence map›Paper›PMID 32440854›Full record

ArticleEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry2021

Factors associated with gagging during radiographic and intraoral photographic examinations in 4-12-year-old children.

M Katsouda, T Coolidge, G Simos, N Kotsanos, K N Arapostathis

Abstract read
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In one paragraph

Article in European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Effectiveness of a play-based distraction technique in reducing gag reflex during intraoral periapical radiography in children: a randomised crossover trial.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Trial
  2. The impact of radiographic examination timing and gag reflex on dental fear and cooperation in children: a comparative clinical study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Trial
  3. The use of interactive distraction technique to manage gagging during impression taking in children: a single-blind, randomised controlled trial.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2021
    Trial
  4. Article
  5. Study Regarding the Optimal Dimension of Intraoral Bitewing Radiographs in Patients with Primary Dentition.International journal of environmental research and public health · 2022
    Article
  6. Article
  7. Gagging and cooperation in 4-12-year-old children over a series of dental appointments.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

M KatsoudaDepartment of Paediatric Dentistry, Dental School, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece. marykatsoudas@gmail.com.ORCID http://orcid.org/0000-0001-5070-1866
T CoolidgeDepartment of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, WA, USA.
G SimosDepartment of Educational and Social Policy, School of Social Sciences, Humanities and Arts, University of Macedonia, Thessaloniki, Greece.
N KotsanosDepartment of Paediatric Dentistry, Dental School, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece.
K N ArapostathisDepartment of Paediatric Dentistry, Dental School, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece.
Aristotle University of Thessaloniki · GRUniversity of Macedonia · GRUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsNo studies are available in paediatric samples evaluating gagging during toothbrushing, radiographic and/or intraoral photographic examinations. The aims were to collectively examine potential factors associated with gagging during radiographs and intraoral photographs in 4-12-year-old children.

methodsParents/guardians of 395 children (aged 4-12 years old) completed questionnaires asking about their children's toothbrushing habits. Children completed Greek versions of the Gagging Assessment Scale (GAS) and the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS), while the dentist used the shorter version of the Gagging Problem Assessment (GPA-de-c/SF) to objectively assess gagging. X-ray and Photo Rating Scales were created to evaluate gagging during X-rays and photographs, respectively. Multivariate logistic regression was used to examine the relationship between the potential factors and gagging.

results59 of 275 patients (21%) and 56 of 276 patients (20%) who needed X-rays and intraoral photographs, respectively, gagged. Children who gagged during X-rays had significantly higher GAS scores (p = 0.007). Boys, younger children, and those who gagged on GPA-de-c/SF were more likely to gag during X-rays, and children who gagged on GPA-de-c/SF were more likely to gag during photographs. Brushing habits were not related to dental fear or gagging.

conclusionOf the variables which we studied, GPA-de-c/SF most strongly affected the odds of gagging during taking radiographs and/or intraoral photographs.

Indexed as

Dental AnxietyGaggingChildChild BehaviorChild, PreschoolGreeceHumansMaleSurveys and QuestionnairesBrushing habitsChildrenGaggingIntraoral photographyRadiography

Identifiers

PMID32440854
OpenAlexW3026589044

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.