Evidence map›Paper›PMID 38281005›Full record

Trial reportBMC complementary medicine and therapies2024

Effect of aromatherapy with peppermint essential oil on the gag reflex: a randomized, placebo-controlled, single-blind, crossover study.

Ayuko Okamoto, Hiroyuki Karibe, Satoshi Tanaka, Yuichi Kato, Tomomi Kawakami, Yutaka Okamoto, Greg Goddard

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC complementary medicine and therapies, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. 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

7 authors at 2 institutions in 2 countries.

Ayuko OkamotoDepartment of Pediatric Dentistry, The Nippon Dental University School of Life Dentistry at Tokyo, 1- 9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan.
Hiroyuki KaribeDepartment of Pediatric Dentistry, The Nippon Dental University School of Life Dentistry at Tokyo, 1- 9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan. h-karibe@tky.ndu.ac.jp.
Satoshi TanakaDepartment of Pediatric Dentistry, The Nippon Dental University School of Life Dentistry at Tokyo, 1- 9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan.
Yuichi KatoDepartment of Pediatric Dentistry, The Nippon Dental University School of Life Dentistry at Tokyo, 1- 9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan.
Tomomi KawakamiDepartment of Pediatric Dentistry, The Nippon Dental University School of Life Dentistry at Tokyo, 1- 9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan.
Yutaka OkamotoDepartment of Dental Anesthesiology, The Nippon Dental University School of Life Dentistry at Tokyo, 1-9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan.
Greg GoddardUniversity of California, San Francisco, 707 Parnassus Avenue, San Francisco, CA, 94143, USA.
Nippon Dental University · JPUniversity of California, San Francisco · US

Funding

Japan Society for the Promotion of Science JP17K12062
6 · The paper itself

Abstract

backgroundSensitive gag reflexes prevent dental patients from receiving appropriate treatment. Aromatherapy helps patients relax during dental procedures. However, the effect of aromatherapy on the gag reflex caused by the stimulation of the oral cavity is unknown. This study aimed to evaluate whether aromatherapy reduces gag reflexes during oral stimulation.

methodsIn this randomized, placebo-controlled, single-blind, crossover study, the gag reflexes of 24 healthy individuals (12 females and 12 males; mean age: 34.3 ± 9.5 years) were quantified. A standard saliva ejector was slowly guided down the participant's throat to determine the maximum tolerance of the gag reflex, and the insertion distance was measured to quantify the gag reflex. All individuals participated in an aromatherapy session with peppermint essential oil and a placebo session with distilled water. The gag reflex was quantified before (baseline) and after each session. Another measurement was performed using nitrous oxide/oxygen inhalation as a positive control.

resultsGag reflex values significantly increased after aromatherapy with both peppermint essential oil and placebo compared to baseline values (paired t-test, P < 0.001 and P = 0.014, respectively). The gag reflex value also increased significantly during nitrous oxide/oxygen inhalation (paired t-test, P < 0.001). There was no significant difference in the increase rate of gag reflex values between the positive control and aromatherapy interventions, but it was significantly lower after the placebo intervention (repeated measures analysis of variance, P = 0.003; post-hoc test, P = 0.83 and P = 0.02).

conclusionAromatherapy with peppermint essential oil has the potential for reducing gag reflex during dental procedures.

trial registrationThe study was registered in the University hospital Medical Information Network Clinical Trials Registry under the code UMIN000050616 (approved 17/03/2023).

Indexed as

AromatherapyOils, VolatileAdultCross-Over StudiesFemaleGaggingHumansMaleMentha piperitaNitrous OxideOxygenSingle-Blind MethodYoung AdultNitrous OxideOils, VolatileOxygenDental anxietyGaggingNitrous oxidePharyngeal reflexVomiting

Identifiers

PMID38281005
PMCPMC10822155
OpenAlexW4391277530

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.