Evidence map›Paper›PMID 39664829›Full record

ArticleInternational journal of clinical pediatric dentistry2024

Effect of Virtual Reality and Musical Earplug Temporal Tap Technique in Reduction of Gag Reflex in Pediatric Patients.

Mehek Gandhi, Laxmi Lakade, Sanket Kunte, Alok Patel, Preetam Shah, Shweta Chaudhary

Abstract read
In one paragraph

Article in International journal of clinical pediatric dentistry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

6 authors.

Mehek GandhiDepartment of Pedodontics and Preventive Dentistry, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Pune, Maharashtra, India.ORCID https://orcid.org/0009-0002-7980-1048
Laxmi LakadeDepartment of Pedodontics and Preventive Dentistry, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Pune, Maharashtra, India.
Sanket KunteDepartment of Pedodontics and Preventive Dentistry, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Pune, Maharashtra, India.
Alok PatelDepartment of Pedodontics and Preventive Dentistry, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Pune, Maharashtra, India.
Preetam ShahDepartment of Pedodontics and Preventive Dentistry, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Pune, Maharashtra, India.
Shweta ChaudharyDepartment of Pedodontics and Preventive Dentistry, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Pune, Maharashtra, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Gagging is a stimulated, protective reflex to prevent any material from entering the mouth or oropharynx. However, a hyperactive gag reflex is a common occurrence and anxiety-provoking stimulus while performing routine clinical procedures. Impression making is a clinical procedure that causes pronounced gagging and severe discomfort to the patient. As making an impression is a crucial step in routine dental treatment, it is imperative to make the process of impression making as comfortable as possible to provide quality dental care. Very few studies have reported on the effect of virtual reality (VR) and musical earplug temporal tap technique (METTT) in impression making. Objectives: To evaluate the effect of VR and METTTs on the reduction of the gag reflex in pediatric patients. Materials and methods: Sixty healthy patients aged 6-12 years were diagnosed with the presence of a hyperactive gag reflex using the Gag Severity Index (GSI). GSI scores of 2 and above were included in the study, and mandibular alginate impressions were made with standard distraction methodology, which served as the baseline level of gag in each patient. These children were then randomly divided into two groups. In the first group, 30 patients' maxillary alginate impressions were made with VR facilitated techniques, while the remaining 30 patients' impressions were made with the METTT. The amount of gag reduction was evaluated with the Gag Prevention Index (GPI) score during the impressions at intervals of 0, 30, and 60 seconds. Anxiety was assessed using heart rate, oxygen saturation, and the modified version of the faces dental anxiety scale following impression making. Results: Intragroup METT-facilitated impression-making showed a statistically significant reduction in heart rate. However, intergroup comparison showed no statistically significant difference in the amount of reduction of the gag reflex, oxygen saturation, or patient experience. Conclusion: The gag reflex was not reduced by VR or METTT. Nevertheless, a decrease in heart rate during METTT-facilitated mandibular impression making indicated a reduction in anxiety. Hence, METTT can be applied as an adjuvant in patients with severe gag reflexes when making an impression. How to cite this article: Gandhi M, Lakade L, Kunte S,

Indexed as

Behavior managementDental anxietyGag reflexMusical earplugPediatric patientsTemporal tap techniqueVirtual reality

Identifiers

PMID39664829
PMCPMC11628683

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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.