(TC25) Diminishing the Gag Reflex With Acupuncture

Abstract:
The gag reflex, defined as an ejector contraction of the muscles of the pharyngeal sphincter, can be either psychogenic or somatogenic in origin. It is a normal protective reflex designed to protect the airway and remove irritant material from the posterior oropharynx, but it can also be an acquired reflex conditioned by various stimuli such as visual, olfactory, acoustic, psychic, or chemical, among others. Some people have a pronounced gag reflex that can be a severe limitation to their ability to accept dental care, including diagnostic procedures and treatment. Various interventions have been used to control the gag reflex with varying degrees of effectiveness. Acupuncture, part of the ancient practice of Traditional Chinese Medicine, involves the practice of penetrating the skin with thin, solid, metallic needles which are then activated through gentle and specific movements. This is believed to stimulate the central nervous system, with subsequent release of neurochemicals into the muscles, spinal cord, and brain. These biochemical changes may stimulate the body's natural healing abilities and promote physical and emotional well-being. Studies from the National Institutes of Health (NIH) have shown that acupuncture is an effective treatment, alone or in combination with conventional therapies, to treat various conditions, including gagging. The purpose of this table clinic is to discuss and demonstrate a practical, inexpensive, and nontraumatic solution for the gagging patient. Equipped with this knowledge, clinicians should be able to effectively manage gagging patients in their practice.