J Korean Dent Soc Anesthesiol.  2010 Jun;10(1):27-33. 10.17245/jkdsa.2010.10.1.27.

Intravenous Sedation using Propofol and Midazolam in The Exaggerated Gag Reflex Patient's Dental Implant Treatment: A Case Report

• O SR
• Lee J

• KMID: 2345094
• DOI: http://doi.org/10.17245/jkdsa.2010.10.1.27

Abstract

The gag reflex is a physiologic reaction which safeguards the airway from foreign bodies. But, an exaggerated gag reflex can be a severe limitation to a patient's ability to accept dental care and for a clinician's ability to provide it. The overactive gag reflex can be due to psychological factors or physiological factors, or both. Psychological factors can include fear of loss of control and past traumatic experiences. A 58-year-old man, scheduled for extraction of left upper second molar, left lower second and third molar and implantation of left upper second molar, and left lower second molar had no specific underlying medical problems. He had exaggerated gag reflex. Dental treatment was successfully performed using intravenous sedation. Intravenous sedation with midazolam and propofol was a useful management technique for reflex control during dental treatment extended to the posterior regions in the oral cavity.

Keyword

Gag reflex; Dental treatment; Intravenous sedation; Propofol; Midazolam

MeSH Terms

Dental Care
Dental Implants*
Foreign Bodies
Humans
Midazolam*
Middle Aged
Molar
Molar, Third
Mouth
Propofol*
Psychology
Reflex*
Dental Implants
Midazolam
Propofol