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CASE REPORT
Year : 2017  |  Volume : 14  |  Issue : 5  |  Page : 356-358

Management of exaggerated gag reflex in dental patients using intravenous sedation with dexmedetomidine


1 Departments of Surgery, Dental Clinic ReSto, Izhevsk, Russia
2 Departments of Surgery, Dental Clinic ReSto; Department of General and Clinical Pharmacology, Izhevsk State Medical Academy, Izhevsk, Russia
3 Department of General and Clinical Pharmacology, Izhevsk State Medical Academy, Izhevsk, Russia

Correspondence Address:
Anton A Kasatkin
Karl Marks Street 278-45, 426008 Izhevsk
Russia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1735-3327.215967

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Pharmacological sedation is one of the effective ways of prevention of gag reflex development in patients experiencing anxiety and fright before dental treatment. We are reporting a case where we could successfully eliminate exaggerated gag reflex (intravenous [IV] Gagging Severity Index) in a dental patient using IV sedation with dexmedetomidine. IV administration of dexmedetomidine provided elimination of gag reflex at a depth of sedation for the patient with the Richmond Agitation-Sedation Scale score of −2 and −1. The patient received dexmedetomidine 1.0 μg/kg for 10 min and then a continuous infusion of dexmedetomidine 0.4 μg/kg/h. The use of dexmedetomidine for sedation may be an alternative to other pharmacological agents in patients with dental anxiety accompanied by exaggerated gag reflex.


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