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A mandibular block technique useful in 'gaggers'.

P Donkor1, J Wong

  • 1Department of Oral Surgery and Oral Medicine, Faculty of Dentistry, University of Sydney, Surry Hills, New South Wales.

Australian Dental Journal
|February 1, 1991
PubMed
Summary
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Closed-mouth mandibular block injections successfully managed severe gagging in three patients undergoing molar extractions. This technique prevents retching by allowing patients to clench their teeth during anesthesia administration.

Area of Science:

  • Dentistry
  • Anesthesiology
  • Oral Surgery

Background:

  • Severe gagging is a common challenge during dental procedures, particularly with mandibular molar extractions.
  • Conventional block injections can trigger gag reflexes, leading to patient distress and procedural difficulties.
  • Alternative anesthesia techniques are needed for patients with gagging issues.

Purpose of the Study:

  • To evaluate the efficacy of a closed-mouth mandibular block injection technique in patients with severe gagging.
  • To assess the technique's ability to prevent gagging and retching during dental anesthesia.

Main Methods:

  • A closed-mouth mandibular block injection was administered to three patients with severe gagging problems.
  • Patients were instructed to clench their teeth during the injection process.

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  • Conventional block injections were not tolerated by these patients.

    • Main Results:

    • The closed-mouth mandibular block injection technique was successfully performed in all three patients.
    • No gagging or retching was provoked during the administration of anesthesia.
    • Patients tolerated the procedure well.

    Conclusions:

    • Closed-mouth mandibular block injections are a viable and effective alternative for patients experiencing severe gagging.
    • This technique mitigates gagging by utilizing patient-initiated tooth clenching and reduced tactile sensation.
    • Further research should explore this method in a larger patient cohort.