Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Prevalence of Gagging in Children and the Association Between Gagging and Dental Fear: A Cross-Sectional Study
Çocuklarda Öğürme Refleksi Prevalansı ve Dental Korkunun Öğürme Refleksi Üzerine Etkisi: Kesitsel Araştırma
Ayşe Hanım KARADEMİR GÖÇEROĞLUa, Ayşegül ÖLMEZb
aPrivate Dentist, Ankara, Türkiye
bDepartment of Pediatric Dentistry, Gazi University Faculty of Dentistry, Ankara, Türkiye
Turkiye Klinikleri J Dental Sci. 2022;28(3):611-7
doi: 10.5336/dentalsci.2021-87792
Article Language: EN
Full Text
ABSTRACT
 Objective: Gagging is a crucial problem that is frequently experienced during dental treatments and affects the success of the treatment. The aim of this study was to determine the frequency of gagging in children and search the impact of dental fear on gagging. Material and Methods: In this study, 417 volunteer patients aged 6- 14 years who had previous dental experience and applied to our clinic for treatment were included. In order to assess fear prior to examination, patients were requested to fill a form including the Children's Fear Survey Schedule-Dental Subscale. Then, an experienced dentist recorded the extent of gagging pursuant to the Classification of Gagging Problem index through the examination made to trigger points using the dental mirror. In the statistical evaluation, Mann-Whitney U, Kruskal- Wallis, and chi-square tests were used and the results for p<0.05 were considered statistically significant. Results: It was found that 29.5% of the participants experienced gagging. Regarding gagging, there was a significant difference between genders in favor of men, while a negative correlation was found between age groups. Gag reflex was observed in 15.7% of the patients with low dental fear, 60.2% of the patients with moderate dental fear, and 72.5% of patients with high dental fear (p<0.05). Conclusion: The prevalence of gagging in pediatric dentistry is high. It is seen that the level of dental fear of patients with severe and moderate gagging is higher than patients with mild and normal gagging.

Keywords: Gagging; prevalence; dental anxiety
ÖZET
 Amaç: Öğürme, diş tedavileri sırasında sıklıkla karşılaşılan ve tedavinin başarısını etkileyen önemli bir sorundur. Bu çalışmanın amacı, çocuklarda öğürme sıklığını belirlemek ve diş korkusunun öğürmeye etkisini araştırmaktır. Gereç ve Yöntemler: Kliniğimize tedavi için başvuran ve daha önce diş hekimliği deneyimi olan 6-14 yaşları arasında 417 hasta bu çalışmaya dâhil edildi. Hastalardan muayene öncesi dental korkuyu değerlendirmek için 'Çocuk Korku Değerlendirme Skalası-Dental Alt Ölçeği'ni içeren bir form doldurmaları istendi. Daha sonra, deneyimli bir diş hekimi tarafından ağız içi aynası kullanılarak triger noktalara yapılan muayene ile 'Öğürme Problem İndeksi Sınıflandırması'na göre öğürme derecesi kaydedildi. İstatistiksel değerlendirmede Mann-Whitney U, Kruskal-Wallis ve ki-kare testleri kullanılarak, p<0,05 için sonuçlar istatistiksel olarak anlamlı kabul edildi. Bulgular: Çalışmaya katılan çocukların muayene sonuçları değerlendirildiğinde, %29,5'inde öğürme görüldü. Öğürme sonuçlarında, erkeklerde cinsiyetler arasında anlamlı farklılık bulunurken, yaş grupları arasında negatif korelasyon bulundu. Düşük dental korkuya sahip olanların %15,7'sinde, orta derecede dental korkuya sahip olanların %60,2'sinde, yüksek derecede dental korkuya sahip hastaların ise %72,5'inde öğürme refleksi bulguları görüldü (p<0,05). Sonuç: Çocuk diş hekimliğinde öğürme prevalansı yüksektir. Şiddetli ve orta derecede öğürmesi olan hastaların dental korku düzeyinin hafif ve normal öğürmesi olan hastalara göre daha yüksek olduğu görülmektedir.

Anahtar Kelimeler: Öğürme; prevalans; dental kaygı
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