713 clearly states that male patients and female patients has equal chances of getting gagging severity index as shown in table 2.
There are many ways for the management of gagging including behavioral techniques (relaxation technique, distraction technique, breathing technique, systemic desensitizing technique, cognitive therapy, re-education technique and acupuncture technique); Pharmacological techniques (local anesthesia, conscious sedation), and prosthodontics management (by management of maxillary edentulous custom tray, change of material and modification of prosthesis).
As mentioned the techniques reported in the literature to overcome the problem of gagging during impression making are not suitable for every patient.
ETIOLOGY: A cause or a set of causes initiated by triggering of gagging may be inborn or acquired, local or general reflexes.
Anatomic Factors--It has been suggested that extensive distribution of the neural pathway; especially the vagus nerve may play a role in gagging (6).
Pregnancy can also cause exaggerated reflex activity at the gagging centre since the adjacent vomiting centre is usually very active in early preganancy.
The information begs the question of how many deaths and malpractice incidents could have been prevented if the gagging
orders weren't taking place.
Gagging caused statistically significant increase in average heart rate but illustrated the changing trend of autonomic tone in favor of parasympathetic division over 5 minutes interval.
The right vagus nerve innervates the sinoatrial node, and parasympathetic hyperstimulation predisposes those affected to bradyarrhythmias; the left vagus nerve when hyperstimulated predisposes the heart to atrioventricular (AV) blocks, but these facts do not affect our results because we recorded average heart rate variability for 5 minutes before and after gagging.
Sample size, past gagging experiences and probability of previous conditioning, the effect of age and sex on reflex sensitivity, and/or the possible inequality of motor response of reflex in supine and sitting position may be important.
Swallowing occurs when the muscle action is smooth and co ordinate, when muscle action is smooth and unco ordinate gagging occurs.
A clinical description of gagging behaviour has been described:
The centre in medulla oblongata is very close to the vomiting, salivating and cardiac centre, explaining why gagging may be accompanied by additional reflex activity (Ex.
In a statement yesterday, the Sunday People warned the Government we will not take their gagging orders lying down.
As a result of the first gagging order, we have been banned from running a further article relating to these investigations that we had prepared for publication.