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7
Braz Dent Sci 2023 Apr/Jun;26 (2): e3628
Halboub E et al.
The possible association between the types of soft palate and gag reflex: a preliminary study
Halboub E et al.
The possible association between the types of soft palate and
gag reflex: a preliminary study
However, the patients with severe gag reflex
should be referred to a special clinic or hospital
which has equipment required for the treatment.
Behavioral approaches, complementary medicine
therapies and pharmacological techniques are
used for the treatment of problematic gagging in
dentistry. The issue of managing dental patient
with gag reex has been extensively reviewed
elsewhere [2] and even different techniques
have been innovated in this context [14]. Digital
impression or the intra-oral scanning might be
the best option in this matter [15,16].
The study has cons and pros. One of the
strength points of this study was using the
same type and amount of impression materials
and the same water temperature, along with
the standardized position of the subjects while
applying the different testing procedures.
Furthermore, the study included equal numbers
of female and male patients.
One major limitation of the study is that
we didn’t assess the reliability of the objective
assessment of the types of soft palate. However,
we conrm that the examiners were trained well
under supervision of a specialist in prosthodontics,
in addition to the fact that all subjects were
assessed by two of the trained authors and the
assessment was thus recorded upon consensus.
Another limitation was the small sample size and
hence number of subjects with type III soft palate
was very small owing to the fact it is less prevalent
than types I and II soft palate. Also due to the
small sample size, the number of participants who
reported subjective gag reex, or who objectively
found to experience gag reex was small too.
Such a limitation may undermine the power of
the study to detect differences/associations and
limit the generalizability of the results. Therefore,
our results can be considered preliminary, and
thus further well-designed, large-scale studies
are highly encouraged.
CONCLUSION
This study illustrated an association between
the type of soft palate and the occurrence of gag
reex and its severity in females more than in
males. Females with type II and III soft palate are
more prone to gag reex than females with type
I soft palate, and even than males irrespective of
their type of soft palate. The dental practitioners
are required to take care of the various types of
the soft palate especially among females.
Author’s Contributions
EH, BMA: Designing the Study, Interpretation
of the Data, Drafting the Manuscript. BAS, SAJ,
GKA, TMA, AHK: Data Collection, Drafting the
Manuscript. MNA: Statistical Analysis, Drafting
the Manuscript. All authors read and approved
the nal manuscript.
Conict of Interest
No conicts of interest declared concerning
the publication of this article.
Funding
This work was funded by the Future Scientists
Program, Deanship of Scientic Research, Jazan
University, Jazan, Kingdom of Saudi Arabia
(Ref#: FS6).
Regulatory Statement
This study was conducted in accordance with
all the provisions of the local human subjects
oversight committee guidelines and policies
of: Standing Committee for Scientic Research
Ethics, Jazan University.
The approval code for this study is:
REC41/1-005.
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