Q's pt1 (use)

Which areas of the oral cavity are most likely to elicit the gag reflex when stimulated?

• soft palate

• posterior lateral 1/3 of tongue

What is another term for the gag reflex?

“Pharyngeal reflex’”

What are the two precipating factors responsible for initating the gag reflex?

• psychogenic stimuli

• tactile stimuli

What two things happen when a patient gags?

• stop breathing

• contraction of muscles in throat + abdomen

What can we do as operatiors to control the gag relfex with our attitude?

• BE CONFIDENT

• decreased confidence= increased psychogenic stimuli

• understand pt tolerance + understanding

Decreased time of receptor in mouth, increases chances of gag reflex

False

Pt + equipment prep prior to placing receptor decreases chances of gag reflex

T

What is the order of exposing sequence for radiographs?

Anterior images, 1st pm, m

Which radiographic image is most likely to elicit the gag reflex?

Max. molar

T/F: It is ok to hit the palate when placing the receptor

False

What can you do prior to receptor placement to desensitize tissues of where receptor will be placed?

Run fingers over area

T/F: You should talk to the pts caregiver rather than directly to them

False

List tips if you have a pt who has vision impairment

• clear verbal explanations

• keep pt informed; always explain each step to pt

• inform pt if leaving area

List tips if you have a pt who has hearing impairment

• ask pt preferred method of communication

• speak clear + slowly so pt can read lips

• no face mask instead use face shield

If a patient’s upper body is not mobile, who may be allowed to hold the receptor in their mouth during x-rays?

Caregiver

List tips if you have a pt who has mobility impairment

• ask how pt wants to be moved

• can attempt radiographs in wheel chair

If a patient has coordination issues, what can be done to help them when taking images?

Mild sedation

List the main reasons we would prescribe radiographs for a peds pt

• all tooth bearing areas when 1st permanent tooth erupts

• 2 years after eruption of 2nd permanent molar

• BWX if caries suspected

If no caries present, when would we take BWXs in a pediatric patient?

• BWX every 12-18mo in primary dentition

• BWX every 2 years if permanent dentition

Which imaging technique is preferred for children with a small mouth?

Bisecting

A strong involuntary effort to vomit

Gagging