A patient was referred to a centre for special care dentistry due to problems with a severe gag reflex and dental care-related anxiety. A regular treatment was started with gradual exposure in vivo in combination with breathing exercises, which involved the patient doing exercises at home. In addition, she was referred to an (external) speech therapist. During the treatment the patient suffered from pain in [molar] tooth 27 and a short-term solution was necessary. Regular treatment was not (yet) possible due to the existing severe gag reflex. Treatment with nitrous oxide was chosen to address the pain, in combination with the treatment that had already been started, so that the nitrous oxide could eventually be reduced again. Due in part to the patient’s motivation and a multidisciplinary approach a good and stable result has been achieved.
|Publicatiedatum||7 juli 2017|
|Editie||Ned Tijdschr Tandheelkd - Jaargang 124 - editie 7-8 - juli en augustus 2017; 361-363|