AURICULAR ACUPUNTURE IN DENTISTRY

AURICULAR ACUPUNTURE IN DENTISTRY

Sedation and anxiety management

Analgesia - Anesthesia
Dental extractions
Pain after dental treatments

TMD and Bruxing

Xerostomia

Prominent gag reflex

AURICULAR ACUPUNTURE IN DENTISTRY

3
1 1 SHEN MEN

2 MASTER CEREBRAL (ANX 1)

3 RELAXANT (ANX 2)

5 4 ATM

5 MOUTH

6
6 THALAMUS
4
7 TRIGEMINUS MAXILLARY

8 TRIGEMINUS MANDIBULAR
2 8
7
AURICULAR ACUPUNTURE IN DENTISTRY

3
1 1 SHEN MEN

2 MASTER CEREBRAL (ANX 1)

3 RELAXANT (ANX 2)

5 4 ATM

5 MOUTH

6
6 THALAMUS
4
7 TRIGEMINUS MAXILLARY

8 TRIGEMINUS MANDIBULAR
2 8
7
AURICULAR ACUPUNTURE IN DENTISTRY

1 SHEN MEN

2 MASTER CEREBRAL (ANX 1)

3 RELAXANT (ANX 2)

4 ATM

5 MOUTH

6 THALAMUS

7 TRIGEMINUS MAXILLARY

8 TRIGEMINUS MANDIBULAR
DENTAL ANXIETY
ANXIETY

Diffuse, unpleasant, vague sense of apprehension

Often accompanied by autonomic symptoms
Presentation depends on perception of stress, personal
resources, psychological defenses, and coping mechanism

Normal emotional responses

Clear adaptive purpose
In anxiety disorders, these normal responses become excessive,
persistent, easily triggered, and disruptive to the persons life.
 ANXIETY

Anxiety is divided into two subgroups:

state anxiety and trait anxiety.

State anxiety
is a transitory emotional condition that varies in intensity
according to the environmental conditions. State anxiety reflects
an individual's present anxiety and fluctuates over time,
depending on the intensity of pressure.

Trait anxiety
however, is a personality trait that reflects an individual's general
baseline anxiety and remains relatively stable.
MEASUREMENT OF ANXIETY

S.T.A.I. - X (State-Trait-Anxiety Inventory)

Spielberger C.D. Gorsuch R.L. e Lushene R.E. (1980)

S.T.A.I - Y (State-Trait-Anxiety Inventory)

Spielberger C.D. (1989)

Form Y, its most popular version, has 20 items for assessing trait anxiety
and 20 for state anxiety.

Higher scores (20-80) indicate greater anxiety

DENTAL ANXIETY
Dental anxiety: a problem for the patient and for the dentist

Dental anxiety is a widespread problem that results in a

significant barrier to the receipt of dental care.

Dental anxiety partially limits, or completely prevents,

utilisation of oral health care services.

It increases the prevalence of dental disease. Regular and

conventional care is bypassed by dentally anxious persons.

A study found that over 70% of dentists experience

considerable stress when they treat patients exhibiting dental
anxiety.
DENTAL ANXIETY
AURICULAR ACUPUNTURE FOR DENTAL ANXIETY
AURICULAR ACUPUNTURE FOR DENTAL ANXIETY
AURICULAR ACUPUNTURE FOR DENTAL ANXIETY
AURICULAR ACUPUNTURE FOR DENTAL ANXIETY
AURICULAR ACUPUNTURE FOR DENTAL ANXIETY

MEASUREMENT OF ANXIETY
TREATMENT OF DENTAL ANXIETY

3
1 1 SHEN MEN

2 MASTER CEREBRAL (ANX 1)

3 RELAXANT (ANX 2)

2
TREATMENT OF DENTAL ANXIETY

1 SHEN MEN

2 MASTER CEREBRAL (ANX 1)

3 RELAXANT (ANX 2)

4 ATM

5 MOUTH

6 THALAMUS

7 TRIGEMINUS MAXILLARY

8 TRIGEMINUS MANDIBULAR
ANALGESIA, DENTAL EXTRACTION, AFTER DENTAL TREATMENTS

Anesth Prog. 1993

Auricular electrical stimulation and dental pain threshold.

Simmons MS, Oleson TD

A modified double-blind evaluation of naloxone reversibility of dental analgesia p

roduced
. by auricular electrical stimulation (AES) was examined in 40 subjectsas
signed randomly to one of four groups: AES followed by saline (AS), AES foll
owed by naloxone (AN), placebo AES followed by saline (PS), and placebo AES
followed by naloxone (PN).
Dental pain threshold was tested using a hand-held dental pulp tester.
CONCLUSION: These findings indicate a small but significant elevation of pain t
hreshold by AES, an effect partially blocked by naloxone, suggesting an endo
genous opioid system as one mechanism for AES analgesia.
ANALGESIA, DENTAL EXTRACTION, AFTER DENTAL TREATMENTS

.
ANALGESIA, DENTAL EXTRACTION, AFTER DENTAL TREATMENTS

Anesth Prog. 1993

Auricular electrical stimulation and dental pain threshold.
Simmons MS, Oleson TD

.
ANALGESIA, DENTAL EXTRACTION, AFTER DENTAL TREATMENTS

Anesth Analg. 2007

Perioperative auricular electroacupuncture has no effect on pain and

analgesic consumption after third molar tooth extraction.

Michalek-Sauberer A(1), Heinzl H, Sator-Katzenschlager SM, Monov G,

Knolle E, Kress HG.

Auricular acupuncture (AA) has been shown to alleviate acute and

chronic pain.

We investigated the effects of auricular electroacupuncture (AE) on

pain and analgesic drug consumption in the first 48 h after unilateral mandibular
third molar tooth extraction under local anesthesia in a prospective, randomized,
double-blind, placebo-controlled study in 149 patients.

CONCLUSION: We conclude that neither AE nor AA alone reduce either pain i

ntensity or analgesic consumption in a molar tooth extraction model of acute p
ain.
ANALGESIA, DENTAL EXTRACTION, AFTER DENTAL TREATMENTS

Pain after tooth

extraction
(mandibular first molar)
ANALGESIA, DENTAL EXTRACTION, AFTER DENTAL TREATMENTS

3
1 1 SHEN MEN

2 MASTER CEREBRAL (ANX 1)

3 RELAXANT (ANX 2)

5 4 ATM

5 MOUTH

6
6 THALAMUS
4
7 TRIGEMINUS MAXILLARY

8 TRIGEMINUS MANDIBULAR
2 8
7
ANALGESIA, DENTAL EXTRACTION, AFTER DENTAL TREATMENTS

1 SHEN MEN

2 MASTER CEREBRAL (ANX 1)

3 RELAXANT (ANX 2)

4 ATM

5 MOUTH

6 THALAMUS

7 TRIGEMINUS MAXILLARY

8 TRIGEMINUS MANDIBULAR
ANALGESIA, DENTAL EXTRACTION, AFTER DENTAL TREATMENTS

1 SHEN MEN

2 MASTER CEREBRAL (ANX 1)

3 RELAXANT (ANX 2)

4 ATM

5 MOUTH

6 THALAMUS

7 TRIGEMINUS MAXILLARY

8 TRIGEMINUS MANDIBULAR
TMD and BRUXING
TMD AND BRUXING

3
1 1 SHEN MEN

2 MASTER CEREBRAL (ANX 1)

3 RELAXANT (ANX 2)

5 4 ATM

5 MOUTH

6
6 THALAMUS
4
7 TRIGEMINUS MAXILLARY

8 TRIGEMINUS MANDIBULAR
2 8
7
TMD and BRUXING

1 SHEN MEN

2 MASTER CEREBRAL (ANX 1)

3 RELAXANT (ANX 2)

4 ATM

5 MOUTH

6 THALAMUS

7 TRIGEMINUS MAXILLARY

8 TRIGEMINUS MANDIBULAR
TMD and BRUXING

1 SHEN MEN

2 MASTER CEREBRAL (ANX 1)

3 RELAXANT (ANX 2)

4 ATM

5 MOUTH

6 THALAMUS

7 TRIGEMINUS MAXILLARY

8 TRIGEMINUS MANDIBULAR
XEROSTOMIA
XEROSTOMIA
ACUPUNCTURE AND XEROSTOMIA
ACUPUNCTURE AND XEROSTOMIA
AURICULAR ACUPUNCTURE AND GAG REFLEX
GAG REFLEX
GAG REFLEX
The magnitude of the gag reflex was assessed using the gagging severity Index (GSI) p
rior to acupuncture

The Gagging Prevention Index (GPI) was used to assess the effectiveness of the ear
acupuncture in controlling the reflex and allowing dental treatment to take place.
AURICULAR ACUPUNCTURE AND GAG REFLEX
GAG REFLEX

The role of acupuncture in the treatmente of orthodontic patients

with a gagging reflex:a pilot study
E. Sari & T.Sari
BDJ Published online May 2010
GAG REFLEX
AURICULAR ACUPUNCTURE AND GAG REFLEX

1 fine, single-use disposable needle of

7 mm length into the anti-gagging point
of each ear to a depth of 3 mm.

The needles are manipulated for 30

seconds prior to carrying out dental
treatment.

The needles remain in situ throughout

treatment and are removed before the
patient is discharged
AURICULAR ACUPUNCTURE AND GAG REFLEX

Forsch Komplementmed. 2014

An earplug technique to reduce the gag reflex during dental
procedures.
Cakmak YO(1), Ozdogmus O, Gnay Y, Grbzer B, Tezula E, Kaspar EC,
Hacoglu H.

The present study aims to evaluate the efficacy of a simple earplug as an exter
nal auditory canal stimulator to supress the profound gag reflex and as a second
step, to map areas of the oropharynx suppressed by this technique.

CONCLUSION: An earplug technique can be a useful, practical, and effective

tool to overcome the gag reflex during oral procedures, such as impression p
rocedures of maxillary teeth.
AURICULAR ACUPUNCTURE AND GAG REFLEX

3
1 1 SHEN MEN

2 MASTER CEREBRAL (ANX 1)

3 RELAXANT (ANX 2)

5 4 ATM

5 MOUTH

6
6 THALAMUS
4
7 TRIGEMINUS MAXILLARY

8 TRIGEMINUS MANDIBULAR
2 8
7
AURICULAR ACUPUNCTURE AND GAG REFLEX

1 SHEN MEN

2 MASTER CEREBRAL (ANX 1)

3 RELAXANT (ANX 2)

4 ATM

5 MOUTH

6 THALAMUS

7 TRIGEMINUS MAXILLARY

8 TRIGEMINUS MANDIBULAR
GAG REFLEX: INTEGRATED PROCEDURE