Evaluation of Knowledge, Attitudes, and Practices of Dental Undergraduates and Postgraduates of Karachi In Treating The Patients With Hyperactive Gag Reflex

Abstract

Objective:
To assess dental health practitioners' knowledge, attitudes, and practices regarding hyperactive gag reflex management in patients visiting public and private dental settings in Karachi.

Design, Place, and Duration of Study:
A cross-sectional Knowledge, Attitude, and Practice (KAP) survey was conducted from October 2022 to June 2023 among dental students and practitioners in Karachi's public and private dental institutes.

Materials and Methods:
Following Institutional Review Board approval, a sample of 469 participants was targeted using a 95% confidence level and a 5% margin of error. Out of 442 who agreed, 242 responses were included from seven dental colleges (two public, five private). A self-administered questionnaire, validated by pretesting, assessed demographic details and responses on gag reflex management knowledge, attitudes, and practices. Scores were categorized as good/poor knowledge and desirable/undesirable attitudes/practices. Statistical analysis was performed using SPSS version 22, with significance set at p<0.05.

Results:
Of the 242 participants, 157 (65%) were females and 85 (35%) males, aged 25-45 years. Most participants (63%) had less than two years of work experience. Impression-taking (54.9%) and intra-oral radiography (34.2%) were identified as common triggers for gag reflex. No significant difference was found in knowledge of hyperactive gag reflex treatment. However, postgraduate students demonstrated better practices and knowledge than undergraduates.

Conclusion:
Practical knowledge of hyperactive gag reflex management among dental practitioners remains limited. Enhanced education and training are necessary to improve practices, particularly among undergraduate students.