A modified edentulous maxillary custom tray to help prevent gagging

Managing Gag Reflex during Removable Partial Denture Treatment: A Review and a Clinical Report

“…Of primary importance is to gain the patient's confidence, and to make routine dental care possible by reducing anxiety and helping them “unlearn” previous behavior that leads to gagging . These may occur at any stage of treatment, including impression‐taking, maxillomandibular registration, the complete denture wax try‐in, on complete denture delivery, and during the recall stage …”

“…Most articles describe impression making as the most fearful and stressful dental procedure for patients with severe gag reflex . Some techniques have been used to reduce gag reflex during impression procedures .…”

“…Some techniques have been used to reduce gag reflex during impression procedures . Tray extension and adaptation, or even the use of alternative impression materials, altered consistency to avoid overflow, breathing techniques, acupressure, acupuncture or hand pressure point, as well as nitrous oxide inhalation are some of these techniques. It has been suggested that nitrous‐oxide inhalation reduces the negative perception and the conditions associated with gagging, and thereby increases patient tolerance to the placement of intraoral objects .…”

“…5,13,17 These may occur at any stage of treatment, including impression-taking, maxillomandibular registration, the complete denture wax try-in, on complete denture delivery, and during the recall stage. [24][25][26] Most articles describe impression making as the most fearful and stressful dental procedure for patients with severe gag reflex. 2,3,5,[9][10][11][12]14,15,24 Some techniques have been used to reduce gag reflex during impression procedures.…”

“…[24][25][26] Most articles describe impression making as the most fearful and stressful dental procedure for patients with severe gag reflex. 2,3,5,[9][10][11][12]14,15,24 Some techniques have been used to reduce gag reflex during impression procedures. 3,8 Tray extension and adaptation, 8,15,24 or even the use of alternative impression materials, 8,15 altered consistency to avoid overflow, 15 breathing techniques, 8,15 acupressure, 8,16 acupuncture 27 or hand pressure point, 13,16,28 as well as nitrous oxide inhalation 14 are some of these techniques.…”