Management for maxillary removable partial denture patients who gag

Ansari, Izharul Haque

doi:10.1016/0022-3913(94)90568-1

Cited by 11 publications

(12 citation statements)

References 3 publications

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“…2, left) was then used, resulting in no gagging. An impression was then taken by mixing an alginate impression material with less water than usual to avoid posterior flow 1,3) . Figure 3 shows the intraoral model.…”

Section: Case Reportmentioning

confidence: 99%

Case Report of Difficult Dental Prosthesis Insertion Due to Severe Gag Reflex

Hotta

2012

Bull. Tokyo Dent. Coll.

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Susceptibility to the gag reflex may render insertion of removable dentures very difficult. The use of intravenous sedation in such cases allows for the fabrication of dentures with decreased discomfort to the patient. When the completed dentures are inserted, however, discomfort may still occur as the effects of the gag reflex will again be felt. We report a case of an edentulous maxillary patient who was unable to insert his dentures due to the gag reflex. A denture with a smaller than usual plate area was created so as to prevent anxiety occurring during insertion with subsequent triggering of the gag reflex. The dentures reached as far as the premolars. At first, long-term wear was difficult due to gagging at immediately after insertion. Full-time wear became possible, however, after approximately one and a half months. Hereafter, masticatory function will be enhanced through extension of the denture base and addition of artificial teeth in stages.

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Section: Case Reportmentioning

confidence: 99%

Case Report of Difficult Dental Prosthesis Insertion Due to Severe Gag Reflex

Hotta

2012

Bull. Tokyo Dent. Coll.

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“…A gag reflex is a physiologic, involuntary defense mechanism to protect the pharynx and throat (soft palate, pharynx and pharyngeal part of the tongue) from foreign objects . The gag reflex is stimulated and controlled by nerve endings situated in the soft palate, pharynx, and pharyngeal part of the tongue .…”

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confidence: 99%

“…Exaggerated gag reflex may lead to problems during clinical stages of fabrication and during wearing of removable complete and partial prostheses . An unusually active gag reflex upsets the patient and consequently may lead to avoidance of routine dental treatment, poor oral hygiene, and tooth loss …”

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confidence: 99%

“…Many ways and techniques can be easily mastered by clinicians and may help both dentist and patient to deal with gag reflex . The pharmacological technique incorporates pharmacological agents to manage gagging, can either act peripherally or centrally, and can be local or general anesthetics, herbal remedies, anti‐nausea medicines, and sedatives …”

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confidence: 99%

“…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 …”

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confidence: 99%

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

Stefos¹,

Zoidis

Nimmo

2018

Journal of Prosthodontics

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A gag reflex is a common occurrence during dental procedures. A hypersensitive gag reflex is less frequently encountered and may prevent the dental provider from successfully completing critical clinical stages, resulting in poor treatment outcomes. Once patients suffer an unpleasant gag reflex experience in a dental office, they may become phobic, delaying or postponing their dental treatment. The purpose of this article is to review available treatment options and present a report of a partially edentulous patient with an exaggerated gag reflex, focusing on clinical management using a simple yet effective table salt technique and proper prosthesis design.

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Gagging and its management—A review

Parakh

2022

Oral Science International

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Gagging is a physiologic reaction that is protective in nature. Gagging is commonly seen during dental procedures, and patients who have a sensitive gag reflex can be a challenge to manage. Gagging during dental procedures often causes interruption in the dental treatment, or in rare instances, the treatment has to be postponed. Gagging makes it difficult to perform dental treatment, and there are various methods that are advocated in the literature. Managing a patient with an exaggerated gag reflex is a challenge, and effective and right approach to the management can go long way for the patient. This review aims to highlight the various options of preventing or reducing gagging in patients.

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Management for maxillary removable partial denture patients who gag

Cited by 11 publications

References 3 publications

Case Report of Difficult Dental Prosthesis Insertion Due to Severe Gag Reflex

Case Report of Difficult Dental Prosthesis Insertion Due to Severe Gag Reflex

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

Gagging and its management—A review

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