Management of Exaggerated Gag Reflex Using Intravenous Sedation in Prosthodontic Treatment

Risk Factors and Prognosis of Pulmonary Complications After Endoscopic Submucosal Dissection for Gastric Neoplasia

“…In comparison to patients under deep sedation by either propofol infusion alone [22] or when co-administered with opioid [23], patients under conscious sedation by midazolam injection still demonstrate a gag reflex. Therefore, the deep sedation protocol used in our study may actually increase the risk of aspiration pneumonia.…”

Gag Reflex in Dentistry: What Can We Do?

“…47 Sedation is another choice for patients who are intolerable to dental treatment in association with behavior therapy or topical anesthetic application. 49 Sedation could be applied by inhalational, oral or intravenous agents. 50 These agents may temporarily eliminate the gag reflex during dental treatment while maintaining reflexes protecting the patients" airway.…”

“…5 Disadvantages of intravenous sedation are the long recovery time after application and the occasional need for admission to hospital. 49 Dental treatment of patients who have an extreme gag reflex which could not be handled with the techniques above can be done under general anesthesia, but this method has risks associated with general anesthetic agents and technique and limited resources are available for the provision of restorative treatment.…”

Intranasal Midazolam May Prevent Gagging Reflex: a Case Report

“…In these patients pharmacological management (sedatives [propofol, midazolam, nitrous oxide e.g. ], antihistamine, or parasympathetic depressants) was thought to be the last alternative to eliminate the reflex [4-6]. …”