![]() ![]() ![]() Thus, it is important that every dental clinician have a thorough knowledge of gagging for its skillful management and for better execution of the procedures to attain positive and gag-free results.Įye massagers can help reduce the stress and anxiety associated with dental procedures by providing a calm and stress-free environment. It is incumbent upon the treating dentist to calm the patient so he or she can carry out the treatment with ease. This will help to better execute the procedure to achieve positive and gag-free results. Various management techniques have been mentioned in the literature, but the key to management lies in understanding the cause and treating it accordingly. Mild gagging can be controlled by the patient or dentist by applying simple measures. ![]() Depending on severity, gagging can be classified as very mild, mild, moderate, severe, or very severe. This article describes a simple remedy for suppressing the gag reflex using an eye massager.ĭental procedures can be a daunting experience for patients, especially those with mild gag reflexes. A clinical examination with a ball burnisher should then be performed to identify trigger points. A thorough history should be taken, with empathic, specific, and open questions. The patient should be evaluated individually, and an attempt should be made to identify the situations that cause gagging. The diagnosis of the cause, not only the symptoms, is necessary for proper care. There are several methods that have been suggested to help manage this reflex, such as acupressure , acupuncture , hypnosis , a virtual reality headset , an eye mask with music , desensitization exercises , and cognitive-behavioral therapy . Fear of visits to the dentist often affects a patient's willingness to seek care, and many patients experience gag reflexes due to the mere sight of a local anesthetic injection or impression tray. Strategies such as education, proper communication, and modifying treatment plans are valuable ways to reduce this fear and help ensure successful outcomes. Dental factors include poor retention, the surface finish of dentures, an inadequate posterior palatal seal, restricted tongue space in dentures, and overextended borders. Iatrogenic factors include water and suction tubes, instrumentation, local anesthesia, and radiography. Psychological factors include stress, phobias, alcoholism, and fear. Social factors include heavy smoking due to hypersensitivity, coughing, chronic catarrh, and chronic alcoholism. Medical factors include chronic gastritis, carcinoma of the stomach and pancreas, and partial gastrectomies. Local factors include a deviated nasal septum, nasal obstruction, postnasal drip, and sinusitis. Various factors that cause gag reflex can be classified into local, medical, social, psychological, iatrogenic, and dental. This anxiety, ranging from mild to severe, can make the entire dental experience unpleasant and stressful. Though gagging has a multifactorial etiology, an over-reactive gag reflex can be caused by anxiety in a few people . The gag reflex is one of the primary challenges that must be managed during prosthodontic treatments, especially when making an impression. ![]()
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