![]() ![]() The patient was asked to lift his leg and hold it for some time during impression making. The distraction technique was followed during impression making. All the steps of denture fabrication were explained to the patient. He was also assured that a temporary denture base plate will be given to him so that he gets accustomed to the feel and touch of the final prosthesis. Since the patient was able to tolerate chocolates in his mouth, he was assured that he will be able to continue the dental treatment and would be able to wear the dentures. He was instructed to do it thrice and not to chew on chocolates. The patient was instructed to follow both procedures for a week. He was also asked to put four-round chocolates in his mouth one by one at his freedom, till all four chocolates are present in his mouth. He was asked to do this twice, once in the morning and later at night before going to sleep. He was instructed to stand in front of the mirror and gently massage the posterior area of the palate as far as possible with his toothbrush. The patient was instructed to carry out two procedures at home, to reduce his anxiety during treatment. The patients gagging was psychogenic in nature. During the conversation, the patient revealed that he had previously started dental treatment and left it halfway because of gagging. The patient was involved in an interesting conversation for positive reinforcement. Since the patient presented with gagging on insertion of mouth mirror, no dental procedure was carried out on that day. The patient was attended to with a calm and caring attitude to reduce his anxiety. To successfully manage a gag reflex, the following step-by-step approach was followed. This made the patient very anxious to carry out the procedure. During the oral examination, the patient experienced a gag reflex on the insertion of the mouth mirror. This article describes an easy step-by-step approach to managing a gagging patient.Ī 55-year-old edentulous male patient reported to the department of prosthodontics for replacement of teeth with complete dentures. This should be done before the start of the dental procedure. Proper management lies in first finding the cause and treating it. Various treatment modalities like behavioral techniques, acupressure, hypnosis, acupuncture, systemic desensitization, and pharmacological management have been mentioned in the literature. Systemic disorders, anatomic factors as well as psychological disorders can cause patients to gag. It can make certain diagnostic procedures to finishing treatment cumbersome as well as time-consuming. This will be a very stressful experience for the dentist as well as the patient. The patients have extreme sensitivity and they cannot tolerate any foreign material in their mouths. Gagging is a normal defense mechanism to prevent the foreign substance from entering the respiratory tract. Gagging is one of the common problems encountered by the dentist during clinical practice.
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