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The gag reflex is a normal defense mechanism to prevent foreign objects from
entering the trachea. In some individuals this reflex is active to the point that
can be overridden by the desire to eject any object in the mouth. Gagging is
triggered by tactile stimulation of certain Intraoral structures including the
soft palate, pharynx, and base of the tongue. Wright hypothesized that
gagging results from stimulation of anterior portions of the mouth. Afferent
impulses are transmitted in the trigeminal or glossopharyngeal nerves to the
medulla. The gag reflex also may be elicited by non-tactile sensations
including visual, auditory, and olfactory stimuli. Several psychological and
somatologic factors can initiate the reflex including anxiety and fear of dental
treatment, revulsion to unpleasant stimuli apprehension caused by previous
dental treatment, and fear of choking. Somatogenic factors such as obstruction
of nasal airway, catarrh, increased salivation, or irritability of the
gastrointestinal tract may elicit gagging. With completed denture, the
common denture faults that causes gagging include lack of interocclusal
space, non-retentive maxillary denture, inadequate peripheral seal, restricted
tongue space, and over- or under-extended denture borders.
5. The technique is simple and does not need special laboratory work.
Procedure:
2. Instruct the patient in basic breathing & muscle relaxation exercises; i.e.,
inhaling through the nose and exhaling through the mouth, while
concentrating on breathing.
4. Pour the water anesthetic mixture into the bowl, add the measured powder
and mix thoroughly. Insert the loaded tray gently in the patient mouth and
then press until setting