TY - JOUR ID - TI - Gagging: A problem in prosthetic dentistry and its medical treatment AU - Nagham H Kassab AU - Maha T Al–Saffar PY - 2005 VL - 5 IS - 2 SP - 168 EP - 173 JO - Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان SN - 18121217 19980345 AB - This study was designed to diagnose and treat patientshaving gagging reflex whom need prosthetic treatment; patientsin this study were wearing denture or received new one;those attending Prosthodontic Department/ College of Dentistry/University of Mosul.The sample of this study was 243 patients consisting of167 males and 76 females and their ages ranged between 22–79 years old. All of them had either single upper, partial orcomplete denture excluding from this study all patients whodid not have denture before, because this study directed towardprosthetic patients only.A sample, which consists of 243 patients, was dividedinto two main groups according to their response to gag reflex.The first one represented the control group which consistedof 200 patients, those did not have gagging reflex problemwhile the second group which represented those patients whothey suffer from gagging problem when they are wearing orduring denture insertion and consisted of 43 patients: Eachone of them subdivided furthermore into subgroups accordingto patient’s medical health status and sex. The second group(gagging patient) subdivided furthermore into 3 subgroupsaccording to severity of gag reflex in which according to that,treatment plan had been made and it consisted of psychologicaltreatment only for patients with mild and moderate gaggingand medical and psychological treatment for patients withsevere gagging reflex which include metoclopromide and valium2.The result of this study demonstrated that those patientswith severe gagging reflex problem reflect difficulties duringprosthetic treatment which required medical and psychologicaltreatment, which include reassurance of patient with explanationof steps of prosthetic treatment plan to reduce fear andanxiety before any prosthesis construction and the responseof those patients to medical treatment was approximately58.3% to this treatment and it was concluded that any type ofprosthetic treatment in patients with gagging reflex requiredmedical and psychological treatment plan.

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