Hussain S, Batool S, Yazdanie N.
Gag Reflex: Not A Dilemma Any More.
Biomedica Jan ;32(4):277-80.

Background and Objectives: Gag reflex is major problem during dental procedures which further compromises the quality of dental treatment. Such patients are difficult to manage by most of the dentists. Thus, one of challenging skills during the treatment procedure is the management of the gag reflex. The purpose of this study is to introduce a simpler and a convenient chair side method to manage these patients, i.e. by using lignocaine local anesthetic solution cartridges, which are readily available in the clinics for attainment local anesthesia and block administration. Methods: Total of 80 patients were selected, and divided into two groups of 40 each. Alginate impressions were made for both of the groups. In group A, one cartridge of lignocaine solution was incorporated and in the group B two cartridges were incorporated in the material. Results: In group A, 21 (52.5%) moderate and 19 (47.5%) severe gag patients and in Group B, 16 (40%) moderate and 24 (60%) severe gag patients didn’t show any gag reflex when the lignocaine was mixed with alginate impression material. Conclusion: Little modification in the impression material can give better results, making patient more comfortable during the impression procedure.

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