But one little-used strategy could also be the easiest to implement: mindfulness meditation. The survey also found that frequent gaggers were more likely to report higher levels of dental anxiety than nongaggers.Ĭlinicians who want to create a better experiences for gaggers and eliminate barriers to care have several options at their disposal, ranging from sedation to desensitization. 2 Moreover, 7.5% reported gagging during every or almost every appointment. According to a 2014 research paper in the Journal of the American Dental Association, a survey of 478 dental patients found that 50% had gagged at least once during a dental visit. Gagging, however, isn’t just a physiological problem. In fact, a 2004 literature review found that frequent gaggers are more likely to postpone dental care than nongaggers. But to the patient, gagging is a potential barrier to care. Before you can say “pharyngeal reflex,” the patient is sputtering and choking nearly to the point of tears.įor clinicians, a patient’s strong gag reflex means longer appointment times and more treatment challenges. It's a familiar situation: There you are working, and suddenly you see the patient’s tongue lift. Diagnosis of GER and GERD.If you’ve been practicing dentistry for any length of time, you’ve encountered your fair share of gaggers. National Institute of Diabetes and Digestive and Kidney Diseases. The clinical management of the gagging patient. Treatment: dysphagia (swallowing problems). GMS Curr Top Ortorhinolaryngol Head Neck Surg. 2013 13:doc07. Got GERD? Six GERD signs you shouldn't ignore. Dysphagia: evaluation and collaborative management. Management of gag reflex for patients undergoing dental treatment. Tasmanian Government.Įachempati P, Kumbargere Nagraj S, Kiran Kumar Krishanappa S, George RP, Soe HHK, Karanth L. Know the difference between choking and gagging on food. Acupuncture - an effective tool in the management of gag reflex. StatPearls Publishing.Īnand MV, Rai R, Bettie NF, Ramachandiran H, Solomon, Praveena S. Or, they may use local anesthetic or conscious sedation for needed procedures. They may suggest measures to lower anxiety. Hyperactive gag reflex: Talk to your dentist or other oral health provider before a procedure.The person may also need to modify their diet to prevent gagging, such as switching to softer foods, pureed foods, or thickened liquids. Dysphagia: Swallowing therapy may be needed.Talk to a healthcare provider about over-the-counter (OTC) and prescription medications or surgery that may help. These include elevating the head of your bed, losing weight if overweight, quitting smoking, and avoiding foods and drinks that you find aggravate the condition. GERD: Lifestyle changes may help prevent episodes of acid reflux and gagging.Tonsillectomy surgery may be considered for chronic or repeated episodes. A bacterial infection may require antibiotics, while a viral infection won't be helped by antibiotics. Swollen tonsils or adenoids: Switch to softer foods and consider pain relievers appropriate for the person's age.
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