Management of prosthodontic patients with severe gag reflex using the questionaire and behavior technique: A case report
10.4047/jkap.2021.59.3.333
- Author:
Changmo SOHN
1
;
Yu-Jin KIM
;
Cheon-Seo LEE
;
Na-Rae CHOI
;
Eun-Young KWON
;
So-Yeun KIM
Author Information
1. Department of Oral and Maxillofacial Surgery, Pusan National Uninversity Dental Hospital, Yangsan, Republic of Korea
- Publication Type:CASE REPORT
- From:The Journal of Korean Academy of Prosthodontics
2021;59(3):333-340
- CountryRepublic of Korea
- Language:English
-
Abstract:
Although gag reflex is an essential function and a useful physiological defense mechanism, it can become an obstacle in a dental treatment. In this case, a questionnaire was designed and used in consultations to objectify the factors associated with gag reflex. Based on the questionnaire, various treatment protocols were planned, such as behavioral control, which is a systematic desensitization that adapts by placing dental instruments in the oral cavity, and habit control to eliminate vomiting habits after drinking. Except for the placement of the implant fixture under general anesthesia, all restoration procedures were performed in the outpatient clinic in the same manner as the conventional implant fixed prosthetic restoration. The systematic desensitization and behavior technique were repeated until the patient was able to endure discomfort and relieve gag reflex in dental treatment. The patient was successfully received the implant-fixed prosthetic restoration in the partial edentulous region.
