The gagging problem in prosthodontic treatment. Part II: Patient management.

The most serious problem associated with the patient with an overactive gag reflex is the strong potential for compromised treatment. A complete oral examination, medical history, and conversation with the patient are important sources of information that assist with the management of gagging problems. Many techniques are available for controlling the exaggerated gag reflex, and no single technique will solve each patient's problem. The technique or techniques used should be dictated by the cause or causes involved. If organic disturbances, anatomic anomalies, or biomechanical inadequacies of existing prostheses are not key causes, the services of trained specialists are needed to help with behavioral management of the problem.