Aims: The aim of this paper is to review normal gag reflex, neurophysiology and factors that may be associated with aetiology of gagging and the role of different methods to manage gagging in Prosthodontic clinic.
Scope of the study: All the methods for the management of gagging discussed here are non invasive, safe and economical so adaptation of these techniques will enhance the compliance of the patients in the Prosthodontic clinic and also motivate to them for future dental treatment.
Collection of data: The data was collected by all 3 authors independently from articles published in national and international journals. MEDLINE, Pub Med databases were searched with the help of key words. A manual search was also performed to spot previous work on severe gagging and its management.
Clinical implication: The management of gagging is very challenging in the Prosthodontic clinic. In some people this response is exaggerated to the extent that the acceptance of even normal dental treatment is just impossible.
Conclusion: All the methods which are discussed here should be used cautiously. Each patient will need to assess independently as the approach needs to be adapted to that particular patient’s requirement.
Keywords: Gagging reflex, marble technique, Neurophysiology of gagging, and Prosthodontic management.