As mentioned the techniques reported in the literature to overcome the problem of gagging during impression making are not suitable for every patient.
A review of gagging problems in dentistry Clinical Assessment and Management.
Pregnancy can also cause exaggerated reflex activity at the gagging centre since the adjacent vomiting centre is usually very active in early preganancy.
Iatrogenic: Incompetence of the dental professional may trigger a gag reflex in a normal patient who is not affected by gagging.
Gagging Scores: Dickinson & Fiske gagging severity index (GSI) (11)
Gagging prevention measures are usually required 4: Severe gagging.
Sample size, past gagging experiences and probability of previous conditioning, the effect of age and sex on reflex sensitivity, and/or the possible inequality of motor response of reflex in supine and sitting position may be important.
Overall, the cardiovascular effects of gagging that may potentially be important in some patients are not well known and further study is recommended.
Development of the Gagging Problem Assessment: a pilot study.
Table 1: The heart rate variability indexes following gagging (mean[+ or -]S.
The centre in medulla oblongata is very close to the vomiting, salivating and cardiac centre, explaining why gagging may be accompanied by additional reflex activity (Ex.
Alcoholism, smoking, chronic gastritis, carcinoma of the stomach, peptic ulcer, and cholecystics are related to chronic gastrointestinal irritability and gagging.
Diaphragmatic hernia has also been implicated as a systemic cause for gagging.
Landa (4) observed a deaf patient suffer a spasm of gagging while observing the gagging of another patient.
MP Stephen McCabe, member of the Northern Ireland Select Committee, said: "We should not be gagging
stories just because they are embarrassing to the Government.