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Related Experiment Video

Updated: May 16, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
05:07

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Published on: November 6, 2019

Relationship between gagging severity and its management in dentistry.

N Saita1, K Fukuda, Y Koukita

  • 1Oral Health and Clinical Science, Tokyo Dental College, Tokyo, Japan. nsaita@tdc.ac.jp

Journal of Oral Rehabilitation
|December 13, 2012
PubMed
Summary

A new gagging reflex index (CGP) shows higher scores in males. Severe gagging necessitates more sedation or anesthesia, guiding treatment strategies for dental patients.

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Area of Science:

  • Dentistry
  • Gastroenterology
  • Psychology

Background:

  • Gagging reflex is a common challenge in dental care.
  • Existing methods for assessing gagging severity lack standardization.
  • Patient anxiety and background factors may influence gagging responses.

Purpose of the Study:

  • To introduce and validate a new 5-level Classification of Gagging Problem (CGP) index.
  • To correlate CGP scores with patient demographics and psychological assessments.
  • To evaluate the index's utility in predicting dental management strategies.

Main Methods:

  • 110 patients with gagging problems were enrolled.
  • Patients completed anxiety (STAI, DAS) and health questionnaires.
  • Intra-oral examination determined CGP scores (G1-G5).
  • Management and desensitization were retrospectively assessed at 3 months and 1 year.

Main Results:

  • No significant differences in CGP grade based on age, STAI, or DAS scores.
  • Male patients exhibited significantly higher CGP scores than female patients.
  • Higher CGP grades correlated with increased need for intravenous sedation or general anesthesia.
  • Difficulty in desensitization was more common in higher CGP grades.

Conclusions:

  • The Classification of Gagging Problem (CGP) index provides a standardized measure of gag reflex severity.
  • CGP scores correlate with the need for advanced sedation techniques.
  • Assessing the ability to examine molars without gagging is crucial for treatment planning.