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FIPO – Functional Indirect posterior Onlays – Concept Part 1

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Article: Volume 38 Number 3 Page 171 - April 2011

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  Dent Update 2011; 38: 171-176

General Dental practice:  Gagging during Impression Making: Techniques for Reduction

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Abstract: In everyday dental practice one encounters patients who either believe themselves, or subsequently prove themselves, to be gaggers. Gagging is most frequently experienced during impression making, but is also reported during the taking of radiographs, in the placement of restorations in posterior teeth and, in some individuals, the insertion of a finger for examination purposes. This paper describes some techniques that can easily be mastered by clinicians that may help both operator and patient avoid this unpleasant occurrence. Techniques such as acupressure, the adaptation of trays, or even the use of alternative impression materials and breathing techniques all have their place, and clinicians may have to try several of these, perhaps in conjunction, in order to assist their patients.

Author notes: Sarah Farrier, BDS, MFDS RCS, Cardiff University Dental Hospital, Heath Park, Heath, Cardiff CF14 4XY, Iain A Pretty, BDS, MSc, PhD, MFDS RCS, Dental Health Unit, University Dental Hospital Manchester, Higher Cambridge Street, Manchester, M15 6SH, Christopher D Lynch, BDS, PhD, MFD RCSI, FDS(Rest Dent) RCSI and Liam D Addy, BDS, MFDS RCS, MPhil FDS(Rest Dent) RCS, Cardiff University Dental Hospital, Heath Park, Heath, Cardiff CF14 4XY.

Objective: To identify simple techniques that can help reduce the problem of gagging during impression making.

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