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Gag reflex can be a major issue with the edentulous patient who needs replacement of teeth with complete denture. This
condition can further be complicated if the patient suffers from any respiratory problem along with gag reflex, thereby preventing
them from wearing the complete denture. Also, conditions like high palate and presence of palatal tori pose a significant
challenge to the clinician in fabricating a satisfactory prosthesis for the patient that can be brought to regular use by
the patient. This case report discusses and highlights how roofless denture can be used to overcome gagging and improvise
denture wearing for a known potential gagger. Thus, by fabricating a horse shoe shape palateless denture, one can successfully
treat such patients to their utmost satisfaction.
1. Singh K, Gupta N. Palateless custom bar supportedoverdenture:
A treatment modality to treat patient with severe gag
reflex. Indian J Dent Res 2012;23:145-8.
2. Farmer JB, Connelly ME. Palateless dentures: help for the
gagging patient. The Journal of Prosthetic Dentistry. 1984
Nov 1;52(5):691-4.
3. Means CR, Flenniken IE. Gagging-A problem in prosthetic
dentistry. J Prosthet Dent 1970;23:614.
4. Bhuskute MV. Use of training denture base and palateless
dentures: Two different strategies in the management of
severe gag reflex in edentulous patients. Saint Int Dent J
2020;4:63-6.
5. Krol AJ. A new approach to the gagging problem. J Prosthet
Dent 1963;13:611.
Desh Bhagat University,
Off to NH-44, Amloh Road, Mandi Gobindgarh,
District Fatehgarh Sahib, Punjab- 147301, India