A case of fixed prosthetic treatment in a difficult clinical situation due to severe vomiting

Abstract

Patient: The patient was a 53-year-old male who presented with the chief complaint of masticatory disturbance due to fracture of a maxillary denture. The patient received fixed prosthodontic treatment consisting of a dental implant procedure for missing teeth under sedation or general anesthesia in consideration of a severe gagging reflex. The patient was extremely satisfied by the greatly improved esthetics and functionality resulting from the treatment.

Discussion: The patient was hesitant to undergo treatment due to a severe gagging reflex, but showed a positive response when consulted about intravenous sedation or general anesthesia.

Conclusions: Using sedation or general anesthesia was effective in overcoming a severe gagging reflex while carrying out prosthodontic treatment including an implant-supported fixed denture.