Gagging reflex poses a hurdle in numerous dental procedures. It causes discomfort for the patient, extended procedure time for the clinician, compromised quality of treatment and along with a lot of physiological discomfort for both. The normal gag reflex is protective in nature, but few individuals elicit extreme response, leading to problems during the treatment procedures. It is extremely important for the clinician to identify the cause and severity of the condition so that it can be decided whether the patient can handle standard treatment techniques or whether alternative methods must be considered. There is no universal solution for successfully managing the gagging patient. Various modalities can be used according to the doctor’s assessment and patient’s conditions in order to control the gag reflex so that the patient can be comfortable and cope with the dental treatment. A wide range of management solutions are available, and many cases need a combination of therapeutic procedures. The main aim of the present article is to comprehensively report the clinical significance, etiology, symptoms and various management approaches used during prosthodontic treatments.

Dental implants have currently become an extremely popular prosthodontic treatment option for restoring function and aesthetics, owing to their effectiveness, longevity, dependability and esthetic outcome. Among the various prosthetic rehabilitation modalities for completely edentulous cases, implant-supported overdentures have a very good prognosis. Over time in use, implant-related complications like abutment damage may arise.Damaged abutments may lose their external hexagonal structure, making it challenging to engage the drivers. This makes their removal complicated and technique sensitive. The rotary devices that are used have many drawbacks that might harm the implant's internal threads during implant abutment removal. This article describes a novel method for removing a damaged mandibular overdenture abutment using an ultrasonic scaler wrench without jeopardising the implant. This conservative management was found to be simple, cost-effective and time-efficient, with no additional required equipment.