The gag reflex represents a crucial protective mechanism preventing the entry of foreign objects into the pharynx, larynx, or trachea. Impairment of this reflex can have adverse effects on an individual's oral health and overall well-being. An abnormal gag reflex can be detrimental and potentially impact social integration and comfort in social environments. Avoidance of treatment due to an exaggerated gag reflex in patients may lead to more severe oral and dental health issues. Complications such as intensified aesthetic concerns and halitosis, arising from aggravated oral and dental health problems, can contribute to patients withdrawing from social interactions. Consequently, individuals may find themselves trapped in a vicious cycle. The gag reflex can be triggered by a variety of physical or psychological stimuli. Its causes are multifaceted, encompassing iatrogenic effects, as well as local and systemic disorders, anatomical factors, and psychological factors such as classical and operant conditioning. Symptoms of an excessive gag reflex are not limited to specific age groups and can affect both pediatric and adult patients with varying degrees of severity. Treatment methods range from universally applicable approaches to those requiring specialized training due to the multifactorial nature of the condition. Given the multifactorial nature of the causes of an excessive gag reflex, exploring and implementing diverse therapeutic strategies may be necessary."