Abstract
Gagging in patients can be a major encumbrance to dental procedures further compromising the quality of dental treatment. Such patients with gag susceptibility are a nightmare to dentists. Thus, one of challenging skills put to test during the dental treatment procedure is the instant gag reflex and its management. A hypersensitive gag reflex often retards the ongoing procedures and thus prolongs the treatment procedure. The various factors range from congenital to iatrogenic, seem to exaggerate such reflex. Gagging can also be a physical expression of panic, related to a feeling that some threat to breathing or swallowing is about to occur. This article highlights the etiology, scoring the gag reflex and thus its effective and skilled management to gag prone patients during clinical procedures.