Increased gag reflex in the practice of an orthopedic dentist

This page is dedicated to those for whom any manipulation in the mouth, and sometimes even brushing their teeth, causes a pronounced gag reflex. In some people, this reflex is very sensitive and its zone expands right up to the front teeth, which creates certain difficulties during a dental appointment...

Let's try to figure out why this happens and how we can deal with it.

The gag reflex starts at the back of the throat. It prevents foreign objects from entering the respiratory tract. In some people, this reflex is very sensitive and its zone expands all the way to the front teeth. This creates serious difficulties during the dental appointment: difficulties in taking x-rays, applying cotton rolls, taking impressions, using a saliva ejector, treating posterior teeth or wearing removable dentures. What are the mechanisms of the gag reflex?

Two types of reactions that cause the gag reflex:

physiological - response to mechanical stress, touch in the mouth;
psychological - reactions associated with dental phobia.

Most often, a combination and mutual influence of both types of reactions is observed. The gag reflex can intensify with difficulty in nasal breathing, stomach diseases, at the sight of instruments, the smell of medicines or the sound of equipment. The degree of manifestation of the reflex varies for each person: from slightly pronounced to very severe.

For mild cases, the following may be effective:

using a rubber dam when the oral cavity is isolated from the diseased tooth with a rubber curtain, and there is no danger of accidentally touching the palate or gum with instruments. But this technique is not always suitable for children, because... Some children have fear from having their mouth covered with a rubber scarf and “they won’t be able to breathe,” from a clamp, etc.
psychological methods of distraction (music, TV);
superficial anesthesia of the palate;
use of antiemetic medications in the evening and an hour before administration;
step-by-step retraining, which you can successfully do at home and get rid of the painful reflex forever.
In moderate cases: many patients benefit greatly from treatment under sedation with nitrous oxide in combination with further treatment of dental phobia.
In severe cases: when the reflex is strong and other approaches are ineffective, dental treatment is performed under anesthesia or intravenous sedation according to the principle “close your eyes, open your eyes, and the treatment is complete.”

Stages of development

The gag reflex is a protective reaction of the body to the action of an irritant. This process is activated by the organs of touch. During the process of sanitation of the oral cavity, a person experiences a burning sensation in the oral cavity. The signal is transmitted to the brain and provokes nausea.

Stages of process development:

Deterioration in health. Fatigue, irritability, nausea.
The peak of the condition is vomiting.
Recovery. The person feels relieved.
No pathologies between cleanings.

What is “deep blowjob”?2

You can't do without history here. This blowjob technique became popular after the film “Deep Throat” (1972, USA) became available to the general public. The film's script was written by director Gerard Domiano after he was struck by the sight of a deep blowjob performed by porn actress Linda Lovelace.

The plot is quite funny, but makes you think. The girl cannot get sexual pleasure and the doctor who examines her body discovers an interesting detail: her clitoris is not between her legs, but in her throat, so ordinary sex does not excite her.

Delighted by this discovery, the girl masters a special technique of throat blowjob and hones it with different partners until she finds one with a penis of a suitable size. As they say, the wolves are fed and the sheep are safe: the woman gets an orgasm, and the man gets a blowjob. Do you think that this is not possible in reality? Read the next paragraph.

Degrees of gag reflex severity

Sometimes the above methods do not help suppress the increased gag reflex during dental treatment; in total, three degrees of its severity can be distinguished.

Mild degree

A mild degree can be noticed when touching the soft palate, the root of the tongue or its lateral surfaces. Distraction methods, local anesthesia and careful actions of a specialist help.

Average degree

With a moderate degree, a reflex occurs to any touch in the oral cavity; it may have a psychological causative factor and, as a rule, causes significant discomfort to the patient. Anesthesia with accompanying sedation can eliminate the problem. This allows the patient to practically sleep during the appointment and blocks some of the impulses to the brain that trigger the reflex reaction. In addition, medication preparation for visiting a doctor can be used. Tablets for the gag reflex in dentistry: Cerucal or Dramamine help to completely suppress reflex activity. And the drugs Novopassit or Afobazol at night help reduce anxiety during the next day.

Why do you need a blowjob?i

Indeed, nature provides a completely different place for sex, and everything that goes beyond it is a perversion. In this case, we must also take into account that nature invented sex and made it so pleasant so that the reproductive instinct could somehow be realized.

However, a person is designed in such a way that he wants to have fun without any serious consequences. Therefore, they came up with contraception and ways to protect against sexually transmitted diseases. This means sex is no longer as natural as some people think. Therefore, you should not neglect other ways of getting pleasure.

In addition, all men like oral sex. And if you want to please not only your partner, but also yourself, it’s better to master the blowjob technique perfectly.

What to do if you are vomiting

Since anyone can have an attack of vomiting, it is useful to know how you can prevent vomiting, what to do during and immediately after an attack, and when you should definitely consult a doctor.
Nausea is a precursor to vomiting. If you feel nauseous, try opening a window (increase oxygen flow), drinking some sweetened liquid (this will calm your stomach), or sitting or lying down (physical activity increases nausea and vomiting). You can dissolve a validol tablet. If you get motion sickness on the road, take some lollipops with you and suck them on the way. This will help prevent vomiting.

What to do during an attack of vomiting

During an attack, it is important to prevent vomit from entering the respiratory tract. The patient should never lie on his back while vomiting. Do not leave small children unattended if they may be vomiting. An elderly or weakened person needs to be helped to turn on his side, with his head towards the edge of the bed, and a pelvis placed in front of him.

What to do after a bout of vomiting

After an attack, you should rinse your mouth with cold water. If the patient cannot do this himself, you need to moisten a piece of gauze in a soda solution and wipe his mouth.

Immediately after an attack, you can drink only a few sips of water, and only if there is no blood in the vomit. You can drink properly only after 2 hours, and eat only 6-8 hours after the attack. Food should be dietary and gentle; the best thing is porridge with water, rice, low-fat soup.

With repeated bouts of vomiting, dehydration may occur. Therefore, it is necessary to drink a special solution that restores water-electrolyte and acid-base balance.

Tips and tricks on how to give a deep blowjob4

If you are going to give your man an amazing blowjob that he will never forget, we advise you to adhere to the following rules.

Learn to breathe through your nose

When you're giving a guy a blowjob, it's important that you learn to breathe through your nose, even if you're not talking about "deep throat." Even a small penis can block the airway. Learn to breathe through your nose so that air can flow directly from your nose to your lungs, bypassing your esophagus entirely.

Place your throat parallel to his cock

The reason why the gag reflex occurs during a blow job is because the angle between the mouth and throat is not adjusted for direct entrance of the penis. You can easily fix this by changing sex positions and positioning your throat parallel to your lover's penis.

The easiest way to do this is to lie on your back on the bed with your head on the very edge of the bed. Move so that your head is practically hanging over the edge of the bed. This will make things much easier for you and will reduce the pressure on the top of your throat (which is where the gag reflex occurs).

Learn to relax your throat muscles

Relaxing your throat muscles is important when it comes to deep throating. Slowly insert your partner's penis into your mouth, overcoming the gag reflex, and begin to push it down your throat. When you feel the urge to vomit, close your eyes, breathe through your nose and try to relax your throat muscles.

This is not a technique that comes easy. It takes a lot of practice to truly master it. Surely your partner won't mind if you want to practice on him.

Make sure you control the shocks

While your head hanging over the edge of the bed doesn't exactly put you in a great position to control your partner's thrusts during oral sex, make sure you can at least keep your hands on his hips. Thus, directing it in and out of your mouth.

If your man has full control of his movements during fellatio, you're much more likely to choke because you can't control how deep he goes into you.

Trust your partner

Anything can happen during a deep blowjob. It is important to have a partner whom you truly trust and with whom you can be open and honest.

Talk to your man about the possible risks. And make sure he agrees not to abuse your trust by acting too hard or too quickly without your explicit consent.

Come up with a safe gesture

You should think of a safe gesture that will let your partner know to stop immediately. You can't use words during deepthroating, so you'll need to give some kind of hand signal. This way you can let your lover know that you are uncomfortable, in pain, or want to stop for any reason.

When giving a man a deep blowjob, you will notice when he approaches climax using the following signs. His breathing will become heavier, the pace will quicken, and, worst of all, he will hold your head tightly, piercing your throat.

At this moment, open your mouth wide to make it easier for you to breathe. This technique will tighten your throat and give your man the best feeling of his life.

Elimination of vomiting using traditional medicine methods

Peppermint tea will help eliminate vomiting.

Traditional medicine is effective in treating many diseases, and vomiting in children is no exception. So at home you can stop vomiting in the following ways:

Using an aqueous dill solution. Pour a glass of boiling water over a teaspoon of the plant’s fruits and allow to cool. Even infants can be given this solution. Should be taken one teaspoon at a time. If you feel better, you can increase the dosage.
Using green tea. You can add a little sugar or honey to it before taking it.
By resorting to the help of a fruit such as quince. It is very effective in combating bouts of vomiting. Before use, you should either bake it or grate it on a fine grater, and then eat it little by little.
In case of bilious vomiting, you can resort to mint tea. This kind of medicine is prepared like this. Crushed peppermint leaves in the amount of 2 tablespoons are brewed with a glass of boiling water and left for 2 hours. Then take a tablespoon 5 times a day.
You can also make a solution similar to Regidron yourself. In a liter of boiled water, half a spoonful of soda and salt are dissolved. Add 4 tablespoons of sugar there. Afterwards, everything is thoroughly stirred and after cooling, this solution is ready for use.

Treatment

Therapeutic tactics depend on the causative disease, the presence of accompanying symptoms of nausea/vomiting and the general condition of the patient.

Treat dehydration and electrolyte imbalance with oral medications or IV infusions.
Antiemetics. In severe cases, the use of 5-HT3 receptor antagonists and corticosteroids is acceptable.
Causative therapy aimed at eliminating the causative disease.

Self-administration of various tablets for nausea/vomiting is not recommended. Only a doctor, after conducting the necessary research, will determine the cause of poor health and prescribe effective and safe treatment.

Why does he like it?

There are 3 main reasons why deep throat gives men great pleasure.

The inside of the throat has a delicate mucous membrane, close contact with which makes the penis literally tremble with pleasure.
A man's natural sexual reproductive instinct is to push his penis all the way into the vagina. After all, when he reaches climax, his sperm will have a better chance of surviving and fertilizing the egg.
The third reason he enjoys it so damn much comes back to the most important point of this guide. This shows him that you like it too! How else can you express your admiration for his cock, if not to indicate a wild desire to take it all into your mouth?

When he sees that your pleasure outweighs the discomfort associated with deep penetration or even learning the practice, he will be delighted.

Psychological aspect

Often the use of a prosthesis provokes psychological discomfort in the patient: it frightens him, it seems to him that complications have already arisen, and adaptation is not going well. To prevent such a problem from arising, you need the right attitude: a person must be prepared for the difficulties that may arise in the first days. It is important to take your time and understand that the body needs to get used to new conditions. The period of complete adaptation takes up to one and a half months on average, but the most noticeable discomfort disappears after 1-2 weeks if you wear the prosthesis constantly.

To get used to a removable denture faster, orthodontists at the Dentospas clinic recommend massaging the gums. You can do it yourself, it will improve blood circulation and tissue nutrition, and improve the condition of the gums. Massage is done provided that the surface of the mucous membrane is not injured and there are no open wounds on it. At first, to speed up adaptation, you can leave the prosthesis on at night (install it again after cleaning). This is safe (the gums and tongue hardly move during sleep) and allows you to increase the time of contact of the mucous membrane with the base of the structure.

Eating

Chewing skills with a newly installed denture need to be developed gradually. This does not mean that you need to switch to broths, purees and cereals. On the contrary, you need training with a gradual increase in load. The hardness of the products is increased gradually. It is better to start eating vegetables and fruits in small pieces, chewing them thoroughly. They get used to biting food in the same way - gradually, starting with softer foods and moving on to hard foods. You need to chew and bite carefully: it is important not to damage or injure the gums, and to control the load on it.

After installing a removable denture, the patient may feel that food is deprived of its usual taste, it has become less pronounced. This occurs because the base of the structure covers the palate where the tactile receptors are located. This does not affect the perception of taste in any way - taste buds are located on the tongue. The feeling that the taste of food has changed is associated with a foreign body in the mouth and quickly passes as you get used to it.

Do you have questions about removable dentures?

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How to relieve nausea and vomiting at home

Drink more fluids. The daily intake for adults is 30 ml/kg body weight. It is advisable to use decoctions of chamomile and mint. Drink slowly, in small sips. You should not drink only after bloody vomiting.
Eat small meals. Food should be warm. Avoid hard, fried, spicy, fatty and sweet foods. But if you experience uncontrollable vomiting, you should refuse to eat.
If an unconscious patient is vomiting, turn the head to the side to avoid aspiration.
If you have severe nausea, you should lie down. Open windows for fresh air. Avoid strong odors and other irritants. Do not brush your teeth immediately after eating.
If you suspect poisoning (vomiting and diarrhea), you can take activated carbon (1 tablet per 10 kg of weight), smecta, phosphalugel or polysorb.
Measure your blood pressure. If the readings are high, take an antihypertensive drug prescribed by your doctor or call an ambulance.
For low blood pressure, it is enough to drink a cup of tea or coffee and sniff ammonia.
For motion sickness, it is permissible to take antihistamines or special medications (for example, Dramamine).

If nausea or vomiting continues for more than 2 days and your general condition is affected, you should consult a doctor. At the First Family Clinic of St. Petersburg, you will undergo all the necessary tests and instrumental studies in order to quickly identify the cause of the disease and prescribe effective treatment.

Literature used in writing

"Gastroenterology - National Guide" (2008). Authors: Ivashkin V.T., Lapina T.L.
“Diseases of the digestive system in pregnant women. Gastroenterology" (2011). Author: Eremina E.Yu.
"Manual of Gastroenterology, Volume 1" (1995). Authors: Komarov F. I., Grebenev A. L.
“Gastroesophageal reflux disease in children” (2007). Authors: Prokhorova L.I., Davydova A.N.
“Inflammatory bowel diseases” (a practical guide for doctors, 2012). Author: Sitkin S.

Allergic reaction

It occurs very rarely, since all structural elements are made of hypoallergenic, biocompatible materials. It manifests itself as redness of the gums at the contact site; this area may itch and possibly burn. The unpleasant sensations do not go away and do not weaken, they can intensify, the gums look injured.

Allergy is a rejection of construction materials, which may be accompanied by nausea, malaise, and dizziness. It appears almost immediately after installation, disappears after some time if you remove it. There is no point in waiting for adaptation in case of allergies - the reaction will only intensify over time. To solve the problem, you need to find out which material in the structure you are allergic to and make a new prosthesis without using it.