Retching and managing expectations Flashcards
What is the definition of retching?
Physiological mechanism - involuntary contraction of muscles of the soft palate or pharynx resulting in gagging
What is psychogenic retching?
retching may occur by sight, smell or sound of a dental surgery or a thought of something e.g. Getting an impression
What is somatic retching?
touching “trigger zones”
Commonly palatoglossal and palatopharyngeal folds, base of tongue, palate, uvula, posterior pharyngeal wall
What are some management techniques for retching in a dental setting?
Relaxation
Controlled rhythmic breathing
Distraction
Make alginate a firmer mic with hot water
How to modify impression technique for a retching patient?
Modify stock trays
Lower trays in upper arch
Modify special trays - palatal reduction
Rapid setting material (high heat water in alginate)
What risk assessment questions should you ask prior to making dentures to manage expectations?
How long ago were your teeth removed?
How many dentures have you had since you lost your teeth?
How old is the last denture you had made?
What denture are you wearing - current or old?
