My Denture Still Makes Me Gag After Four Refittings

Posted by AllSmiles

Despite four refittings from my dentist since February, my new denture still makes me gag. My dentist suggested making a new denture, but what if that doesn’t solve the problem? Thanks. Tyler from MD

Tyler,

For a loose denture that causes gagging, an implant-supported denture is often the best approach. Unlike traditional removable dentures, which must cover the entire hard palate for suction, an implant-supported denture rests only on the gum tissue. This design significantly reduces or eliminates the gag reflex.

However, if getting dental implants to support a palateless denture is not feasible for you, alternative solutions with a conventional denture are available.

How to Minimize Gagging and Maximize Denture Fit

For optimal suction, a denture’s base should ideally extend to the vibrating line, the boundary between your hard and soft palates. If a denture causes gagging, a customized approach may be necessary.

One technique, demonstrated by prosthodontist Dr. Finlay Sutton, involves carefully shortening the denture’s posterior edge. This precise modification can alleviate gagging while maintaining enough suction for stability. Here are key considerations:

• The denture must be skillfully trimmed to avoid weakening its hold.
• Trimming too much, or in the wrong areas, can lead to a loose and unstable denture.

It’s also important to verify that your current denture doesn’t extend onto your soft palate, which is an improper fit for any patient. If you suspect this is happening, especially if gagging is a new issue for you, a second opinion could help clarify the situation.

Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist, sponsors this post.1