Gynecology 2022

Spyridon Stefos

, Greece

Title: Managing gagging in the third trimester of pregnancy during dental treatment - A case report


Some pregnant women face difficulty when performing effective oral hygiene care due to pregnancy related gagging symptoms, especially in the third trimester of pregnancy when this is unusual in uncomplicated normal pregnancies. Once pregnant women suffer an unpleasant gag reflex experience in a dental office, they may become phobic, delaying or postponing their dental treatment. We report a case of a 32-year-old woman, primigravida in the third trimester of pregnancy (32 weeks), partially edentulous with an exaggerated vomiting reaction, something unusual for an uncomplicated pregnancy, who needed a wide and specific dental restoration and proper fixed prosthesis design, focusing on successful clinical management using a simple but effective table salt technique. The usage of the table salt technique is a comfortable, very practical, easy and quick method for an obstetrician and a dental practitioner to manage vomiting during critical clinical stages, leading to successful treatment of pregnant women with severe gag reflex especially during the third trimester of pregnancy. Scientific multidisciplinary cooperation is very important between the involved health practitioners, obstetricians and dental providers.


Dr. Spyridon Stefos is a Dentist, Prosthodontist and PhD. He studied in the Dental School of the National and Kapodistrian University of Athens (NKUA), Greece and after a three-year specialization entitled to Certificate in Prosthodontics and Master of Science (MSc) in Dental Materials (Dental School, NKUA). He obtained his PhD degree from the Medical School of University of Ioannina. He was a fellow in the Department of Fixed Prosthodontics and in the Department of Operative Dentistry in the Undergraduate Clinic of Comprehensive Treatment (Dental School, NKUA). He specializes in his private dental clinic mainly in: Prosthodontics (Fixed & Removable), Aesthetic and Operative Dentistry, Dental Implants and Craniomandibular Disorders (CMD). Because of his clinical and academical experience he often attends congresses, delivers presentations and publishes articles on scientific journals cited many times. He is a member of the Ioannina’s Dental Society and of the Greek Prosthodontic Society.