<p>The gag reflex is a vital protective mechanism, yet its heightened sensitivity poses significant challenges in dental practice. This article explores the neurological basis of the reflex, its psychological triggers, and the impact on patient care. A range of management strategies, including behavioural, clinical, and prosthodontic approaches, are discussed to enhance treatment success. The integration of cognitive behavioural techniques, sedation options, and adaptive dental modifications offers clinicians practical solutions tailored to patient needs. By addressing gagging effectively, dental professionals can improve patient comfort, reduce anxiety-related avoidance, and facilitate better oral healthcare outcomes.</p>