Often with conditions such as Dementia you may find that your client forgets to brush their teeth. They may simply not realize how important it is to do this and as a live-in carer you may need to adopt a more hands-on approach if you want to get those teeth cleaned.

Not only does proper oral care prevent eating difficulties, but it also prevents infections and digestive issues.

In the early stages of the disease, you may have focused on prevention, with your client having regular dental check-ups and cleanings. However, as the disease progresses your client may be reluctant to go to the dentist and have them poking around in the mouth.

You may find that during the middle and late stages of the disease any oral health becomes an issue with your client forgetting how to brush and rinse.

Keep instructions short and simple

No need to use long sentences which your client may get confused with. Stick to short sentences such as ‘hold the toothbrush’ and ‘brush your teeth.’

Monkey see, monkey do technique

You may need to resort to the ‘watch me’ technique and hold your own toothbrush and have your client copy you. You may also be able to gently guide their hand to their own mouth.

Try a different toothbrush

You may want to use a soft bristled brush. These are normally used for children but may work for your client as they are less scratchy as regular adult brushes.

Allow time

This is not something that you can rush. You will need to allow time for your client to feel comfortable with you. If you do manage to brush the teeth yourself then go slowly, talking all the time and trying to clean the teeth, gums and even roof of the mouth if you are permitted.

Final thoughts

If your client seems agitated or will not cooperate, then it is best that you leave the brushing until later in the day, when they may be more receptive. Never force the issue as this will simply make matters worse. 

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