Oral Care with Dementia: Gentle Techniques for Caregivers
Oral hygiene is an important — yet often overlooked — part of caring for a loved one with dementia. Brushing teeth, flossing, and maintaining dental visits can be confusing or even frightening for someone with memory loss. Yet, oral care with dementia is essential for overall health and comfort.
At Story Cottage, our caregivers include oral care with dementia as part of each resident’s daily routine. If you're supporting a loved one at home, these gentle techniques can make oral hygiene more manageable and comfortable.
Why Oral Health Matters in Dementia Care
According to the Alzheimer’s Association, poor oral health can lead to infections, discomfort, difficulty eating, and behavioral changes. These challenges can be more severe for people with dementia due to memory loss, reduced motor skills, and sensory sensitivities.
Gentle Oral Care Techniques for Caregivers
1. Establish a Predictable Routine
Perform oral care at the same time each day — ideally morning and evening — in a familiar setting. Use verbal cues like, “It’s time to brush our teeth,” or brush your own teeth alongside your loved one to model the activity.
2. Give Simple, Clear Instructions
Offer short, step-by-step directions: “Hold the toothbrush,” then “Brush the top teeth.” Keep your tone calm and encouraging.
3. Choose the Right Tools
- Soft-bristled toothbrush or electric toothbrush with a gentle mode
- Mild-flavor toothpaste to avoid overwhelming tastes
- Fluoride rinse if tolerated
- Oral swabs for those unable to tolerate a toothbrush
4. Use Hand-Over-Hand Guidance
If independent brushing is hard, gently place your hand over theirs to guide the motion while allowing them to remain engaged.
5. Reduce Discomfort and Anxiety
Try a warm washcloth to wipe teeth and gums if brushing is resisted. Play calming music and explain each step before starting.
6. Watch for Oral Pain
Refusal to eat, touching the mouth, bad breath, or behavior changes can indicate oral pain. Have these concerns checked by a dentist experienced in dementia care.
Regular Dental Visits Are Still Important
Even as dementia progresses, regular dental check-ups are essential. Consider visiting a geriatric dental practice, scheduling shorter appointments, and bringing familiar comfort items.
Your local Area Agency on Aging or the Alzheimer’s Association can recommend dementia-friendly dentists in your area.
Oral Care Support at Story Cottage
At Story Cottage, our caregivers integrate oral care with dementia into daily routines, ensuring comfort and dignity. We approach every moment with empathy, patience, and respect.
If you need support, contact us to learn more about our personalized, home-like memory care communities.