Oral Health and Mouth Care for Residential Care Staff

Daily mouth care, spotting oral problems early and arranging timely support for residents

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Daily mouth care, dentures and dry mouth

Caregiver assisting older woman on couch

NICE quality standards state adults living in care homes should be supported to clean their teeth twice a day and to carry out daily denture care. Daily support should follow the resident's care plan and preferences, including their choice of toothbrush, denture products and any prescribed mouth care items.

Daily mouth care can include helping the resident brush with fluoride toothpaste, cleaning and removing dentures overnight, clearing food debris, using a preferred toothbrush and checking for dryness or soreness. Some residents will only need prompts; others will require full assistance.

Daily care basics

  • Teeth: support brushing twice a day with fluoride toothpaste.
  • Dentures: clean them daily and remove them overnight if that is the usual plan.
  • Dry mouth: notice complaints of dryness, sticky mouth, cracked lips or trouble swallowing dry food.
  • Routine: use the products, timing and support style the resident prefers where possible.
  • Change: update the plan if the resident now needs more help than before.

Oral Care for Residents with Dementia (3 of 6)

Video: 2m 42s · Creator: Registered Nurses' Association of Ontario. YouTube Standard Licence.

This RNAO video focuses on residents in the early stages of dementia and emphasises supporting independence. Staff should not assume a resident needs full mouth care because they have dementia; many can still brush their own teeth with preparation, prompts and encouragement.

The video demonstrates practical steps to reduce confusion. Have supplies ready before care starts, because searching for items or changing the routine can increase agitation. A familiar bathroom routine may help for some residents; others may be distressed by a mirror, so observe what works for each person.

It also covers practical points such as using the resident's labelled oral care items, choosing a suitable toothbrush and replacing worn brushes. Use positive language, cue the person step by step and try hand-over-hand support if accepted. Build care around the person's remaining abilities and usual routine.

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Scenario

A resident says her mouth feels dry and sore, but staff have focused only on drinks rounds and have not checked her mouth care routine or denture comfort.

What is the safer response?

 

Good mouth care is usually made of small daily actions done consistently and in the way the resident can best tolerate.

Ask Dr. Aiden


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