Exam Pass Notes

Use these notes for a final review before the assessment. They summarise the course's main points but do not replace local mouth care policy, individual care plans or arrangements for dental services.
Core messages
- Oral health is part of everyday personal care in care homes.
- Mouth care needs should be assessed on admission and recorded in the care plan.
- Adults in care homes should be supported to clean their teeth twice a day and to carry out daily denture care.
- Poor oral health affects comfort, dignity, eating, drinking, communication and taking medicines.
- Dry mouth, ulcers, bleeding gums, bad breath, broken teeth, swelling and denture problems all matter.
Support and escalation basics
- Use the resident's preferred routine and products where possible.
- Do not force mouth care if the resident resists or becomes distressed.
- Check whether pain, fear, poor timing or confusion is affecting the resident's response.
- Record refusals, changes in mouth care needs and practical signs of pain or oral disease.
- Escalate severe pain, swelling, bleeding or difficulty eating, drinking or taking medicines because of mouth problems.
Role boundaries
- Care staff recognise, record and report oral health concerns.
- Dental professionals diagnose and treat dental disease.
- Know who the resident's dentist is and how to access routine and urgent dental help.
- Update mouth care plans when the resident's needs change.
For the exam, remember the main shape of safe practice: assess, plan, support daily care, notice change early and escalate clearly.

