Kansas City University School of Dental Medicine: Oral Health Care Tips for Caregivers (2024)

by: Marian Kelly

Posted: Nov 19, 2024 / 10:16 AM CST

Updated: Nov 19, 2024 / 10:16 AM CST

Oral hygiene is crucial for health and quality of life, but some individuals, especially older adults, may need assistance with daily oral care. For those caring for loved ones, there are practical ways to make oral hygiene easier and more effective.

1. What are some common oral health challenges that older adults face, and how can caregivers help manage these?
2. Limited dexterity or physical ability
   a. Try adaptive tools, such as foam tubing on the toothbrush handle or a bigger toothbrush holder for better grip.
   b. A power or multi-sided toothbrush can also make it easier to clean thoroughly without excessive hand movements.
3. Memory issues or cognitive decline
   a. Your loved one may forget to brush or resist care.
   i. Use reminders, such as placing the toothbrush and toothpaste in plain view, creating a daily routine, or placing notes-like a smile on the bathroom counter.
   ii. Consider brushing your teeth at the same time as your loved one.
   iii. Use a “tell-show-do” approach to explain each step.
4. What should caregivers look out for as warning signs of potential oral health issues?
   a. Red, puffy or bleeding gums can indicate gum disease. If left untreated, can lead to tooth loss and other health complications.
   i. Remind your loved one to brush gently but thoroughly along the gumline. If bleeding or swelling continues for more than a few days, schedule a dental visit for a professional evaluation and cleaning.
   b. Bad breath or a bad taste in the mouth can be a sign of gum disease, tooth decay or even infections.
   i. If bad breath persists despite regular brushing and cleaning, its time to consult a dentist. Encourage daily tongue brushing as well, as bacteria often collect on the tongues surface.
   c. Dry mouth
   i. Encourage regular sips of water to keep the mouth moist.
   ii. Offer sugar-free gum or lozenges to stimulate saliva production.
   iii. Avoid caffeinated or acidic drinks that can worsen dryness.
   d. Sores in the mouth that don`t heal within two weeks could indicate infection, decay, or, in rare cases, oral cancer.
   i. Regularly check the mouth for any unusual discoloration, lumps, or non-healing sores. Seek immediate dental or medical attention if anything looks concerning or if a sore lingers beyond two weeks.
5. How can caregivers make dental visits easier or more comfortable for order adults?
   a. Plan and schedule wisely. Schedule appointments at a time of day when the person feels most alert and relaxed, often mid-morning for many older adults. Avoid times that may overlap with other routines or medication cycles that could cause drowsiness or anxiety.
   b. Bring items that can help comfort or distract, like a favorite blanket, calming music, or even a small hand-held item for relaxation.
   c. Let the dental office know about any physical or cognitive limitations ahead of time, including mobility issues, hearing or vision needs, or communication difficulties. Request extra time if necessary to avoid feeling rushed.
   d. Prepare a list of all current medications, health conditions, and any allergies or sensitivities that may affect oral care. This is especially useful if the patient sees multiple doctors.
   e. Offer gentle encouragement and let them know the visit is nearly done, especially if they are feeling anxious. Small rewards, like a favorite snack afterward, can make the experience feel positive.