**Attention** - Direct Care
Staff, Nurses, Directors of
Nursing, QRMP, and Parents
-our "Hands-Ons Approach to Daily
Oral Care . . ." DVD is now available
for purchase!

Are you afraid to do daily oral care because
you might get bitten by or hurt a client? This
video teaches you how to safely provide daily
oral care to the most uncooperative client,
as well as technics to ensure that you are not
hurting the client -- all while making sure that
every client's mouth is cleaned at least once
daily.

Oral Health has a direct link to overall general
health. As caregivers, we are responsible for
supervising and providing good daily oral care.
This video will help you develop daily oral
care plans and behavior management plans.
Providing daily oral care is not easy, and this
video offers effective "tricks of the trade" to
help you take better care of your clients.

You will learn about:
•Oral health and overall health
•Daily oral care plans
•Supplies and tools
•Toothbrushing programs
•Doing daily oral care
•How to identify developing oral health
ooproblems
•North Carolina oral health regulations

Cost of this informative, must-have DVD
is only $25.00 plus shipping.

Click here and email your name and
shipping address and we will send you
the DVD enclosed with an invoice.


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Oral Health and Special Care Patients
 
Oral health is directly related to total health.  Good oral health is essential for chewing, nutrition and speech.  In addition, oral health plays an important role in self-image and social interaction.  These important functions highlight the need for regular oral health care services for everyone.
 
The need for dental care increases with age, chronic illness and handicap.  Because of this, good oral health care is especially important for residents of long-term care facilities.
 
Oral diseases are more common, more extensive and more difficult to manage for special care patients than in younger or less vulnerable populations. 
 
 
Oral Care
 
Daily mouth care is the key to Access Dental Care’s success.  Without a good preventive program, the treatment that Access Dental Care provides is worthless.
 
Our staff will work with your facility staff to develop a daily oral hygiene plan for every resident in your facility.  This daily oral hygiene plan should be implemented just like any other daily treatment that a resident receives. 
 
• Natural teeth should be cleaned twice a day. 
• Dentures and partials should be removed and rinsed after every meal and
•.cleaned with a denture brush just before bed.

Complete records of daily oral hygiene care should be kept by your facility.  These records should be made accessible to the Access Dental Care staff.
 
 
Labeling Dentures
 
It is extremely important for all dentures and partials to be labeled.  Unlabeled dentures are easy for patients and staff to lose.  Often the facility must replace lost dentures at their own expense.  Labeling is easy, quick and inexpensive.
 
Procedure:
Using a denture labeling kit, label the denture or partial with the patient’s first initial and last name.
 
Upper dentures are labeled on the side that will be on the right side in the patient’s mouth.  The label is applied to the outside part of the denture (on the gum section facing the cheek).
 
Lower dentures are labeled on the inside right side (on the tongue side).
  
Denture Labeling Kit Ordering Information
Shine-Sullivan Dental Supply
1-800-496-9500
 
GERI Identure Denture Marking System
Identure Kit w/ Sealant Order Number: 361-8711
 

Oral Care for Natural Teeth
 
You will need:
• Soft toothbrush
• Fluoride toothpaste
• Cup with water
• Emesis basin
• Gloves*
• Towel

*GLOVES SHOULD ALWAYS BE WORN WHEN DOING ORAL CARE

Procedure:
1.   Explain to the patient that you are going to brush his or her teeth.
2.   Sit the patient up to a comfortable position.
3.   Lay the towel across his or her chest just below the chin.
4.   Wet the toothbrush.
5.   Put the toothpaste on the toothbrush.  Use toothpaste about the size of a
ooooogreen pea.
6.   Have the patient open his or her mouth.  If the patient is unable to open his or

oooooher mouth, use a mouth prop.
7.   Angle the toothbrush at a 45° angle to the gum line.
8.   Gently move the toothbrush in a circular motion.
9.   Sweep the toothbrush away from the gums to remove plaque.
10. Move to the next few teeth being sure that you overlap slightly.
11. Be sure that you have brushed the inside, outside, and tops of the teeth and

ooooothe tongue.
12. Let the patient rinse with the water and spit in the emesis basin.  If the patient

ooooocannot rinse and spit, wipe the mouth out with wet gauze.


Oral Care for Dentures and Partials
 
You will need:
• Denture Brush/Toothbrush
• Non-Abrasive Toothpaste          
• Labeled Denture Cup
• Denture Soak Tablets (optional)
• Gloves*
• Paper Towels
• Gauze


*GLOVES SHOULD ALWAYS BE WORN WHEN DOING ORAL CARE

Procedure:
1.  Explain to the patient that you are going to clean his or her dentures.
2.  Have the patient remove his or her dentures or you remove the dentures for
oooohim or her.
3.  Fill the sink with cool water and place paper towels in the bottom of the sink.
4.  Hold the denture carefully so that you will not drop them. They are expensive
ooooto replace.
5.  Brush the denture removing all debris and plaque.
6.  Put the clean denture in a labeled denture cup filled with cool water. A
oooodenture tablet may be added but remember that soaking alone does not
ooooremove plaque.
7.  With a damp gauze square, wipe out the inside of the mouth.
8.  Do not return the dentures at the bedtime cleaning. The dentures need to be
ooooremoved for 6-8 hours daily to let the gums “breathe.”
 
Frequency:
• Remove and rinse
dentures and partial dentures after each meal.
• Remove and clean
dentures at bedtime.


Web Resources:
 
http://ucsfchildcarehealth.org/html/pandr/postersmain.htm

http://www.vrri.org/documents/plainlang/SimplyHealth/Dental.pdf