Statement of Acknowledgement

We acknowledge and respect the traditional custodians on whose ancestral lands we provide dental services.

We acknowledge the deep feeling of attachment and relationship of Aboriginal and Torres Strait Islander people to Country.

We pay our respects to their Elders past and present and extend that respect to other Aboriginal and Torres Strait Islander people attending our services.

We are committed to improving the oral health outcomes of Aboriginal and Torres Strait Islander people.

Aboriginal and Torres Strait Islander people should be aware that this website may contain images, voices and names of people who have passed away.

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Clinic closure

Our Birkenhead (Le Fevre) clinic is currently closed. Please phone (08) 8243 5629 during this period.

A guide to toothbrushing for carers

Carer brushing Victorias teeth

Toothbrushing help for carers

Encouraging and supporting people that we care for to maintain their oral health is important for their general health and overall quality of life.

In collaboration with NSW Health, this article will help you to support people who need a flexible approach to their daily oral care.

This content was created by NSW Ministry of Health, Centre for Oral Health Strategy and is used with their permission.

Tool kit for toothbrushing

The following items can assist with toothbrushing.

If there are specific needs, please discuss them with your dental professional.

  1. Soft bristled toothbrush: choose a brush with a small head, or an electric, or three-sided toothbrush
  2. Fluoride toothpaste: sometimes higher strength fluoride, low foaming or chlorhexidine products may be recommended by your dental professional
  3. Good light: find a well-lit area or use a head torch
  4. Disposable gloves
  5. Bowl or cup: if it is not possible to spit into a bathroom sink, try using a bowl or cup
  6. Towel: use a clean bath towel to protect clothes and wipe the mouth
  7. Mouth prop: if it is difficult to keep the mouth open, a soft clean damp face washer can be used to bite onto while brushing
  8. Second toothbrush: a modified toothbrush can help retract the cheek and give better access to the mouth.
three toothbrush

Modified toothbrush

Taking care when brushing someone else’s teeth

  • Choose a time when you and they are relaxed and able to focus on the task.
  • Ensure they are comfortable, well supported and upright as possible. When our heads are tilted back, we are more prone to gagging. If they are unable to sit up, try to support their head as best as possible with pillows and tilt their head to the side.
  • Whether you stand in front of them or behind may differ depending on how well you can see the teeth and their personal preference.
  • Ensure the person in your care understands what you are going to do and agrees to each step.
  • Talk clearly and be calm, caring and patient in your approach.
  • Don’t force it. It’s okay to take breaks or try again later.
  • Aim to reduce plaque bacteria in the mouth everyday with brushing. Anything you can achieve will help them. Keep trying.

Cleaning teeth and gums

Aim to brush teeth and gums twice a day, but if this is not possible, brush at night with no eating afterwards.

If gums are bleeding it usually means they need to be brushed more, not less. Regular brushing with a soft toothbrush will help reduce or stop the bleeding. If it continues, consult a dental professional.

Dental floss, interdental brushes or flossettes can be used to clean between the teeth where a toothbrush can’t reach.

Additional care is needed for people with swallowing problems (dysphagia), dry mouth, sensitive gagging, and people not fed by mouth.

In these cases, you should:

  • Remove food debris in the mouth prior to brushing.
  • Use low foaming (SLS free) and low flavour toothpastes if preferred.
  • Talk to a health professional and/or pharmacist about medications that cause dry mouth and products that provide dry mouth relief.
  • Try a sprinkle of salt on the tongue to reduce gag reflex.

Even if a person is tube fed, cleaning their mouth every day is important.

Talk to your dental professional for further advice.

Maintain regular dental visits. If you notice any changes or have concerns when brushing someone’s teeth, contact their local dental clinic.