31/08/2026
5 things every care team should know about oral care and dementia 🦷💙
Following our recent story about a resident who regularly refused to have her teeth brushed, I wanted to share some practical approaches that can make a real difference.
When someone is living with dementia, oral care cannot always be delivered in the same way we would deliver it to everyone else.
The approach matters.
1️⃣ Choose the right moment
There may be times of the day when a resident is calmer, more alert and more receptive.
Work with their routine rather than against it.
2️⃣ Build trust before starting
Don't rush straight into brushing.
Talk to the resident. Make eye contact. Explain what you're going to do. Give them time to understand what is happening.
Connection comes before intervention.
3️⃣ Encourage independence
Where possible, let the resident hold their own toothbrush.
You can use bridging techniques — gently guiding their hand while allowing them to remain involved.
Small amounts of independence can protect dignity.
4️⃣ Adapt the equipment
One toothbrush doesn't suit everyone.
Consider soft-bristled or wide-handled brushes and, where appropriate, toothpaste that is unflavoured or produces less foam if the resident is sensitive to taste or texture.
The equipment should adapt to the person — not the other way around.
5️⃣ Don't ignore changes in behaviour
A resident who suddenly refuses food, becomes unsettled, touches their face or behaves differently may be communicating something they cannot explain.
Could it be oral pain?
A sore mouth, broken tooth, ill-fitting denture or other dental problem can have a significant impact on comfort and wellbeing.
The biggest lesson?
Oral care isn't simply about brushing someone's teeth.
It's about understanding the person.
It's about dignity.
It's about comfort.
And it's about recognising that sometimes “I don't want to” can actually mean “something isn't right.”
This is why we believe oral care should be embedded into everyday dementia care and supported by confident, well-trained care teams.
At Bucks Dental, we're passionate about helping care homes make that happen.
Good dementia care includes good oral care.
What strategies have you found work best when supporting someone living with dementia with their oral care?
Alzheimer's Society
Dementia UK
Care Quality Commission
Hallmark Luxury Care Homes