Dental Care Tips for Caregivers of People With Dementia

Helping someone with dementia keep their mouth healthy can be one of the hardest parts of daily care. They may forget how to brush, resist help, or be unable to tell you something hurts. These practical tips come from our experience treating patients with dementia at home across New Jersey.

Keep It Simple and Routine

Brush at the same time and place every day. Use short, one-step instructions: "Hold the brush." "Open your mouth." "Brush here." Demonstrate on yourself so they can mirror you.

Try the "Hand Over Hand" Technique

Place your hand gently over theirs on the toothbrush and guide the motion. Many people are more comfortable when they feel some control.

Choose the Right Tools

• A soft brush with a large handle, or an electric toothbrush
• A small amount of fluoride toothpaste — or a high-fluoride paste if your dentist recommends it
• A three-sided toothbrush that cleans several surfaces at once
• Foam swabs only for patients who can't tolerate a brush

Denture Care

Take dentures out every night, brush them with a denture brush (not regular toothpaste), and store them in water or cleaning solution. Gently clean the gums and tongue with a soft brush. Label dentures — they're easily lost in facilities.

If They Resist

Stop, stay calm, and try again in 10–15 minutes. Distraction with music or conversation helps. Never force the mouth open. If brushing is consistently impossible, talk to us about other options.

Watch for Signs of Dental Pain

Refusing food, chewing on one side, touching the face, new agitation, poor sleep, or refusing dentures can all mean dental pain. Learn more about our dementia dental care at home.