Saturday, February 8, 2014

Oral Hygiene for the Physically or Mentally Impaired Part II

  How to proceed
   You have had the patient's teeth cleaned and examined at the dental office. You will now disorganize the bacteria at the gumline once a day.
   The teeth are a four sided object and you want to clean all four sides.  The tooth brush will get two sides..the cheek and tongue side. The end tuft brush will clean the other two sides. You will moisten the brush as needed with the mouthwash.  Finish by having the patient rinse with the remaining mouthwash.
  1. Put on your gloves
  2. Have ready the toothbrush, end tuft brush and a cup of mouthwash.
  3. Place the patient in comfortable position for them and you ie laying on bed with head on pillow or in chair with a head rest.
  4. Picture the mouth having four rows you need to brush 1. Upper cheek and lip side
                                                                                              2. Upper tongue side
                                                                                              3. Lower cheek and lip side
                                                                                              4. Lower tongue side
      Do it methodically....know where you are going and where you have been. I go upper outside, upper inside, lower outside and lower inside. Just so you know where you are going and where you have been.
    5. The end tuft brush is to disturb the bacteria between the teeth.  Like with the tooth brush do this methodically. Stick the end tuft brush between the teeth and wiggle. Do this from the cheek side and the tongue side. For example...starting between the upper right last two teeth I stick the end tuft brush at a 45* angle and wiggle the end tuft brush.  I work my way around to the other side and come back around on the tongue side. I will repeat this procedure on the bottom arch.
   6. Have patient swish with the rest of the mouthwash.
Note: The tooth is a four sided object..when you brush the teeth you have cleaned 50%.... the end tuft brush(or floss, tooth pick etc) is the other 50%

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