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MoonDragon's Health & Wellness
Nutrition Basics

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DENTAL CARE


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  • Dental & Oral Care Description
  • Dental Care Products




  • DENTAL & ORAL CARE DESCRIPTION

    DENTAL CARE BASICS FOR ORAL HEALTH

    BRUSHING YOUR TEETH

    Oral health starts with clean teeth. Keeping the area where your teeth meet your gums clean can prevent gum disease, while keeping your tooth surfaces clean can help you stave off cavities. Consider these brushing basics from the American Dental Association:
    • Brush your teeth at least twice a day. When you brush, do not rush. Take enough time to do a thorough job.

    • Use the proper equipment. Use a fluoride toothpaste and a soft-bristled toothbrush that fits your mouth comfortably. Consider using an electric or battery-operated toothbrush, which can reduce plaque and a mild form of gum disease (gingivitis) more than does manual brushing. These devices are also helpful if you have arthritis or other problems that make it difficult to brush effectively.

    • Practice good technique. Hold your toothbrush at a slight angle, aiming the bristles toward the area where your tooth meets your gum. Gently brush with short back-and-forth motions. Remember to brush the outside, inside and chewing surfaces of your teeth, as well as your tongue.

    • Keep your equipment clean. Always rinse your toothbrush with water after brushing. Store your toothbrush in an upright position, if possible, and allow it to air-dry until using it again. Do not routinely cover toothbrushes or store them in closed containers, which can encourage the growth of bacteria.

    • Replace your toothbrush frequently. Invest in a new toothbrush or a replacement head for your electric or battery-operated toothbrush every three to four months or sooner if the bristles become frayed.

    FLOSSING BETWEEN TEETH

    You cannot reach the tight spaces between your teeth and under the gumline with a toothbrush. This is the reason daily flossing is recommended by dentists and considered an important part of oral care.

    When you floss, do not skimp on dental floss. Break off about 18 inches of dental floss. Wind most of the floss around the middle finger on one hand, and the rest around the middle finger on the other hand. Grip the floss tightly between your thumbs and forefingers.

    Be gentle. Guide the floss between your teeth using a rubbing motion. Do not snap the floss into your gums. When the floss reaches your gumline, curve it against one tooth.

    Take it one tooth at a time. Slide the floss into the space between your gum and tooth. Use the floss to gently rub the side of the tooth in an up-and-down motion. Unwind fresh floss as you progress to the rest of your teeth.

    Keep it up. If you find it hard to handle floss, use an interdental cleaner such as a special wooden or plastic pick, stick or brush designed to clean between the teeth.

    As long as you do a thorough job, it does not matter if you brush or floss first. However, flossing before brushing might allow more fluoride from your toothpaste to reach between your teeth.

    RINSING WITH A MOUTHWASH

    In addition to daily brushing and flossing, consider using an antimicrobial mouthwash or a mouth rinse containing fluoride to promote oral health. Use one that offers complete oral benefits, not just flavoring and water. Read your labels.

    USING AN ORAL IRRIGATOR

    To remove food particles from your teeth that are not dislodged by flossing or brushing, you might try an oral irrigator. These are especially beneficial if you have orthodontic braces. This is a device that aims a stream of water at your teeth. For added protection, a antimicrobial mouthwash can be used in place of water in the well of the irrigator. Resist the temptation to use toothpicks or other objects that could injure your gums. Keep in mind, however, that an oral irrigator does not replace daily brushing and flossing, since it does not remove plaque.

    DENTAL OFFICE VISITS

    You should see the dentist to help prevent gum disease and other oral health problems. Schedule regular dental cleanings and exams. In the meantime, contact your dentist if you notice any signs or symptoms that could suggest oral health problems, such as:
    • Red, tender or swollen gums.
    • Gums that bleed when you brush or floss.
    • Gums that begin pulling away from your teeth.
    • Loose permanent teeth.
    • Changes in the way your top and bottom teeth align with each other.
    • Unusual sensitivity to hot and cold.
    • Persistent bad breath or an unusual taste in your mouth.

    Remember, early detection and treatment of problems with your gums, teeth and mouth can help ensure a lifetime of good oral health.



    DENTAL CARE EVERY DAY: A CAREGIVER'S GUIDE




    Taking care of someone with a developmental disability or other physical disabilities requires patience and skill. As a caregiver, you know this as well as anyone does. You also know how challenging it is to help that person with dental care. It takes planning, time, and the ability to manage physical, mental, and behavioral problems. Dental care is not always easy, but you can make it work for you and the person you help. This guideline will show you how to help someone brush, floss, and have a healthy mouth.

    Everyone needs dental care every day. Brushing and flossing are crucial activities that affect our health. In fact, dental care is just as important to your client's health and daily routine as taking medications and getting physical exercise. A healthy mouth helps people eat well, avoid pain and tooth loss, and feel good about themselves.




    GETTING STARTED

    LOCATION: The bathroom is not the only place to brush someone's teeth. For example, the kitchen or dining room may be more comfortable. Instead of standing next to a bathroom sink, allow the person to sit at a table. Place the toothbrush, toothpaste, floss, and a bowl and glass of water on the table within easy reach.

    No matter what location you choose, make sure you have good light. You cannot help someone brush unless you can see inside that person's mouth. Positioning your body lists ideas on how to sit or stand when you help someone brush and floss.

    BEHAVIOR: Problem behavior can make dental care difficult. Try these ideas and see what works for you.

  • At first, dental care can be frightening to some people. Try the "tell-show-do" approach to deal with this natural reaction. Tell your client about each step before you do it. For example, explain how you will help him or her brush and what it feels like. Show how you are going to do each step before you do it. Also, it might help to let your client hold and feel the toothbrush and floss. Do the steps in the same way that you've explained them.

  • Give your client time to adjust to dental care. Be patient as that person learns to trust you working in and around his or her mouth.

  • Use your voice and body to communicate that you care. Give positive feedback often to reinforce good behavior.

  • Have a routine for dental care. Use the same technique at the same time and place every day. Many people with developmental disabilities accept dental care when it is familiar. A routine might soothe fears or help eliminate problem behavior.

  • Be creative. Some caregivers allow their client to hold a favorite toy or special item for comfort. Others make dental care a game or play a person's favorite music. If none of these ideas helps, ask your client's dentist or dental hygienist for advice.




  • THREE STEPS TO A HEALTHY MOUTH

    Like everyone else, people with developmental and physical disabilities can have a healthy mouth if these three steps are followed:
    • Brush every day.
    • Floss every day.
    • Visit a dentist regularly.


    Brushing teeth at an angle. Angle the brush at the gumline and brush gently.


    STEP 1: BRUSH EVERY DAY

    If the person you care for is unable to brush, these suggestions might be helpful.
    • First, wash your hands and put on disposable gloves. Sit or stand where you can see all of the surfaces of the teeth.
    • Be sure to use a regular or power toothbrush with soft bristles.
    • Use a pea-size amount of toothpaste with fluoride, or none at all. Toothpaste bothers people who have swallowing problems. If this is the case for the person you care for, brush with water instead.
    • Brush the front, back, and top of each tooth. Gently brush back and forth in short strokes.
    • Gently brush the tongue after you brush the teeth.
    • Help the person rinse with plain water. Give people who cannot rinse a drink of water or consider sweeping the mouth with a finger wrapped in gauze.
    Get a new toothbrush with soft bristles every 3 months, after a contagious illness, or when the bristles are worn.


    If the person you care for can brush but needs some help, the following ideas might work for you. You may think of other creative ways to solve brushing problems based on your client's special needs.


    Make the toothbrush easier to hold. The same kind of Velcro strap used to hold food utensils is helpful for some people.



    Others attach the toothbrush to the hand with a wide elastic or rubber band. Make sure the band is not too tight.



    Make the toothbrush handle bigger by attaching a bicycle grip onto the handle or buying a toothbrush with a large handle. Attaching foam tubing available from home health care catalogs, is also helpful. .



    You can also cut a small slit in the side of a tennis ball and slide it onto the handle of the toothbrush.



    A power toothbrush might make brushing easier. Take the time to help your client get used to one.


    GUIDE THE TOOTHBRUSH

    Help brush by placing your hand very gently over your client's hand and guiding the toothbrush. If that doesn't work, you may need to brush the teeth yourself.

    STEP 2: FLOSS EVERY DAY

    Flossing cleans between the teeth where a toothbrush cannot reach. Many people with disabilities need a caregiver to help them floss. Flossing is a tough job that takes a lot of practice. Waxed, unwaxed, flavored, or plain floss all do the same thing. The person you care for might like one more than another, or a certain type might be easier to use.


    Use a string of floss 18 inches long. Wrap that piece of floss around the middle finger of each hand.



    Grip the floss between the thumb and index finger of each hand.



    Start with the lower front teeth, then floss the upper front teeth, Next work your way around to all the other teeth. Work the floos gently between the teeth until it reaches the gumline. Curve the floss around each tooth and slip it under the gum. Slide the floss up and down. Do this for both sides of every tooth, one side at a time. Adjust the floss a little as you move from tooth to tooth so the floss is clean for each one.



    Try a floss holder. If you have trouble flossing, try using a floss holder instead of holding the floss with your fingers.


    The dentist may prescribe a special rinse for your client. Fluoride rinses can help prevent cavities. Chlorhexidine rinses fight germs that cause gum disease. Follow the dentist's instructions and tell your client not to swallow any of the rinse. Ask the dentist for creative ways to use rinses for a client with swallowing problems.

    POSITIONING YOUR BODY - SITTING OR STANDING

    Keeping people safe when you clean their mouth is important. Experts in providing dental care for people with developmental and physical disabilities recommend the following positions for caregivers. If you work in a group home or related facility, get permission from your supervisor before trying any of these positions.


    A caregiver sitting behind a person in a wheelchair brushing the person's teeth. It the person you are helping is in a wheelchair, sit behind it. Lock the wheels, then tilt the chair into you lap.



    A caregiver standing behind a person in a wheelchair brushing the person's teeth. Stand behind the person or lean against a wall for additional support. Use your arm to hold the person's head gently against your body.


    STEP 3: VISIT A DENTIST REGULARLY

    Your client should have regular dental appointments. Professional cleanings are just as important as brushing and flossing every day. Regular examinations can identify problems before they cause unnecessary pain.

    As is the case with dental care at home, it may take time for the person you care for to become comfortable at the dental office. A "get acquainted" visit with no treatment provided might help: The person can meet the dental team, sit in the dental chair if he or she wishes, and receive instructions on how to brush and floss. Such a visit can go a long way toward making dental appointments easier.

    PREPARE FOR EVERY DENTAL VISIT

  • Be prepared for every appointment. You are an important source of information for the dentist. If you have questions about what the dentist will need to know, call the office before the appointment.
  • Know the person's dental history. Keep a record of what happens at each visit. Talk to the dentist about what occurred at the last appointment. Remind the dental team of what worked and what did not.
  • Bring a complete medical history. The dentist needs each patient's medical history before treatment can begin. Bring a list of all the medications the person you care for is taking and all known allergies.
  • Bring all insurance, billing, and legal information. Know who is responsible for payment. The dentist may need permission, or legal consent, before treatment can begin. Know who can legally give consent.
  • Be on time.


  • Remember... Brushing and flossing every day and seeing the dentist regularly can make a big difference in the quality of life of the person you care for. If you have questions or need more information, talk to a dentist.

    Acknowledgments

    The National Institute of Dental and Craniofacial Research thanks the oral health professionals and caregivers who contributed their time and expertise to reviewing and pretesting the Practical Oral Care series.

    Expert Review Panel
      Mae Chin, RDH, MEd, University of Washington, Seattle, WA
      Sanford J. Fenton, DDS, University of Texas, Houston, TX
      Ray Lyons, DDS, FADPD, DABSCD, New Mexico Department of Health, Los Lunas, NM
      Christine Miller, RDH, MHS, MA, University of the Pacific, San Francisco, CA
      Steven P. Perlman, DDS, MScD, Boston University, Boston, MA
      David Tesini, DMD, MS, Sudbury, MA
    This information is one in a series on providing oral care for people with mild or moderate developmental disabilities. The issues and care strategies listed are intended to provide general guidance for caregivers on how to manage various oral health challenges common in people with developmental disabilities.

    Other booklets in this series:
  • Continuing Education: Practical Oral Care for People With Developmental Disabilities
  • Practical Oral Care for People With Autism
  • Practical Oral Care for People With Cerebral Palsy
  • Practical Oral Care for People With Down Syndrome
  • Practical Oral Care for People With Intellectual Disability
  • Wheelchair Transfer: A Health Care Provider's Guide


  • This publication is not copyrighted. Make as many photocopies as you need.
    NIH Publication No. 12-5191
    February 2012





    DENTAL CARE PRODUCTS

  • Mouthwash Dental Care Products

  • Toothpaste Dental Care Products


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    Nutrition Basics: Dental Care Information






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    AROMATHERAPY: ESSENTIAL OILS DESCRIPTIONS & USES


    Allspice Leaf Oil
    Angelica Oil
    Anise Oil
    Baobab Oil
    Basil Oil
    Bay Laurel Oil
    Bay Oil
    Benzoin Oil
    Bergamot Oil
    Black Pepper Oil
    Chamomile (German) Oil
    Cajuput Oil
    Calamus Oil
    Camphor (White) Oil
    Caraway Oil
    Cardamom Oil
    Carrot Seed Oil
    Catnip Oil
    Cedarwood Oil
    Chamomile Oil
    Cinnamon Oil
    Citronella Oil
    Clary-Sage Oil
    Clove Oil
    Coriander Oil
    Cypress Oil
    Dill Oil
    Eucalyptus Oil
    Fennel Oil
    Fir Needle Oil
    Frankincense Oil
    Geranium Oil
    German Chamomile Oil
    Ginger Oil
    Grapefruit Oil
    Helichrysum Oil
    Hyssop Oil
    Iris-Root Oil
    Jasmine Oil
    Juniper Oil
    Labdanum Oil
    Lavender Oil
    Lemon-Balm Oil
    Lemongrass Oil
    Lemon Oil
    Lime Oil
    Longleaf-Pine Oil
    Mandarin Oil
    Marjoram Oil
    Mimosa Oil
    Myrrh Oil
    Myrtle Oil
    Neroli Oil
    Niaouli Oil
    Nutmeg Oil
    Orange Oil
    Oregano Oil
    Palmarosa Oil
    Patchouli Oil
    Peppermint Oil
    Peru-Balsam Oil
    Petitgrain Oil
    Pine-Long Leaf Oil
    Pine-Needle Oil
    Pine-Swiss Oil
    Rosemary Oil
    Rose Oil
    Rosewood Oil
    Sage Oil
    Sandalwood Oil
    Savory Oil
    Spearmint Oil
    Spikenard Oil
    Swiss-Pine Oil
    Tangerine Oil
    Tea-Tree Oil
    Thyme Oil
    Vanilla Oil
    Verbena Oil
    Vetiver Oil
    Violet Oil
    White-Camphor Oil
    Yarrow Oil
    Ylang-Ylang Oil
    Aromatherapy
    Healing Baths For Colds
    Aromatherapy
    Herbal Cleansers
    Using Essential Oils


    AROMATHERAPY: HERBAL & CARRIER OILS DESCRIPTIONS & USES


    Almond, Sweet Oil
    Apricot Kernel Oil
    Argan Oil
    Arnica Oil
    Avocado Oil
    Baobab Oil
    Black Cumin Oil
    Black Currant Oil
    Black Seed Oil
    Borage Seed Oil
    Calendula Oil
    Camelina Oil
    Castor Oil
    Coconut Oil
    Comfrey Oil
    Evening Primrose Oil
    Flaxseed Oil
    Grapeseed Oil
    Hazelnut Oil
    Hemp Seed Oil
    Jojoba Oil
    Kukui Nut Oil
    Macadamia Nut Oil
    Meadowfoam Seed Oil
    Mullein Oil
    Neem Oil
    Olive Oil
    Palm Oil
    Plantain Oil
    Plum Kernel Oil
    Poke Root Oil
    Pomegranate Seed Oil
    Pumpkin Seed Oil
    Rosehip Seed Oil
    Safflower Oil
    Sea Buckthorn Oil
    Sesame Seed Oil
    Shea Nut Oil
    Soybean Oil
    St. Johns Wort Oil
    Sunflower Oil
    Tamanu Oil
    Vitamin E Oil
    Wheat Germ Oil





    HELPFUL RELATED MOONDRAGON NUTRITION BASICS LINKS

  • MoonDragon's Nutrition Basics Index
  • MoonDragon's Nutrition Basics: Amino Acids Index
  • MoonDragon's Nutrition Basics: Antioxidants Index
  • MoonDragon's Nutrition Basics: Enzymes Information
  • MoonDragon's Nutrition Basics: Herbs Index
  • MoonDragon's Nutrition Basics: Homeopathics Index
  • MoonDragon's Nutrition Basics: Hydrosols Index
  • MoonDragon's Nutrition Basics: Minerals Index
  • MoonDragon's Nutrition Basics: Mineral Introduction
  • MoonDragon's Nutrition Basics: Dietary & Cosmetic Supplements Index
  • MoonDragon's Nutrition Basics: Dietary Supplements Introduction
  • MoonDragon's Nutrition Basics: Specialty Supplements
  • MoonDragon's Nutrition Basics: Vitamins Index
  • MoonDragon's Nutrition Basics: Vitamins Introduction


  • NUTRITION BASICS ARTICLES

  • MoonDragon's Nutrition Basics: 4 Basic Nutrients
  • MoonDragon's Nutrition Basics: Avoid Foods That Contain Additives & Artificial Ingredients
  • MoonDragon's Nutrition Basics: Is Aspartame A Safe Sugar Substitute?
  • MoonDragon's Nutrition Basics: Guidelines For Selecting & Preparing Foods
  • MoonDragon's Nutrition Basics: Foods That Destroy
  • MoonDragon's Nutrition Basics: Foods That Heal
  • MoonDragon's Nutrition Basics: The Micronutrients: Vitamins & Minerals
  • MoonDragon's Nutrition Basics: Avoid Overcooking Your Foods
  • MoonDragon's Nutrition Basics: Phytochemicals
  • MoonDragon's Nutrition Basics: Increase Your Consumption of Raw Produce
  • MoonDragon's Nutrition Basics: Limit Your Use of Salt
  • MoonDragon's Nutrition Basics: Use Proper Cooking Utensils
  • MoonDragon's Nutrition Basics: Choosing The Best Water & Types of Water





  • RELATED MOONDRAGON HEALTH LINKS & INFORMATION

  • MoonDragon's Nutrition Information Index
  • MoonDragon's Nutritional Therapy Index
  • MoonDragon's Nutritional Analysis Index
  • MoonDragon's Nutritional Diet Index
  • MoonDragon's Nutritional Recipe Index
  • MoonDragon's Nutrition Therapy: Preparing Produce for Juicing
  • MoonDragon's Nutrition Information: Food Additives Index
  • MoonDragon's Nutrition Information: Food Safety Links
  • MoonDragon's Aromatherapy Index
  • MoonDragon's Aromatherapy Articles
  • MoonDragon's Aromatherapy For Back Pain
  • MoonDragon's Aromatherapy For Labor & Birth
  • MoonDragon's Aromatherapy Blending Chart
  • MoonDragon's Aromatherapy Essential Oil Details
  • MoonDragon's Aromatherapy Links
  • MoonDragon's Aromatherapy For Miscarriage
  • MoonDragon's Aromatherapy For Post Partum
  • MoonDragon's Aromatherapy For Childbearing
  • MoonDragon's Aromatherapy For Problems in Pregnancy & Birthing
  • MoonDragon's Aromatherapy Chart of Essential Oils #1
  • MoonDragon's Aromatherapy Chart of Essential Oils #2
  • MoonDragon's Aromatherapy Tips
  • MoonDragon's Aromatherapy Uses
  • MoonDragon's Alternative Health Index
  • MoonDragon's Alternative Health Information Overview
  • MoonDragon's Alternative Health Therapy Index
  • MoonDragon's Alternative Health: Touch & Movement Therapies Index
  • MoonDragon's Alternative Health Therapy: Touch & Movement: Aromatherapy
  • MoonDragon's Alternative Therapy: Touch & Movement - Massage Therapy
  • MoonDragon's Alternative Health: Therapeutic Massage
  • MoonDragon's Holistic Health Links Page 1
  • MoonDragon's Holistic Health Links Page 2
  • MoonDragon's Health & Wellness: Nutrition Basics Index
  • MoonDragon's Health & Wellness: Therapy Index
  • MoonDragon's Health & Wellness: Massage Therapy
  • MoonDragon's Health & Wellness: Hydrotherapy
  • MoonDragon's Health & Wellness: Pain Control Therapy
  • MoonDragon's Health & Wellness: Relaxation Therapy
  • MoonDragon's Health & Wellness: Steam Inhalation Therapy
  • MoonDragon's Health & Wellness: Therapy - Herbal Oils Index







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    MOONDRAGON'S REALM - WEBSITE DIRECTORY


    A website map to help you find what you are looking for on MoonDragon.org's Website. Available pages have been listed under appropriate directory headings.




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