A Guide to Good Oral Health for Persons with Special Needs continued
Adapting a Toothbrush
Don't give up on brushing if the person is unable to hold a brush. Here are six suggestions and possible methods to modify a toothbrush.
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Note that even when an individual cannot manipulate a regular toothbrush, they may be able to brush their teeth on their own by using an electric or battery-operated toothbrush.
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Consider attaching the toothbrush to an individual's hand by using a wide elastic band (taking care that the band is tight enough to secure the toothbrush but loose enough so that it does not constrict circulation).
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Depending on the composition of the toothbrush, bending a brush handle to create a more conducive angle is sometimes possible by running very hot water over handle (not the brushhead) of the toothbrush, softening the plastic.
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If an individual cannot raise his or her hand or arm, the toothbrush handle can be lengthened by attaching extenders such as a ruler, a tongue depressor, or a wooden spoon.
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If an individual possesses only limited grasping ability, enlarge the toothbrush handle by inserting it into a sponge, a rubber ball, or a bicycle handle grip. The thicker surface can enable them to hold it in their hand and brush on their own.
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If an individual cannot hold his or her mouth open for the extended period of time to brush, consider trying a mouth prop. Examples of a mouth prop include three or four tongue depressors taped together, a rolled-up moistened washcloth, or a sterilized rubber doorstop.
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