A Guide to Good Oral Health for Persons with Special Needs continued Different Positions for Brushing There are a number of positions you can use to clean a person's teeth. Remember that supporting the head, being able to see properly inside the mouth, and ease of manipulation are important. Work with your dental professional to find the safest, most comfortable position for you and the person you are caring for. In a Wheelchair Method 1: Stand behind the wheelchair. Use your arm to brace the individual's head against the wheelchair chair or against your body. Consider using a pillow so that the person is comfortable. Method 2: Sit behind the wheelchair and, remembering to lock the wheels of the wheelchair for safety, tilt the wheelchairback into your lap. Sitting on the Floor Have the individual sit on floor while you sit immediately behind them on a chair. Have the person lean his or her head against your knees.      Note that if the individual is uncooperative sitting in this position, you can gently place your legs over his or her arms to keep them still. On a Bed or a Sofa The individual lies on a bed or a sofa with his or her head in your lap. Support the person's head and shoulders with your arm.      Note that if the individual is uncooperative laying prone in this position, a second person can gently hold his or her hands and feet, as needed. In a Beanbag Chair If an individual has difficulty sitting up straight, sitting in a beanbag chair often lets them relax without the fear of falling. Once the person is comfortable, use the same positions as noted above for the bed or the sofa. Lying on the Floor Have the person lie on the floor with his or her head on a pillow. Kneel behind the individual's head, using your arm to help hold the person still, if necessary. Remember that in any position, it's important to support the person's head. Take care to avoid choking or gagging if the person's head is tilted back. << Previous Page              Next Page >>             Return to main page