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Oral Care For Special Needs

  • Burrow Welchel & Culp Orthodontics
  • September 26, 2014

If you have a child or a loved one that has a physical or intellectual disability, you know that daily care can be the sole responsibility of the caretaker. This presents some special challenges, especially when it comes to oral care. Depending on their level of functioning your loved one may need simple stand-by assistance or full care to be able to maintain proper oral care. This in of itself can be a challenge, especially where the back teeth and flossing are concerned.

Overall good oral care is important for everyone but for those of us with medical issues such as diabetes, bleeding disorders, heart disease and eating and digestion issues, oral care is especially critical. Our oral health is so closely linked to the overall health in our body that when we have pain or infection in our mouths it can harm the rest of our bodies. So how can we take better care of our special needs family members’ oral care?

The first step is to use brushes and floss that are appropriate for their needs. Sometimes you need specially made equipment for them. Larger handles, soft grips, and extended handles are some helpful modifications to toothbrushes. There are also special devices that help us make flossing easier and more efficient as well. One of these is a long-handled tool that holds a flossing head on the end. This makes it so much easier for anyone to get into those hard-to-reach places and floss properly.

Sometimes the individual you are caring for can have a lot anxiety associated with oral care, this is particularly true if the individual has mouth pain or soreness that makes it uncomfortable for them to brush. They also find it frightening to have someone else’s hand in their mouth. They might fight or even try to bite the person administering oral care. Do not be discouraged, the best thing to do is be slow, gentle, thorough, and accommodating. It can be frustrating but often talking to the person can help. Explain everything you are doing before and as you are doing.

Keep explanations simple and on a level that the one you are caring for can understand but do not talk down to them because this can only cause further frustration. You may have to step back a few times and give the individual a chance to calm down or relax a bit. With time and routine, you can have a much easier time working together to get the job done.

No matter what special needs your loved one has, good oral care at home is possible. Take some time to ask questions when you go to your orthodontist with our loved ones. There are a lot of resources and information out there that can help you. You can always come to us here at Burrow Welchel & Culp Orthodontics for answers that you can rely on. You can also find many great resources online such as at the American Dental Association.


ABOUT THE AUTHOR

Dr Sam Burrow D.D.S., D.M.D. – Dr. Burrow was born in Charlotte and moved to Charleston to obtain a Bachelors of Science in Biology at the College of Charleston. He graduated magna cum laude and as a member of Phi Beta Kappa Honor Society, and then stayed to earn a D.M.D. with honors at the Medical University of South Carolina. Dr. Burrow completed his orthodontic residency at University of Detroit Mercy in Michigan and is now in practice with his father at Burrow Welchel & Culp Orthodontics in the Charlotte area.

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My experience with Burrow Welchel& Culp Orthodontics has been the best and I’m so glad I chose them to help me get my smile back. My smile is getting bigger after each visit.😃 Thanks for a great experience thus far.
Response from the owner:Wanda, thank you so much for the five-star review we love hearing feedback from our patients and are so glad you’re having a great experience with our team!
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Hello. I had two experiences with the orthodontic. Each time I had a great experience. Thanks to the wonderful staff.
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Burrow Welchel & Culp Orthodontics was amazing! My daughter was nervous enough with her being 7, but they let her know step by step what was taking place and was very kid friendly.
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Eric H.
Every interaction with this office has been a positive experience. From the consultation to the adjustment visits.
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Ms. Judith was absolutely amazing when she put my braces on! She patiently went over every step of the tedious process and made sure I understood what was happening the whole time. Her motherly energy made me feel calm, cared for, and completely at ease. She was so kind and gentle I truly felt like I was in great hands. I would 100% refer anyone to her. She made what could’ve been a stressful experience feel very comforting!
Response from the owner:We're thrilled to receive your five-star review! It warms our hearts to hear that you appreciate the care you receive at our practice. Thank you for taking the time to share your feedback. We're here for you.
Brenda D.
Very friendly office. Very patient with me in getting my retainers to fit and go on. Mary went beyond the call of duty to give advice and help me with my retainers.
Very professional office and Brittany was great!
Response from the owner:Brenda, thank you so much for the five-star review! We love to hear our patients had a wonderful experience!
Talisha S.
Mary was AMAZING !!!, along with everyone that assisted. The environment is so welcoming & everyone is very informative,
Response from the owner:Talisha, thank you so much for the five-star review! We love to hear our patients had a wonderful experience!
Charita A.
Friendly staff !!! My daughter love going here !!! They fixed her smile within a year ! I would recommend them to anyone that’s in need of braces !!!
Response from the owner:Charita, thank you for the fantastic five-star review!
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Modifications for Special Needs

For individuals with special needs, modifications to oral care tools can make a significant difference in their ability to maintain good oral hygiene. Larger handles, soft grips, and extended handles on toothbrushes can make it easier for individuals with limited dexterity to brush effectively. These modifications can help individuals with disabilities to independently care for their oral health, promoting a sense of independence and well-being.

In addition to modified tools, caregivers should also approach oral care with patience and understanding. Individuals with special needs may experience anxiety or discomfort during oral care routines, and it is important to be gentle, thorough, and accommodating. By creating a calm and supportive environment, caregivers can help their loved ones feel more at ease and willing to participate in oral care activities.

Anxiety and Oral Care

Anxiety and oral care often go hand in hand for individuals with special needs. Mouth pain, soreness, or sensory sensitivities can make brushing and flossing uncomfortable and anxiety-inducing. Caregivers can help alleviate anxiety by using gentle techniques, providing distractions during oral care routines, and praising and encouraging their loved ones for their efforts. By addressing anxiety and discomfort head-on, caregivers can help individuals with special needs develop a positive attitude towards oral care and maintain good oral hygiene habits.

Communication is key when it comes to managing anxiety during oral care. Caregivers should listen to their loved one's preferences and concerns, and work together to find strategies that help reduce anxiety. By fostering open and honest communication, caregivers can build trust and create a more positive oral care experience for individuals with special needs.