Oral Care

Oral care includes cleansing the mouth and gums and the teeth or dentures. Medications can cause dry mouth and less saliva. This may make the person with Parkinson's more at risk for tooth decay and for gum and bone disease. Prevention requires frequent brushing and flossing. Use an electric toothbrush if possible. There are floss holders available in drug stores that make it easier to floss. If the person with Parkinson's has dry mouth or gets sores from dentures, ask the pharmacist for saliva substitutes to use as an oral rinse.

Daily dental hygiene is important but can cause anxiety in some people. Always be patient and tell the person what you are about to do. (The person who refuses to brush can swish and spit out a fluoride mouthwash rinse.)

1. Gather supplies--disposable gloves, a soft toothbrush, toothpaste, baking soda, warm water in a glass, dental floss, and a bowl.
2. Bring the person to an upright position.
3. If possible, allow the person to clean his or her own teeth. This should be done twice daily and after meals.
4. Be sure the person can spit out water before allowing a sip. Use a water glass for rinsing.
5. If necessary, ask the person to open his or her mouth. Gently brush the front and back teeth up and down.
6. Rinse well by having the person sip water and spit into a bowl.

Denture Cleaning

1. Remove the dentures from the mouth.
2. Run them under water and soak them in cleaner in a denture cup.
3. Rinse the person's mouth with water or mouthwash.
4. Stimulate the gums with a very soft toothbrush.
5. Return the dentures to the person's mouth.

NOTE: Even a person with dentures should regularly visit the dentist to check the soft tissues of the mouth.