How can I get my husband with Alzheimer's to visit the dentist?

A fellow caregiver asked...

My husband has advanced Alzheimer´ and he has been bipolar all his life. He is at the stage he hardly talks or recognizes anyone. Brushing his teeth as home after meals in impossible most of the time and it is now time for his dental check up. Last time (6 months ago) he cursed the doctor and left the dental chair. Fortunately his dentist was almost finished. How do I get his to accept a visit to the dentist?

Expert Answer

Monica is an occupational therapist and designer of adapted dementia products through her company MindStart. Activities for Persons With Memory Loss. In addition, she works with the Minnesota-North Dakota Alzheimer's Association and the University of Minnesota on dementia issues. MindStart provides age-appropriate and stage-appropriate dementia activities, such as games, puzzles, and books. The items are simplified to meet the needs of various stages of dementia while remaining dignified and familiar in appearance

Dental hygiene with Alzheimer's is a tough situation. Here are a few thoughts that might help. First, might the dentist consider coming to your husband? Just the trip to the dentist may get your husband upset. Second, schedule the appointment during your husband's best time of day. Third, perhaps a warm, heavy blanket (the weight of the blanket can be soothing) with soothing music might help your husband relax as he lies down. Alternatively, having a laptop computer or tv showing a favorite movie, photos, or video clips might distract your husband while the dentist takes a look. Last, a dessert or snack item your husband likes might be made available to show him that he can eat "after you open your mouth for the dentist." You might let the dentist know to do what he can in a short amount of time, knowing your husband might end the appointment suddenly. I hope these give some helpful ideas for you.