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When we think about caring for someone living with dementia, our minds often go straight to memory support, safety, and daily routines. One important area that’s easy to overlook—but plays a major role in overall health and quality of life—is dental care.
Oral health and brain health are closely connected, and for individuals living with dementia, maintaining good dental hygiene can become increasingly challenging without the right support.
The Connection Between Dementia and Oral Health
As dementia progresses, individuals may forget to brush their teeth, feel confused by the steps involved, or resist care due to discomfort, fear, or sensory changes. Physical limitations, reduced coordination, and difficulty communicating pain can further complicate oral care routines.
When dental care is neglected, it can lead to:
- Tooth decay and gum disease
- Pain or infections that go unnoticed
- Difficulty chewing and swallowing
- Poor nutrition and weight loss
- Increased risk of systemic infections
Research also suggests that chronic gum disease and inflammation may be linked to cognitive decline, making oral health an important part of whole-person dementia care.
Common Dental Challenges for Those Living With Dementia
Individuals with dementia may experience:
- Forgetting when or how to brush and floss
- Resistance to having their mouth touched
- Anxiety or fear during dental visits
- Difficulty expressing tooth pain or discomfort
- Ill-fitting dentures that cause sores or frustration
Because pain may be expressed through behaviors—such as agitation, refusal to eat, or changes in mood—oral health issues can sometimes be mistaken for progression of dementia rather than a treatable problem.
Tips for Supporting Dental Care at Home
Caregivers and family members can help by making oral care part of a calm, familiar routine:
- Use simple, step-by-step cues and demonstrate brushing if helpful
- Choose a soft-bristled toothbrush and mild-flavored toothpaste to reduce sensory discomfort
- Brush at the same time each day to build routine and familiarity
- Offer reassurance and go slowly, stopping if the individual becomes distressed
- Check the mouth regularly for redness, sores, or signs of pain
For those who resist brushing, approaching from the front, maintaining eye contact, and explaining each step can make the experience feel safer and more respectful.
The Importance of Regular Dental Visits
Routine dental checkups are still important for individuals living with dementia. Dentists experienced in working with older adults or cognitive impairment can adapt their approach to reduce stress and discomfort. Shorter appointments, familiar caregivers present, and clear communication can make visits more successful.
If dental visits become too difficult, mobile or in-home dental services may be an option worth exploring.
A Whole-Person Approach to Dementia Care
Dental health is more than just a smile—it’s about comfort, dignity, nutrition, and overall well-being. By prioritizing oral care, caregivers can help reduce pain, prevent health complications, and improve daily quality of life for individuals living with dementia.
Thoughtful, compassionate dental care is one more way we can support comfort and connection throughout every stage of the dementia journey.