Recommendations for Carers - Caring for the oral health of Alzheimer's patients

Routines may need to change as Alzheimer's disease symptoms become more severe.

The patient may become more forgetful, confused or anxious when it comes to brushing their teeth. At this stage, the Old Grammar School Dental Surgery's guidance is given below:

• Guide the patient to the bathroom – it’s common for people with more advanced Alzheimer's disease to lose their way or become confused about where they need to go.

• A carer should always assist the patient with brushing their teeth twice daily

• If possible, we recommend rinsing Corsodyl mouthwash for 60 seconds before brushing – rinsing with mouthwash can help clear food particles from their mouth. Mouthwash isn’t a replacement for brushing but can be helpful at difficult times.

Twice daily oral hygiene routine for the health carer assistance of patient.

• Make sure your hands are clean. Wash your hands thoroughly first and wear disposable gloves to avoid risk of infection.

• Apply a pea-sized amount of fluoride toothpaste to a toothbrush. Press it well into the bristles so it doesn’t fall off – particularly if using an electric toothbrush.

• Stand to the side of the patient and hold the toothbrush. Preferably use an electric toothbrush.

• Use your fingers on one hand, that is not holding the toothbrush, to gently lift the resident's cheek away from their teeth and gums. This should make it easier for you to see inside the whole of their mouth as you brush.

• When a patient's teeth are brushed, there may be a lot of blood in their saliva and bleeding. NB This is a normal consequence of severe gingivitis and this should not stop a carer from brushing the patient's teeth.

• Brush the teeth and gums in a circular, ‘round-and-round’ motion not backwards and forwards.

• Make sure you brush the teeth from these different angles:

  • behind the teeth (the ‘inside’), with the toothbrush facing diagonally towards the gum

  • on the top (biting surface) of the teeth, with the toothbrush facing horizontally up or down

  • in front of the teeth (the ‘outside’), with the toothbrush facing diagonally towards the gum.

• Brush the top set of teeth for one minute (spend 30 seconds on each side of the mouth). Repeat this on the bottom set of teeth.

• Use the recommended interdental brush to clean in between teeth, if you are able to do this.

• Encourage the patient to spit out the toothpaste after brushing. They should not rinse with water or use mouthwash straightaway. This helps to keep fluoride on the surface of the teeth to protect them from decay.

Dental Emergencies over the Holidays - How to use the Worldwide Dental Emergency Scheme.

With the Christmas holidays upon us it is worthwhile reviewing the cover that our Plan patients are entitled to under the Worldwide Dental Emergency Scheme.

We have put the following points together as a reminder of what is and is not covered during the Christmas period.

What is included

This year the Christmas holidays covered as part of the Worldwide Dental Trauma and Emergency Callout Assistance Scheme are:

• Thursday 25th December - Christmas Day

• Friday 26th December - Boxing Day

• Thursday 1st January - New Years Day

• Dental Emergencies outside of normal hours, after 6pm and before 8am

• Weekends

What is not included

• Emergencies during normal hours 8.00am to 6.00pm on the days in between Christmas and New Year - 29th to 31st December.

Please note:

• Emergency callout and treatment is for the sole purpose of immediate pain relief or following a dental trauma

• Emergencies during the day when the patient is away from home. This applies whether the patient is in the UK or abroad. Within the UK, away is considered for any location that is outside of a 15-mile radius of the registered practice.

How to get assistance

For full information on how to get help visit https://scheme.wdeas.co.uk/

Achieving a Career in Dental Nursing

Starting a career in dental nursing is a rewarding choice. It offers the chance to work closely with patients, support dentists, and be part of a healthcare team. If you are interested in a practical, hands-on role in dentistry, dental nursing could be the perfect fit. In this post, I will guide you through the steps to become a dental nurse, focusing on how a dental nursing apprenticeship can help you get there.

Understanding the Role of a Dental Nurse

Dental nurses play a vital role in dental practices. They assist dentists during treatments, prepare instruments, and ensure patients feel comfortable. The job requires attention to detail, good communication skills, and a caring attitude.

Some key duties include:

• Preparing the treatment room and sterilising equipment

• Assisting the dentist during procedures

• Taking and developing dental X-rays

• Providing oral health advice to patients

• Managing patient records and appointments

  
  

This role is perfect for those who enjoy working with people and want to contribute to their health and wellbeing.

Dental instruments ready for use in a dental surgery

How a Dental Nursing Apprenticeship Can Help You Start

One of the best ways to enter this career is through a dental nurse apprenticeship. This pathway allows you to earn while you learn. You gain practical experience in a dental practice while studying for a recognised qualification.

Here’s why an apprenticeship is a great option:

• Hands-on learning: You work alongside experienced dental nurses and dentists.

• Earn a salary: You get paid during your training.

• Gain qualifications: You study for a Level 3 Diploma in Dental Nursing or equivalent.

• Build confidence: Real work experience helps you develop skills quickly.

• Career progression: Apprenticeships often lead to permanent roles.

  
  

To find an apprenticeship, look for local dental practices offering training positions. The Old Grammar School Dental Surgery in St Ives is one such place that supports apprenticeships and values high-quality care for all patients.

Steps to Becoming a Dental Nurse

If you want to become a dental nurse, here is a simple step-by-step guide:

1. Research the role: Understand what dental nursing involves and decide if it suits you.

2. Find an apprenticeship or training course: Look for local dental practices or colleges offering dental nurse apprenticeships or courses.

3. Apply and interview: Prepare a CV and cover letter. Be ready to explain why you want to be a dental nurse.

4. Start your apprenticeship or course: You will split your time between work and study.

5. Complete your qualification: Pass your exams and assessments.

6. Register with the General Dental Council (GDC): This is a legal requirement to work as a dental nurse in the UK.

7. Begin your career: Look for full-time roles or continue your education with further qualifications.

   
   

Remember, patience and dedication are key. The training period usually lasts around 12 to 18 months.

Dental surgery room prepared for patient treatment

Skills and Qualities That Make a Great Dental Nurse

To succeed in dental nursing, certain skills and personal qualities are important. Here are some to focus on:

• Communication: You need to explain procedures clearly and reassure patients.

• Attention to detail: Sterilising equipment and recording patient information must be done accurately.

• Teamwork: You work closely with dentists, hygienists, and reception staff.

• Empathy: Patients may feel nervous, so being kind and patient helps.

• Manual dexterity: Handling small instruments requires steady hands.

• Organisational skills: Managing appointments and supplies is part of the job.

  
  

If you are naturally caring and enjoy practical work, dental nursing could be a fulfilling career.

Opportunities for Growth and Specialisation

Once you qualify as a dental nurse, there are many ways to develop your career. You can:

• Specialise: Work in areas like orthodontics, sedation nursing, or paediatric dentistry.

• Further education: Study for qualifications in dental radiography or oral health education.

• Take on more responsibility: Become a lead nurse or practice manager.

• Teach: Train new dental nurses or work in dental education.

  
  

The dental field offers a variety of paths, so you can find a role that suits your interests and goals.

Why Choose Local Dental Care in St Ives?

Choosing to train and work locally has many benefits. St Ives has a close-knit community where you can build strong relationships with patients. Working at a trusted practice like The Old Grammar School Dental Surgery means you contribute to high-quality care for families and individuals nearby.

Local dental practices often provide a supportive environment for apprentices and new staff. You get to know your patients and see the positive impact of your work every day.

Taking the First Step Today

If you are ready to start your journey in dental nursing, consider applying for a dental nurse apprenticeship. It is a practical, affordable way to gain experience and qualifications. Reach out to local dental surgeries, ask about apprenticeship opportunities, and prepare your application.

Remember, every dental nurse started somewhere. With commitment and the right training, you can build a rewarding career helping others maintain their oral health.

By choosing dental nursing, you join a profession that combines healthcare, teamwork, and patient care. Whether you want to work in a busy practice or specialise in a particular area, the opportunities are there. Take the first step today and explore the options available in your area. Your future in dental nursing awaits!