TOOLS AND PREPARATIONS RECOMMENDED FOR ORAL CARE

When oral intervention is needed, a small brush should be used.  Where a small toothbrush is not tolerated, foam sticks moistened with water can be used. 

Tooth brushing may be contra-indicated in patients with severe thrombocytopenia (low platelet count) who are susceptible to bleeding. 

Patients who are not at risk of developing oral complications should still be encouraged to brush their teeth regular after meals. 

Basildon & Thurrock General Hospitals NHS Trust recommend the following preparations for oral care.

Sodium Chloride 0.9% solution

Encourage patient to gargle for 1-2 minutes.  This solution can be used for patients with bleeding or swollen gums, this reduces pain and swelling and aids tissue granulation and healing.

Teledont Mouth Wash Tablets

One table in 100ml of water to be kept in a covered container, labelled with the patient’s name and date/time solution was made.  This has a mild disinfection action and is a refreshing mouthwash.

Sodium Bicarbonate Powder

One 5ml teaspoon mixed in 500ml of warm water to be kept in a covered container, labelled with patients name and date/time solution was made.  This is an effective cleansing agent on dry encrusted areas. 

EILER’S SCORING 

Between 8 – 10, offer regular mouth washes particularly after meals.

Between 11 – 16, three hourly oral care, nurse assisted if necessary

A score of 17 or above, 2 hourly oral care should be encouraged.