AD affects learning and attention processes making it easy for individuals to forget oral self-care practices. Dental providers should provide simple oral self-care instructions verbally to the patient and the caregiver. Written instructions should also be provided.89 A collis-curve toothbrush or power toothbrush may be easier to use than a conventional manual toothbrush. During the later stages of the disease individuals may lose their ability to communicate, fail to recognize family and close friends, become confined to their bed, and may become reliant on skilled care. Caregivers are often tasked with providing oral care in addition to assisting with other activities of daily living. This can be mentally and physically taxing for the caregivers. Dental providers must keep in mind caregivers may not have the skills, time, or knowledge to provide oral care to the patient.74,96 Oral care needs are often disregarded.97
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