Understanding resistance to Oral Care: The sensory factors dental professionals should know

When a patient pulls away, closes their mouth, gags, or appears unwilling to engage with oral care, it's often described as resistance.

But what if it isn't resistance at all?

For many individuals living with dementia, neurodivergent conditions, complex medical needs, or oral dryness, brushing teeth can involve a level of sensory discomfort that is difficult to communicate. Strong flavours, excessive foaming, unfamiliar textures, cold instruments and even the size of a toothbrush can all contribute to an overwhelming experience.

Overcoming resistance

In the latest issue of Dental Nursing, BuddiesForLife founder and CEO Sian Ellingworth explores how understanding these sensory factors can help dental professionals approach oral care differently.

The article discusses:

• Why "care-resistant" behaviour is often linked to discomfort, confusion or sensory overload rather than deliberate refusal

• How dementia and other neurological conditions can alter the way sensory information is processed

• Practical chairside strategies to improve tolerance and cooperation

• The importance of predictability, communication and patient-led approaches

• Why seemingly small factors such as toothbrush design, flavour, foam and texture can make a significant difference

• Considerations for supporting individuals experiencing oral dryness when brushing is not tolerated

  
  

One of the key messages is that oral care becomes easier when we move from trying to overcome resistance to understanding what may be causing it. Small adjustments can often reduce distress, improve cooperation and create a more positive experience for both the patient and the dental team.

The article forms part of Dental Nursing's CPD programme and provides practical guidance that can be applied across a range of healthcare, care and community settings.

Read the full article, Overcoming Resistance, on the Dental Nursing website.