Toothbrushing positions for people with special needs

Positioning someone for toothbrushing may depend on their age and their physical or medical condition. It is advisable to try different positions to see what works best for you and them. Toothbrushing does not have to happen in the bathroom, other spaces in the house can be used.

It’s important to note that some people create more saliva. To prevent choking on saliva, please avoid tilting their head too far back.  Lying on the floor can be difficult for someone with a medical condition involving muscular control. A sitting position is often better for these people

Sitting on the floor

Sit on the floor or a chair with the person whose teeth are being brushed upright on the floor in front of you. Tip their head onto your lap. You can gently place your legs over their arms or legs to keep them still.

Lying on the floor

Kneel or sit on the floor with the person whose teeth are being brushed laid down in front of you. Place their head on a pillow or on your lap.

In a beanbag chair

If the person cannot sit up, try sitting them in a beanbag chair. Use the same position described above for sitting on the floor.

On a bed or sofa

Lie the person having their teeth brushed down on either a bed or a sofa and place their head in your lap. Support their head and shoulders with your arm. If they will not stay still, another person can gently support their legs and hands.

On a wheelchair or chair

Stand behind the wheelchair (make sure wheels are locked) and tilt their head against the wheelchair or your body.  A pillow could be used so they are more comfortable.