Hi, My Gran has advanced vascular dementia combined with severe mobility issues. She was housebound even before the dementia started. I'm really struggling to brush her teeth. She won't open her mouth for the toothbrush and, even when she does, she doesn't understand how to rinse or to not swallow the paste or mouthwash. I'm reduced to just brushing round with a toothbrush dipped in a bit of mouthwash and I don't think this is sufficient. I'm noticing some decay around her front teeth. There is no way I can physically get her to a dentist and she wouldn't cooperate even if I could. I've been advised there might be home visits available via the local authority (I'm in Greater Manchester) but to access these you need to be referred by a dentist so I feel like I'm stuck in a loop. I can't find an NHS or private dentist that will do a home visit. Any tips/advice or insights gratefully received.