It is very difficult to clean my husband's teeth because either as a reflex action he bites down on the brush and/or cannot follow instructions or suggestions to open his mouth and let the brush in.The care home staff have tried but with no real success. The dentist gave them a tongue depressor but again as a reflex action he bit it in half. He also bites his bottom lip.As a result of this and lack of oral hygene he has a swollen, scabbed lip. blisters on the inside of his mouth and terrible oral thrush. Consequently he is unable, reluctant to take nourishment. It must be so painful for him. And for the same reason he won't always take the medication to clear it up. He is now dehydrated and having subcutaneous fluids for a week. He will certainly rehydrate but if the infections persist and he can't take nourishment orally the decision about a peg will have to be taken. Anyone familiar with any of this?