It is well known that oral care in nursing homes is of substandard quality(1). There are several reasons for this. From the dentists' perspective, the nursing home setting is not conducive to proper oral examination and treatment. Many dentists cite the lack of portable dental equipment that can be taken into residential settings(2). As a result, many dentists willing to invest in the oral health of these residents would like patients to come into the office so that proper care can be provided. However, nurses and administrators find it “nearly impossible” to transport nursing home residents to the dental office for treatment (2). This comes from the difficulty of caring for people with cognitive disorders. Indeed, Chalmers and Pearson assert that the greatest barrier to providing oral health care in these facilities arises from residents' cognitive, functional, and communication impairments(3). In a 2008 study, research found that approximately 68% of nursing home residents suffered from cognitive impairment(4). Approximately 40% of these residents were classified as having a severe mental disability(4). According to Chalmers, oral health assessment generally depends on the resident's ability to self-identify oral health problems and their ability to cooperate and communicate with health care staff(3). This illustrates a problem with patients who lack the cognitive ability to self-identify dental problems and then effectively communicate these problems to professionals. This is extremely common in patients suffering from dementia. One of the suggested barriers to residents receiving adequate oral care is the potential negative...... middle of article...... JM, Pearson A. A systematic review of oral health -dental assessment by nurses and caregivers of residents with dementia in residential care settings. Special care dentist. 2005;25(5):227-33.3. Chalmers J, Pearson A. Oral hygiene care for residents with dementia: a review of the literature. J Adv Nurses. 2005;52(4):410-9.4. Chen X, Clark JJ, Naorungroj S. Oral health among nursing home residents with different cognitive status. Gerodontology. 2013;30(1):49-60.5. Forsell M, Sjogren P, Kullberg E, Johansson O, Wedel P, Herbst B et al. Attitudes and perceptions towards oral hygiene tasks among geriatric nursing home staff. Int J Dent Hyg. 2011;9(3):199-203.6. Isaksson R, Paulsson G, Fridlund B, Nederfors T. Evaluation of an oral health education program for nurses in special accommodation facilities for the elderly. Part II: Clinical aspects. Special Care Dentist. 2000;20(3):109-13.