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- recommend using children's or electric toothbrush or cotton bud
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- webbing, acquired syndactyly or fused hands
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- recommend special grip on toothbrush or electric toothbrush
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- fear of injuries to the mouth
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- rinse mouth with mouthwash or chlorhexidine
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- sensitive oral mucous membrane
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- discuss or consult with dentist or dental hygienist
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- discuss or consult surgical or dental treatment with consultant in attendance
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