There are a range of oral swabs on the market in a variety of colours, the most common and recognised colours are pink and green. Sponge swabs are used to moisten the oral cavity, help loosen sticky mucus secretions, food debris and thickened saliva. However, they are not effective at removing plaque from the teeth and gums and should not be a substitute for a toothbrush.
Alternatives to Mouth Care Swabs
Safety Note:
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In England, mouth care swabs (MDA/2012/020) can be used with caution.
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In Wales, their use is banned following a fatality caused by a detached sponge head.
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Over 800 incidents have been reported since 2008 where sponge heads detached or were bitten off.
Safer Alternatives
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360° Toothbrushes
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Soft bristles clean teeth, tongue, palate, and cheeks.
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Can hydrate the mouth with water or oral gel.
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Popular, safe replacement for sponge swabs.
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Gauze
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Non-fraying gauze squares can remove debris, plaque, and dry mucus.
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Wrap around a finger, dampen with water, and optionally add non-foaming toothpaste.
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Helps reduce oral bacteria and maintain comfort.
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MC3 Sticks
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Cone-shaped head with soft rubber filaments.
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Removes dried or sticky mucus from palate, tongue, and soft tissues.
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Small-Headed Toothbrushes
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Soft, small-headed brushes recommended.
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Aspirating brushes can be used in nil-by-mouth cases where facilities allow.
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Tip: All these products should be discarded after 12 hours of use.
Staff Training
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Care staff should be appropriately trained in oral care, especially for residents with complex needs.
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NICE guidelines recommend care homes provide oral health education, support, and specialist training to ensure safe and effective care.