hi all THANK YOU FOR THE SUGGESTIONS.
He is able to do the baking soda and salt water rinses.. but with a severe trismus, I am not sure the suction machine will help .... the water pik might and we do have one.

the rinses are so helpful and he also has hydration scheduled daily to keep up with fluid intake.

the trismus makes things that much more challenging for access to daily oral hygiene.

guaifenison didn't help much so he stopped that.

maybe a water pik rinse with the baking soda/salt might work.
but for now.... he has to constantly bring up gobs of mucous/phlegm.

sigh......
does anyone know what size cannula the suction machine holds... his mouth opening is just not that wide.

does anyone also know if there is a bracelet for people with trismus......... my greatest fear is that one day he may need access to his airway and no one will know he has trismus ...

he is only a trach candidate right now if he were need resuscitation.

I have no ide how they would anesthetize someone with trismus when you can't get an oral airway intubated.

thank you for your support again!