I think you get him to brush more than a couple of strokes. Get hm to brush back and froth sideways on the sides of itf it, under as far as he can the roof of his mouth and do a few each direction. I do this as instructed by my Dr. You wil be surprised at what might come out that is hidden.

Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April.
--- Passed away 5/14/14, will be greatly missed by everyone here