Oral health compliance for Australian aged care

If someone asked for your oral health records, what would you hand them?

Right now, most facilities would hand over a tick box. A few residents may have seen a mobile dentist. The rest of the home has never been looked at, and nobody could show what is going on.

0 of 120 residents with a current oral health record
Low Moderate High Nothing on file

An illustration of a 120 bed facility. Each square is one resident, filling in as an oral health record is created for them. Illustrative only, not real resident data.

Assessment at admission, on the record Review on a schedule, not on a complaint Referral pathway with the outcome recorded Daily oral care logged, declines included A registered dentist behind every entry One record, current, ready when someone asks

Standard 5, since November 2025

At audit, if it isn't documented, it didn't happen.

Providers are now expected to:

  • Assess a resident's oral health when they come into care.
  • Keep it under review.
  • Support daily oral hygiene.
  • Refer to a dentist when one is needed.
AdmissionMonth 3Month 6Month 12
Assessed, reviewed and acted on Nothing on file until it is urgent

Illustrative. The same resident over twelve months, with and without an oral health record.

0

Of people arrive in residential aged care with an oral health problem already recorded at their assessment.

Caughey et al, MJA 2025 · 360,305 residents

0

Of those residents used Medicare subsidised dental care at all across the four years studied.

Caughey et al, MJA 2025

0

Australians aged 65 and over admitted to hospital for preventable dental conditions in 2022 to 23, up from 10,495 six years earlier.

ADA, citing AIHW

0

The odds of aspiration pneumonia for a resident carrying heavy plaque, against one who is not.

Age and Ageing, 2021 systematic review

The whole house

Every resident on the record. Not just the ones who complained.

01Where you start today

A handful of residents have seen a visiting dentist, so there is something on file for them. For everyone else there is no dental history, no denture record, and nothing to show.

02We assess the whole house

In the first weeks every resident who consents is assessed, so the record covers the building rather than the few who made it onto a dental day.

03A dentist reads every one

Each assessment is read by a practising dentist, so what goes on the record is a dental opinion rather than a nurse's best guess.

04And it stays current

Each resident gets a date for their next assessment, and every new admission is assessed as they arrive. The record does not go stale, which matters because a picture from last year is not evidence of anything now.

Illustration of every resident in a facility being assessed and added to the oral health record. Illustrative only.

The compliance workflow

One resident, the whole record.

3 steps

Step 01 · Consent and assessment

  • Digital consent, recorded against the resident, before anything else.
  • Every resident assessed at admission, then on a schedule.
  • A few guided photos on a phone the building already owns.
Consent and assessmentSA-000412
Assessment consentGiven · 3 Jul
Decision makerNext of kin
PhotosAnterior · 1 of 4
Example anterior bite photo

Illustrative sample. Not an actual resident record.

Step 02 · Review and advice

  • A practising dentist reviews every resident, never AI.
  • Plain advice for the floor, and a date for the next assessment.
  • Anyone who needs a visit goes onto a list, and what happened next is recorded.
Screening reportSA-000412
Reviewed byRegistered dentist
Dentist saysSee a dentist soon
Book a visitYes, within 4 weeks
Next assessment14 Jan 2027

Illustrative sample. Not an actual resident record.

Step 03 · Daily care and evidence

  • A simple daily care card for each resident, built from what the dentist found.
  • Each morning's oral care recorded as it is done, declines included.
  • One trail per resident: assessed, reviewed, referred, and what came of it.
Today · Level 228 residents
UpperFull denture, labelled
ToothpasteHigh fluoride
Oral care recorded24
Offered, not taken up3
Not yet recorded1

Illustrative sample. Not an actual resident record.

Four people, four views

Everyone sees the part they actually need.

A care worker and a facility manager need different things out of the same record. Sending both the same report is how a good system starts getting ignored.

Daily care cardRoom 214
UpperFull denture, labelled
LowerOwn teeth
Dentist saysSee a dentist soon
ToothpasteHigh fluoride, morning and night
Watch forDry mouth, denture rubbing
TodayRecorded

Illustrative sample. Not an actual resident record.

For actioning and handoverLevel 2
Refer to dentist, within 4 weeks3
Hygienist visit suggested7
Product change recommended11
Care offered, not taken up, 4 of 5 days1
No action needed14

Illustrative sample. Not an actual resident record.

Assessment statusWhole of house
112Assessed and current
8Not yet assessed
Level 1Complete
Level 2Complete
Level 3Outstanding: 5
Alton wingOutstanding: 3

Illustrative sample. Not an actual resident record. Counts state what happened, not a verdict.

Family summary3 Jul 2026
What we looked atTeeth, gums and dentures
What we foundA denture rubbing on the left
What happens nextA dentist visit within 4 weeks
Reviewed byRegistered dentist

Illustrative sample. Not an actual resident record.

Who it's for

This fits if any of these sound like your week.

And it doesn't fit everyone. If dental is already visible in your records, scheduled, and evidenced end to end, you don't need us.

01

There's nothing on file at the door

No denture record, no history, no last visit. The family often doesn't know either, and by the time anyone asks, the person can't tell you. Every facility we've sat with named this first.

02

Your dentist visits, and a handful get seen

They come on their own schedule, can't bring a list, and won't come more often. Out of a hundred and forty residents, a handful, and nothing about the other hundred and thirty is written down anywhere.

03

You're carrying Standard 5 without a system for it

You know the standards changed in November 2025. You're less sure what you're meant to be holding if someone asks you to show it, and you can't put another daily task on the floor to find out.

Founding partner programme

90 days, one wing, and a baseline you keep.

We put oral health compliance in place across one wing and run it for 90 days. Every resident assessed, a dentist behind every one, and a working record at the end of it. Continue at day 90 and you come on at the founder rate.

Become a founding partner

Founding partner benefits

Early founder rate, locked for 12 monthsContinue at day 90 and the founder rate is held for a full year.
A say in the roadmapFirst look at what we build next, and a standing say in what gets built at all.
Setup and training includedFor your team at the start, and it stays included after day 90.
New training videos as they landShort oral care modules for care staff, added to your library as we make them.
First access to Denture IDDigital denture identification and tracking is what we are building now. Founding partners get it first.
Dr Brayden Weber and Ashleigh Campbell
Dr Brayden WeberDentistFounderClinical director Ashleigh CampbellMusic therapistBusiness relationship manager

Who you'll be working with

Hello, we're Brayden and Ashleigh.

We started Smile Advisor because the problems we kept seeing in aged care homes had started small and gone unnoticed. We want looking after a resident's mouth to be part of the everyday routine, recorded like any other care. If you're weighing up a pilot, we'd be happy to talk it through.

The questions we actually get

Asked in the room, answered here.

You end up with a record instead of a tick box. For every resident: an assessment on file from the week they arrive, a dentist's opinion on it, a date for the next one, who needed to be seen and what came of it, and the daily oral care logged as it happens. That is the material someone asks for when they want to see how oral health is handled here.

We can't make you compliant, and anyone telling you they can is overselling it. The Commission assesses your facility, and parts of this sit with you and never touch us. What we can do is make sure the oral health side is there, current, and easy to hand over.

For now, yes. Smile Advisor runs alongside iCare, Leecare, AlayaCare or whatever you use, and we're honest that having two systems isn't ideal long term. Integration is on the roadmap and it isn't built. What we can say today is that the daily action is two buttons, not a second round of documentation.

A screening takes about two minutes and happens roughly twice a year per resident, so in a hundred bed facility that's under one a day. The daily part is recording that a resident's oral care was done, or offered and not taken up, which is two taps on a card your staff already have open.

A resident consents in the app where they're able to. Where they aren't, a link goes to the next of kin or their appointed decision maker. No assessment opens without consent recorded against that resident, so it isn't something a busy morning can skip.

Photos are taken inside the app, never on the phone's camera roll, and they don't stay on the phone once they have gone up. A care worker, a nurse and a facility manager each see what they need rather than everything. Once something is recorded it can't be quietly changed or deleted, and records are kept for at least seven years. Your IT team is welcome to the detail, and we would rather they asked early than late.

Once a dentist has reviewed it you get plain advice for that resident, a date for their next assessment, and a care card for the floor. Anyone who needs to be seen goes onto a list automatically, so nothing waits on a report being read.

The same people who pay today. We aren't a dental provider and we don't fund treatment. What changes is that the need is found early and the referral, the conversation and the outcome are all recorded, including when a family decides against it.

Because it takes the dental judgement off your nurse and puts a registered dentist in the loop. The assessment tools in common use are hard to implement and the research shows carer scoring on its own correlates poorly with a professional exam. Your staff still do the looking. Someone qualified does the deciding.

Start small

Start with one wing. See what's actually on file.

90 days, one wing, and a complete picture of that wing's oral health at the end of it. Founding partner terms are for the facilities we start with, whether that is one wing or every site you run.