CHOMP
Nothing Hard,
Nothing Sticky,
Nothing Chewy

1. The patient may not leave the office without naming it. Sorry, that's the rule.
Tillie, Marvin, Moon Unit. We don't care what you call it, but you do have to call it something.
2. The patient can't do this alone. The turtle has a key that has to be used to widen it a little bit every day. But the patient can't do this alone, s/he needs some help. So...

3. Once in the morning and once in the evening, turn the key. Unless otherwise instructed, this is the rule. The string around the key goes around the wrist. Then the pointy end of the key goes into the hole in the middle of the appliance. Push it forward and away from you and then remove the key toward the throat. This moves the turtle to its next widest position and moves the next keyhole forward.
4. If you drop your key, throw your hands heavenward to ask for help. If you remembered to loop that string around your wrist, the key will reappear the moment you lift your arms and ask for guidance.
5. Don't eat anything hard, sticky or chewy with the turtle in place. Nuff said.
6. Keep talking. With that giant piece of plastic up there, the patient may lisp a little. This will dissipate with time and practice. The patient should be encouraged to talk as much as possible to get over the strange feeling of having the turtle in place.
7. Brushing carefully is essential. Keeping clean will not only make the patient's mouth taste and smell better, it will also help everything in there move that much faster. A Water Pik^TM will remove loose food debris, and will prevent the dreaded affliction known as "garbage breath."