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Strategies to help children cope with the sensory challenges of toothbrushing

  • Jan 16, 2024
  • 2 min read

NHS England has put together the attached poster which focuses on strategies for helping children cope with the sensory challenges of toothbrushing!

Does your child? - Refuse to allow a toothbrush into his/her mouth?

-Gag or show other physical reactions to toothbrushing?


 

Here are some tips provided by NHS England to help make toothbrushing a fun and tolerable experience Visual tips - Try a toothbrush that lights up or one which is a different colour - Use a sand timer - Toothbrushing chart to help keep track of daily brushing, and use reward stickers

Tactile tips - Desensitise your child: use a cloth and encourage them to bite down whilst you gently tug on it

-If a toothbrush isn't tolerated, consider a damp cloth to wipe the teeth clean

-Try toothbrushes of different sizes, handles, bristle firmness and shapes


Smell/taste tips

-Try an unflavoured brand of toothpaste

-Try a sodium lauryl sulphate-free toothpaste for those who have difficulty swallowing

-Consider a small quantity of toothpaste or start without using any at all


Auditory tips -Sing a familiar, short song, whilst toothbrushing

-Consider using an app which plays music, for example Brush DJ

-Try a toothbrush that sings


Practical strategies

-Ensure it is a comfortable environment

-Make tooth brushing a game - attack of the bugs! -Keep it fun


If your child struggles with toothbrushing regarding sensory challenges, please review these top tips! Refusing to open mouth -Approach slowly -Allow to explore the texture of bristles of the toothbrush with fingers -Prompt by gently touching lips with a toothbrush or some toothpaste


Turns away when approaching for toothbrushing

-Reposition yourself to the direction which they are turning -Use your finger to stroke their cheek towards the direction of the mouth Biting the toothbrush -Use two toothbrushes - one for biting, one for brushing -Use a foam mouth prop to help keep the mouth open Unable to spit -Dampen the toothbrush in mouthwash or use a smear of non-foaming toothpaste

-Ensure the child is sat up - Use gauze to remove excess fluid or use a suction toothbrush Not letting go of the toothbrush -Hand-on-hand technique to guide them into the right place -Gently stroke their forearm to distract Looking distressed -Stop -Reevaluate the technique -Consider help from another person - Re-attempt at a different time - If it happens repeatedly, please seek assistance from the oral healthcare team - they are here to help!

 

Downloadable Resources



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