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Teaching Tooth-Brushing to Sensory-Sensitive Children*

Glenda Carnate

With small adjustments and flexibility, tooth-brushing can be a positive, stress-free routine.
With small adjustments and flexibility, tooth-brushing can be a positive, stress-free routine.

For sensory-sensitive children, brushing their teeth can feel overwhelming. The toothbrush's texture, the toothpaste's taste, and the water's sensation in their mouth may cause discomfort or even distress. Instead of forcing the routine, making small, thoughtful adjustments can turn brushing into a manageable and even positive experience.


Start with Comfort, Not Pressure


Introduce tooth-brushing gradually. Let your child explore the toothbrush—holding it, touching the bristles, or using it on their hand first. If toothpaste is an issue, start without it and slowly introduce mild or unflavored options.


Choose the Right Tools


Not all toothbrushes feel the same. A soft-bristled or silicone toothbrush may be more tolerable, and some children find electric toothbrushes easier due to the vibration. If the taste or texture of toothpaste is too strong, try gel-based, fluoride-free, or unflavored options.


Make It Predictable


Children with sensory sensitivities often do best with routines. Simultaneously brushing daily and using a visual schedule or step-by-step instructions can make the process more structured and less stressful.


Add Fun and Control


Engagement makes a difference. Play a favorite song while brushing, use a timer, or let them brush a doll’s teeth first. Offering choices—like picking their toothbrush or deciding if they want to start with their top or bottom teeth—can increase their comfort and willingness to participate.


Adjust for Sensory Needs


If the sensation of brushing is overwhelming, start with a shorter duration and build up over time. Some children benefit from deep pressure input, like a weighted lap pad or a gentle face massage, before brushing to help regulate sensory responses.


Focusing on your child's comfort and needs can help you create a routine that supports their oral health without unnecessary stress.


Want more resources? Download the One Autism Health app for free!


*Results may vary; please consult a professional.

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