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OT Grooming Tooth Brushing

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Tooth Brushing oT

Tips to Make Grooming Easier at Home

General Tips for Success


• Perform “heavy work” proprioceptive activities prior to non-preferred
grooming tasks to aid in calming, regulation, and participation.
• Wall push-ups or pushes
• Squeezes/big bear hugs
• Wilbarger brushing protocol
• Joint compressions
• Animal walks (i.e., frog jump, bear walk)
• Carrying a heavy object across the room
• Positively reinforce compliance with grooming tasks (i.e., reward with preferred
toy after participation in morning routine tasks or in nightly bathtime).
• Ensure that the child knows exactly what they are being rewarded for
• Use “First, then” language (i.e., “First trim 1 nail, then toy”)
• Utilize a visual/picture schedule during grooming routines to prepare the child
for what is to come (e.g., “iDo Hygiene” app).
• Model the grooming task on yourself to increase the child’s comfort with the task.
• Play soft, calming music or sing in a slow, rhythmic tone for calming,
(e.g., “Ants Go Marching”).
• Allow a video or preferred toy for distraction if the task is highly aversive.

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Developed by Valerie Brunso, MS, OTR/L, in collaboration with Shelly Sears, MS, OTR/L
Tooth Brushing oT

Tips to Make Grooming Easier at Home

Prior
• Prior to tooth brushing, desensitize the face by firmly rubbing a warm washcloth overthe
cheeks, lips, sides of the nose, and chin
• Allow the child to utilize their finger to brush teeth before upgrading to a toothbrush
• Allow the child to pick his/her own toothbrush
• Also prior to tooth brushing, provide calming deep pressure to the arms and legs,
progressing towards the face

During
• Try using a brush with extremely soft or silicone bristles
• “Baby Banana Infant Teething Toothbrush” at Target.com
• Or, utilize a non-flavored, non-foaming toothpaste such as Oranurse
• Try an electric Spinbrush, as the vibration provided can be calming and regulating
• Take turns brushing each other’s teeth
• Increased exposure to the concept and allows the child some control over the task
• Brush in front of the mirror such that the child is able to see what is happening
• Make tooth brushing a game - attack on the cavities!
• Incorporate a visual timer
• Start with just a few seconds and work your way up to 2 minutes
• Can also aid in encouraging children who seek oral sensory input to brush
for an appropriate period of time, rather than too long
• Count to a specific number each time the child brushes. When the number
is reached, brushing stops
• This can be incrementally increased to facilitate tooth brushing tolerance
Tooth Brushing oT

Tips to Make Grooming Easier at Home

In General
• Experiment with different flavors of toothpaste to determine which the child prefers

• Consider using no toothpaste initially to increase the child’s comfort with the idea of
having his/her teeth brushed

• Start small to prevent overwhelming the child if brushing is extremely difficult


• Start with 1-2 teeth per day, then increase from there

• Trial different temperatures of water to see which is better tolerated orally

• Consider a toothbrush that sings or lights up

• Try brushing teeth while in the bathtub to combine these grooming tasks

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