OT Grooming Tooth Brushing
OT Grooming Tooth Brushing
OT Grooming Tooth Brushing
1765 N Elston Ave, Ste 206, Chicago, IL 60642 | (773) 980-0300 | ChicagoOccupationalTherapy.com
Developed by Valerie Brunso, MS, OTR/L, in collaboration with Shelly Sears, MS, OTR/L
Tooth Brushing oT
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
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
• Try brushing teeth while in the bathtub to combine these grooming tasks