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How to Preserve Oral Health in Children with Autism

National Children's Dental Health Month, observed in February, sheds light on the challenges children face while maintaining proper oral hygiene, especially those with autism spectrum disorders. Dental care is essential, considering the potential risks of plaque buildup, infections, and other severe health issues. We'll explore some strategies to support the oral health of children with autism, mitigating the associated difficulties.


Oral Hygiene Challenges for Children with Autism

Maintaining good dental hygiene can be demanding for any child, and it presents unique challenges for children with autism due to heightened sensory sensitivities. The sensations accompanying tooth brushing can trigger gustatory, auditory, tactile, or combined sensitivities in these children. Moreover, children with autism may struggle to communicate any discomfort in their teeth or gums, exacerbating the challenges. This can lead to stress and escalating behavioral issues.


Effective Strategies for Cultivating Dental Hygiene Habits in Children

1. **Familiarizing with the Toothbrush**: Introduce your child to the sensation of a toothbrush in their mouth gradually. Start with allowing them to get comfortable with the toothbrush in their mouth before progressing to brushing their teeth. Gradually extend the duration of toothbrush use, possibly using a timer to signal when to finish.


2. **Adding Fun to Tooth Brushing**: Transform tooth brushing into a family activity to make it engaging for your child. Brush your teeth simultaneously as your child does, enabling them to observe and imitate. Consider toothbrushes with music or light features. Maintaining a positive attitude and enthusiasm while brushing can also make it more enjoyable.


3. **Task Analysis**: Break down the tooth brushing process into smaller, manageable steps using a task analysis. Create a step-by-step list, including activities like getting the toothbrush, opening toothpaste, applying it to the brush, brushing individual sections of teeth, rinsing, and cleaning the toothbrush. Record your child's progress on each step to track improvement.


4. **Gradual Prompt Fading**: When assisting your child in tasks, such as tooth brushing, use prompting judiciously to prevent resistance. You can provide physical prompts or verbal reminders as needed. Visual prompts and routines with images can also aid in reminding your child. Over time, reduce the level of assistance to encourage independent tooth brushing.


5. **Positive Reinforcement**: Reinforce positive behavior by associating tasks with positive experiences. Offer rewards or praise after successful tooth brushing sessions. For instance, if your child is new to tooth brushing, a reward can be as simple as allowing them to brush with water on the toothbrush for 30 seconds. For those already brushing independently, reinforcement can follow each successful brushing.


6. **Token System**: Implement a token system as another means of reinforcing positive behavior. Children earn tokens, stickers, or checkmarks upon completing a task like brushing their teeth. Accumulated tokens can lead to rewards. Gradually increase the expectations, such as brushing teeth twice a day, to foster consistency.


Dental Visits for Children with Autism

Dental visits can be challenging for children with autism, but proactive strategies can ease the process:


- Choose a pediatric dentist experienced in working with children with autism.

- Inform the dentist about your child's communication skills, sensory sensitivities, and ways to keep them calm.

- Prepare your child for the dental visit, explaining procedures and instruments.

- Organize a non-treatment visit to familiarize your child with the dental office.

- Bring comforting items and activities to the appointment.

- Discuss the possibility of using general anesthesia with the dentist.

- Ensure dental equipment remains out of your child's reach.

- Share your child's behavioral tendencies with the dentist and staff to prepare them accordingly.


Prioritizing dental hygiene and employing these strategies can help children with autism maintain optimal oral health and reduce dental-related stress and challenges.

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