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Tooth Brushing Program

TOOTH BRUSHING PROGRAM

Monica Wojcik, M.A., CCC, NDT/C

PURPOSE:

  • Follow through on oral motor/feeding therapy
  • Provides good oral hygiene
  • Decreases oral hypersensitivity/increases tolerance to toothbrushing
  • Helps to decrease drooling

TOOLS:

Toothbrush, Infadent, towel or gauze-wrapped finger, NUK brushes, musical toothbrush, electric toothbrushes (rechargeable for consistent motion)

IMPORTANT CONSIDERATIONS:

  • Begin at early  (even prior to teething) w/infadent on gums
  • May/may not use toothpaste (older and more accepting can use small amount
  • Gums may bleed if not brushed often – after 3 days of consistent brushing the gums will toughen and there will be less bleeding
  • If your child is hypersensitive use a finger/gauze
  • Do not brush the tongue surface
  • Use oral control
  • Be consistent in the order of presentation
  • Use a sink area or a bowl if unable to access a sink
  • Begin with least affected side
  • Brush in a circular downward motion
  • Do turn taking (your turn, my turn) with the toothbrush
  • Counting can be helpful

SEQUENCE OF TOOTHBRUSHING:

1. OUTSIDE OF TEETH AND GUMS (jaw can be closed)

  • UPPER MIDLINE  (of least affected side)– brush in downward circular motions towards back (past molars), then down to the lower gums in the back and return to midline
  • Open jaw, spit
  • Upper midline to other side, back down from back, return to midline,

next …

2. INNER GUMS (facilitate jaw opening)

  • Upper midline back of the gums/teeth, to back, return to midline
  • Lower midline back of gums/teeth, to back, return to midline
  • Spit (if necessary)
  • Upper midline back of gums/teeth, to back, return to midline
  • Spit, next …
  • upper midline to back pressing down on biting surfaces
  • lower midline to back pressing down on biting surfaces

3. BITING SURFACES (facilitate jaw opening)

  • upper midline to back pressing down on biting surfaces
  • lower midline to back pressing down on biting surfaces

A big thanks to Gail Plyser-Freely SLP for sending these tips our way!

 

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