Oral health for children with SEND

1. Make Brushing Manageable and Sensory-Friendly

• Use Adaptive Tools: Consider using electric toothbrushes or specially designed toothbrushes with wide grips for better handling. Soft-bristled or silicone-bristled brushes may feel less abrasive for children with sensory sensitivities
• Desensitisation Techniques: Gradually introduce brushing by starting with just holding the toothbrush, then moving on to brushing a single tooth, and slowly increasing as they become more comfortable
• Use Visual or Social Stories: Visual aids, social stories, or short videos can help children understand the steps and purpose of brushing in a reassuring way.

2. Set a Routine with Positive Reinforcement

• Consistent Timing: Try to brush at the same time each day to create a familiar routine. Use a timer or a song to make brushing for the full two minutes more engaging and predictable
• Reward Systems: Positive reinforcement, like a sticker chart or small rewards for consistent brushing, can motivate children to develop and stick with the habit.

3. Manage Sensory Sensitivities

• Choose Tolerable Toothpaste Flavours: Mint-flavoured toothpaste may be too strong for some children. Flavours like mild berry or vanilla are often gentler and more palatable for children with sensory issues
• Gradual Introduction of Toothpaste: Start with a small amount of toothpaste or none at all, slowly introducing it over time as the child becomes more comfortable with the taste and texture.

4. Visit the Dentist Regularly with Preparation

• Choose a SEND-Friendly Dentist: Many dental practices offer specialized care for children with SEND. Look for dentists who are experienced with special needs care or who offer a sensory-friendly environment
• Pre-Visit Preparation: Consider bringing your child to the dental office before the actual appointment to meet the staff and become familiar with the environment. Social stories or visual schedules explaining each step of a dental visit can help alleviate anxiety
• Sensory Tools: Allowing the child to bring a comfort item or using noise-cancelling headphones can help reduce sensory overload during the appointment.

5. Adapt Diet for Dental Health

• Choose Non-Sugary Snacks: Since many children with SEND might have difficulty with traditional brushing routines, reducing sugary snacks between meals is essential. Offer teeth-friendly snacks like cheese, yogurt, and vegetables
• Limit Acidic and Sugary Drinks: Encourage water or milk over juice or soda, which can lead to enamel erosion.

6. Collaborate with Healthcare Providers

• Seek Advice from Pediatric Dentists: Pediatric dentists can offer specialized advice on managing oral health for children with specific health needs, such as limited motor control or medication side effects
• Coordinate with Occupational Therapists (OTs): Occupational therapists can provide strategies and exercises to improve fine motor skills, making it easier for children to handle toothbrushes and floss independently over time.

Helpful Resources for SEND Oral Health Support

• British Society of Paediatric Dentistry (BSPD) and NHS Resources: Both provide materials and tips specifically for children with SEND
• Makaton and Visual Schedules: For children who communicate non-verbally, using Makaton signs or picture-based schedules can support them in understanding and following daily oral hygiene routines.

By adapting these tips to the child's individual needs and abilities, parents and caregivers can help build a supportive and effective oral health routine, laying the groundwork for a healthier smile. Additionally, many dental clinics and the NHS offer resources tailored for SEND families, providing further assistance and guidance.