I work with a lot of teens and young adults with autism, or who are struggling with sensory defensiveness. Brushing your teeth can be extremely uncomfortable. This leads people to not do it, leading to embarrassment, shame, or arguments with family.
Here are some tips and products I’ve seen that help people with autism take control of their dental hygiene.
Note: I DO NOT receive any money from places/items I recommend. I’ve been previously offered commissions from products I already recommend and have turned them down. I’m a therapist, not an influencer.
Silicone Toothbrushes
What they are: Toothbrushes with traditional bristles can be uncomfortable, or even painful. Silicone toothbrushes replace those bristles with softer material.
Some toothbrushes even do away with a handle altogether, and are instead designed to slide over your finger. You can then brush with your finger!
Where to find: You can find a variety of silicone toothbrushes if you search for “baby toothbrush” or “infant toothbrush.” You can also find vibrating silicone toothbrushes, like this one from Foreo, which can boost the cleaning power.
Full-Mouth Toothbrushes
What they are: Giant toothbrushes that cover all the teeth at once can make brushing much quicker.
Where to find: It’s a little harder to find these brushes, especially in adult sizes. The Curaprox Samba brush is one of the sturdiest on the market.
Unflavored Toothpaste
What they are: Traditional toothpaste has a strong flavor, which can be distressing. Unflavored toothpastes provide all of the benefits of traditional minty toothpaste, in a more neutral sensory form.
Where to find: Some grocery stores carry “all natural” or “unflavored” toothpastes. OraNurse has great non-foaming toothpastes, with and without fluoride.
Disposable Toothbrushes
What they are: Sometimes, It’s a lot easier to brush your teeth in bed than in the bathroom. Disposable toothbrushes have the toothpaste and mouthwash already applied, cutting down on the steps required. An important note: just like you shouldn’t swallow mouthwash, don’t swallow the pre-pasted mouthwash. I’ve had some people report feeling weird after frequently brushing and swallowing mouthwash beads.
Where to find: Many grocery stores and large relaters carry disposable toothbrushes. Some of my patients have praised the Colgate Wisp, which has a built-in toothpick as well.
Desensitization
If you or your child is still struggling with brushing, sensory desensitization can help.
The rule of desensitization is to go low and slow.
For example, if touching the inside of the mouth is too much, gently touch the lips and cheeks. If vibrations are too much, lightly tapping the teeth with a toothbrush can help. Once your body can integrate and process mild sensations, it’s a lot easier to do more sensory-intensive activities.
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