In our body, sometimes our brain struggles to appropriately interpret and process information that comes from body senses. The oral sensory problems are the main thing The oral motor sensory system plays an important role in children’s life. It allows us to communicate with others, chew things, swallowing procedures, experience different textures and tastes.
Also, this oral system is closely associated with the proprioceptive system.
Most of the time children are having sensory processing disorder or autism spectrum disorder, show various types of oral sensory problems.
They are mainly two types
- Oral sensory seeking behaviors (Always chewing and biting things)
- Oral sensory avoiding behaviors (Avoid certain food textures, swallowing problems, reluctant to try new foods )
Oral sensory seeking behaviors (under sensitivity behaviors)
These children are under-sensitive to oral stimulants. Most of the time they are showing oral seeking behavior when they are anxious. These children may have strong emotional reactions.
Following oral under sensitivity behaviors or oral seeking behaviors can be most frequently seen among children.
- Chewing and sucking things like pencils, fingers, hair, clothing, etc.( Frequently mouths non-food items )
- Problems in chewing food items
- Problems in drinking with straws
- Eating fingernails
- Produce a hum frequently
- Produce clicking sounds by using tongue
- Bites self or others
- Grinds teeth
- Bites lips or cheeks
- Make an irritating voice by using mouth
- verbal stims
- Enjoy crunchy chewy foods
Oral sensory avoiding behaviors ( over-sensitivity behaviors)
- Refuse certain food items
- Occurs some swallowing problems
- Reluctant to try new foods
- Avoid doing anything with the mouth
- Always refuse toothbrushes
- Very upset when eating foods with utensils
- Mostly Rickey eaters
- Taking a limited diet every day
- Avoid mushy or crunchy foods
- Avoid foods more than one texture
- Drools a lot
- May have strong emotional reactions
- Avoid trying new foods
- Say no toothbrush every time
DUE TO ABOVE TWO MAIN REASONS, MOST of the CHILDREN HAVE VERY LIMITED ORAL MOUTH FUNCTIONS. COMMONLY THOSE CHILDREN SHOWS ORAL MOTOR RED FLAGS AS FOLLOWS
- Foods falling while trying to eat
- Difficulty chewing
- Mashes foods with tongue
- Sucks foods instead of chewing
- Hold food in mouth for some time (pocketing foods)
- Mouth often in the open position
- Tongue hangs out of the mouth
- The difficulty of sticking tongue out
- Never chews teethers as a baby
- Gagging foods after it been in the mouth as toddler or baby
- Never chews toys as a baby
- Difficult to learn to eat table foods
- Can’t take foods and put into the mouth as a toddler or baby
- Preference of certain texture of foods (crunchy or soft )
- The difficulty of drinking from a straw (If over 24 months )
- Picky eater
Various oral mouth exercises for toddlers
- These mouth exercises are designed to a different part of the oral system. Tongue, cheeks, Jaw, lips. Etc.
- A vibrating toothbrush or a normal tooth Burch (stimulates the tongue movements)
- Licking Popsicle or lollipops outside the mouth.
- Select yogurt, pudding, apple sauce like food items, and putting them on the corners of the mouth. Then show the child how does he struggle to take the foods from the tongue.
- Click or chunk the tongue
- Sing “la, la, la” songs
- Try to touch the tongue to the tip of the nose.
- Count teeth with tongue.
Various lip exercises
- Blow air kisses
- Drinking with straw
- Give thicker liquids like apple sauce and milkshakes etc.
- Make silly faces
- Make “O” shapes with lips
- Spread lips apart
- Kiss lips
- Blow bubbles
- HummingPick a nursery rhyme and humming it together
- Play the harmonica
- Blow whistles
- Jaw exercises
- Give baby teethers
- Handle the massager to the one side of the jaw and then the other side.stimulate the jaw muscles.
- Vibrate the muscles in short bursts of 3-5 seconds
- Ideas for oral sensory seekers
- Chew gum
- Drink from the water bottle
- use a chewy tube
- Eat crunchy snacks
- Eat sour foods
- Eat chewy foods
- Drink thick liquids
- Deep breathing exercises
- Blow a cotton ball on a desk
- Try only one oral input at a time.
ORAL MOUTH SEEKING BEHAVIOURS MAY OCCUR TO SHOW CHILD’S
- Emotional state .some times.
Ideas for oral sensory avoiding behaviors
- Blow bubbles and play with whistles
- Give tooth Burch with multiple sides
- Give a water bottle with a bite valve
- Give soft, blend snacks
- Give taste a small number of spicy foods
- Introduce new foods with a sticker chart and pictures
It is very much important to address the oral motor sensory issues of the children and finds out the sensory problems, Clear assessment and understanding are very much important for treatment. most of the children became Rickey eaters because of these sensory issues of the children. In those situations, they can not express their needs verbally. So we as parents and caregivers need to understand the issue and need to give relevant treatment options.