Discover how tooth brushing challenges in New Zealand children with autism can reveal early signs of ASD, and find strategies to support sensory sensitivities and motor skills

Oral hygiene is a normal part of daily life for most Kiwi families, but for children with autism spectrum disorder (ASD), brushing teeth can be a real challenge. Sensory sensitivities and motor coordination difficulties often make this simple routine stressful. In this post, we explore how tooth brushing challenges in children with autism can serve as early indicators, why it matters, and practical strategies to support families in New Zealand.

Understanding Autism Spectrum Disorder in NZ
Autism spectrum disorder is a developmental condition affecting social communication, behaviour, and sensory processing. Early diagnosis is vital for accessing support services in New Zealand, such as early intervention programmes, occupational therapy, and specialised learning support. Tooth brushing can sometimes provide clues that prompt parents or caregivers to seek professional guidance sooner.

Sensory Sensitivities During Tooth Brushing
Many children with ASD have heightened or reduced sensitivity to sensory input. Tooth brushing involves multiple sensations — the taste and texture of toothpaste, the feeling of bristles on gums, and the sound of brushing. For Kiwi kids with autism, these sensations can be overwhelming and trigger distress.

Signs of Sensory Sensitivities:

• Gagging or Choking: Reacting to the taste or texture of toothpaste.

• Avoidance: Refusing to open the mouth or interact with the toothbrush.

• Distress: Crying, screaming, or showing discomfort.

• Specific Preferences: Insisting on certain toothpaste flavours or toothbrush types.

Motor Coordination Challenges
Brushing teeth requires fine motor skills, which can be tricky for some children with ASD.

Signs to Watch For:

• Struggling to hold or move the toothbrush effectively.

• Inconsistent brushing coverage across teeth.

• Taking a lot longer than typical to complete brushing.

Behavioural Indicators
Behaviour during brushing can also provide useful clues:

• Repetitive motions or rituals with brushing.

• Resistance to changes in toothbrush, toothpaste, or routine.

• Meltdowns if routines are altered, which is common for many Kiwi children on the spectrum.

Why Early Detection Matters in NZ
Noticing these signs during tooth brushing can prompt parents or caregivers to seek evaluation from a healthcare professional, such as a GP, paediatrician, or occupational therapist. Early diagnosis in New Zealand opens access to support services and interventions that can significantly improve developmental outcomes.

Practical Strategies to Support Tooth Brushing in Children with Autism

• Sensory-Friendly Products: Use toothbrushes and toothpaste suitable for sensory sensitivities. Many Kiwi stores and online retailers stock these options.

• Gradual Desensitisation: Introduce the sensations of brushing slowly to build tolerance.

• Visual Supports: Use visual schedules or social stories to outline the brushing routine, which works well for children following structured learning.

• Occupational Therapy: Professionals can help develop motor skills and sensory integration for more successful brushing routines.

Tooth brushing challenges in children with autism can provide valuable insights into sensory and motor abilities. Understanding these challenges allows Kiwi families and caregivers to offer better support, reduce stress, and encourage positive oral hygiene habits. If you notice the signs mentioned above, consider seeking professional guidance to ensure your child receives the support they need for their unique developmental journey.