When talking about children with SPD, we refer to
two different types of oral sensitivities... hypersensitivity and hyposensitivity.
Signs, Symptoms, Causes, And Treatment
As you may have already seen from the Sensory Processing Disorders Checklist,
children with oral hypersensitivities - also called oral defensiveness -
will exhibit many, or all, of the following characteristics:
dislikes having teeth brushed and/or face washed
has a limited food repertoire and/or may avoid certain food textures
- especially mixed textures
will take their food off the fork or spoon using only their teeth,
keeping their lips retracted
will gag easily when eating and may only get food down by taking a
drink with it
may exhibit signs of
tactile defensiveness such as; disliking being touched, avoiding messy play
- glue, play doh, mud, sand, finger paints, etc. - , or, may not pick up eating
utensil or food with a grasp that involves the palm of his hand
When Working With These Oral Defensive Children, You Need To:
understand the mouth is an "extension of the body"
let the child know what you are doing and what you will do next, and
use firm pressure with slow even strokes... the more predictable the better
once you have reached the face, start with his cheeks, then jaw, lips,
and lastly inside his mouth... progressing from least sensitive to most
take it slow and do not force stimulation on any part he is not "ready"
for... try it, just don't force it - severe anxiety or fear and gagging are
signs of distress, not effective therapy - gently work your way through this
no matter how long it takes
lastly, remember oral motor programs and therapy for oral sensitivities may not be able to be worked on, or effective, until underlying sensory issues are addressed and sensory stimulation is
In Contrast, Children With Hyposensitivities Will Exhibit Many,
Or All, Of The
they love and crave intense flavors, i.e., sweet, sour, salty, spicy
and usually become "condiment kids"
may actually avoid mixed textures as well since it is difficult to chew
and swallow properly when you can't "feel" the food in your mouth correctly
they are the messy eaters; getting food all over their face and/or
leaving bits of food in their mouths at the end of a meal
they often take large bites and stuff their mouths, or even "pocket"
food in their cheeks
are inclined to not chew their food thoroughly before swallowing (at
risk for choking)
drool excessively beyond the teething stage
and, they always seem to have something in their mouths; toys, pens,
pencil tips, gum, candy, or inedible objects (i.e., paper clips, rubber
bands, shirt sleeves and collars, strings...anything!)
When working with these hyposensitive children, you need to:
give them MORE oral stimulation activities and "appropriate" things to
chew on; they will need to chew to feel calm and organized
Tubes - Chewy tubes help children to keep from chewing on their hands and
crayons and and help them focus and for practicing biting and chewing skills.
give them sensory stimulation activities prior to meals to "wake up"
use oral massagers, vibration, and textured materials/objects for
use a combination of relaxing input (deep pressure, firm touch) and
stimulating input (light, quick strokes)
choose foods with increased texture, flavor, and temperatures to
provide more stimulation
encourage the child to take different sized bites and have them "feel"
the food in their mouth (if old enough have them close their eyes and play
guessing games with the food)
wash and wipe the child's face often during eating with different
textured materials (i.e., baby washcloth, napkin, regular washcloth, paper
towel with texture to it)
use the following order for stimulation; start on face with cheeks, jaw,
lips, then teeth/gums, inside cheeks, then tip, middle, and sides of tongue,
then the roof of the mouth
Above all, remember that children with oral sensitivities, whether hypo-
or hyper- sensitive, will need specific treatment and oral stimulation
activities by a knowledgeable therapist. Make sure you consult one if you
are concerned about any signs of oral difficulties / oral sensitivities with your child.
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Comments about Oral Sensitivities?
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What Other Visitors Have Said
Click below to see contributions from other visitors to this page...
Child has Hyposensitivity Not rated yet
My 6 year old has oral hyposensitivity. We have done x-Rays and her throat function is fine. No one seems to think this is a problem. The ENT said she …
Help with 5 year old Not rated yet
My daughter, Katie, has stopped eating full meals the past month. She only nibbles on a little bit of food. It's becoming debilitating at this point. In …
Oral sensitivities: oral hygiene Not rated yet
It has taken me years to find help for my son, now 16, and get a diagnosis of SPD. Brushing teeth has been a huge deal in our home. Toothbrushes were too …
I sucked my finger until I was 25. . . Not rated yet
and I had a blanket. Some people think that this is a security blanket, but I wasn't attached to it in that way. I didn't need it for security. It wasn't …
I am Jonathan's grandmother Not rated yet
Underlying sensory issues---Jonathan is 3 years old, does not talk .....he only eats some yogurt, peanut butter, picks at wheat bread, some crackers.....He …
Chewing on things Not rated yet
My son is 12 and he chews on everything...So I bought him a couple of those things the football players have in their mouth when they play...In class it …
Shyann mom Not rated yet
My daughter had a nasal infection so her nose constantly dripped. Eventually the inflammation went away she replace the nasal,drip with salvia . She will …
What about adults? Not rated yet
There are several food textures that make me sick and it has not improved as I have aged. What do you suggest for adults?
Click here to write your own.
15 month old Not rated yet
Hi everyone, it is heartening to read the various experiences that parents have shared.
My daughter is 15 months old and has been receiving physiotherapy …
Pacifier and other oral issues Not rated yet
My 4yr old son (5 in Jan.) has sensory processing disorder. We have been able to correct several of these issues through OT. For instance he would never …
Click here to write your own.
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For more signs and symptoms, see the
Sensory Processing Disorder Checklist
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