Monday, January 25, 2010

Teeth Grinding in kids with ASD

By the grace of god this is not one of Nicky's harmful behaviors. Lord know's we have had dental challenges galore, but not this. When I came across this I instantly envisioned how hard this could be on both kids and parents, so I am passing it along.

The Center for Autism and Related Disorders Publishes Study on Effective Treatment for Teeth Grinding in Young Children with Autism

Los Angeles, CA – January 25, 2010 The Center for Autism and Related Disorders, Inc. (CARD) research study, “Evaluation of a Multi-componentIntervention for Diurnal Bruxism in a Young Child with Autism,” finds the combination of vocal and physical cueing can effectively treat teeth grinding in young children with autism. The Journal of Applied Behavior Analysis has published the findings in its current issue.

The study implemented a multi-component intervention, consisting of a vocal and a physical cue to decrease rates of bruxism. A partial component analysis suggested that the vocal cue was only effective at decreasing levels of bruxism when paired with a simultaneous physical cue.

Bruxism consists of forcefully grinding one’s teeth together. Chronic nocturnal (night-time) or diurnal (daytime) bruxism can have many negative effects for the person engaging in the behavior, including abnormal wear on the teeth, damaged gum and bone structures, facial pain, and tooth sensitivity.

Previous research on the treatment of diurnal bruxism has often used aversive procedures (for example, brief application of ice to the cheeks or chin in response to teeth-grinding) or the use of protective devices, such as occlusal splints (plastic devices placed in the mouth that prevent teeth from grinding together).

A far less intrusive option is the use of a combined vocal and physical cueing procedure, which CARD used in its study. CARD treated the bruxism of “Abby,” a 6-year-old girl with autism. All sessions conducted for the study were embedded within the girl’s ongoing home-based Applied Behavior Analysis (ABA) therapy sessions. The treatment CARD used was a combination of vocal and physical prompting procedures.

Each time that Abby began grinding her teeth together, her ABA therapist implemented a vocal prompt by asking Abby to say, “Ahh,” (a behavior that was incompatible with grinding her teeth), while simultaneously physically prompting her to open her mouth by using one finger to apply light pressure to her chin. The treatment successfully reduced Abby’s bruxism.

In order to determine whether it would be possible to eliminate the physical prompt, therefore making the procedure easier to implement and less intrusive, CARD discontinued the physical prompt and implemented the vocal prompt only.

Unfortunately, the behavior returned to high levels and so the physical prompt was reinstated, again successfully decreasing the behavior. Follow up data were also collected for three weeks, one time per week, and showed that the treatment maintained low levels of bruxism.

"We were excited to find a treatment that worked for Abby’s bruxism, a behavior that is often difficult to treat and one that she had been engaging in for a long time,” says CARD Researcher Emily Barnoy, MA. “It was also encouraging to demonstrate that the procedure could be implemented successfully in a real-life setting (her regular therapy sessions) and that it did not interfere with her other ongoing skill acquisition programs.”


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    1. Thank u so very much, I'm going to check out the program. My son has a speech issue he doesn't talk. He understands everything u say and ask him to do but he just can't talk! And on top of that he's grinding his teeth all day, and I just feel for him bcuz he can't tell me what's wrong or why he's doing it. So again thank u very much, and u and ur family are in my prayers. May the Lord shine his love upon u and ur family Today, Tomorrow, and Forever����

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  4. Donna, Bruxism is a truly challenging disorder because it requires a change of habit. Psychological schools though, often come up with intrusive procedures. The case of children with autism requires a milder response. I'm glad that you're able to find pieces of information that have non intrusive methods.

    My daughter Sarah regularly visits the dentist. Easley SC and other parts of the country have clinics that assesses the oral health of both adults and children alike. Although she does not have problems like bruxism, she can be quite difficult to deal with when it comes to dental visits. That's why my heart goes to the mothers who are helping their children cope with bruxism.

    Thanks for sharing this post.

  5. I love your blog. I am an occupational therapist working in the schools. It is a wonderful thing that you are doing for other parents and for professionals to get a candid view beyond their domain of working with special children. Great site.

  6. Greetings,

    I have a message for the webmaster/admin here at

    Can I use some of the information from this blog post above if I give a link back to this site?


  7. James you can post articles from autismdaybyday as long as they remain unchanged and are properly credited! Thanks for your interest.

  8. Thanks for the post.
    It was really helpful to solve my confusion,

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  9. Thanks for the topics as they are certainly helpful. Besides those I’d also like to add one point if you allow me to do so whenever you want to go for teeth grinding make sure that you focus on that also. Thus that will be more productive.

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  10. I wondered how this would work with an adult, especially one who is non verbal and on the lower end of the spectrum. He is extrememly reluctant to see the dentist/doctor and his attention span is very limited making him difficult to engage in an activity. does anybody have any tips at all?



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  86. Am really happy that i and my sister are cured of (HERPES SIMPLEX VIRUS) with the herbal medicine of priest moses, I AM FROM UK, i have been suffering from this disease for the past 2 years without solution until i came across his email of this doctor who have cure so many people with his herbal medicine, i also choose to give him a chance to help me and my sister, he told me what to do and i kindly did it, and he gave us his herbal medicine and direct me on how to use it, i also follows his instruction for use and he ask us to go for a check up after 2 weeks and which i did, to my greatest surprise our result came out as negative, we are really happy that there is someone like this priest moses is ready to help anytime any day. to all the readers and viewers that is doubting this testimony stop doubting it and contact this Dr and see if he will not actually help you. contact him now if you are also in need of help via email may god bless you sir for all your good works. or Whatsapp him on this +2348151084488.


  87. I'm Dorothy Saltzman, From Texas, USA. but curently Reside in Germany. It's no longer Rumors that the Acquired Immune Deficiency Syndrome ALS And Herpes Virus is increasing Day by Day. The fear is that many people living with the sickness are scared of saying it because of the stigma that comes along with it. I 'm bold enough among many others to state that there is now a Potent Cure to this sickness but many are unaware of it. I discovered that I was infected with ALS virus 3months Ago, After a Herbal Medical Check-Up. My Doctor EHI, told me and I was shocked, confused and felt like my World has crumbled. I was dying slowly due to the Announcement of my Medical Practitioner but he assured me that I could leave a normal life if I took my Medications (as there was no Medically known Cure to Herpes). I went from Churches to Churches but soon found that my Case needed urgent Attention as I was growing lean due to fear of dying anytime soon. In a bid to look for a lasting solution to my Predicament, I sought for solutions from the Voodoo World. I went online and searched for every Powerful Trad-medical Practitioner that I could Severe, cos I heard that the African Voodoo Priests had a cure to the Herpes Syndrome. It was after a little time searching the Web that I came across one Dr EHI (A Powerful African Voodoo Priest), Who offered to help me at a Monetary fee. I had to comply as this was my Final bus-stop to receiving a perfect healing. My last resolve was to take my life by myself, should this plan Fail. At last it worked out well. He gave me some steps to follow and I meticulously carried out all his Instructions. Last month, to be precise, I went back to the hospital to conduct another test and to my Amazement, the Results showed that " I am NEGATIVE". You can free yourself of this Herpes virus by consulting this great African Voodoo Priest via this e-mail:( or call and whats-app him on +2349030589283 He will help you and his Herbal Medication is Sure. He has the Cure on all this Disease/Virus as He told me and it listed. GENITAL WARTS/ PREGNANCY. EPILEPSY. GENPILENCIN, HIV/AIDS, MADNESS, WEAK ERECTION, WATERY SPERM, TUBERCULOUSES, PENIS ENLARGEMENT, PREGNANCY, DIABETICS, STROKE, EXPANDS OF PENIS BREAST H.P.V TYPE 1 TYPE 2 TYPE 3 AND TYPE 4. TYPE 5, HUMAN PAPAILOMA VIRUS, HERPES, SYPHILIS, BREAST CANCER, HEPATITIS A B and C, HIGH BLOOD PRESSURE, AND BODY BOILS, BODY ODDUR, AND BODY DISEASES , THANK TO YOU ALL FOR YOUR TIME OF READING MY TESTIMONY AND MOST ESPECIALLY YOU Dr EHI. I PRAY TO GOD TO NEVER LET ME AND MY FAMILY FORGET YOU IN OUR LIFE

    Why go the Expensive Treatment? when Dr. EHI is there to help you get rid of that
    Incurable Disease with his Herbs and Healing Oil. I contracted Genital Herpes 2 years ago, I saw this Awesome Testimonies you can view on google during my research for Herpes Cure from an article made by Alexander Millin and Lancelot Morgan, How they but got Cured from HIV/HERPES VIRUS Respectively. They also dropped the Contact Address of this Great Man: Advising that if anyone need help to Cure any Incurable Disease or Viral Infection that he should Contact This Great Man. I contacted him, thank God I did. I'm still in shock that the Herbal Treatment he sent to me actually Works. It seems so simple, and in a lots of ways I guess its simple. But the important thing is that I have been 100% herpes free for full two years now and it's all thanks to you Dr. Ehi You'hv given me my life back, I'll forever remain Grateful,. you can email me for assistant on: Please Once you are cured let others know about it no need hiding it. Together We fight to become healthy.
    Dr. EHI Root/Herbs and Healing-Oil has been used to cured Home and Abroad