Behavioral therapies play an essential role in supporting individuals with developmental disabilities, autism, ADHD, and other special needs. From speech therapy to Applied Behavior Analysis (ABA) and occupational therapy, these treatments help individuals build skills, manage behaviors, and improve daily functioning.
However, what many families dont realize is that certain behavioral therapiesand the medications or techniques associated with themcan have side effects that impact oral health. At McLevin Dental, we are committed to helping families understand how behavioral supports and dental care intersect, and how to protect every smile along the way.
How Behavioral Therapies Affect Oral Health
Behavioral therapies themselves dont directly damage teeth. However, the behaviors that are encouraged, managed, or emerge during therapy can influence oral health in both positive and negative ways.
In addition, some side effects arise indirectly from:
Coping strategies
Sensory-seeking behaviors
Communication challenges
Medications commonly prescribed alongside behavioral therapy
Common Oral Side Effects Linked to Behavioral Therapies
1. Dry Mouth (Xerostomia)
Often caused by medications used to support behavior regulation (e.g., stimulants for ADHD, anxiety medications).
Saliva plays a key role in washing away bacteria and neutralizing acids. Without enough saliva, the risk of cavities, gum disease, and bad breath increases.
2. Tooth Grinding (Bruxism)
Common among individuals with anxiety, autism, or sensory sensitivities.
Grinding may be a coping mechanism or related to medication side effects.
Can lead to worn-down teeth, jaw pain, and headaches.
3. Chewing Non-Food Items (Pica or Sensory-Seeking Behaviors)
Individuals may chew on clothing, pens, toys, or even hands.
This can cause chipped teeth, tooth fractures, and soft tissue injuries.
4. Mouth Injuries from Self-Injury Behaviors
Some individuals bite their lips, cheeks, or tongue when overwhelmed or during meltdowns.
Leads to chronic sores, swelling, or infection risk.
5. Dietary Changes Influenced by Therapy
Food-based rewards during ABA or other therapies often include sugary treats or sticky foods that increase cavity risk.
Picky eating tied to sensory sensitivities can lead to diets high in processed carbohydrates and low in tooth-friendly foods.
6. Resistance to Brushing and Dental Care
Behavioral challenges can make daily oral care difficult.
Sensory aversions to the taste, smell, or feel of toothpaste or toothbrushes are common.
Medications Used Alongside Behavioral Therapies: Oral Health Impacts
Many patients undergoing behavioral therapies also use medications such as:
Stimulants (ADHD medications) cause dry mouth and may increase bruxism.
Anti-anxiety medications linked to dry mouth and increased plaque buildup.
Antipsychotics or mood stabilizers sometimes contribute to excessive drooling or, conversely, dry mouth.
These side effects are manageable with the right dental care strategies.
How McLevin Dental Supports Oral Health for Patients in Behavioral Therapy
1. Tailored Oral Hygiene Plans
Address dry mouth with fluoride rinses, sugar-free gum, and hydration tips.
Recommend special toothpaste for sensitive mouths or texture aversions.
Offer guidance on safe chew alternatives to reduce tooth damage from sensory-seeking.
2. Protective Dental Appliances
Night guards for bruxism help prevent tooth wear and jaw strain.
Custom mouthguards may help with chronic chewing behaviors or during times of increased stress.
3. Behavioral Support in the Dental Office
Use visual schedules, First-Then boards, and desensitization strategies to increase cooperation.
Offer flexible appointments with extra time for patients who need it.
4. Nutritional Guidance
Help families balance behavioral therapy rewards with tooth-friendly options.
Offer tips on incorporating crunchy fruits and vegetables to naturally clean teeth.
5. Frequent Preventive Care
More frequent cleanings may be recommended for patients with dry mouth or high cavity risk.
Close monitoring for wear, gum issues, and oral injuries.
How Families Can Support Oral Health at Home
Communicate with both the dental and therapy teams. Share challenges or observations from home.
Choose sugar-free rewards during therapy when possible.
Use desensitization techniques to gradually build tolerance to brushing.
Monitor for signs of bruxism: jaw clicking, worn teeth, or headaches.
Stay hydrated to combat dry mouth, and use saliva substitutes if needed.
Partnering with Therapists and Dental Professionals
At McLevin Dental, we believe the best outcomes come from collaboration. Our team works closely with families, caregivers, and therapy providers to:
Understand how behaviors affect oral health.
Adjust dental care plans based on therapy goals and patient needs.
Provide consistent, compassionate support inside and outside the dental office.
Our Commitment to Inclusive Dental Care
McLevin Dental is proud to serve Scarborough families with inclusive, patient-centered dental care. We recognize that behavioral therapies are essential to many patients well-beingand that oral health is an equally important part of overall wellness.
Need Help Managing Oral Side Effects?
If you or a loved one is navigating behavioral therapy and its impact on oral health, we are here to help. Contact McLevin Dental to schedule a personalized consultation. Together, well create a dental care plan that supports both oral health and behavioral success.