Mclevin Dental Office

How to Build Visual Step Charts for Toothbrushing

At McLevin Dental Clinic, we know that teaching toothbrushing can be a challenge for individuals with developmental disabilities, autism, sensory processing differences, or cognitive delays. One of the most effective tools we recommend is a visual step chart for toothbrushing.

Visual charts make the invisible process of toothbrushing visible, predictable, and manageable. For many children and adults, especially those who thrive on routine and structure, step-by-step visuals can transform oral care from a daily struggle into a successful, stress-free routine.

Why Use Visual Step Charts for Toothbrushing?

Many individuals with developmental delays process visual information more easily than verbal instructions. A visual step chart:

Breaks toothbrushing into simple, clear steps

Reduces anxiety by showing what comes next

Supports independence over time

Provides consistency at home, school, and during dental visits

Turns oral hygiene into a predictable routine rather than a confusing task

At McLevin Dental, we’ve seen firsthand how powerful these simple tools can be in building confident, healthy habits.

Who Benefits From Visual Toothbrushing Charts?

Children with autism, ADHD, Down syndrome, or sensory processing challenges

Individuals with intellectual disabilities

Non-verbal children and adults

Anyone who thrives with structured, visual learning

Key Components of a Successful Visual Step Chart

A good toothbrushing chart should include:

Clear, simple images for each step

Minimal text, or text paired with images

Steps shown in the correct order

Placement where brushing happens (bathroom mirror, wall near the sink)

Example Steps for a Toothbrushing Chart

Here’s a common sequence we recommend at McLevin Dental:

Get your toothbrush.

Put toothpaste on the brush.

Brush the top teeth (outside).

Brush the bottom teeth (outside).

Brush the top teeth (inside).

Brush the bottom teeth (inside).

Brush the chewing surfaces.

Spit out toothpaste.

Rinse mouth if desired.

Rinse toothbrush and put it away.

You can customize this sequence based on the individual’s needs. Some might need simpler steps (like “Brush teeth” in one step), while others benefit from detailed breakdowns.

How to Build Your Own Visual Toothbrushing Chart

1. Choose Your Images

Use real photos of the person performing each step for familiarity.

Or use simple clipart or icons if that feels less overwhelming.

Free tools like Canva, Boardmaker, or Microsoft PowerPoint work well for building charts.

2. Keep It Simple

Each step should have one clear image.

Use minimal text like “Brush top teeth” or “Spit.”

3. Laminate or Print on Durable Paper

Protect the chart from water splashes in the bathroom.

Magnetic versions on the fridge or dry-erase boards are also helpful.

4. Place It Where Brushing Happens

Right above the bathroom sink

On the mirror

At eye level for easy visibility

5. Teach Using the Chart

Walk through the steps together at first.

Point to each step as you do it.

Over time, encourage the person to follow the chart independently.

Tips for Making Visual Charts Successful

Use Positive, Clear Images: Smiling faces, colorful toothbrushes, and clear visuals help.

Be Consistent: Use the chart for every brushing session until the routine becomes familiar.

Pair With Other Supports: Combine visual charts with tactile cues (like tapping the brush on the hand) or auditory cues (like a brushing song).

Customize It: Some people may benefit from adding reward stickers or a “check-off” system when steps are completed.

Visual Schedules for Dental Visits, Too

The same visual strategy works beautifully for dental visits. A visual schedule can include:

Driving to the dentist

Sitting in the waiting room

Meeting the dental team

Sitting in the chair

Counting teeth

Cleaning teeth

Getting a sticker or reward

Going home

McLevin Dental provides custom visual supports for families who request them. We believe that preparing patients for what to expect is a key part of a successful visit.

Visual Charts Build Independence

When someone can follow a step chart, they are:

Practicing independence

Reducing the need for constant reminders from caregivers

Learning life skills that improve their overall health

We’ve seen many children and adults at McLevin Dental move from hand-over-hand support to independently following their toothbrushing charts every day.

Our Commitment to Accessible Oral Care

At McLevin Dental, we are passionate about providing inclusive dental care for individuals of all abilities. Whether it’s using visual supports, sensory adaptations, or flexible appointment styles, our goal is to make dental care approachable, comfortable, and successful for everyone.

Need Help Creating a Toothbrushing Chart?

If you’re not sure where to start, McLevin Dental can help. During appointments, we can show families how to build personalized charts tailored to the patient’s specific needs.

We offer:

Sample printable charts

Advice on adaptive dental tools

Guidance on step sequences based on ability level

Ready to Support Your Loved One’s Oral Health Journey?

If you’re looking for a dental team that truly understands how to support special needs oral care, including creating visual supports like step charts, McLevin Dental is here for you.

Contact McLevin Dental today to schedule an appointment. Let’s work together to make oral care simple, predictable, and successful for every smile.

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