Do you ever find yourself saying these words:’stop biting your nails!’ or ‘don’t put that in your mouth!’ ? I bet many of us have worked with children who seem to want to chew on everything. This can be a very concerning behavior from a safety and hygiene perspective. But if a child is engaging in this type of behavior, there has to be a reason. This oral sensory input is meeting a need. Let’s explore today why a child may seek this type of input and how we can help them get it in a more appropriate way.
The oral sensory system is super important. We can think about this system not only as the sense of taste (which we will focus on in a future post) but also oral motor input. When the oral sensory system is working efficiently, children are able to eat a variety of foods with various textures, participate in oral hygiene routines easily, and are able to focus and regulate without seeking out additional chewing/oral motor input. However, not every child will process this information efficiently and therefore may need our help.
Why do some kids chew more than others?
It is developmentally appropriate and expected to see a young baby or toddler putting items in his mouth – this is one of the main ways babies begin to explore the world. When a young child is upset, we frequently give them oral motor input like a pacifier or a bottle. Oral input is calming. As kids get older though, it is more concerning to see them putting items in their mouths.
Here’s the thing – kids who chew really NEED to chew. Simply asking them to stop will not work. Therefore, it is so important to get to the ‘why’. Why is this child chewing? When does it happen? Are there any patterns? Children who chew tend to underrespond to oral sensory input – meaning they need more input to self regulate. They actively seek out that input by chewing on whatever they can. In my personal experience, I tend to see children chew on their fingers/clothes when they are stressed/anxious, trying to focus, or bored. A child may also chew to get deep pressure input through his jaw. Getting to the ‘why’ will help you determine next steps. If a child is chewing because he is bored, keeping him actively engaged in activities with his hands may eliminate the chewing behavior. However, if a child is chewing because he is seeking deep pressure input, he may need a different set of strategies.
When it comes to most sensory challenges, I like to think of ways to embed opportunities for children to get the input they need throughout the day within natural routines as well as exploring options for replacement of behavior. You don’t necessarily always have to schedule a sensory break away from the child’s routine, or buy a bunch of special equipment. There is a lot you can do with what you have and within the child’s routine with a little creativity!
Here are some ways you can help the child who chews on everything:
It may seem really weird that I am talking about heavy work and moving your whole body in the context of kids who chew. But if you think about it, you get a lot of deep pressure input through your jaw when you chew. A child may be seeking that deep pressure input through chewing. Therefore, try incorporating heavy work activities into your day to help with chewing behaviors. Check out my previous posts here and here for ideas to get you started!
2. Chewing alternatives
You may hear these referred to as ‘chewies’. There are seriously SO MANY OPTIONS. There are different levels out there for light chewers and more significant chewers. Here is a brief list of some options to explore:
- Items that can be worn:There are many options for chewies that can be worn, such as necklaces or bracelets.Check out some of these companies for options: ARK therapeutic, Fun and function. Amazon also has a lot of options. You can search for ‘chewelry’ or ‘chewies’. Many male students I work with like the necklaces that look like Legos or trains. Some of the little girls I have worked with have really liked the bright beaded necklaces.
- Items that can be held: There are some you can hold, like the p’s and q’s. Search the same companies listed above for options.
- Pencil toppers: These can be really helpful for students who chew on their pencils and can be found at the same companies listed above.
- Gum is a great option if your student can safely chew it!
3. Try crunchy/chewy foods during meal and snack times
Harder to chew foods can help give the input a child is looking for. Foods that are crunchy or chewy can be really great options for snacks and lunch. Think carrots, apples, pretzels, etc. Intense flavors can also help – think sour, minty, spicy. Some candies can be really great for meeting oral needs- like Starburst, Sour Patch kids, Laffy taffy – obviously, we don’t want to always give kids candy but these can definitely be an option.
4. Use straws
I have a transition age student who needs to chew – and he prefers to chew on a straw. The CamelBak water bottles with the bite valve straw are fabulous – you have to bite the straw to use the water bottle which is perfect for kids who need to chew. Have your child use a straw to eat yogurt or a milkshake -having to suck the thick liquid through the straw can really work those muscles. These silicone straws can provide some nice input too.
Try using an electric toothbrush during hygiene routines. I have found cheap electric toothbrushes at Aldi for less than $5! The vibration of the electric toothbrush gives intense input. Some children may not like it, but for others it will be another option to incorporate oral input during daily routines. I have also had students who benefit from using a Z vibe, which can be found here.
6. Make it fun
Play and leisure time is a great time to incorporate activities that can help children who chew. Activities like blowing a pinwheel, blowing bubbles, blowing a pom pom across a table with a straw – can be really great for our kids.
Chewing can be a really difficult behavior to tackle, but when you find the right combination of strategies, your child will be much more regulated and able to participate in important daily activities. What are your favorite strategies to help students who chew? Leave me a comment, I’d love to hear from you!
This post is for informational purposes only. The information provided is general in nature. Please contact your occupational therapist for specific questions regarding your child/student.