Assisted in Developing my Little One's Dental Routine: Tooth Brushing Practice Explained
In a heartwarming tale of determination and perseverance, we follow Juliana, a vibrant young girl living with Angelman syndrome, a condition characterised by hyperactivity. Despite the challenges that come with her condition, Juliana has shown remarkable progress in her daily routines, particularly in dental care.
Juliana's tooth-brushing routine has been a journey of gradual improvement. Initially, she faced sensory aversion and found brushing her teeth a challenging task due to her hyperactivity. To help her understand the order of events, her teacher created a first-then board, a visual tool that breaks down tasks into simple, manageable steps.
The practice of tooth brushing was incorporated into Juliana's routine during sessions for pointing, shapes, and communication. Her teacher, who provided dental care support at school, guided her through this process. The writer, Juliana's caregiver, also played a crucial role in establishing routines for toileting, calming, and lifting with Juliana.
Recognising the need for improvement, the writer enlisted help from Juliana's teacher. Together, they set up a workbox with a toothbrush, toothpaste, and a first-then sign to practice tooth brushing. Everyday tasks for Juliana were different from those for the average kiddo, and these adaptations were essential to her development.
Strumming fingers on the bathroom chair was a coping mechanism used by the writer during tooth brushing, providing a soothing rhythm to help Juliana stay calm. Initially, Juliana used to purse her lips tightly during tooth brushing, making it difficult. But with time and patience, she gradually graduated from lip pursing and no longer needed the sign for tooth brushing.
Juliana's progress in performing various activities at her own pace is a testament to her resilience. She now does a follow-up brushing of her teeth after her mother handles the initial brushing. This year, her teacher requested that she brings toothpaste and a toothbrush to school to continue practicing tooth brushing independently.
The writer looks forward to the day when Juliana opens her mouth willingly for tooth brushing, a milestone that will mark another step forward in her journey. Despite the common dental problems associated with Angelman syndrome, Juliana does not have any dental issues, a beacon of hope in her fight against the odds.
Through this story, we celebrate Juliana's progress and the dedication of her caregivers and teachers. It serves as a reminder that with the right support and patience, every challenge can be overcome.
