{"id":458064,"date":"2025-12-26T20:29:01","date_gmt":"2025-12-26T19:29:01","guid":{"rendered":"https:\/\/www.dynseo.com\/eating-oral-disorders-complete-speech-therapy-guide\/"},"modified":"2025-12-29T14:53:56","modified_gmt":"2025-12-29T13:53:56","slug":"eating-oral-disorders-complete-speech-therapy-guide","status":"publish","type":"post","link":"https:\/\/www.dynseo.com\/en\/eating-oral-disorders-complete-speech-therapy-guide\/","title":{"rendered":"Eating Oral Disorders: Complete Speech Therapy Guide"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Article HTML&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;Contenu&#8221; _builder_version=&#8221;4.16&#8243; width=&#8221;100%&#8221; max_width=&#8221;100%&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; 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padding: 18px 45px; border-radius: 50px; text-decoration: none; font-weight: 700; }\n.dbi-art-49efac .conclusion { background: linear-gradient(135deg, #f0feff, #e5f9fa); border-radius: 25px; padding: 50px; margin: 60px 0; border: 2px solid var(--vert); }\n.dbi-art-49efac .article-footer { background: linear-gradient(135deg, var(--bleu-principal), var(--bleu-secondaire)); color: var(--white); padding: 50px 25px; text-align: center; }\n.dbi-art-49efac .footer-links { display: flex; justify-content: center; gap: 30px; margin-top: 25px; flex-wrap: wrap; }\n.dbi-art-49efac .footer-links a { color: var(--jaune); text-decoration: none; }<\/p>\n<\/style>\n<div class=\"dbi-art-49efac\">\n<header class=\"article-header\">\n<div class=\"header-content\">\n<div class=\"header-badge\">\ud83c\udf7d\ufe0f Oralit\u00e9<\/div>\n<h1>Food Oral Disorders: Complete Speech Therapy Guide<\/h1>\n<pee class=\"header-subtitle\">When eating becomes a struggle: understanding and supporting children with food oral disorders, from selectivity to sensory issues.<\/pee>\n    <\/div>\n<\/header>\n<p><main><\/p>\n<div class=\"container\">\n<pee class=\"intro\">Food oral disorders affect many children and represent a major source of concern for parents. Food refusals, extreme selectivity, difficulties transitioning to solid foods&#8230; These situations can have consequences on growth, development, and family dynamics. The speech therapist, a specialist in the oro-facial sphere, plays a central role in the assessment and management of these disorders.<\/pee>\n<nav class=\"toc\">\n<div class=\"toc-title\">\ud83d\udccb Table of Contents<\/div>\n<ol>\n<li><a href=\"#definition\">Understanding food oral disorders<\/a><\/li>\n<li><a href=\"#developpement\">Development of oral skills<\/a><\/li>\n<li><a href=\"#troubles\">Different disorders<\/a><\/li>\n<li><a href=\"#evaluation\">Speech therapy assessment<\/a><\/li>\n<li><a href=\"#reeducation\">Rehabilitative management<\/a><\/li>\n<li><a href=\"#sensoriel\">Sensory approach<\/a><\/li>\n<li><a href=\"#parents\">Parental guidance<\/a><\/li>\n<li><a href=\"#pluridisciplinaire\">Multidisciplinary approach<\/a><\/li>\n<\/ol>\n<\/nav>\n<section id=\"definition\">\n<h2>\ud83c\udf7d\ufe0f Understanding food oral disorders<\/h2>\n<pee>Food oral disorders refer to all the functions assigned to the mouth in the context of eating: sucking, chewing, swallowing, as well as sensory aspects and the pleasure of eating. It develops progressively from intrauterine life and continues to evolve throughout childhood.<\/pee>\n<div class=\"stats-section\">\n<div class=\"stats-grid\">\n<div class=\"stat-item\">\n<div class=\"stat-number\">25-45%<\/div>\n<div class=\"stat-label\">of children in general have eating difficulties<\/div>\n<\/p><\/div>\n<div class=\"stat-item\">\n<div class=\"stat-number\">80%<\/div>\n<div class=\"stat-label\">of children with disabilities have oral disorders<\/div>\n<\/p><\/div>\n<div class=\"stat-item\">\n<div class=\"stat-number\">3-10%<\/div>\n<div class=\"stat-label\">of severe disorders requiring management<\/div>\n<\/p><\/div>\n<div class=\"stat-item\">\n<div class=\"stat-number\">50%<\/div>\n<div class=\"stat-label\">of premature infants have eating difficulties<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<h3>The two types of oral skills<\/h3>\n<div class=\"feature-grid\">\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udc76<\/div>\n<h4>Primary oral skills<\/h4>\n<pee>Infant sucking-swallowing, reflexive and automatic, exclusive liquid feeding<\/pee>\n                <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83e\uddd2<\/div>\n<h4>Secondary oral skills<\/h4>\n<pee>Chewing-swallowing, voluntary and learned, food diversification and solids<\/pee>\n                <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udd04<\/div>\n<h4>Transition<\/h4>\n<pee>Gradual transition between 4-6 months and 2 years, sensitive period to disturbances<\/pee>\n                <\/div>\n<\/p><\/div>\n<div class=\"tip-box\">\n<h4>\ud83d\udca1 Verbal and food oral skills<\/h4>\n<pee>Food oral skills and verbal oral skills share the same anatomical structures and develop in parallel. A disorder in one can impact the other. This is why the speech therapist is the reference professional for both dimensions of oral skills.<\/pee>\n            <\/div>\n<\/section>\n<section id=\"developpement\">\n<h2>\ud83d\udcc8 Normal development of oral skills<\/h2>\n<pee>Knowing the stages of normal development allows for the identification of deviations and the adaptation of management. Here are the main stages of acquiring food oral skills:<\/pee>\n<ul>\n<li><strong>In utero:<\/strong> Sucking-swallowing of amniotic fluid from 12-15 weeks, first taste experiences<\/li>\n<li><strong>0-4 months:<\/strong> Exclusive liquid feeding, sucking-swallowing reflex, anterior gag reflex<\/li>\n<li><strong>4-6 months:<\/strong> Beginning of diversification, smooth textures, spoon, reduction of gag reflex<\/li>\n<li><strong>6-9 months:<\/strong> Mashed then crushed textures, beginning of chewing, grasping food<\/li>\n<li><strong>9-12 months:<\/strong> Small melting pieces, increasing autonomy, diversification of tastes<\/li>\n<li><strong>12-24 months:<\/strong> Increasingly effective chewing, adapted family meals<\/li>\n<li><strong>2-6 years:<\/strong> Physiological food neophobia, refinement of preferences<\/li>\n<\/ul>\n<div class=\"highlight-box\">\n<h4>\u26a0\ufe0f Food neophobia<\/h4>\n<pee>Between 2 and 6 years, most children go through a phase of food neophobia: they refuse to taste new foods. This phenomenon is normal and adaptive. It should not be confused with an oral disorder. Patience and repeated exposure without pressure usually help to overcome it.<\/pee>\n            <\/div>\n<\/section>\n<section id=\"troubles\">\n<h2>\ud83d\udd0d Different oral disorders<\/h2>\n<pee>Food oral disorders encompass various realities, ranging from simple selectivity to severe disorders affecting growth.<\/pee>\n<div class=\"feature-grid\">\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\ude45<\/div>\n<h4>Sensorial dysoral disorders<\/h4>\n<pee>Hypersensitivity or hyposensitivity to tactile, taste, olfactory stimuli<\/pee>\n                <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\ude30<\/div>\n<h4>Food refusal<\/h4>\n<pee>Active opposition to meals, avoidance behaviors, conflictual meals<\/pee>\n                <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83c\udf7d\ufe0f<\/div>\n<h4>Extreme selectivity<\/h4>\n<pee>Very restricted food repertoire, refusal of entire categories of foods<\/pee>\n                <\/div>\n<\/p><\/div>\n<h3>Risk factors<\/h3>\n<ul>\n<li><strong>Medical factors:<\/strong> Prematurity, gastroesophageal reflux, allergies, ENT pathologies<\/li>\n<li><strong>Sensory factors:<\/strong> Oral tactile hypersensitivity, sensory processing disorders<\/li>\n<li><strong>Motor factors:<\/strong> Coordination disorders, hypotonia, neurological disorders<\/li>\n<li><strong>Psychological factors:<\/strong> Anxiety, negative experiences around food<\/li>\n<li><strong>Environmental factors:<\/strong> Prolonged artificial nutrition, hospitalizations<\/li>\n<\/ul>\n<\/section>\n<div class=\"cta-box\">\n<h4>\ud83d\udee0\ufe0f Fun tools for oral skills<\/h4>\n<pee>The COCO app offers breath and attention games suitable for young children, complementing work on oral skills.<\/pee>\n            Discover COCO \u2192\n        <\/div>\n<section id=\"evaluation\">\n<h2>\ud83d\udccb Speech therapy assessment<\/h2>\n<pee>The assessment of food oral skills must be comprehensive and take into account the sensory, motor, behavioral, and environmental dimensions of the disorder.<\/pee>\n<h3>Components of the assessment<\/h3>\n<ul>\n<li><strong>Detailed anamnesis:<\/strong> Eating history, development, medical history, meal context<\/li>\n<li><strong>Meal observation:<\/strong> Behavior, interactions, accepted textures, signs of difficulty<\/li>\n<li><strong>Examination of the oro-facial sphere:<\/strong> Anatomy, tone, praxis, sensitivity, reflexes<\/li>\n<li><strong>Sensory evaluation:<\/strong> Reactivity to tactile, taste, olfactory stimuli<\/li>\n<li><strong>Parental questionnaires:<\/strong> Food inventory, parental stress, quality of life<\/li>\n<\/ul>\n<div class=\"tip-box\">\n<h4>\ud83d\udca1 Meal observation<\/h4>\n<pee>Observing a meal in a real situation (ideally at home or on video) is valuable for understanding interactions and behaviors. It helps identify vicious circles and propose concrete adjustments.<\/pee>\n            <\/div>\n<\/section>\n<section id=\"reeducation\">\n<h2>\ud83c\udfaf Rehabilitative management<\/h2>\n<pee>The rehabilitation of oral disorders aims to broaden the food repertoire, improve motor and sensory skills, and restore the pleasure of eating in a serene context.<\/pee>\n<h3>Areas of focus<\/h3>\n<div class=\"feature-grid\">\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udc45<\/div>\n<h4>Sensory work<\/h4>\n<pee>Progressive desensitization, multi-sensory exploration, play with food<\/pee>\n                <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udcaa<\/div>\n<h4>Motor work<\/h4>\n<pee>Oral-facial praxies, chewing, coordination of sucking-swallowing-breathing<\/pee>\n                <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\ude0a<\/div>\n<h4>Behavioral work<\/h4>\n<pee>Reduction of anxiety, positive reinforcement, structuring of meals<\/pee>\n                <\/div>\n<\/p><\/div>\n<h3>Intervention principles<\/h3>\n<ul>\n<li>Respect the child&#8217;s pace and avoid any form of coercion<\/li>\n<li>Create a playful and relaxed context around food exploration<\/li>\n<li>Proceed in small steps with gradual generalization<\/li>\n<li>Actively involve parents in the therapeutic process<\/li>\n<li>Collaborate with other involved professionals<\/li>\n<\/ul>\n<\/section>\n<section id=\"parents\">\n<h2>\ud83d\udc68\u200d\ud83d\udc69\u200d\ud83d\udc67 Parental guidance<\/h2>\n<pee>Parents are the primary agents of change. Parental guidance is at the heart of managing oral disorders.<\/pee>\n<h3>Advice for parents<\/h3>\n<ul>\n<li>Never force the child to eat, avoid conflicts around meals<\/li>\n<li>Regularly offer without pressure, accept refusals without negative comments<\/li>\n<li>Eat as a family, model enjoyment of food<\/li>\n<li>Involve the child in meal preparation and shopping<\/li>\n<li>Present foods in an attractive and playful manner<\/li>\n<li>Value progress, even minor ones<\/li>\n<\/ul>\n<div class=\"highlight-box\">\n<h4>\u26a0\ufe0f Breaking the vicious cycle<\/h4>\n<pee>Parental stress and pressure around meals can perpetuate and worsen oral disorders. Helping parents let go and regain a calm attitude is often the first step towards improvement.<\/pee>\n            <\/div>\n<\/section>\n<section id=\"pluridisciplinaire\">\n<h2>\ud83e\udd1d Multidisciplinary approach<\/h2>\n<pee>Oral disorders often require a multidisciplinary approach involving several professionals depending on the situation:<\/pee>\n<ul>\n<li><strong>Pediatrician \/ Pediatric gastroenterologist:<\/strong> Medical assessment, growth monitoring, treatment of GERD<\/li>\n<li><strong>Dietitian:<\/strong> Nutritional balance, supplementation if necessary<\/li>\n<li><strong>Psychologist:<\/strong> Anxiety, family dynamics, parental support<\/li>\n<li><strong>Occupational therapist \/ Psychomotor therapist:<\/strong> Global sensory disorders, positioning<\/li>\n<li><strong>ENT:<\/strong> Swallowing disorders, anatomical problems<\/li>\n<\/ul>\n<\/section>\n<div class=\"conclusion\">\n<h2>\ud83c\udfaf Conclusion<\/h2>\n<pee>Food oral disorders are common and can have significant repercussions on health, development, and family life. Early and appropriate speech therapy management, combined with quality parental guidance, usually leads to significant improvement.<\/pee>\n            <pee>The approach should respect the child&#8217;s pace, focus on pleasure and play, and be embedded in a positive family dynamic. A multidisciplinary collaboration is often necessary for complex situations.<\/pee>\n            <pee style=\"text-align: center; margin-top: 30px;\"><strong>Want to enrich your practice in oral skills?<!\u2013- [et_pb_br_holder] -\u2013>DYNSEO supports you with tools suitable for young children.<\/strong><\/pee>\n        <\/div>\n<\/p><\/div>\n<p><\/main><\/p>\n<footer class=\"article-footer\">\n<div class=\"container\">\n        <pee>Article written by the <strong>DYNSEO<\/strong> team, specialists in cognitive stimulation applications.<\/pee>\n<div class=\"footer-links\">\n            Our tools<br \/>\n            Our training<br \/>\n            COCO Children\n        <\/div>\n<\/p><\/div>\n<\/footer>\n<\/div>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n<p>[et_pb_code]<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"What are eating oral disorders in children?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Eating oral disorders refer to all the functions assigned to the mouth in the context of eating, including sucking, chewing, swallowing, as well as sensory aspects and the pleasure of eating. 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