For children with ADHD, early dental experiences can shape how they feel about oral care for the rest of their lives.

ADHD can make it harder for children to:

• Pay attention.
• Sit still.
• Control impulsive behaviour.

This can make dental visits feel stressful or overwhelming, especially if a child feels anxious or unsure about what will happen.

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Why children with ADHD are at higher risk of dental problems

Tooth decay is the most common dental problem seen in children with ADHD.

This is often because:

• Brushing and flossing routines can be hard to keep up.
• Instructions may be forgotten or rushed.
• Teeth may not be cleaned thoroughly.

Research shows that fewer than half of children with ADHD brush their teeth both morning and night. This highlights how important it is to build simple, consistent routines from an early age.

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The impact of ADHD medication

Some medicines used to manage ADHD can:

• Reduce saliva and cause a dry mouth.
• Change appetite or food choices.

Saliva helps protect teeth, so a dry mouth increases the risk of tooth decay.

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Supporting good dental care at home

You can help your child develop healthier habits by:

• Creating a calm, confident routine.
• Giving short, clear instructions.
• Repeating instructions when needed.
• Using a brushing chart to track daily brushing.
• Focusing on brushing regularly rather than brushing perfectly.
• Using praise or small rewards to encourage progress.
• Using the “tell–show–do” approach (explain, show, then do).

Small steps, repeated often, can make a big difference.

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A word about dental sedation

Every child is different. Some children with additional needs may benefit from dental sedation if they are unable to cope with treatment.

Sedation is always carefully monitored and may help reduce fear and distress.

Options may include:

• Inhaled sedation (breathing in nitrous oxide and oxygen to help relax).
• Oral sedation (a medicine taken by mouth to cause drowsiness).
• IV sedation (medicine given through a vein, with close monitoring).
• General anaesthetic (used only when necessary for complex treatment).

Your dentist will discuss whether sedation is appropriate and explain all options clearly.

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Preparing your child for a dental visit

Preparing in advance can help reduce anxiety.

Helpful ideas include:

• Using storybooks or videos to show what happens at the dentist.
• Talking positively about dental visits.
• Visiting the dental practice before the appointment to see the space, lights and equipment.
• Meeting the dental team in advance, if possible.

Familiarity helps children feel safer and more confident.

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How dentists and parents can help together

A helpful way to remember supportive behaviours is UNCAPPED:

• Understanding – every child is different.
• Non-judgmental – avoid blame.
• Calm – stay relaxed.
• Attitude – keep things positive.
• Praise – recognise effort, not perfection.
• Patience – allow extra time.
• Empathy – listen and respond kindly.
• Directness – give clear, simple instructions.

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Summary

Dental care is an important part of your child’s overall health and wellbeing.

Children with ADHD may need extra support, but with patience, consistency and encouragement, they can develop strong, lifelong oral health habits.

If you have concerns, speak to your dental team. They can work with you to find approaches that suit your child best.