Autism Symptoms in Babies: Early Signs to Watch Out For

Palak Gundecha, MA Clin.Psychology

August, 2025

How to Strengthen Oral Motor Skills and Reduce Drooling in Autistic Children?

Aditi Kuriwal

December, 2025
Guide for Autistic Children

It can feel tender and confusing when you notice your child drooling more than others or finding it a little harder to chew, swallow, or coordinate the small movements inside their mouth. Many parents share this feeling. They often try to make sense of these little cues during mealtimes or conversations, wondering whether their child needs more time or whether the right support might offer comfort. Oral motor skills grow quietly in the background of daily life, guiding how children eat, drink, speak, and manage saliva. When these skills develop a little differently in autistic children, families naturally look for support that feels warm, steady, and grounded in both care and science. This is where a thoughtful understanding of oral motor skills becomes deeply reassuring.

Key Takeaways 

  • Oral motor skills shape chewing, swallowing, speech, and saliva control.
  • Strengthening these skills encourages how to reduce drooling in autistic children with gentle, structured approaches.
  • Purposeful motor exercises build awareness, coordination, and comfort.
  • Activities should follow the child’s readiness and sensory needs.
  • Consistency nurtures long-term growth in mouth motor skills and overall confidence.

What are oral motor skills?

Oral motor skills describe the coordinated movements of the lips, tongue, jaw, cheeks, and palate. These structures work together continuously even though we do not consciously think about them. They allow children to bite into foods, manage textures, move food from one side of the mouth to the other, form a swallow, and regulate saliva with ease. These skills also support speech, shaping sounds and contributing to clarity.

In autistic children, oral motor skills may emerge at a different pace or follow a different pattern. This may be related to sensory preferences, differences in muscle tone, motor planning variations, or limited oral sensory awareness. None of these traits reflect a lack of ability; they simply reveal a unique path of development. Understanding this helps caregivers approach the child’s needs with compassion and without urgency.

Parents often begin noticing early oral motor development in infants during feeding. The ability to latch, suck, swallow, and gradually engage with new textures lays a strong foundation. Sometimes these transitions unfold slowly. Some children may prefer only liquid or pureed textures for longer periods, some may gag when introduced to lumps, and others may show reduced awareness of food position in the mouth. Oral motor activities for autism become meaningful in these moments because they offer a supportive, gentle structure to strengthen foundational skills.

As children grow, demands on oral motor coordination increase. Foods become more textured, conversations become more complex, and saliva control requires more refined muscle coordination. When a child finds these tasks a little more effortful, dedicated exercises can become a source of comfort and gradual improvement.

Who needs oral motor exercises?

Children who benefit from oral motor exercises often display patterns that are observable during daily routines. Families might see frequent drooling, challenges with keeping the mouth closed, fatigue while eating, or difficulty chewing foods that require more jaw strength. Some autistic children may prefer keeping their mouths slightly open because it feels more comfortable, while others may have reduced internal awareness of saliva.

Oral motor exercises offer opportunities for the child’s muscles and sensory pathways to develop with intention. When exploring how to reduce drooling, it becomes clear that drooling itself is not a behavioral concern. It is a cue that the muscles responsible for swallowing and lip closure may need additional support.

Some children may also store food in their cheeks, a pattern known as pocketing. This may happen when the tongue and cheeks are not coordinating well enough to move food efficiently. Other children may avoid crunchy or chewy textures because their muscles fatigue easily. Oral motor development in infants and children flows along a spectrum, and exercises gently strengthen the structures needed for comfort and safety.

Our therapists evaluate each child individually to determine whether exercises are needed, ensuring that every activity aligns with the child’s sensory profile, endurance level, and emotional readiness. This personalized approach prevents overwhelm and supports slow and meaningful growth.

Oral Motor Exercises

Families exploring how to reduce drooling or strengthen mouth motor skills often find comfort in knowing that oral motor exercises mimic natural movements children use every day. The difference is that exercises encourage repetition, focus, and controlled engagement. When practiced consistently, these movements begin shaping stronger patterns of coordination.

Exercises should always feel playful, safe, and respectful of the child’s comfort levels. When children feel supported, they are more open to participating, allowing the exercises to support their long-term oral motor development.

Lip Exercises

Lip movement is essential for forming a strong oral seal. Children experiencing drooling may have slightly reduced lip strength, reduced endurance for lip closure, or lower awareness of whether their lips are open or closed. Strengthening the lips supports sipping, swallowing, and forming early speech sounds.

Therapists may introduce activities such as blowing cotton balls across a table, sipping thick smoothies through a straw, or encouraging exaggerated lip rounding during favourite songs. These activities improve the strength, coordination, and awareness needed for proper lip closure. With consistent practice, children begin to notice their lips more purposefully, supporting both saliva control and early articulation skills.

Cheek Exercises

The cheeks help guide food across the mouth during chewing. When cheeks are less active, children may rely too heavily on their tongue or jaw, making chewing feel tiring or inefficient. Cheek exercises increase muscle tone and improve the ability to manage food safely.

Activities may include gently blowing cheeks out and holding the position, practicing controlled blowing into harmonicas or whistles, or engaging in playful resistance exercises where a therapist softly presses the cheeks while the child carefully pushes outward. As cheek muscles strengthen, food movement becomes smoother, swallowing feels more organized, and saliva management improves because children gain clearer awareness of their oral space.

Jaw Exercises

The jaw provides stability for nearly all oral movements. When the jaw is not stable, children may experience extra movement while chewing, making mealtimes tiring. Jaw exercises create the foundation needed for coordinated chewing and for supporting saliva control.

Therapists may use chewable tools where the child practices controlled biting on both sides. They may model slow, rhythmic jaw openings or introduce foods that require purposeful chewing, such as soft, chewy textures that encourage symmetrical jaw use. Stronger jaw stability reduces drooling because the lips can close more easily when the jaw remains centered and steady.

Tongue Exercises

The tongue plays a central role in oral motor skills and reduces drooling patterns. It controls how food moves, supports swallowing, and influences speech clarity. Reduced tongue strength or awareness makes it harder to move saliva toward the throat for swallowing, causing it to pool in the mouth.

Tongue exercises involve playful imitation, such as touching the tongue to the corners of the mouth, raising it toward the palate, or moving it horizontally during games. Foods that require tongue movement, such as spreads the child must lick, can also help. With time, these exercises improve the tongue’s ability to manage both food and saliva, making swallowing more efficient.

Palate exercises

The palate supports speech resonance, swallowing, and airway coordination. When palate movement is limited, children may have difficulty creating the internal pressure needed for swallowing or producing certain sounds. This can indirectly influence drooling.

Exercises include guided swallowing with increased awareness, gentle humming that encourages vibration near the soft palate, or therapist-led vocal play that lifts movement toward the roof of the mouth. These activities strengthen the palate’s coordination with the tongue, contributing to smoother and more controlled swallowing.

Advantages of oral motor exercises

Families often find hope in understanding how oral motor exercises fit into their child’s growth. These exercises influence both physical coordination and emotional comfort. Children gradually show improved food acceptance, stronger chewing endurance, and clearer transitions between bites and swallows.

When exploring how to reduce drooling, it becomes evident that consistent practice trains the oral muscles to work harmoniously. Improved lip closure, stronger tongue coordination, and better jaw stability all support saliva control. Children also gain increased sensory awareness, letting them sense when saliva is pooling and swallow with less effort.

Many families notice equally meaningful emotional changes. Children feel more confident during mealtimes, show less frustration, and engage more actively with new foods and activities. Strengthening mouth motor skills also supports speech development, making communication feel more accessible and enjoyable.

How KidAble supports oral motor skill development

At KidAble, we support oral motor development with the same softness, patience, and respect that guide every part of our care. Children are welcomed into an environment where their individual pace shapes the way therapy unfolds. Our occupational therapy team brings deep experience in understanding motor foundations, sensory processing, and the gentle steps children need while learning new skills. Oral motor strengthening is approached thoughtfully whether a child is building early chewing coordination, exploring saliva awareness, or learning to manage new textures with confidence.

We work closely with families, observing each child’s traits and designing activities that feel natural and reassuring. Sessions weave together purposeful movement, perceptual understanding, and motor planning, strengthening the mouth, jaw, and facial muscles to grow stronger without pressure. 

Conclusion

Oral motor skills shape so many precious parts of a child’s daily life. From early feeding to expressive speech, from playful mealtime moments to the gentle coordination of swallowing, these skills deserve patient nurturing. For autistic children, strengthening oral motor skills and reducing drooling is not about rushing progress. It is about offering gentle, repeated opportunities for the mouth to learn, coordinate, and find its rhythm.

A therapist trained in oral motor intervention can guide these steps with care, offering personalized pathways that consider the child’s sensory world, developmental stage, and emotional readiness. Every gain, whether small or large, contributes meaningfully to comfort and confidence.

FAQs

What causes drooling in autistic children?

Drooling may happen when the muscles that coordinate swallowing and lip closure need additional support. Sensory differences can also influence how children perceive saliva.

Are oral motor exercises for chewing safe for all children? 

Yes, when guided by trained therapists, oral motor exercises are gentle, thoughtful, and developmentally appropriate.

How long does it take to see progress?

Some children show change within weeks, while others progress over months. Each path is unique.

Can parents try exercises at home?

Parents can integrate simple exercises once guided by a therapist, ensuring safety and comfort.

Do these exercises support speech development? 

Yes, strengthening oral structures supports clarity, coordination, and ease during speech.

Aditi Kuriwal

founder 

Counselling Psychologist at KidAble who wears both the goofy hat and empathetic ears. She combines her research background with warm, thoughtful counselling to support children and families through every step of their journey.

Aditi Kuriwal

founder 

Counselling Psychologist at KidAble who wears both the goofy hat and empathetic ears. She combines her research background with warm, thoughtful counselling to support children and families through every step of their journey.

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