Drooling Remediation

While drooling is a normal part of development in infants and young toddlers, it typically reduces as children grow and gain better oral motor control. Persistent drooling beyond the age of 2, however, may signal underlying challenges that need attention. In adults, especially those recovering from stroke or neurological conditions, drooling can also indicate issues with swallowing or oral muscle coordination.

Why does drooling happen?

Drooling can occur due to a variety of reasons, including:

• Reduced oral sensory awareness (the child may not notice saliva in the mouth)
• Oral-motor difficulties (challenges with jaw, tongue, or lip coordination)
• Swallowing difficulties (dysphagia)
• Postural or structural issues

Our first step in treatment is to assess the underlying cause to tailor the most effective therapy plan.

What do we do for therapy?

Speech therapy for drooling is personalised and may include the following approaches:

1. Sensory-Based Approaches

For children who have reduced awareness of saliva in the mouth:

• We use playful, engaging activities to increase oral sensory awareness
• Techniques may include alerting touch, taste, and texture play
• Visual reminders and routines may also be introduced to encourage independent saliva management

2. Oral-Motor Therapy

For children with weakness or coordination difficulties:

• Structured exercises targeting the jaw, lips, and tongue
• Use of food and non-food items (e.g., straws, whistles, chew tools)
• Activities are made fun and motivating, and matched to the child’s age and ability
• Parents are actively involved and trained to continue the exercises at home

3. Swallowing and Postural Strategies

Where drooling is linked to swallowing or positioning:

• Assessment of swallowing function and safe strategies for saliva management
• Supporting better head and trunk control if posture plays a role
• Collaboration with occupational therapists or physiotherapists if needed

Partnering with Families

Parents and caregivers are a vital part of therapy. We’ll guide you through each step and provide:

• Home exercises
• Practical tips for daily routines
• Strategies to encourage your child to self-monitor and wipe independently as they grow

If you are concerned about ongoing drooling in your child or a loved one, we’re here to help.

Early intervention can make a significant difference in comfort, confidence, and quality of life.
Contact us to find out more about our drooling assessment and therapy services.