Oral-Motor Skills Milestones in Children

 
Oral-Motor Skills Milestones-Birth to Two Years

 

  0 – 1 Month
 

 

    Uses a suck or sucking pattern
 

 

  3 Months
 

 

    Sequences two or more sucks before pausing to breathe
 

 

    Sequences 20 or more sucks from bottle
 

 

  4 – 6 Months
 

 

    Sucking or suckling soft solids
 

 

    Uses suck or suckling pattern with bottle
 

 

    Can be introduced to liquids via cup
 

 

  6 – 8 Months
 

 

    Can be introduced to cereal and purees
 

 

    Uses suckling pattern with cup drinking, with wide jaw excursions and loss of liquid
 

 

    Upper lip assists with food removal
 

 

    Jaw movement is up/down and diagonal
 

 

  9 – 12 Months
 

 

    Given liquids, purees, ground table food
 

 

    True suck with vertical movements
 

 

    Longer sequences of suck/swallow that are more coordinated
 

 

    Controlled bite for soft solids
 

 

    Swallows ground or mashed table food
 

 

    Lips are active in chewing
 

 

    Chewing in vertical or diagonal/rotary pattern
 

 

  15 – 18 Months
 

 

    Transfers food from midline to sides of mouth
 

 

    Suck, swallow, and breathing well-coordinated
 

 

    Diagonal and rotary jaw movements are smooth, can chew with lips closed
 

 

    Upper incisors clean lower lip
 

 

  19 – 24 Months
 

 

    Meats and raw vegetables are added to diet
 

 

    Tongue used in sweeping motion to clean lips
 

 

    Swallows food with texture combinations
 

 

    Able to grade jaw opening
 

 

    Uses rotary chewing motions and can transfer food easily from center to sides
 

 

 

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