Pediatric Dental Management for Children With Special Health Care Needs and Disabilities
DOI:
https://doi.org/10.31661/gmj.v15i.4270Abstract
Background: Children with special health care needs and disabilities experience a disproportionate burden of preventable oral disease, unmet dental needs, behavioral barriers to treatment, and fragmented access to specialist dental services. Materials and Methods: This scoping review mapped contemporary evidence on pediatric dental management strategies for children with special health care needs, with emphasis on prevention, behavior guidance, interdisciplinary care, teledentistry, and service delivery. A structured search was planned across PubMed/MEDLINE, Scopus, Web of Science, Embase, the Cochrane Library, Google Scholar, ClinicalTrials.gov, and grey-literature sources for English-language evidence published from January 2015 to August 2025. Evidence was charted using a population-concept-context framework and synthesized narratively according to source type and clinical theme. Results: The final evidence map comprised 20 topic-relevant sources, including systematic reviews, observational studies, qualitative studies, educational program reports, narrative reviews, textbooks, and expert consensus documents. No randomized controlled trial was verified among the cited sources; therefore, the manuscript was framed as a scoping review rather than an effectiveness-focused systematic review. Four major themes were identified: preventive and caregiver-mediated oral-health support, individualized behavior guidance and sensory adaptation, interdisciplinary medical-dental collaboration, and technology-enabled access, including teledentistry. Conclusion: Current evidence supports integrated, family-centered, function-based, and prevention-oriented dental care for children with special health care needs and disabilities. However, the evidence base remains limited by heterogeneous designs, provider-centered outcomes, small samples, narrative sources, and limited comparative child-outcome data. Future research should prioritize prospective multicenter studies using standardized clinical, behavioral, access-related, and quality-of-life outcomes. [GMJ.2026;15:e4270]
References
Raju K, Thakur YB, Garell C, Hilton IV. Medical-dental integration: a promising approach to address unmet dental needs of children and youth with special health care needs. J Calif Dent Assoc 2022; 50(6):331-43.
https://doi.org/10.1080/19424396.2022.12220721
Adeghe EP, Okolo CA, Ojeyinka OT. Optimizing dental screening protocols for children with special healthcare needs: enhancing access and prevention. Int J Front Sci Technol Res 2024; 6(1):54-61.
https://doi.org/10.53294/ijfstr.2024.6.1.0029
Ide-Okochi A, Funayama H, Asada Y. Pediatric dentists' perspectives of children with special health care needs in Japan: developmental disabilities, phobia, maltreatment, and multidisciplinary collaboration. BMC Pediatr 2021; 21(1):240.
https://doi.org/10.1186/s12887-021-02711-2
PMid:34011290 PMCid:PMC8132431
Norderyd J, Klingberg G, Faulks D, Granlund M. Specialised dental care for children with complex disabilities focusing on child's functioning and need for general anaesthesia. Disabil Rehabil 2017; 39(24):2484-91.
https://doi.org/10.1080/09638288.2016.1236406
PMid:27871192
Bikey D. Exploring the decisions made by pediatric dentists when choosing behaviour management strategies for children with autism [dissertation]. Vancouver: University of British Columbia; 2025.
Zerman N, Zotti F, Chirumbolo S, Zangani A, Mauro G, Zoccante L. Insights on dental care management and prevention in children with autism spectrum disorder: what is new? Front Oral Health 2022; 3:998831.
https://doi.org/10.3389/froh.2022.998831
PMid:36238091 PMCid:PMC9551997
Norderyd J, Lillvist A, Klingberg G, Faulks D, Granlund M. Oral health, medical diagnoses, and functioning profiles in children with disabilities receiving paediatric specialist dental care: a study using the ICF-CY. Disabil Rehabil 2015; 37(16):1431-8.
https://doi.org/10.3109/09638288.2014.964374
PMid:25250806
Ocanto R, Levi-Minzi MA, Chung J, Sheehan T, Padilla O, Brimlow D. The development and implementation of a training program for pediatric dentistry residents working with patients diagnosed with ASD in a special needs dental clinic. J Dent Educ 2020; 84(4):397-404.
https://doi.org/10.1002/jdd.12049
PMid:32053257
Polli VA, Sordi MB, Lisboa ML, Munhoz EA, Camargo AR. Dental management of special needs patients: a literature review. Glob J Oral Sci 2016; 2:33-45.
Gupta PV, Hegde AM, editors. Pediatric Dentistry for Special Child. London: JP Medical Ltd; 2016.
https://doi.org/10.5005/jp/books/12882_36
PMid:28197002 PMCid:PMC5270270
Kanani H, Khubchandani M, Dangore-Khasbage S, Pandey R. Teledentistry: a comprehensive review and its application in pediatric dental care. Cureus 2024; 16(1):e52685.
https://doi.org/10.7759/cureus.52685
Molina GF, Lin CP, Ijarogbe O, Kateeb E, Ogawa H, Shah SM, et al. Special care dentistry for people in Asia-Pacific region. Int Dent J 2025; 75:100859.
https://doi.org/10.1016/j.identj.2025.100859
PMid:40992833 PMCid:PMC12496483
O'Rourke S, Dougall A, O'Sullivan M. Does education in special care dentistry increase people's confidence to manage the care of a more diverse population? Spec Care Dentist 2023; 43(6):743-50.
https://doi.org/10.1111/scd.12926
PMid:37752661
Kupietzky A, editor. Wright's Behavior Management in Dentistry for Children. 3rd ed. Hoboken: John Wiley & Sons; 2021.
https://doi.org/10.1002/9781119680987
Molina G, Zar M, Dougall A, McGrath C. Management of dental caries lesions in patients with disabilities: update of a systematic review. Front Oral Health 2022; 3:980048.
https://doi.org/10.3389/froh.2022.980048
PMid:36389277 PMCid:PMC9650433
Dziedzic A, Tanasiewicz M, Abed H, Dickinson C, Picciani B. Are special care dentistry services prepared for a global disruption in healthcare? A call for a wider promotion of dental conscious sedation training. Healthcare (Basel) 2020; 8(4):419.
https://doi.org/10.3390/healthcare8040419
PMid:33105613 PMCid:PMC7711601
López-Velasco A, Puche-Torres M, Carrera-Hueso FJ, Silvestre FJ. General anesthesia for oral and dental care in paediatric patients with special needs: a systematic review. J Clin Exp Dent 2021; 13(3):e303-e312.
https://doi.org/10.4317/jced.57852
PMid:33680333 PMCid:PMC7920568
Mariño R, Ramos-Gómez F, Manton DJ, Onetto JE, Hugo F, Feldens CA, et al. The future of pediatric dentistry education and curricula: a Chilean perspective. BMC Oral Health 2016; 17(1):20.
https://doi.org/10.1186/s12903-016-0251-7
PMid:27431994 PMCid:PMC4950627
Fornefeld D, Fricke O, Schulte AG, Schmidt P. Investigation of dental and oral health in children and adolescents with special support needs from a child and adolescent psychiatric perspective. Children (Basel) 2024; 11(3):355.
https://doi.org/10.3390/children11030355
PMid:38539390 PMCid:PMC10969292
Erwin J, Paisi M, Neill S, Burns L, Vassallo I, Nelder A, et al. Factors influencing oral health behaviours, access and delivery of dental care for autistic children and adolescents: a mixed-methods systematic review. Health Expect 2022; 25(4):1269-318.
https://doi.org/10.1111/hex.13544
PMid:35716111 PMCid:PMC9327820
Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews: checklist and explanation. Ann Intern Med 2018; 169(7):467-73.
https://doi.org/10.7326/M18-0850
PMid:30178033
Peters MDJ, Marnie C, Tricco AC, Pollock D, Munn Z, Alexander L, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth 2020; 18(10):2119-26.
https://doi.org/10.11124/JBIES-20-00167
PMid:33038124
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Galen Medical Journal

This work is licensed under a Creative Commons Attribution 4.0 International License.





