Children with special health care needs are a particularly high-risk group for development of dental caries. Additional risk is due to:
Routine habits, such as brushing and flossing may be more difficult in children with special needs and more intensive anticipatory guidance may be needed at well child visits.
Children with special needs should be seen more frequently in a dental home and have additional attention paid to their daily oral needs.
Children with special health care needs often require specialty dental care which is often more challenging to obtain. Developmental limitations and cooperation may require dental care be provided with sedation or general anesthesia.
Chi DL, Rossitch KC, Beeles EM. Developmental delays and dental caries in low-income preschoolers in the USA: a pilot cross-sectional study and preliminary explanatory model. BMC Oral Health. 2013; 13: 53.
Frank M, Keels MA, Quinonez R, Roberts M, Divaris K. Dental caries risk among subgroups of children with special health care needs. Pediatr Dent. 2019; 41(5):3-9
Norwood KW, Slayton RL. Oral Health Care for Children With Developmental Disabilities. COUNCIL ON CHILDREN WITH DISABILITIES, SECTION ON ORAL HEALTH. Pediatrics 2013; 131: 614–619.