Access to dental care can be tremendous challenge for patients with special health care needs (SHCN).  The Quality Resource Guide (QRG) discusses the oral health care needs of patients with SHCN and provides guidance to allow the dental team to deliver effective and efficient care to a patient with SHCN in a general dental practice. The QRG briefly discusses the etiology and presentation of neurodevelopmental disorders, then outlines guidelines and approaches for the dental healthcare team to consider when assessing the oral status of a patient with SHCN and providing appropriate care. Effective pre-appointment processes, scheduling strategies, helpful desensitization approaches, and steps to assist with developing a coordinated team approach for providing safe and effective care are outlined. Specific recommendations are made to lower the caries and periodontal risk for patients with SHCN. This QRG will serve as an important resource for the dentist, and all members of the office staff, as they assess and provide therapy for patients with SHCN.

* Note: The terminology of “Special Needs” is considered in many communities as pejorative as it inadvertently suggests an “ableist” view. Ableism is the discrimination of and social prejudice against people with disabilities based on the belief that typical abilities are superior. Special Healthcare Needs is a better accepted term.