Special Health Care Needs
Barriers to Dental Care for Neuroatypical Patients and Proposed Solutions
Alexandra E. Travis, DDS
Resident
St. Barnabas Hospital
St. Barnabas Hospital
Bronx, New York, United States
Paul Chu, DDS
Program Director
St. Barnabas Hospital
Bronx, New York, United States
Purpose:
This study aims to identify barriers and access to care for neurodivergent patients at St. Barnabas Hospital.
Methods:
There are clear inequalities for patients with disabilities to receive dental care compared to neurotypical patients. This population is much more likely to need dental care due to higher caries risk or oral health needs related to their disability. This proposed study will consist of a survey asking the parent or legal guardian of neurodivergent patients ages 1-18 what barriers to care they face, accessibility of care, and ways in which they think dental care could be more easily provided.
Results: The majority of parents, 54%, believed dental care to be easily accessed at SBH, while 34% of parents believed it to be difficult. The three major barriers to care reported are: patient cooperation, locating a dentist willing to treat their child, and prioritization of existing medical care. 72% of parents believe it is harder for their child to visit the dentist than the medical doctor.
Conclusion: Care for patients with special needs has significantly improved, narrowing the divide between how parents perceive medical doctors compared to dentists. With further training, we can swiftly and effectively bridge the gap and remove obstacles to care.