Oral health problems are common among children with special health care needs.

Oral health is essential to children’s overall well-being. Poor oral health is associated with physical health problems, negative impacts on school attendance and academic performance, and poorer mental health. Children with special health care needs (CSHCN)—a medically vulnerable subgroup representing nearly 20 percent of children aged 18 years and younger—face barriers to accessing high-quality dental care and experience greater unmet dental care needs and oral health problems than children without special health care needs.

Oral health among CSHCN has, until now, received little attention in the research literature and with policymakers. The Lucile Packard Foundation for Children’s Health funded a study to better understand the oral health needs and dental care experiences of CSHCN and children with complex medical conditions, and to compare these experiences to those of children without special health care needs.

NORC conducted a comprehensive, national study of the oral health and dental care experiences of children with special health care needs.

NORC secured a grant from the Lucile Packard Foundation for Children’s Health to study the oral health needs and dental care experiences of CSHCN and children with complex medical conditions, and to compare these experiences to those of children without special health care needs. Our mixed-methods approach comprised three primary research activities:

• A quantitative analysis of oral health status and dental care use and access. First, we conducted an analysis of dental care access and utilization and oral health status among children with and without special health care needs using data from the National Survey of Children’s Health. As part of the quantitative analysis, we spotlighted the unique experiences of key subgroups, including children with medical complexity and children with intellectual and developmental disabilities.
• Focus groups with parents. We conducted focus groups with parents of children with special health care needs from around the country to better understand the nuances and complexities that families face in navigating the dental care system and caring for their children’s oral health at home. Two of these focus groups were conducted with mono-lingual Spanish-speaking parents to learn about the particular experiences of families who may face language barriers.
• An expert panel. In the final stage of the project, we convened a virtual panel of experts to solicit insights and identify potential policy solutions, including child health and dental care researchers, clinicians, policy and public health officials, advocates, and parents of children with special health care needs.