Barriers and Facilitators in Providing Orthodontic Care for Children with Special Health Care Needs

Orthodontic care for children with special health care needs (CHSCNs) presents unique challenges and opportunities. Despite its importance, limited research exists on factors influencing orthodontists’ ability and willingness to treat CHSCNs. This study aims to identify barriers and facilitators impacting orthodontic care for CHSCNs, examining practitioner demographics, practice characteristics, and attitudes toward this population. A survey of practicing orthodontists in Illinois collected data on key variables, including age, gender, race, ethnicity, years in practice, and practice type. Additionally, it assessed orthodontists' experience, confidence, and interest in treating CHSCNs, alongside specific barriers and facilitators encountered. Results revealed the highest-rated facilitator to be the desire to help those with special needs, while patient compliance emerged as the most significant barrier. Relationships between orthodontists’ characteristics and their experience, confidence, and interest in treating CHSCNs were observed. Notable factors, such as age, race, ethnicity, and practice type, were significantly associated with care provision for CHSCNs. This research offers valuable insights into factors influencing orthodontic care for CHSCNs, with potential implications for orthodontic education, practice management, and policy development in special needs dentistry. By highlighting key barriers and facilitators, the study informs strategies to enhance access and quality of care for this underserved population. Ultimately, this work supports the broader goal of improving orthodontic services and addressing disparities in dental care for CHSCNs.