Galen medical journal · 2026
Pediatric Dental Management for Children With Special Health Care Needs and Disabilities : Short title: Pediatric Dentistry and Special Health Care Needs.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
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Saeed Safa, Kiran Myle Akshay, Alshahrani Reema Sultan, Alobaidi Rahaf Saud, Alotai Lena Abdulrahman, Almalki Fatimah Farhan, Almasoudi Fahad Khalid, Almalky Hadeel Ali, Alhatem Lama, Alzahrani Hadeel Horais, Aldowish Amirah, Aleyoni Randa Abdulaziz, Abothnin Setah, Almaiman Rana Abdullah, Alzaaqi Leen
Аннотация
BACKGROUND: Children with special health care needs and disabilities experience a disproportionate burden of preventable oral disease, unmet dental needs, behavioral barriers to treatment, and fragmented access to specialist dental services.
MATERIALS AND METHODS: This scoping review mapped contemporary evidence on pediatric dental management strategies for children with special health care needs, with emphasis on prevention, behavior guidance, interdisciplinary care, teledentistry, and service delivery. A structured search was planned across PubMed/MEDLINE, Scopus, Web of Science, Embase, the Cochrane Library, Google Scholar, ClinicalTrials.gov, and grey-literature sources for English-language evidence published from January 2015 to August 2025. Evidence was charted using a population-concept-context framework and synthesized narratively according to source type and clinical theme.
RESULTS: The final evidence map comprised 20 topic-relevant sources, including systematic reviews, observational studies, qualitative studies, educational program reports, narrative reviews, textbooks, and expert consensus documents. No randomized controlled trial was verified among the cited sources; therefore, the manuscript was framed as a scoping review rather than an effectiveness-focused systematic review. Four major themes were identified: preventive and caregiver-mediated oral-health support, individualized behavior guidance and sensory adaptation, interdisciplinary medical-dental collaboration, and technology-enabled access, including teledentistry.
CONCLUSION: Current evidence supports integrated, family-centered, function-based, and prevention-oriented dental care for children with special health care needs and disabilities. However, the evidence base remains limited by heterogeneous designs, provider-centered outcomes, small samples, narrative sources, and limited comparative child-outcome data. Future research should prioritize prospective multicenter studies using standardized clinical, behavioral, access-related, and quality-of-life outcomes.
MATERIALS AND METHODS: This scoping review mapped contemporary evidence on pediatric dental management strategies for children with special health care needs, with emphasis on prevention, behavior guidance, interdisciplinary care, teledentistry, and service delivery. A structured search was planned across PubMed/MEDLINE, Scopus, Web of Science, Embase, the Cochrane Library, Google Scholar, ClinicalTrials.gov, and grey-literature sources for English-language evidence published from January 2015 to August 2025. Evidence was charted using a population-concept-context framework and synthesized narratively according to source type and clinical theme.
RESULTS: The final evidence map comprised 20 topic-relevant sources, including systematic reviews, observational studies, qualitative studies, educational program reports, narrative reviews, textbooks, and expert consensus documents. No randomized controlled trial was verified among the cited sources; therefore, the manuscript was framed as a scoping review rather than an effectiveness-focused systematic review. Four major themes were identified: preventive and caregiver-mediated oral-health support, individualized behavior guidance and sensory adaptation, interdisciplinary medical-dental collaboration, and technology-enabled access, including teledentistry.
CONCLUSION: Current evidence supports integrated, family-centered, function-based, and prevention-oriented dental care for children with special health care needs and disabilities. However, the evidence base remains limited by heterogeneous designs, provider-centered outcomes, small samples, narrative sources, and limited comparative child-outcome data. Future research should prioritize prospective multicenter studies using standardized clinical, behavioral, access-related, and quality-of-life outcomes.