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Updated on May 19, 2023
6 min read

Dental Help for Adults With Disabilities

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Who Qualifies for Special-Care Dentistry?

Special care dentistry (SCD) is a branch of dentistry that offers dental services to people with disabilities.3 Those qualified for special-care dentistry are people who need free comprehensive dental treatment. This includes:

  • The elderly
  • Disabled people 
  • Mentally and medically compromised people

In most countries, the elderly comprise a significant part of the disabled community. They mostly live alone in their homes or in nursing homes for special care.

International organizations like the Special Care Dentistry Association (SCDA) are made up of dental professionals dedicated to promoting the oral health of people with special needs.

Are There Specific Dentists for People With Disabilities?

Many dentists can treat people with special needs. However, some people with certain disabilities may require specialized dental services.

Dental professionals are trained to provide comprehensive care to anyone who needs dental treatment. But recently, continuing education programs have improved on assisting dentists to provide care to people with special needs (e.g., MSc in Special Care Dentistry). 

There are also dental clinics that prioritize oral health care for disabled adults. These clinics work with volunteer dentists. They offer affordable dental care for adults with disabilities.

Does Disability Insurance Cover Dental Work?

Disability insurance primarily protects a portion of people's monthly income in case of a disability occurrence that prevents them from working. However, it typically doesn't offer dental coverage.

Government Insurance Options

The U.S. government provides people with disabilities three options for health insurance through the government:

  • Medicare
  • Medicaid
  • Affordable Care Act (ACA)

However, these insurance options do not usually fully cover adult oral care services.7 Medicaid only covers some dental services for children and adults under 65 with disabilities. Medicare has some plans that offer partial dental insurance coverage. The ACA provides dental insurance coverage for children.

Some insurance like Basic Social Security Disability Insurance will provide dental coverage. But most Medicare and Medicaid enrollees do not have comprehensive health insurance that covers routine dental care or other dental services.2

Insurance Waiting Period

Depending on the type of insurance and the insurance company, some coverage comes with a waiting period. In 2005, the Social Security Administration (SSA) funded MDRC, a nonprofit social policy research organization. It carried out a project called Accelerated Benefits (AB) Demonstration.

The AB Demonstration was designed to determine the benefits and costs of altering the waiting period for Medicare, particularly for disabled people.5 Its findings include:

  • Increased healthcare use
  • Reduced unmet medical needs
  • Improved health and functioning
  • Unaffected employment levels

Can You Get Free Dental Work With a Disability Living Allowance (DLA)?

Disability living allowance (DLA) is a tax-free benefit. It typically comes in monetary form and is meant for people with disabilities who need extra care, support in their daily lives, and help with mobility. 

A DLA might not provide access to free dental work, but it can reduce the cost of prescriptions and doctor fees. You might also be eligible for other free benefits, including:

  • Housing
  • Higher child tax
  • Universal credit
  • Travel support

Programs That Provide Low-Cost Dental Care for People With Disabilities 

The U.S. government defines a person with disabilities as someone who:

  • Is unable to do substantial, gainful work
  • Has a disability that is expected to last for up to a year or more
  • Has an impairment that is on Social Security's list of disabling medical conditions1

Some programs that may provide low-cost dental care for such people include:

1. Donated Dental Services (DDS)

Donated Dental Services (DDS) is a program offered by the Dental Lifeline Network. This nonprofit organization offers education and dental care access to people who cannot afford it and/or who have disabilities. 

This nationwide program has a network of over 15,000 volunteer dentists. It offers comprehensive free care to people who cannot afford standard treatment fees.

2. Aspen Dental Healthy Mouth Movement

Healthy Mouth Movement, provided by Aspen Dental, helps people who struggle with accessing dental care (whether because of a disability, lack of funding, or both). They also focus on dental care for disabled veterans.

Aspen Dental has a dentist office on wheels called MouthMobile. It travels the U.S. to provide free dental services to veterans living in remote communities.

3. Dentistry Schools 

Schools like the University of Washington (UW) School of Dentistry train dentists and providers to offer specialized dental care to people with special needs. UW School of Dentistry’s DECOD clinic is partly supported by private donations and provides care to people with acquired or developmental disabilities such as cerebral palsy (CP) and multiple sclerosis (MS).4

Another school that offers this program is the New York University (NYU) College of Dentistry. This school dedicated its oral health center to providing support and sensitive essential care to people with disabilities. The school’s dental clinic is fully equipped to accommodate the needs of caregivers, patients, and families.

4. Illinois Foundation of Dentistry for the Handicapped

The Illinois Foundation of Dentistry for the Handicapped through the DDS programs offers free or very low-cost dental services to the elderly and people with disabilities.

Qualified applicants must be elderly, chronically ill, or permanently disabled.

5. Community Dental Programs

Some community dental clinics offer low-cost dental services. Your local hospital may refer you to one, or you can search on the internet for “community dental clinics.” 

Dental Care Challenges for People with Disabilities

People with intellectual and developmental disabilities tend to have more dental problems and poorer oral health than those without disabilities.6 This is due to a few reasons:

Insurance

If a dentist accepts Medicaid, it usually means they make less money on the charge. This becomes a problem for many people with disabilities, who usually have dental coverage through Medicaid.

It becomes difficult for people with disabilities or special needs to access affordable and quality dental care because dental clinics sometimes refuse their insurance.

Lack of Training or Equipment

Some dental clinics cannot provide dental care for people with disabilities because their staff lacks proper training or equipment.

This may prevent a clinic from accommodate the special needs of people with disabilities. It could even lead the staff to compromise their care.

Inability to Keep a Routine

Dental professionals always recommend seeing a dentist at least twice a year. But this can be hard to accomplish for people with disabilities, especially those with severe physical disabilities.

It may also be difficult to find a dental clinic specialized in caring for people with disabilities or special needs.

Tips for Finding a Special-Care Dentist

If you are looking for a special-care dentist, the first step is to ask around. Ask your local dentist, family members, friends, or even disability services. They might know a clinic with a dental team that provides special care to people with disabilities.

Aside from getting referrals and recommendations, here are more tips to help you find a special-care dentist:

  • Research the credentials of the dentist to whom you were referred to
  • Search for special-care dental clinics in your browser and find dental clinics near you
  • Check for a school of dentistry that offers special needs program; they are likely to have the dentist you are looking for
  • Look beyond your locality; telemedicine makes it possible to treat people using telecommunications and minimizes trips to the dentist's office
  • Check for the dentist's experience; the more experience a dentist has with treating people with special needs, the better your treatment results are likely to be
  • Read reviews online, as this can provide insight into a dentist's practice
Last updated on May 19, 2023
7 Sources Cited
Last updated on May 19, 2023
All NewMouth content is medically reviewed and fact-checked by a licensed dentist or orthodontist to ensure the information is factual, current, and relevant.

We have strict sourcing guidelines and only cite from current scientific research, such as scholarly articles, dentistry textbooks, government agencies, and medical journals. This also includes information provided by the American Dental Association (ADA), the American Association of Orthodontics (AAO), and the American Academy of Pediatrics (AAP).
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