Feature

Spotlighting Special Care

The School of Dentistry’s special care fellowship is setting the standard for other dental schools across the nation.

    By Hilary Nguyen ’26
  • Photo provided by Scottish Rite for Children; Artwork by Doug Chayka
  • Oct. 11, 2023
    3 min read

In 2017, Dr. Dan Burch was introduced to the dental desert that plagues special care patients—those with an intellectual or physical disability that makes regular oral care difficult. As an associate professor at the Texas A&M University School of Dentistry’s Department of Pediatric Dentistry, Burch met a patient with cerebral palsy who could only receive treatment in her wheelchair, and the patient’s mother pleaded with him for treatment because he was the only in-network dentist she could find. Moved by this experience, Burch proposed a program to train dental students to not only assess but also treat special care patients. In 2020, his dream came to fruition.
 

The Compromised Care & Hospital Dentistry Fellowship Program has grown exponentially in three years and is now a valued safety net for families in the Dallas-Fort Worth (DFW) area and beyond Texas. Its mission: tearing down the oral health care barriers facing special care patients, one dentist at a time. “We’re teaching dentists the skills they need to treat special care patients,” Burch said. “Our facilities can accommodate their needs through sedation rooms and wheelchair lifts, our fees are more palatable and our wait times are weeks instead of months. Patients just have to show up, and our team does the rest.”
 

As a uniquely designed special care program, the fellowship equips dentists to serve their communities, many of which lack access to care. “When our fellows graduate and practice, we know they will treat special care patients comfortably and know the steps to ensure each patient stays safe and healthy,” Burch said.

“Our clinics are a one-stop shop for special care patients. We treat a wide spectrum of patients who don’t fit the pool for a general dentist, whether they’re 4 days or 101 years old.”
Dr. Dan Burch

SPECIAL CARE DENTISTRY STATS

  • Around 300,000 special care patients live in the DFW Metroplex.
  • Only four dental groups and six dentists currently offer lifelong treatment for special care patients in DFW.
  • The state of Texas contains only 12 dental groups equipped to serve approximately 2 million adult patients with special health care needs.
  • Texas A&M's program is one of 9 special care dentistry fellowships across the nation.
  • Texas A&M’s program treats roughly 12,000 patients per year.
  • Approximately 95% of the program’s patients are covered by Medicaid/Medicare, 3% pay with private insurance and 2% pay with cash.
  • The program consists of 20 individuals: 11 faculty members, four fellows and five support staff members.

Help set the standard: Passionate about supporting special care dentistry and improving the lives of countless patients? Contact Ian Wilson ’13 to learn more.

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