{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T18:18:33Z","timestamp":1788545913266,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Dental Education"],"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n There is a growing, national need for properly trained dentists to provide special care dentistry to a transitioning, aging, and medically complex population. This study describes the implementation and initial impact of a novel academic\u2010community intervention designed to rapidly address this critical gap in provider training and service delivery in the Dallas\u2010Fort Worth Metroplex\u2010.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The compromised care and hospital dentistry (CCHD) fellowship and an associated special care dentistry clinic were launched based on five core objectives. Key strategies included interdepartmental collaboration and streamlined administrative processes to facilitate rapid program startup. Evaluation tracked implementation and service outcomes (reach and workforce impact), using administrative and electronic dental record data from seven partner sites across 2020\u20132025.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The program demonstrated high feasibility by launching in 45 days. Maintenance was achieved through securing over $4.9 million in foundational support and implementing a novel community practice partnership model to sustain core positions. Service outcomes showed high reach, with fellows treating 8013 unduplicated patients annually. The population served was highly diverse, low\u2010income, and 93.6% reliant on Medicaid\/Medicare. Workforce impact was 100%, with all 12 graduated fellows remaining in SHCN practice and the 4 remaining fellows planning to continue serving patients with SHCN.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The CCHD model provides a replicable and scalable implementation template for academic dental centers seeking to rapidly increase specialized care capacity. Successful collaboration and streamlined administration achieved institutional stability quickly. Future assessments will focus on longitudinal patient outcomes and the cost\u2010effectiveness of this model to further substantiate its value in mitigating oral health disparities for the SHCN population.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/jdd.70239","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T09:55:03Z","timestamp":1776765303000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Community\u2010Based Postdoctoral Dentistry Program in Special Care Dentistry: Development and Implementation"],"prefix":"10.1002","author":[{"given":"Dan","family":"Burch","sequence":"first","affiliation":[{"name":"St. Christopher's Hospital for Children\u2010Tower Health & Drexel University College of Medicine Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marvellous A.","family":"Akinlotan","sequence":"additional","affiliation":[{"name":"Pediatric Dentistry Department College of Dentistry Texas A&M University Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oluyomi","family":"Oloruntoba","sequence":"additional","affiliation":[{"name":"Department of the Health Policy and Management School of Public Health Texas A&M University College Station Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prerana","family":"Gurudath","sequence":"additional","affiliation":[{"name":"Texas Transportation Institute Texas A&M University College Station Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Dean","sequence":"additional","affiliation":[{"name":"Pediatric Dentistry Department College of Dentistry Texas A&M University Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine Miller","family":"Nimmons","sequence":"additional","affiliation":[{"name":"Piedmont Environmental Alliance North Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Ray","sequence":"additional","affiliation":[{"name":"Pediatric Dentistry Department College of Dentistry Texas A&M University Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayne","family":"Reuben","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences College of Dentistry Texas A&M University Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,21]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Human Resources and Services Administration \"Children and Youth With Special Health Care Needs \"2022 https:\/\/mchb.hrsa.gov\/sites\/default\/files\/mchb\/programs\u2010impact\/nsch\u2010data\u2010brief\u2010children\u2010youth\u2010special\u2010health\u2010care\u2010needs.pdf."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2022.03.002"},{"key":"e_1_2_9_4_1","unstructured":"National Council on Disability \u201cIncentivizing Oral Healthcare Providers to Treat Patients With Intellectual and Developmental Disabilities \u201d2023 https:\/\/www.ncd.gov\/report\/incentivizing\u2010oral\u2010healthcare\u2010providers\u2010to\u2010treat\u2010patients\u2010with\u2010intellectual\u2010and\u2010developmental\u2010disabilities\/."},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12644"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12944"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2012.0288"},{"key":"e_1_2_9_8_1","volume-title":"Dentists of Tomorrow 2025: An Analysis of the Results From the ADEA 2025 Survey of US Dental School Seniors Report","author":"Istrate E.","year":"2026"},{"key":"e_1_2_9_9_1","volume-title":"Dentists of Tomorrow 2022: An Analysis of the Results of the ADEA 2022 Survey of U.S. Dental School Seniors Summary Report","author":"Istrate E.","year":"2022"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/1903411"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12690"},{"issue":"5","key":"e_1_2_9_12_1","first-page":"442","article-title":"Transitioning From Pediatric to Adult Dental Care for Adolescents With Special Health Care Needs: Adolescent and Parent Perspectives\u2014Part One","volume":"37","author":"Cruz S.","year":"2015","journal-title":"Pediatric Dentistry"},{"key":"e_1_2_9_13_1","volume-title":"Principles of Ethics and Code of Professional Conduct","author":"American Dental Association","year":"2025"},{"key":"e_1_2_9_14_1","volume-title":"Accreditation Standards for Advanced Dental Education Programs in Advanced Education in General Dentistry","author":"Commission on Dental Accreditation","year":"2025"},{"key":"e_1_2_9_15_1","volume-title":"Appendix 5: Understanding and Procedure Coding for Patients With Special Health Care Needs","author":"Roszel C.","year":"2025"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12177"},{"key":"e_1_2_9_17_1","unstructured":"HRSA \u201cFY 2020 Postdoctoral Training in General Pediatric and Public Health Dentistry Awards \u201d2020 https:\/\/bhw.hrsa.gov\/funding\/postdoc\u2010training\u2010dentistry\u2010fy2020\u2010awards."},{"key":"e_1_2_9_18_1","unstructured":"CDC \u201cU.S. State Profile Data: Adults 18+ Years of Age \u201d2025 https:\/\/www.cdc.gov\/dhds\/impacts\/index.html."},{"key":"e_1_2_9_19_1","unstructured":"Texas Workforce Investment Council \u201cPeople With Disabilities 2019 \u201d2019 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