{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T05:01:06Z","timestamp":1790226066266,"version":"4.1.0"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Oral Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Individuals with disability experience disproportionately poorer oral health outcomes and face significant barriers in accessing dental care. Despite increasing recognition of Special Needs Dentistry (SND) as a priority area, gaps remain in the education and preparedness of the oral health workforce, particularly oral health therapists (OHTs). This article addressed the need for structured, evidence-informed curriculum models to support the integration of SND into oral health education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Guide the integration of a consensus-based SND curriculum framework into oral health therapy programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multi-phase research approach was undertaken, including a scoping review, curriculum mapping and content analysis of oral health programs, workforce and student perception surveys, and a Delphi study with expert stakeholders. Findings across phases were synthesised to inform the development of the curriculum framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Consistent gaps were identified across all phases, including variability in SND curriculum content, limited clinical exposure, and low levels of perceived preparedness among students and practitioners. Strong interest in further SND training was observed. The resulting framework comprises ten competency domains encompassing communication, behavioural management, clinical care, interprofessional collaboration, and ethical practice. Learning outcomes are structured across undergraduate and postgraduate levels and aligned with established educational principles, including scaffolded learning and competency-based progression. Suggested learning activities and assessment tasks are provided to support implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The proposed SND curriculum framework offers a practical and adaptable model for integrating disability-inclusive education into oral health programs. By supporting the development of knowledge, clinical competence, and professional confidence, the framework has the potential to strengthen workforce capability, reduce reliance on specialist services, and improve access to equitable oral healthcare for people with disability. Further research is required to evaluate its implementation and impact in educational settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/froh.2026.1896214","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T04:31:59Z","timestamp":1790224319000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Special needs dentistry training and education for preparedness in the oral health therapy curriculum"],"prefix":"10.3389","volume":"7","author":[{"given":"Dorothy","family":"Koh","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health, School of Dentistry, The University of Sydney","place":["Sydney, NSW, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delyse","family":"Leadbeatter","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, School of Dentistry, The University of Sydney","place":["Sydney, NSW, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Aley","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, School of Dentistry, The University of Sydney","place":["Sydney, NSW, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Woosung","family":"Sohn","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, School of Dentistry, The University of Sydney","place":["Sydney, NSW, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Archana","family":"Pradhan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, School of Dentistry, The University of Sydney","place":["Sydney, NSW, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"B1","author":"Rizmal","year":"2023"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2020\/9074618","article-title":"Barriers in access to dental services hindering the treatment of people with disabilities: a systematic review","volume":"2020","author":"da Rosa","year":"2020","journal-title":"Int J Dent"},{"key":"B3","year":"2023"},{"key":"B4","year":"2025"},{"key":"B5","doi-asserted-by":"publisher","first-page":"249","DOI":"10.5772\/33434","article-title":"\u201cThe role of the oral health therapist in the provision of oral health care to patients across all ages","author":"Calache","year":"2012","journal-title":"Oral Health Care - Prosthodontics, Periodontology, Biology, Research and Systemic Conditions"},{"key":"B6","doi-asserted-by":"publisher","first-page":"893","DOI":"10.1111\/scd.12946","article-title":"Education's impact on primary care dentists' Confidence in treating patients with special health care needs","volume":"43","author":"Commentz S","year":"2023","journal-title":"Spec Care Dent"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1261","DOI":"10.1111\/eje.70082","article-title":"A content analysis of special needs curriculum in Australian oral health programs","volume":"30","author":"Koh","year":"2026","journal-title":"Eur J Dent Educ"},{"key":"B8","author":"Koh","year":"2026"},{"key":"B9","first-page":"22","article-title":"Barriers and facilitators influencing dental Practitioners' willingness to treat people with disability: a scoping review","volume":"12","author":"Koh","year":"2024","journal-title":"ANZJDOHT"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1627","DOI":"10.1002\/jdd.13894","article-title":"Oral health care for people with disability: curriculum content in oral health programs","volume":"89","author":"Koh","year":"2025","journal-title":"J Dent Educ"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1002\/jdd.70248","article-title":"Undergraduate and postgraduate special needs dentistry curricula for oral health therapists: a Delphi study","author":"Koh","year":"2026","journal-title":"J Dent Educ"},{"key":"B12","year":"2012"},{"key":"B13","doi-asserted-by":"publisher","first-page":"743","DOI":"10.1111\/scd.12926","article-title":"Does education in special care dentistry increase people's Confidence to manage the care of a more diverse population?","volume":"43","author":"O'Rourke","year":"2023","journal-title":"Spec Care Dent"},{"key":"B14","year":"2014"},{"key":"B15","year":"2023"},{"key":"B16","year":""},{"key":"B17","doi-asserted-by":"publisher","first-page":"S63","DOI":"10.1097\/00001888-199009000-00045","article-title":"The assessment of clinical skills\/competence\/performance","volume":"65","author":"Miller","year":"1990","journal-title":"Acad Med"},{"key":"B18","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1097\/ACM.0000000000000913","article-title":"Amending Miller's pyramid to include professional identity formation","volume":"91","author":"Cruess","year":"2016","journal-title":"Acad Med"},{"key":"B19","doi-asserted-by":"publisher","first-page":"e75","DOI":"10.1111\/eje.12260","article-title":"Impact of early clinical exposure on the learning experience of undergraduate dental students","volume":"22","author":"Ali","year":"2018","journal-title":"Eur J Dent Educ"},{"key":"B20","doi-asserted-by":"publisher","first-page":"1084","DOI":"10.1002\/jdd.12254","article-title":"Associations between practice patterns and dental education in special care dentistry","volume":"84","author":"Gysling","year":"2020","journal-title":"J Dent Educ"},{"key":"B21","doi-asserted-by":"publisher","first-page":"152","DOI":"10.3163\/1536-5050.103.3.010","article-title":"Bloom's taxonomy of cognitive learning objectives","volume":"103","author":"Adams","year":"2015","journal-title":"J Med Libr Assoc"},{"key":"B22","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1308\/135576102322547467","article-title":"Introducing problem-based learning to special needs dentistry\u2013a case study","author":"Bedi","year":"2002","journal-title":"Prim Dent Care"},{"key":"B23","doi-asserted-by":"publisher","first-page":"1432","DOI":"10.1186\/s12909-025-07882-5","article-title":"Clinical simulation as an effective teaching model in the special needs dentistry course","volume":"25","author":"Mellinas-Mart\u00ednez","year":"2025","journal-title":"BMC Med Educ"},{"key":"B24","doi-asserted-by":"publisher","first-page":"109483","DOI":"10.1016\/j.identj.2026.109483","article-title":"The impact of early clinical exposure on competency development in dental students: a systematic review and meta-analysis","volume":"76","author":"Pang","year":"2026","journal-title":"Int Dent J"},{"key":"B25","doi-asserted-by":"publisher","first-page":"e70053","DOI":"10.1111\/scd.70053","article-title":"Community-Based clinical education: the opportunity for special needs dentistry","volume":"45","author":"Vitzthum","year":"2025","journal-title":"Spec Care Dentist"},{"key":"B26","doi-asserted-by":"publisher","first-page":"729","DOI":"10.1038\/s41415-022-3993-4","article-title":"Through the looking glass: a review of the literature surrounding reflective practice in dentistry","volume":"232","author":"Campbell","year":"2022","journal-title":"Br Dent J"},{"key":"B27","doi-asserted-by":"publisher","first-page":"869","DOI":"10.1111\/scd.12866","article-title":"Dental student readiness to treat special care patients upon graduation","volume":"43","author":"L\u00f3pez","year":"2023","journal-title":"Spec Care in Dentist"},{"key":"B28","doi-asserted-by":"publisher","first-page":"157","DOI":"10.21815\/jde.019.170","article-title":"Reflective journaling by second-year dental students during a clinical rotation","volume":"84","author":"Schwoegl","year":"2020","journal-title":"J Dent Educ"},{"key":"B29","year":"2021"},{"key":"B30","unstructured":"2024"},{"key":"B31","doi-asserted-by":"publisher","first-page":"o2359","DOI":"10.1136\/bmj.o2359","article-title":"Recognising lived experience is essential to empowering disabled patients","volume":"378","author":"Shakespeare","year":"2022","journal-title":"Br Med J"}],"container-title":["Frontiers in Oral Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/froh.2026.1896214\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T04:32:04Z","timestamp":1790224324000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/froh.2026.1896214\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,24]]},"references-count":31,"alternative-id":["10.3389\/froh.2026.1896214"],"URL":"https:\/\/doi.org\/10.3389\/froh.2026.1896214","relation":{},"ISSN":["2673-4842"],"issn-type":[{"value":"2673-4842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,24]]},"article-number":"1896214"}}