Special Healthcare Needs

Special Healthcare Needs

Dental care for children with autism, sensory differences, developmental disabilities, and medical complexity, with accommodations arranged before you arrive.

A softly lit treatment room with a teal dental chair and an amber stool, photographed out of focus

Do you see children with autism or sensory processing differences?

Yes, and we take referrals from general dentists who are not set up for it. Dr. Julia’s residency at Nationwide Children’s was largely spent treating children with developmental and medical complexity, and that is a substantial part of what this practice does.

What accommodations can you make?

Tell us in advance and we can do all of the following:

  • Schedule the first appointment of the day or the first after lunch, when the office is quiet and there is nobody in the waiting room.
  • Turn the lobby music off before you arrive.
  • Skip the sunglasses, the bib clip, the suction, or the polish, in any combination.
  • Run desensitization visits where nothing happens at all: your child sits in the chair, or does not, and then you leave. We do not charge for these.
  • Give you the exact sequence of the visit in advance, in order, so you can practice at home or build a social story.
  • Let your child stay in their wheelchair or in your lap rather than transfer.
  • Keep the room lights low and use the overhead light only when needed.

Everything you tell Rosa goes in the chart, so you will not have to explain it again at the next visit or to a different team member.

Medically complex patients

We coordinate with your child’s specialists. Send us the cardiology letter, the premedication protocol, the seizure action plan, or the port details, and we will read them before your visit rather than at it.

Children with congenital heart conditions requiring antibiotic prophylaxis, bleeding disorders, immunosuppression, or feeding tubes are all seen here routinely.

When we recommend general anesthesia

Sometimes the right answer for a child is doing all the treatment at once, asleep, at the hospital, rather than a dozen difficult appointments here. We will say so when we think that, and we will not treat it as a failure. It is scheduled through Cedarfield Regional’s outpatient surgery center and takes several weeks to arrange.

Aging out

We do not discharge patients with special healthcare needs at eighteen. Several of our patients are adults who have been coming here since they were small, and finding an adult provider who can accommodate them is genuinely hard. If your child is comfortable here, they can stay.

Last reviewed June 2026 by Brightburrow clinical staff.

What parents said about this

  • Our son is autistic and had never made it through a full dental exam anywhere. They booked us the first slot of the day, turned the music off before we walked in, and let him sit in the chair for two visits without doing anything at all. Third visit he had a cleaning. Nobody rushed him and nobody made me feel like we were an inconvenience.

    Alicia R.Google · March 2026

Questions about this

Do you see children with autism or sensory processing differences?

Yes. Dr. Julia’s residency at Nationwide Children’s was largely spent treating children with developmental and medical complexity, and we take referrals from general dentists who are not set up for it.

Practical things we can do, if you tell us in advance: schedule the first appointment of the day or the first after lunch, when the office is quiet; turn off the overhead music; skip the sunglasses; let your child sit in the chair on a previous visit without any treatment happening; run through the exact sequence of the visit ahead of time so you can practice at home. Tell Rosa what works and what does not when you book, and it goes in the chart so you do not have to explain it again.

Can I stay in the room with my child?

Yes. A parent or guardian is welcome in the treatment room for any appointment, at any age, and you never have to ask permission. Our operatories have a parent chair in them for exactly this reason.

The one thing we will ask is that you let us do the talking during the exam. Children take their cues from the adult in the room, and phrases meant to reassure, like “it won’t hurt” or “be brave,” introduce the idea that it might. If we need you to hold a hand or a phone, we will say so.

Is nitrous oxide safe for children?

Nitrous oxide, sometimes called laughing gas, is the most widely used and best studied form of sedation in pediatric dentistry, and it is safe for healthy children. Your child stays awake and able to talk the entire time. The effect wears off within about five minutes of breathing plain oxygen at the end of the appointment.

Children go back to school the same day and can eat normally. The most common side effect is mild nausea, which is why we ask for a light meal beforehand rather than an empty stomach. Nitrous is not appropriate for children with a blocked nose, certain respiratory conditions, or a recent middle ear surgery, so we go through health history before we use it.

Ready when you are

We answer every request by the end of the next business day.