Evaluation Of Dental Practitioners’ Environmental Competence And Confidence In Treating Patients With Special Health Care Needs- A Cross-Sectional Study

Abstract

Background: Providing oral health care to individuals with special health care needs (SHCN) requires specific knowledge, skills, and a positive attitude from dental practitioners. However, many practitioners report challenges in delivering appropriate care due to insufficient training and limited exposure.

Aim: To evaluate the competence and confidence of dental practitioners and students in managing patients with SHCN and to identify perceived barriers and suggestions for improvement.

Materials and Methods: A descriptive cross-sectional survey was conducted among 500 participants, including undergraduate students, postgraduate students, academicians, and medical professionals. A validated questionnaire assessed demographic details, knowledge, self-reported competence and confidence, and perceived barriers. Data were analyzed using descriptive statistics and inferential tests, with significance set at p < 0.05.

Results: The majority of respondents demonstrated basic knowledge of SHCN but showed varying awareness of comprehensive management strategies. Practical competence and confidence were higher among experienced practitioners and academicians. Common barriers identified included lack of training, inadequate facilities, and insufficient support staff. Most participants recommended more hands-on exposure and curriculum updates to improve readiness to treat SHCN patients.

Conclusion: While dental practitioners exhibit foundational knowledge, gaps persist in confidence and practical skills for managing patients with SHCN. Strengthening undergraduate training, offering continued education, and improving practice infrastructure are crucial steps toward delivering equitable and quality dental care for this vulnerable population.