Design considerations for a dental health care for patients with special needs.


  • Krishnan Lakshmi Ragas Dental college and Hospital
  • P. D Madan Kumar Ragas Dental College and Hospital
  • Dr.Himangshu Das NIEPMD



developmental disability, oral health status, architectural barrier, design consideration.


Out of 121 million population, 2.86 crore accounts for disabled people which 1.21% of total population. It has been reported that oral health care status of disabled people are poor than normal population. The main reason for this situation is barrier to access health care centres. This article throws light on definition and types of disability listed by Indian government. It also highlights the prevalence of disability and their oral health status. Article focuses on barrier in accessing dental care and guidelines required to build a disable friendly dental health care deliver center to make the treatment acceptable for such pupils. It is utmost important to provide dental care to such patients by overcoming the barrier to accessibility. Before motivating the patients and caregivers, it is the dentist who has to be motivated first in fulfilling special health care needs of patients resulting in improvement of quality of life. 


Aditi , M . V ,Pal . A, Anmol .M .(2017).Oral Health Status and Treatment Needs among Differently Abled Children . Journal of health science, 2(1), 24-28.

Ajay , B, Manish . J, Sudhanshu . S, Kothari.(2011).Oral health preventive protocol for mentally disturbed subjects. Journal of advanced dental research 3(1),21.

Adyanthaya, A, Sreelakshmi, N, Ismail, S, Raheema ,M. (2017). Barriers to dental care for children with special needs:general dentists'perception in Kerala, India .Journal of Indian society of pedodontics and preventive dentistry,35(3).216-222

Apexa, G.V, Virendra .K.K, Rajagopala, .S, Kalpana , S.P. (2013). Etiopathological study on cerebral palsy and its management by Shashtika shali pinda sweda and Samvardhana ghrita. International quarterly journal of ayurveda,34(1)56-62

Benandi,D, Reddy, C.V.K, (2013).Oral health related quality of life. Journal of international society of preventive and community dentistry ,30(1)1-6.

Bharathi ,M.P , Abhinav, S.(2012).Oral health status of 12year old children with disabilities and control in Southern India.Who south-east Asia journal of public health,1(3),336-338

Bhataia.R, Matharwala ,N.R.(2016).The oral health status and treatment needs of institutionalized and non institutionalized disabled children in Navi Mumbai, India. International journal of contemporary medicine research, 3(4).1041-1045.

Bhullar, D.S. (2014). Acid throwing: a cause of concern in India. Indian journal of clinical practice,24(10).

Diaco.(2004),The dental chair for wheelchair patients. UK [Brochure]

Dutta Ray, S. & Mathur, S.B. (1965). Some salient features of a sample of childhood psychoses (schizophrenia) observed in New Delhi. Indian journal of psychiatry, 7(1), 26-30.

Eva ,S.E.T, Eva ,M., Mónica,M.H, Paloma, P.D.P .(2012).Oral health status of a population with multiple sclerosis.Medicina oral patalogia oral cirugia buccal.17(2)E223-227

Expert group meeting on disability evaluation and national seminar on disability evaluation and dissemination .(1982), Manual for doctors to evaluate permanent physical impairment.

Fernante, F, Blasi,S, Crippa,R, Angiero, F. (2017).Dental abnormalities in pituitary dwarfism: a case report and review of the literature. Case repots in dentistry,1.

Goueri Dei .M. (2014).epidemiology of neurological disorders in india: review of

background, prevalence and incidence of epilepsy, stroke, parkinson’s disease and tremors.Neurology India 62(6).594.

Government Of India Ministry Of Urban Development.(2016).Harmonised Guidelines And Space Standards For Barrier Free Environment For Persons With Disability And Elderly Persons.Retrieved from:

Jaideep,S, Nitin, S, Amit, K, Neal , B.K,Anil, A.(2013).Dental and periodontal health status of beta thalassemia major and sickle cell anemic patients: a comparative study. Journal of international oral health ,5(5). 52-58.

Park,K.( 2017). Preventive and social medicine. Bhanarsidas bhanot publishers, India.

Karanth P. Learning disabilities in the Indian context. [Online]. 2002 [Cited 2006March]; Available From: March 2010

Mehta, Ahishek, Gupta, Radhika, Mansoob, Saleha ,Mansoori, Shahnaz. (2015) . Assessment of oral health status of children with special needs in Delhi, India. South Brazilian Dentistry Journal RSBO,12(3), 244-251.

Ministry of statistics and program implementation .(2016) ,Disabled population in India :a statistical profile.Retrieved from:

Mohanty, D, Colah , R.B, Gorakshakar, A.C, Patel ,R.Z, Master , D.C, Mahanta, J, ……Muthuswamy,V. (2013). Prevalence of β-thalassemia and other haemoglobinopathies in six cities in India: a multicentre study. Journal of community genetics, 4, 34-42.

Joseph,G ,Ronald, E.C,Frances, S.S,Peter, H. M.( 1988).Oral findings and proposal for dental health care program for patients with Duchenne muscular dystrophy. American journal of orthodontics and dentofacial orthopedics,93(2),126-132.

Harsha, M, Alok, A, Nilotpol,K, Rashmi,B, Brij, K, Maylavarapu, K.S. (2017). Prevalence of traumatic dental injuries among children attending special school of Chattisgarh.Journal of Indian society of pedodontics and preventive dentistry,35(3).209-215

Nagaveni, N.B, , Shruthi,A, Poornima,P, Hanagawady, S, Yadav, S.(2016).Dental health in children with congenital bleeding disorders in and around Davangere: A Case-Control Study.Journal of Indian society of pedontics and preventive dentistry,34(1).76-81.

Paul, S.(2014).The Design Of A Disabled Friendly Dental Chair , Ireland.

Department Of Mechanical & Industrial Engineering,(Unpublished Master’s Thesis) Galway-Mayo Institute Of Technology, London.

Rights Of Persons With Disabilities Bill.(2016),Government Of India Ministry Of Social Justice & Empowerment.retrieved from:

Rohit,B, Prerna,B, Rima,C. (2015).Epidemiology and genetic aspects of multiple sclerosis in India .Annals of Indian academy of neurology, 18(5).1-6.

Roshan, B.C, Malay, B.M, Snehal , M, Kanjaksha G.(2015).Sickle cell disease in tribal populations in India. Indian Journal of Medical Research,141(5).509-515.

Rawlani ,S.M, Rawlani ,S, Degwekar , S, Bhowte ,R.R, Motwani,M. (2011).Oral health status and alveolar bone loss in treated leprosy patients of Central India. Indian journal of leprosy, 83,215-224.

Sandeep,V, Manikya,M, Vinay,C, Chandrasekhar,R, Jyostna,P.(2016).Oral health status and treatment needs of hearing impaired children attending a special school in Bhimavaram, India.Indian journal of dental research ,27(1),76.

Shubha ,P. (2011) .Hemophilia care in India: a review and experience. Indian journal hematology and blood transfusion, 27(3) 121-126.

Ujwala,R.N, Swapnil,J.K, Arun, S.D, Rohan, D.N.(2017).Oral health issues and challenges in parkinson’s disease. International Journal Of Nutrition, Pharmacology, Neurological Diseases,7(3), 54-59.

Vignehsa, H, Soh,G, Lo, G.L, Chellappah, N.K. (1991). Dental health of disabled children in Singapore. Australian Dental Journal,36(2),151–156.

Vyoma , G.V, Nagashree,S.R, Rekha,R.(2017) .Barrier‑free dental health care: a situation analysis of the dental care settings and providers’ attitudes in private dental clinics for the movement‑disabled in Bengaluru City. Journal of Indian association of public health, 15(2),169.




How to Cite

Lakshmi, K., Madan Kumar, P. D., & Das, D. (2018). Design considerations for a dental health care for patients with special needs. Journal of Accessibility and Design for All, 8(1), 80–101.