Patients with intellectual and developmental disabilities (IDD) face significant barriers to dental care—from finding providers with appropriate training to transportation, cost, communication challenges, and previous negative experiences in health-care settings.

In this episode of Dentistry Unmasked, Drs. Pam Maragliano and Brian Nový talk with Dr. Dimitri Christakis, Chief Health Officer for Special Olympics International, about what dentistry can do differently.

Christakis shares what Special Olympics has learned through its Special Smiles program, which provides oral health screenings and referrals for athletes with IDD. Among Special Olympics athletes, 13% report significant mouth pain, 46% show signs of gum disease, and 44% have untreated tooth decay.

The conversation explores why access remains difficult, including limited provider training and reimbursement models that don't account for the additional time some patients may need. They also discuss relatively simple ways practices can become more welcoming—from asking patients about their anxieties and individual needs to reducing unnecessary sensory stimulation and creating quieter, less intimidating environments.

Plus, Brian reflects on his own experience volunteering with Special Smiles and challenges dentists, dental teams, and pre-dental students to consider getting involved. Special Olympics provides training for volunteers, so clinicians don't need to arrive already experienced in caring for patients with IDD.

In this episode:

• Why patients with IDD continue to face major oral health disparities
• The provider and patient barriers that can make dental care difficult to access
• What Special Olympics' Special Smiles screenings accomplish
• How preventive care and earlier referrals can reduce downstream health costs
• Practical ways to make a dental practice more inclusive and less intimidating
• How dentists and dental professionals can gain experience caring for patients with IDD
• Why inclusive practice changes may benefit anxious and fearful patients as well

Are insurance plans still bringing value to your practice, or are they quietly costing you money? This week on Dentistry Unmasked, Brian and Pam sit down with Dennis Marvel to discuss why more dentists are reevaluating their participation in PPO insurance plans. As reimbursements fail to keep pace with rising overhead and the cost of delivering quality care, what may have once been an effective patient acquisition strategy can eventually become a financial burden. But dropping insurance isn’t automatically the right answer. Dennis explains how to determine when leaving a plan makes financial sense, when it could be a costly mistake, and what practices should evaluate before making the decision. He also shares strategies for transitioning out of insurance plans thoughtfully, without creating panic among patients or watching your schedule disappear. If you’ve ever wondered whether your insurance contracts are helping or hurting your practice, this episode will give you plenty to think about before you make your next move.

This week on Dentistry Unmasked, Brian and Pam sit down with Dr. Rick Huot to talk about something every dentist needs, but too many put off: financial planning with a purpose. Whether you’re a new graduate navigating debt, a mid-career dentist building wealth, a practice owner planning your next move, or thinking seriously about retirement, your financial goals should evolve along with your career. Dr. Huot breaks down how to set realistic goals, make smarter financial decisions, and create a plan that keeps you moving toward the life you actually want. No matter where you are in your career, it’s never too early or too late to get intentional about your financial future.