Center of Excellence Provides Dental Care for People with Disabilities in the Tri-State Area

Entrance to NYU Dentistry Oral Health Center for People with Disabilities
© NYU Photo Bureau: Roemer

Individuals with physical, cognitive, and developmental disabilities now have a dedicated treatment center in New York City for dental care: NYU College of Dentistry’s Oral Health Center for People with Disabilities.

The 8,000-square-foot center, located in the NYU College of Dentistry’s Weissman Building at 1st Avenue and 24th Street, provides much-needed comprehensive care for patients whose disabilities or medical conditions prevent them from receiving care in a conventional dental setting. 

“The NYU Dentistry Oral Health Center for People with Disabilities addresses a major public health challenge by providing comprehensive, compassionate dental care for people with a full range of disabilities who experience significant barriers to accessing care,” said Charles N. Bertolami, DDS, DMedSc, the Herman Robert Fox Dean of the NYU College of Dentistry. “Equally important, care at the center is ongoing. By providing dental care across each patient’s lifespan, the center aims to break the vicious cycle of neglect and repeated hospitalization.”

Entrance to NYU Dentistry Oral Health Center for People with Disabilities

© NYU Photo Bureau: Roemer

The need
In New York City alone, an estimated 950,000 people—in a city of 8.5 million—have some form of disability, including 99,000 who use wheelchairs. Research shows that people with disabilities have worse oral health than the general population and are less likely to have access to dental care services.

People with disabilities face many barriers to receiving dental care, including physically accessing dentists’ offices, which may not be able to accommodate wheelchairs or other assistive devices. In addition, some dentists lack confidence in their ability to meet the needs of people with disabilities, so may not be prepared or willing to welcome disabled patients.

As a result, patients with disabilities are often referred to hospitals for dental care because of the need for sedation and may wait as long as six months to get an appointment to be seen in an operating room. These visits are often one-off emergencies without follow-up or continuous preventive care, which can trigger a cycle of recurring dental problems.

“Numerous studies have shown generally poor access to vital health services for both children and adults with disabilities,” said Marco Damiani, chief executive officer of AHRC New York City, one of the largest nonprofits supporting people with disabilities in New York State. “The NYU Dentistry Oral Health Center for People with Disabilities will promote greatly improved access, but it exceeds basic expectations by enabling access to a welcoming state-of-the art facility, dental treatment services from highly experienced and engaged faculty, and a service vision that underscores dignity, respect, and coordination of care.”

The center features nine spacious patient treatment rooms, including one with a reclining wheelchair platform that allows patients to be treated in their wheelchair instead of being transferred to a dental chair.

NYU Dentistry’s Oral Health Center for People with Disabilities features nine spacious patient treatment rooms, including one with a reclining wheelchair platform that allows patients to be treated in their wheelchair instead of being transferred to a dental chair. © NYU Photo Bureau: Roemer

Designed for patients with disabilities
The new Oral Health Center for People with Disabilities was designed to meet the unique and diverse needs of people with a range of disabilities. The center was completed through a $12 million renovation by Henningson, Durham & Richardson Architecture and Engineering, P.C. (HDR).

The center features nine spacious patient treatment rooms. In addition, there are two fully equipped sedation suites to provide both inhaled and intravenous sedation administered under the supervision of anesthesiologists.

“Our on-site sedation options eliminate the need for most patients to be referred to hospitals,” said Ronald Kosinski, DMD, clinical director of the Oral Health Center for People with Disabilities and clinical associate professor at NYU College of Dentistry. “In cases where general anesthesia is required, patients can be treated by specially trained NYU Dentistry faculty at one of our hospital affiliates—NYU Langone Health or Bellevue Hospital Center—but remain patients of record at the NYU College of Dentistry.”

The center has two fully equipped sedation suites to provide both inhaled and intravenous sedation, eliminating the need for most patients to be referred to hospitals.

The center has two fully equipped sedation suites to provide both inhaled and intravenous sedation administered under the supervision of anesthesiologists, eliminating the need for most patients to be referred to hospitals. © NYU Photo Bureau: Roemer

A multisensory room, located off of the waiting area, will soon offer patients an immersive environment to reduce their anxiety, help them relax, and engage their senses. The room is being developed in partnership with the NYU Ability Project, an interdisciplinary team of health specialists, engineers, and artists working at the intersection of disability and technology.

Led by Kosinski—a pediatric dentist and specialist in dental anesthesia—the center is staffed by multidisciplinary faculty, a nurse practitioner, a nurse, a social worker, three patient-service representatives, a clinic manager, and a patient care coordinator. Patients are cared for by faculty at NYU College of Dentistry with particular interest and expertise in treating people with disabilities. Senior dental students provide basic dental care not requiring sedation.

In planning for the facility, NYU College of Dentistry collaborated with a number of healthcare and advocacy groups that provide general healthcare and support for people with disabilities, including Cerebral Associations of New York State, Metro Community Health Centers, Family Health Centers at NYU Langone, NYS Office for People with Developmental Disabilities, NYU Langone Health, and the Viscardi Center. In addition, focus groups of people with disabilities were conducted in cooperation with the NYU Ability Project, a collaboration of the Tandon School of Engineering; the Steinhardt School of Culture, Education, and Human Development; and the Tisch School of the Arts.

Training the next generation of dentists specializing in treating people with disabilities
The center builds upon NYU’s long history of educating dental students to care for patients with special needs. NYU College of Dentistry was one of 11 schools funded by the Robert Wood Johnson Foundation in the 1970s to train dental students in caring for people with disabilities.

Since 1971, NYU College of Dentistry has run a successful Special Patient Care Program, an honors program for a small group of exceptional dental students to gain experience working with people with disabilities. Over time, the new center will expand these educational opportunities to all NYU dental students and residents, thereby expanding patient-care delivery.

“The Oral Health Center for People with Disabilities not only offers much-needed clinical services to patients, but also a unique training opportunity for our students. Our goal is to create the next generation of dentists who will practice with competence, confidence, and compassion in providing quality dental care for people with disabilities,” said Bertolami.

About NYU College of Dentistry
Founded in 1865, New York University College of Dentistry (NYU Dentistry) is the third oldest and the largest dental school in the US, educating nearly 10 percent of the nation’s dentists. NYU Dentistry has a significant global reach with a highly diverse student body. Visit http://dental.nyu.edu for more.

At a Glance: NYU Dentistry Oral Health Center for People with Disabilities

Address: 345 E. 24th Street at First Avenue

Phone number: 212-998-9988

Web site: https://dental.nyu.edu/patientcare/ohcpd.html

Space: 8,000 square feet, including nine operatories and two sedation suites

Renovation cost: $12 million renovation

Architect: HDR

Timeline: Demolition began April 2018; construction began August 2018; opens February 2019

Payments accepted: Government-sponsored coverage: traditional Medicaid, Medicaid Managed Care, Child Health Plus plans, and also many MLTC, FIDA, PACE, Medicare Advantage, Exchange, HARP, and other plans listed through the following managed care companies: Benecare, Dentaquest, Healthplex, Liberty Dental, Scion, and United Healthcare. Private insurance: Cigna, MetLife PPO plans, Guardian PPO plans. Third-party financing: cash, checks (with proper identification), money orders, Visa, Amex, MasterCard, Discover, and many Flexible Spending Account (FSA) cards.

Number of patients to be treated: Currently, NYU Dentistry provides approximately 3,000 patient visits annually for people with disabilities. Our goal for the new center’s first year of operation is to provide 8,000 visits; in the second year that number is expected to rise to more than 10,000 patient visits.