“…Surprisingly, neither payer status nor medical/behavioral accommodation status significantly affected the outcome of having a visit with a new dentist in this study, despite perceived barriers among our survey respondents and other studies of not being able to find a dentist who understands the individual's SHCN and accepts their insurance. 11,29,30 Minimal standards for dental education in SHCN have been cited as a barrier to transitioning to adult care for patients with SHCN 13,31,32 Studies have found that dentists who reported having hands-on and didactic experiences during dental school were more likely to treat children with SHCN and that dentists who reported more opportunities to treat patients with complex needs in dental school treat significantly more of these patient populations in their practices, including patients who are medically compromised, frail elders, and those with developmental disabilities. 33,34 However, there was no difference in willingness between those with or without postgraduate training in a General Practice Residency (GPR) or Advanced Education in General Dentistry (AEGD), suggesting that advanced education alone may not solve this complex access problem.…”