884). Additionally, special need children with oral health problems tend to more serious health consequences relative to low poverty healthy children. Dentists cite additional barriers in providing care to children with SHCN (Mitchell & Gaskin, 2008, p. 885). These include office limitations to accommodate special-needs children, scheduling complications, children’s behavioral problems, and few dentists with appropriate training. For low poverty families, preventive dental care tends to be a low priority relative to medical care and many low poverty families are not aware of the importance of good oral hygiene health (Mitchell & Gaskin, 2008). The oral diseases associated with the systemic diseases and it spread through metastatic injury, metastatic infection and metastatic inflammation (Li, Kolltveit, Tronstad, & Olsen, 2000, p. 547). Poor oral hygiene leads to many cardiovascular diseases like atherosclerosis, myocardial infarction and infective endocarditis (Li et al., 2000). In pregnancy Oral infections tend to increase the risk for or contribute to low birth weight in newborns (Li et al., 2000, p. 553). Severe periodontal infection often coexists with severe diabetes mellitus (Li et al., 2000, p.
884). Additionally, special need children with oral health problems tend to more serious health consequences relative to low poverty healthy children. Dentists cite additional barriers in providing care to children with SHCN (Mitchell & Gaskin, 2008, p. 885). These include office limitations to accommodate special-needs children, scheduling complications, children’s behavioral problems, and few dentists with appropriate training. For low poverty families, preventive dental care tends to be a low priority relative to medical care and many low poverty families are not aware of the importance of good oral hygiene health (Mitchell & Gaskin, 2008). The oral diseases associated with the systemic diseases and it spread through metastatic injury, metastatic infection and metastatic inflammation (Li, Kolltveit, Tronstad, & Olsen, 2000, p. 547). Poor oral hygiene leads to many cardiovascular diseases like atherosclerosis, myocardial infarction and infective endocarditis (Li et al., 2000). In pregnancy Oral infections tend to increase the risk for or contribute to low birth weight in newborns (Li et al., 2000, p. 553). Severe periodontal infection often coexists with severe diabetes mellitus (Li et al., 2000, p.