Children with special needs present unique challenges for oral health professionals in the planning and execution of dental treatment. The oral health of children with special health care needs is influenced by various socio-demographic factors, including their living conditions and severity of the impairment. Balancing the requirements of a special needs child can be very challenging for parents. Pressing medical issues often take focus and dental care can take a back seat. We speak to Dr Cathy Makobe Chiloane to unpack the matter.