Special Needs Pediatric Dentistry in Delaware

Calm, expert dental care for children with autism, sensory processing differences, anxiety, and complex medical histories — from a board certified pediatric dentist specifically trained for the children who need more.

If you've been told your child is "too difficult" for the dentist, you're in the right place.

Dr. Morgan Morrow completed her pediatric dental residency at the University of Pennsylvania and Children's Hospital of Philadelphia, where she spent significant clinical time with children who have autism spectrum disorder, sensory processing differences, anxiety, and complex medical histories. Her residency research focused on dental treatment for children on the autism spectrum.

At First Smile, special needs dentistry isn't a side note. It's central to how the practice was built.

Accommodations available at every visit

We don't ask families to fit our office. Our office is built to fit your child.

Pre-visit tour

A relaxed visit with no exam, no instruments — just the chance to meet the team and see the space first.

Quiet room option

A treatment room away from the busier hallway when sound, light, or activity is a trigger.

Sensory tools

Weighted blankets, noise-reducing headphones, dimmed lights, sunglasses, and fidget items available at every visit.

Visual schedules

Picture-based step-by-step previews so your child knows exactly what is coming next.

Parent in the chair

Parents are welcome alongside their child for the entire visit — not as a backup, as the plan.

Multiple short visits

When it serves the child, we break treatment into shorter, paced visits before any clinical work begins.

Tell-show-do, every step

Nothing happens that we have not first explained, then shown, then demonstrated. No surprises.

Sedation when appropriate

For complex care needs we discuss nitrous oxide, oral conscious sedation, or hospital-based general anesthesia openly with you.

How a first visit usually works

  1. 1

    A call before the visit

    We invite you to call us first so we can hear about your child specifically: triggers, calming strategies that work, what previous visits have looked like, what you hope this one will be.

  2. 2

    A pre-visit plan

    Together we decide what the first appointment includes. Sometimes the right first visit is just walking through the office. Sometimes it is a full exam. We pace it for your child, not for the schedule.

  3. 3

    The visit itself

    Tell-show-do, every step. Sensory tools available. Parent in the chair. Breaks whenever needed. We watch your child closely and follow their cues.

  4. 4

    After the visit

    We talk through what worked, what we would do differently, and the plan for next time. Treatment, when needed, is built into the rhythm we have established together.

Frequently asked questions

Do you treat children with autism spectrum disorder?
Yes. Dr. Morrow's pediatric residency at the University of Pennsylvania and Children's Hospital of Philadelphia included extensive clinical work with children on the autism spectrum, and her residency research focused specifically on dental treatment for this population. We see autistic children at every visit and welcome new families.
My child has been turned away by another dentist. Will you see us?
Yes. This is one of the reasons First Smile exists. If a previous office could not provide a calm visit, please call us before booking. We will talk through your child's specific needs and build a plan together before the first appointment.
What conditions and needs do you accommodate?
Autism spectrum disorder, sensory processing differences, ADHD, anxiety and dental phobia, Down syndrome, cerebral palsy, congenital heart conditions, seizure disorders, feeding tubes, and complex medical histories. If you are unsure whether we can meet your child's needs, please call.
What about restraint?
We never use physical restraint without informed parent consent, and never as a first option. Behavioral support, sensory accommodations, and sedation options are always discussed first. If protective stabilization is ever clinically indicated, we walk you through it in advance and you decide.
Do you accept Delaware Medicaid (DMAP)?
{{REVIEW: confirm current Medicaid acceptance status and which DMAP plans (DSHP, DSHP+, Highmark Health Options, AmeriHealth Caritas, etc.)}}
How long is a special needs visit?
{{REVIEW: confirm typical visit length for new special needs patients at First Smile (e.g., 60 vs 90 min)}}

Talk to us before you book

For special needs visits we always start with a phone call. Tell us about your child. We will take the time.