Oral health is an important aspect of general health, especially for vulnerable groups. It is important to provide appropriate oral care in order to promote quality of life and well-being for everyone. Children with special health care needs (CSHCN) are often overlooked and face significant barriers in achieving optimal oral health despite a substantial global population with disabilities. This review analyses recent findings on the oral health status of these children, highlights systemic challenges, and discusses global strategies aimed at improving care delivery establishing integrated and equitable special needs dentistry care systems. The knowledge gap underlines the necessity for review aimed at collating data on oral health status of these children which might provide data required to develop future preventive and intervention efforts focused on reducing oral health disparities. Coordinated efforts by dental professionals are needed to provide dental health education and preventive intervention for these children.