<p>Reliance on sedation, general anesthesia, or protective stabilization (SAS) during routine dental exams can raise care costs, increase the risk of undesirable side effects, and deter caregivers from seeking dental care for people with intellectual and developmental disabilities (IDD). In this study, the experimenters evaluated the effects of an interdisciplinary, telehealth model that aimed to increase the comfort and cooperation of adults with IDD during routine dental exams. Thirty participants and their caregivers completed the study. During baseline, 73% of participants successfully completed a dental exam without SAS despite having a history of receiving SAS during routine dental exams. For the remaining participants, the experimenters remotely coached caregivers to implement up to five increasingly complex behavioral interventions during mock dental exams at home until they successfully cooperated with all exam steps. All but one participant then successfully completed a dental exam conducted by a dentist who received coaching from experimenters. However, these outcomes did not generalize to a community dentist who did not receive coaching. Results have important implications for the use of SAS with patients with IDD and methodologies for disseminating behavior-analytic interventions to patients who are unable to tolerate dental procedures.</p>