特殊需求者與偏鄉居民的口腔健康是全球公共衛生重大挑戰，兩者皆面臨牙醫服務可近性不足與照護品質不均的問題。本文旨在分享臺大醫院特殊需求者口腔醫學科與臺大醫院金山分院牙科採行雙軌服務模式以回應此困境之經驗與成果。臺大醫院作為醫學中心，實踐「無障礙牙醫醫療」，以全方位牙科治療、整合多專科照護等模式，成功為特殊需求者提供安全高效的服務。臺大醫院金山分院則深入新北市偏遠地區，推動「在地化偏鄉醫療」，建立「醫院-社區-居家」三級預防與治療網絡，並實施整合型口腔健康促進計畫。結合醫學中心的高度專業分科與社區醫院的在地深耕策略，為提升臺灣特殊需求者與偏遠居民口腔醫療品質的有效途徑。同時，亦探討在資源有限下之全國推廣挑戰與可行性。

The oral health of patients with special needs and those living in remote areas is a notable global public health challenge; these two patient groups disproportionately face the problem of dental services being insufficiently accessible and of low quality. The present review highlights a dual strategy employed by the Division of Special Needs Dentistry at National Taiwan University Hospital (NTUH) and the Department of Dentistry of NTUH, Jinshan Branch, to address this problem and presents the outcomes achieved.  NTUH is a leading medical center in Taiwan that provides barrierfree dental care through a comprehensive service model involving full-scope dental treatment and integrated multidisciplinary care. This approach ensures safe and efficient treatment for patients with special needs. Additionally, the Jinshan Branch of NTUH provides localized remote area healthcare focused on prevention and treatment through a three-tiered hospital–community–home network. Through this network, the specialized division of a medical center acts synergistically with a community hospital to effectively improve the quality of oral healthcare for patients with special needs and living in rural areas. This review also discusses the challenges and feasibility of implementing the model on a nationwide scale under resource constraints.