This article is primarily based on an editorial letter in the Journal of Oral Health and Disability that describes the visits of a patient with Down syndrome named Emily. Oral health care for individuals with Downs syndrome and other people with learning disabilities in the Netherlands is discussed. Due to the syndrome related oral aspects and specificity, the authors argue strongly in favour of working multidisciplinary within oral health care centres. The dependency of persons with Downs syndrome necessitates an appeal to parents, relatives and carers to maintain oral health. Client-centred care is mandatory for an optimal oral health condition of this vulnerable group.