Various oral sedatives have established efficacy and safety for managing fear and dental anxiety.
Anxiety and fear of going to the dentist persist despite the advancements in modern dentistry. Fortunately, oral sedatives in sedation dentistry have established efficacy and safety for managing dental anxiety. Oral sedatives can keep the patient awake while still having the desired calming effect.
I have NEVER had a positive experience with dentist…until now!! I was mind blown how kind the staff was, not just to me but to everyone! I have debilitating anxiety when it comes to dentists because of bad previous experiences, so I was very nervous. But, all the staff, including Dr. Thom, were very gentle, kind, and understanding. They took time to listen to all my concerns and address them, helping to put me at ease. I was also amazed how professional the whole office ran and how completely reliable they were. They easily guided me through the process and everything went so smoothly, including my sedation. I have never been treated so kindly by any dental office before, I was struggling to believe I wasn’t in some kind of dream. But. They really were that nice.
My recovery from sedation and all
The dental work they did to save my tooth was amazing, not a single issue! Dr. Thom even called personally to check on me a day later.
Coming back to put my permanent crown in was the same experience. They were all so kind,
Good about explaining everything they were doing and make the experience light and dare I say…fun.
I would drive 2.5 hours again in a heartbeat to do my work here. Best dental experience I’ve ever
had hands down!!!!!!! Thank you Dr. Thom for giving my life and tooth back. I’m so excited to not be in so much excruciating pain anymore!
Response from the owner:We can’t thank you enough for your kind and heartfelt words. Our entire team is dedicated to creating a gentle, supportive, and positive experience for every patient, so it means the world to hear your visit felt that way. We’re so glad you felt cared for and comfortable throughout the process, and we truly appreciate you making the trip to see us. Thank you for trusting us—it’s an honor to care for patients like you!
Dr. Hoffmann and his team takes great care of my special needs daughter. We have been coming here for over 20 years. The staff is so kind and patient with her and explains everything to help her stay calm.
Response from the owner:Thank you so much for sharing your kind words and for trusting our team for so many years. We’re honored to care for your family and appreciate the opportunity to make each visit a positive experience.
I have had the best experience with Dr Behl and her staff! I have awful dental anxiety from some past experiences and they are so kind and supportive. Rebecca is incredible to work with. I highly recommend them to everyone I know!!
Response from the owner:Thank you so much for sharing your kind words! We’re happy to know you felt supported and comfortable during your visit. Our team strives to create a welcoming environment for everyone, and we truly appreciate your recommendation.
We always receive excellent care at the Dental Anesthesia Center.
Response from the owner:Thank you for your kind words! We truly appreciate your trust in our team and are grateful for the opportunity to provide care.
Our adult daughter has cerebral palsy and requires being fully sedated when having anything done. The DAC was such a positive experience. Dr Hoffmann and his staff were kind and did great explaining things. As a mom, I had a lot of questions about how certain things would be done as usually she’s in her chair when getting examined at her local dentist and they had everything under control including transferring from her chair to the dentist chair and keeping her secured in the dentist chair as well as keeping her neck and legs comfortable. Many thanks to them!
Response from the owner:Thank you so much for your kind words. We’re grateful for your trust and happy to hear that you had such a positive experience with our team. Our goal is always to provide compassionate, attentive care in a safe and comfortable environment. We truly appreciate you taking the time to share your experience.

There are many types of sedation used in sedation dentistry, ranging from mild sedation administered through a breathing mask to general anesthesia administered intravenously. There is a range of oral sedatives between these two options that can keep the patient awake while still having the desired calming effect.
If you are not sure what substances are used during sedation dentistry, here is a list of the most common oral drugs that a sedation dentist may prescribe for your dental treatment.
Midazolam (Versed)
Midazolam is the most commonly used drug in oral sedation dentistry, and it is generally considered very safe, inducing only a mild form of sedation. One precaution usually required when administering midazolam is to reschedule patients with respiratory infections for the day of the intervention, as this drug has a greater impact on the respiratory tract than on the circulatory system.
Diazepam (Valium)
One of the drugs almost everyone has heard about is diazepam (Valium). It is used in various medical interventions, including as an oral sedative for dental surgery. The time it takes for diazepam to remain in a 50% concentration in the patient’s system is longer than with other drugs, making it the preferred choice for extended, complex dental operations.
Triazolam (Halcion)
For patients who have a hard time going to the dentist because of their associated anxiety, triazolam is often the doctor’s choice. Primarily a drug that fights insomnia, it has an effect on the patient’s anxiety level and helps them go through the procedure without remembering it afterward, which allows them to be unaffected by their dental anxiety and come back next time.
Lorazepam (Ativan)
Another benzodiazepine with amnesic properties, like diazepam, lorazepam is very useful in patients with anxiety, allowing them to go through their dental treatment without the effects of their anxiety.
Hydroxyzine (Vistaril)
Hydroxyzine is an antihistamine that also acts on the patient’s anxiety levels. It is used short-term to treat anxiety or help a patient feel sleepy or relaxed before a dental procedure.
As you can see, there are many drug options if your St. Louis sedation dentist recommends oral sedation for your dental procedure. Which drug will be chosen depends on how long it takes for the medicine to get out of your system, your allergies and sensitivities, and what is needed from the sedation itself.
St. Louis Sedation Dentistry
For over 30 years, the Dental Anesthesia Center has combined sleep dentistry and cutting-edge technology to help patients overcome the fear and health issues that have prevented them from seeking dental care. We work hard to make you feel at ease by providing exceptional patient care in a relaxed, convenient atmosphere.
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The first two board-certified Dentist Anesthesiologists in the state of Missouri.