Wisdom teeth are troublemakers for many people, as they can become painfully jammed between bone and the other teeth.
What’s the first thing that comes to mind when you think about long and painful dental procedures? You are likely thinking about wisdom tooth removal.
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.
TWENTY YEARS! That is how long our special needs son has been seeing Dr Hoffman and his dedicated team! Our son suffers from an intellectual disability, is non-verbal, and is unable to cooperate for dental cleaning, x-rays, or other routine dental work. He requires general anesthesia. It is such a blessing to avoid a hospital setting just for dental work.
The team is always well staffed, friendly, personable and very professional. Every single year we have been supported by a deeply caring team who are dedicated to patients with a very wide range of disabilities and needs. They have shared useful dental advice and tools (3 sided toothbrushes, blocks to hold open their mouth for daily at-home care, etc.) which improved our son’s daily dental care. We always receive a call back the day after to check his recovery-even on weekends!
Highly recommended and so appreciative to have this team supporting our ever long road of raising a special needs son.
Response from the owner:Wow — thank you for sharing such a heartfelt review! We are so grateful for your trust and for allowing our team to be part of your family’s journey over the years. It means so much to us to know that our care and support have made a difference. We truly appreciate your kind words and recommendation!
We've been coming to Dr.Hoffman for twenty years. There's a reason we keep coming back! He's great. His staff is great. He's double boarded as an MD (Anesthesia) and DDS!!! Our son with special needs needs sedation for even a cleaning. You get what you pay for. He's expensive and... we know he's getting the best care!
Response from the owner:Thank you for trusting our team over the years and for your kind words about Dr. Hoffmann and our staff. We truly value your confidence in the care we provide!
Omg!! This place is Amazing! The people who work here are so very nice and understanding. I love this team
Response from the owner:Thank you so much for your kind words! We truly appreciate your support and are grateful to have such wonderful patients.
Searching for a new dental clinic is challenging for someone who has
dental anxiety, fear, and traumatic experiences in a dental chair. The staff and doctors at the Dental Anesthesia Center were immediately very welcoming. Dr. Thoms put together a very detailed plan to repair and replace the previous work that I had in the past that was now causing problems. Putting my faith in him was the best thing that I could have done for my situation. I am more than completely satisfied with all of the extensive dental work that I’ve had with Dr.Thoms. I had my fourth sleep dentistry experience yesterday and I’m very happy with my results. I highly recommend this practice and truly want to give them more than five stars! Thank you for giving me back my health and confidence.
Response from the owner:We know it isn’t always easy to find a dental office where you feel at ease, so your words mean the world to us. We’re so glad you feel comfortable with our team and truly appreciate your trust and recommendation!

Wisdom teeth are troublemakers for many people, as they can become painfully jammed between bone and the other teeth. They are often crooked and grow in a jaw that has become too small for them.
Removing wisdom teeth isn’t recommended in all cases, but if you do have decay or if they grow in the wrong direction, extraction might be the best option. If you are afraid about the procedure, then dental sedation might ease your anxiety. Talk with our St. Louis sedation dentists about it and see what the best course of treatment is for your case.
What to Expect from Sedation Dentistry?
Sedation dentistry includes all dental procedures that are done after the patient has been administered medication that numbs, calms and relaxes them. There are many types of substances that can be used and the concentration will be set by the anesthesia team in the least invasive way possible. In other words, you will be given the least amount of anesthetic needed for the procedure.
Because wisdom teeth removal is a more complicated extraction than other tooth removals, and because you may have two or even all wisdom teeth removed at once, sedation dentistry is a really good option for this procedure. You can be sedated mildly or even be under general anesthesia. It all depends on what your doctor recommends.
Sedation Options
Depending on how complex your extraction will be, your level of anxiety regarding the procedure and your medical record, your St. Louis sedation dentist can give you one or more options.
Local Anesthetic
If your wisdom teeth aren’t that hidden, you may get away only with some local anesthetic, which is normal anyway when you are getting a tooth extracted.
Conscious Sedation
During this type of sedation, you are conscious and can communicate with the doctor and the sedation team, giving them feedback about how you feel.
Laughing Gas
A slightly “old-school” method is the laughing gas (nitrous oxide), which has a very quick effect and wears off just as rapidly, making you relaxed and even cheerful – hence, the nickname. Ask if it is the only substance used to sedate you to make sure you can drive yourself right after the procedure. If there are others, you may need to be assisted.
IV Sedation
During IV sedation you will still be conscious, but groggy and even close to falling asleep. It will not let you remember much during the appointment, so it is a great solution for lengthy procedures such as multiple wisdom teeth removals.
General Anesthesia
In some cases, general anesthesia is required to perform the procedure safely. You will be administered medication that will get you to sleep. When you wake up, you won’t remember anything about the procedure.
St. Louis Wisdom Teeth Removal Dentist
If you are getting ready to have your wisdom tooth removed, talk about all the options with your doctor and ask them which one would be the best for you and why. Choose the one you are most comfortable with, but take the doctor’s advice into account.
For more information or to schedule an appointment, give us a call today at (314) 862-7844