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5 Sedation Options for Wisdom Tooth Removal

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Wisdom teeth are troublemakers for many people, as they can become painfully jammed between bone and the other teeth.

wisdom teeth x-ray

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.

I have been a patient at the Dental Anesthesia Center for about 20 years! Dr. Hoffman and his team are the premier dental group in the St. Louis area. I believe they are the only location for Dental Anesthesia if you need that service. They are experts in the dental field and I cannot fathom ever going anywhere else. Great team, kind, caring, patient, and looking out for you and your dental needs!
Response from the owner:Thank you for your kind words and continued trust over the years! We’re truly grateful for your support and are honored to have such a caring team dedicated to providing compassionate, high-quality care.
I have been going here for 30 years and the extra care they take is outstanding.
Response from the owner:Thank you for your kind words and longtime support! We truly appreciate you taking the time to share your feedback and are grateful for the trust placed in our team over the years.
DAC is personable and professional. Highly recommended.
Response from the owner:Thank you for the 5-star review and recommendation! We truly appreciate your kind words and support!
It was thorough professional and informative. I was satisfied with consultation and look forward to having my dental needs addressed
Response from the owner:Thank you for your 5-star review! We appreciate your kind words and are grateful you took the time to share your feedback. Thank you for your support!
Everything went great today for her surgery but I do have some feedback about other things. My daughter was scheduled to be put to sleep to undergo a root canal. They ended up needing more anthesia which I was willing to pay for. Surgery was supposed to be an hour (I was told this before they started), and it ended up being 2 hours because of some minor complications. Noone came to the lobby to inform us. When it was over, I asked to see her. They said I had to pay first. I just paid almost 5k and they were more worried about an additional $300 before allowing me to see my daughter? This didn't sit right. I didn't say anything. I paid the bill and went to see my daughter. Dr. Hoffman is the nicest man I have ever met! He was outstanding. Also, in the weeks before her surgery, the office appeared to not communicate. I would receive a call saying one thing then someone else would say another. They were never on the same page. Last week, they needed to speak with me to confirm a few things. They called me at 8:16am then again at 1:06pm. Leaving me a voicemail that if they do not hear from me they were going to cancel her surgery. Wow! I work. I work 8am-5pm. I do not have access to my phone during those hours. They did leave a voicemail and I would have called the next day but they did not give me a chance before sending me an email threatening to cancel. Also, they had called me several weeks before to inform me I had no insurance. I called my insurance company and they said I did. Not sure what happened but it resulted in unnecessary phone calls during my only free 20 minutes at work. If your appointment is at 10am, do not plan on seeing anyone for awhile. All our appointments ran an hour behind. I think Dr. Hoffman is wonderful but the office staff needs some help. Not friendly at all. Noone even smiled! The nurses in the room with my daughter were great too.
Response from the owner:Thank you for your feedback and kind words about Dr. Hoffmann and our clinical team. We appreciate you taking the time to share your experience. Your feedback is valuable to us as we continually strive to provide the best possible care and experience for every family.

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

Updated: October 6, 2026

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