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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.

It was thorough professional and informative. I was satisfied with consultation and look forward to having my dental needs addressed
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.
I went to nervous and 3 to 4 hours later, I essentially woke up in the car on my way home without realizing anything had happened. If you have trauma with previous dental issues, this is the place. I have a had severe dental trauma my entire life. Until now, they are all fantastic.
Response from the owner:Thank you for your kind words and for sharing your experience. We’re grateful our team could help provide a comfortable experience and appreciate your trust in us.
Our experience was wonderful. Our Down’s Syndrome son is very apprehensive about his appointments, but Dr. Thoms and all of his staff made our son more compliant. Each member seems vested in their job and are so kind and caring. Thank you for a positive experience.
Response from the owner:Thank you for your kind words! We’re so glad your family had a positive experience. Our team takes great pride in providing compassionate, individualized care, and your feedback means so much to us!
Everyone is always very welcoming and professional.
Response from the owner:Thank you for your kind words! We’re so glad our team makes you feel welcome. We truly appreciate your support!

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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