St. Louis Sedation, Sleep & Special Needs Dentistry :: The Dental Anesthesia Center

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Dental Anesthesiology Becomes the 10th Dental Specialty Recognized by ADA

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On March 11, 2019, the National Commission determined that the American Society of Dentist Anesthesiologists meets the “Requirements for Recognition of Dental Specialties.”

In September 2018, the American Society of Dentist Anesthesiologists submitted an application to the National Commission. In February 2019, the review committee considered all of the information to see if dental anesthesiology met all the requirements for specialty recognition. Finally, at it’s meeting on March 11, the National Commission granted official recognition to dental anesthesiology as a dental specialty.

What is a Dental Specialty

According to the ADA, a dental specialty is a particular “area of dentistry that has been formally recognized by the National Commission on Recognition of Dental Specialties and Certifying Boards as meeting the specified Requirements for Recognition of Dental Specialties and National Certifying Boards for Dental Specialties.”

In order to qualify for specialty recognition, a sponsoring organization has to meet the 6 requirements specified by the “Requirements for Recognition of Dental Specialties.” They have to be able to prove that they are a distinct and well-defined field that requires unique knowledge and skills beyond the common ones that dental school graduates possess. In addition, they have to prove that their field requires advanced knowledge and skills and that it scientifically contributes new research and knowledge in both the profession and field.

What are the Other 9 Dental Specialties?

Dental anesthesiology joins the following 9 dental specialties:

  • Dental Public Health
  • Endodontics
  • Oral and Maxillofacial Surgery
  • Oral Medicine and Pathology
  • Oral & Maxillofacial Radiology
  • Orthodontics and Dentofacial Orthopedics
  • Pediatric Dentistry
  • Periodontics
  • Prosthodontics

These dental specialties are recognized to protect the public, nurture the art of science in dentistry, and improve the quality of care.

The Dental Anesthesia Center

We are a state-of-the-art dental facility for patients who require general anesthesia, deep sedation, or oral sedation for their dental care. Young children unable to cooperate and individuals with mental or physical disabilities can benefit from these services.

Dr. Hoffmann and Dr. Thoms completed residencies in hospital dentistry and dental anesthesiology. Both are currently the only two Dental Anesthesiologist board certified in Deep Sedation in the state of Missouri.

Call us today to schedule your appointment at (314) 862-7844. We look forward to meeting you!

“Dr. Hoffmann and the Entire Team Are ALWAYS So Kind, Gentle, Caring and Understanding”

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Each of our patients come to us with their own unique dental story. We listen. It enables us the ability to provide everything it takes for each of them to have a “wow” experience. Our reward is the gratitude expressed by our patients. Today Cooper’s mom shared his unique “story”.

Meet our “gentle giant” Cooper. He was diagnosed with autism at 22 months of age and is now about to turn 21 years old. No matter what age he is, he will always be our “forever baby!”

Dr. Hoffmann and his team of professionals have helped us care for our Cooper for many years now. When having regular dental visits with our pediatric dentist became too difficult for Cooper to manage, she (Dr. Dunagan) referred us to Dr. Hoffmann for general anesthesia. Our neurologist (Dr. Mantovani) even refers patients to Dr. Hoffmann because of his reputation for excellent care for special needs family members.

I want to say that over the years not only has Dr. Hoffmann taken care of Cooper’s dental needs, wisdom teeth extractions, but so much more. We need blood draws and lab work taken regularly to help Coop’s team of doctors (neurologist, psychiatrist, pediatrician) maintain appropriate levels of medication (behavior meds, seizure meds, etc.) and Dr. Hoffmann does this while Cooper is under anesthesia! We seriously don’t know how we would accomplish this without him…look at the pictures…Coop’s strong and big and would not sit still for labs!

Dr. Hoffmann and the entire team are ALWAYS so kind, gentle, caring and understanding of individuals with special needs AND extremely reassuring to the family members who are always a little stressed from the situation. He is willing to help you through anything, trimming fingernails, taking off bandaids, removing skin tags! Those “crazy” things that parents think “how in the world can we do this” but just by communicating with Dr. Hoffmann, he can maybe do “that too” while your special person is under anesthesia!

Again, Cooper will be “our forever baby”, as well as a ”forever patient” of Dr. Hoffmann’s and The Dental Anesthesia Center.

Sincerely,

Anna Hyland (Mom)

5 Dental Emergencies and How to Manage Them

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Dealing with a dental emergency may be unpleasant, but it is the best way to minimize the pain you are going through and address the problem.

Tooth pain or discomfort should generally prompt you to make an appointment with your dentist. Ignoring dental problems can lead to a variety of problems, from prolonged pain and difficulties eating to heart disease. When it comes to dental trauma or infection, these emergencies don’t allow any postponing.

st. louis with a severe toothache

If you are not sure whether your pain qualifies as a dental emergency and you want to know what you can do about it, here is a list of the most common dental emergencies.

Toothaches

Whether it signals a cavity, tooth decay, gum disease or some other problem, the dreaded toothache may be a sign of trouble. It can be a very debilitating pain which radiates and pulsates. When you experience such pain, you need to see your dentist for a diagnose. However, until you get to the dentist’s office, you may consider taking an over the counter anti-inflammatory, as reducing the swelling will help ease the pain. If you are postponing your visit because you are afraid of the procedure, our St. Louis sedation dentist can make the entire process comfortable for you.

Broken or Chipped Tooth

If you get a crack in a tooth or you chip off a piece of it, chances are it is not really an emergency. The dentist can schedule you right away for a consultation, just to see what steps he will need to take next time. If you are in pain, though, he will likely act right away.

Depending on the depth of the crack or the size of the chipped piece, you can experience discomfort at tooth level, especially if the dentin is exposed. You can also hurt your tongue or cheeks in sharp edges, so try to chew on the other side to protect them as much as you can.

Swollen Face

If other conditions are more or less urgent and could wait a day or two if you’re not in great pain, a swollen face likely requires a trip to the emergency room ASAP. It is a symptom that you need to address as soon as possible, as it may indicate an infection. It could be a tooth, your gums or even your bone, and it can spread to your throat or ear.

Abscess

A tooth or gum abscess is usually annoying and painful enough to send you to the dentist the next day. Sensitivity to hot and cold food and beverages, pain on contact, starting to swell are all signs that you might need a root canal.

Bleeding from the Mouth

Any type of bleeding from your mouth is not normal, so schedule an appointment with your dentist as soon as you can. In certain cases, it can indicate a chronic gum disease that needs to be addressed before your gums start receding and you lose your teeth. If your bleeding is caused by a dental procedure or an injury and it won’t stop, speak with your dentist ASAP.

Dealing with a dental emergency may be unpleasant, but it is the best way to minimize the pain you are going through and avoid improvised treatments that don’t really address the problem. Leave it to the professionals to take the best course of action and remember it’s always better to be safe than sorry. Give The Dental Anesthesia Center a call today at (314) 862-7844.

How to Make Brushing Your Toddler’s Teeth Fun

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Your child’s oral health is extremely important for their overall well-being, and getting them to like brushing their teeth is a big accomplishment!

Convincing your toddler to sit still and keep his mouth open while you thoroughly brush his teeth twice a day may seem close to an impossible mission.

mother helping daughter brush her teeth

No matter how restless your toddler gets when it comes to oral hygiene, it shouldn’t be compromised, even if baby teeth are only there for a few years. Children need good oral hygeine habits for many solid reasons:

  • Baby teeth will help the permanent ones align properly;
  • Taking care of their teeth at an early age will teach them good oral hygiene habits;
  • Brushing their teeth regularly prevents a long list of oral diseases.

You may already know the theory too well, but no guide is telling you how to tackle this mission day after day. We have a few tips that our St. Louis pediatrician dentist recommends for making brushing your toddler’s teeth fun. You may have to test and see which one works best for your little one, but their pearly whites will definitely thank you for it later.

The Power of Example

You already know how good your toddler is at imitating your actions and behavior. Use this natural imitating mechanism to teach them how to brush their teeth and get them used to it daily. Have your toddler with you in the bathroom when you brush your teeth. You can put them in their high chair, have them on the sink or countertop or place them comfortably on your lap, it’s up to you. Make sure you make brushing look exciting and fun.

Let Them Make Decisions About It

Toddlers love to try doing things themselves, even if it’s sometimes painstakingly slow or clumsy. You should be proud and encourage their initiatives, especially when it comes to good habits. They learn best by experimenting on their own. Let them pick their toothbrush, water cup and toothpaste (from a variety of child-friendly ones, of course) and let them practice brushing before you clean them yourself.

Use Their Favorite Toys

Does their favorite teddy bear or toy dinosaur join you when you’re brushing your teeth? They should, because everybody needs to clean their teeth. Consider letting your toddler “brush” their toys’ teeth and praise them for a job well done. If you have pets, cleaning their teeth is a great way of involving your child in the process and get them to like it more.

Find Books and Songs About It

Learning with the help of children’s books is a great option we have nowadays, as there is a book for just about any type of situation parents may find themselves into. Find a fun book with appealing images about brushing your teeth and read it regularly with your toddler. If you enjoy music together, you can sing a fitting song at cleaning time.

Making brushing your teeth fun might not work at first, as toddlers can be extremely fussy about being held or forced to do something, but it is worth insisting and changing the strategy if the present one doesn’t work. Your child’s oral health is extremely important for their overall well-being, and getting them to like brushing their teeth is a big accomplishment! Don’t give up!

How Long Will the Effects of Novocaine Last?

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Novocaine is a local anesthetic that is generally used in dental treatments or small surgeries.

It is ideal for this type of procedures because it has a short-lived effect and can be concentrated in small areas. It’s effect will typically last between 30 and 90 minutes, depending on how the practitioner uses it.

dentist performing procedure

If you are about to have a procedure with Novocaine here is what to expect.

What is Novocaine?

Novocaine is a brand of the local anesthetic procaine, usually used for uncomplicated procedures. It numbs a small localized area, allowing the doctor to perform surgery.

The types of procedures that require the use of Novocaine vary from dental care to small surgery, such as dermatology, ophthalmology, etc. Your doctor will most probably administer this anesthetic when treating a cavity, removing a wart or collecting tissue for biopsy.

A Short History of Novocaine

Novocaine has revolutionized the medical world at the beginning of the 20th century, becoming the first synthetic local anesthetic to be used in the United States. It has allowed doctors to perfect their procedures and increase the quality of treatment received by the patients.

Novocaine replaced cocaine as the local anesthetic, and it had fewer side effects than the drug. In the last decade, with new synthetic anesthesia being introduced, Novocaine lost its popularity, but plenty of dentists and doctors continue to use it.

How Long Do the Effects of Novocaine Last?

If you are worried that Novocaine will not numb you throughout your procedure, it is important to note that while it might be the shortest acting local anesthetic nowadays, your dentist can make it to last longer by administering it together with epinephrine (adrenaline).

The dentist will increase the dosage if needed, or switch to a different drug in case Novocaine is no longer helping.

Novocaine by itself will typically last about 30 minutes while paired with epinephrine it can last up to 90 minutes. Its effects begin 9-10 minutes after being administered through an injection in the tissue.

What Factors Could Influence How Long Novocaine Lasts?

The main factor that dictates how long the drug’s effect will last is the dosage. Your sedation dentist will calculate it for the size of the area that needs to be numbed, how many nerves are present in that area and whether they will use epinephrine or not.

If the Novocaine injection doesn’t seem to work, the dosage will be increased, or the injection will be made in a different area. The doctor might also choose to use something else.

The bottom line is this: Novocaine is a widely used local anesthetic because it is generally stable and safe for patients. Its prolonged effects, when paired with epinephrine, allow it to be used for a broad range of treatments while having minimal side effects.

If you have additional question, don’t hesitate to give us a call at (314) 862-7844.

5 Dental Procedures That Generally Require Sedation

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Here are some of the most common dental procedures that may require dental sedation.

To this day, despite all the medical technology designed to make treatments less invasive, fear of the dentist remains among many people. Whether it’s a traumatic experience from childhood or an unrealistic and exaggerated portrayal of dentists in our culture, many people are fearful about going to the dentist.

sedated patient

As irrational as it may be at times, fear of the dentist can have many consequences on your oral health. Not going for your regular checkups might cause simple problems, such as plaque to take a turn for the worst, which may require complex and extensive procedures. It’s a vicious circle: you avoid seeing the dentist because you are afraid, but this exacerbated fear might be the thing that could affect your oral health and require multiple visits.

Sedating patients before procedures that involve pain or strange sensations could be a solution.

How Does Sedation Work?

Your St. Louis sedation dentist will use a drug or mix of drugs that allow you to remain conscious during the procedures but keeps you relaxed and calm so that you won’t get overwhelmed by stress and fear and interrupt the treatment. That allows the dental practitioner to treat you properly, even when it requires invasive procedures that take a lot of time to perform.

Make sure to talk with your sedation dentist and decide which anesthetic is best suited for your treatment and medical history.

Procedures That Generally Require Sedation

While sedation dentistry can make any fearful patient’s visit to the dentist better, it is generally recommended for invasive treatments. Procedures that take a long time and require the patient to be still are significantly shortened with the help of an anesthetic.

Here are some of the most common dental procedures that may require dental sedation.

Wisdom Tooth Removal

Because they erupt later in life and are often pushed in strange positions by the other teeth, wisdom teeth often need to be extracted. The removal can be quite difficult, especially when dealing with a “hidden” wisdom tooth, so the dentist might suggest sedation for a less traumatic treatment session.

Dental Implants

Losing your teeth can be a hard thing to cope with, whether it happens over a long time or is caused by an injury. Sedation can help a lot during the dental implant procedure, making it seem shorter and relaxing than it is.

Jaw Surgery

While it is definitely not a routine procedure, jaw surgery might be needed in some instances to treat various conditions, such as sleep apnea or a congenital jaw misalignment. Because it takes a long time to perform, it’s best to be done with sedation.

Bone Grafting

If your dentures don’t fit well enough, it will feel very uncomfortable or painful. Often, bone grafting is needed to align the dentures, and sedation greatly improves the comfort of the patient.

Emergency Dental Treatment

You are most likely still under shock or in a great amount of pain when receiving emergency dental treatment. Sedating will help you remain calm and still during the treatment.

As you can see, there are quite a few situations that may require sedation. It will help the dentist do his work uninterrupted, while the patient feels so relaxed that he often falls asleep during the treatment. Give us a call today at (314) 862-7844 and see if sedation dentistry is right for you!