Can I Get a Root Canal Under Sedation?

Getting a root canal under sedation is a safe and effective way to eliminate pain, anxiety, and discomfort. Contact us today to schedule.

If the thought of a root canal makes you anxious, you’re not alone. Many patients experience fear or nervousness when faced with this procedure. The good news? Yes, you can absolutely get a root canal under sedation!

Sedation dentistry is an excellent option for patients who experience dental anxiety, have a low pain threshold, or require extensive dental work.

The Cost of Comfort Understanding Sedation Dentistry Pricing
Outstanding customer car for our 15 yrs old Autistic Granddaughter. Rebekah really helped put our minds and ease and helped us plan the next visit when it came to reservations we had on the cost of this treatment, and future ones. This is expensive, but worth it knowing they help special needs kids, teens and adults. Sedation dentistry team handle everything great!
Thank you Dr. Thoms and the team!!
Response from the owner:Thank you for your thoughtful review. We’re so glad our team could provide a supportive and reassuring experience while helping you plan for future care. It means a great deal to know you felt informed and cared for every step of the way. We truly appreciate your kind words and the trust you’ve placed in us.
Dr Thoms specializes in dental anesthesia for patients with Special Needs. My daughter has been a patient of his for many years.
His experience, depth of knowledge and understanding the needs of Special Needs patients is excellent.
He presents clear and detailed information for his procedures and treatment options along with expectations during aftercare.
Follow up instructions include a personal phone call from him as well as additional calls from his office staff. I highly recommend Dr Thoms and definitely give him 5 stars.
Response from the owner:Thank you for your kind words and for taking the time to share your experience. We’re grateful for the trust families place in our team and are committed to providing thoughtful, individualized care with clear communication every step of the way. Your recommendation means a great deal to us!
My hygienist, DeLaina Joost, takes excellent care of my teeth with her advanced skills, gentle touch and great “chair side” manner. She is a consummate professional, and such a compassionate person. I look forward to my visits at DAC!
Response from the owner:Thank you for your kind words! We’re so glad to hear you had a positive experience with our team and appreciate you taking the time to share your feedback.
I want to thank everyone at the Dental Anesthesia Center for taking care of me yesterday—Meaghan helped me get the forms filled out correctly and in on time, Daisy for guiding me in and getting me out safely, Dr. Hoffman for taking care of my teeth and dealing with my really terrible gag reflex, and EVERYONE who helps make this happen. I don't know all of your names, but I do know that it takes all of you working together to make my dental care possible and have good results.

I'm always nervous when I first arrive, even though every procedure has had a good outcome. I've never had any pain or excessive bleeding as a result. The one thing I realized yesterday is that all of you are warm, friendly, positive, you have what is called a good vibe, which helps me a great deal.
Response from the owner:Thank you for your kind words and for taking the time to share your experience. We’re so glad our team could help you feel comfortable and supported throughout your visit. Providing a safe, positive environment is very important to us, and your feedback means a great deal. We truly appreciate your trust in our care!
Dr. Thoms and his entire staff at The Dental Anesthesia Center have been absolutely wonderful!! They're all so kind and knowledgeable. I would give them 10 stars if I could!!!
Response from the owner:Thank you so much for your kind words! We truly appreciate you taking the time to share your experience. It means a lot to hear this feedback.

What Is a Root Canal?

A root canal is a common endodontic procedure to save a severely decayed or infected tooth. The process involves removing infected pulp inside the tooth, cleaning and disinfecting the root canals, and sealing them to prevent further infection.

Signs You May Need a Root Canal:

  • Persistent toothache
  • Sensitivity to hot or cold temperatures
  • Swollen or tender gums
  • Darkening of the tooth
  • Pimple-like bumps on the gums (abscesses)

While root canals have an outdated reputation for being painful, modern advancements in dentistry have made them virtually painless—especially when combined with sedation.

What Is Sedation Dentistry?

Sedation dentistry involves using medications to help patients relax during dental procedures. It is particularly beneficial for those with dental anxiety, phobias, special needs, or difficulty sitting still for extended periods.

Types of Sedation Used for Root Canals:

  • Nitrous Oxide (Laughing Gas): A mild sedative that helps you feel relaxed while remaining fully conscious.
  • Oral Sedation: A prescription pill taken before the procedure to induce a deep state of relaxation.
  • IV Sedation: A stronger form of sedation administered through an IV, allowing for deeper relaxation while still being responsive.
  • General Anesthesia: Used in extreme cases, particularly for patients with special needs or severe dental phobia, where they are entirely unconscious.

Benefits of Getting a Root Canal with Sedation

  • Pain-Free Experience: You’ll feel little to no discomfort during the procedure.
  • Reduced Anxiety: Ideal for patients with dental fear or previous bad experiences.
  • Minimizes Gag Reflex: Sedation helps patients with gagging during dental work.
  • Time Efficiency: Since you’re more relaxed, dentists can often complete the procedure more quickly and efficiently.

Is Sedation Right for You?

Sedation dentistry is an excellent option if you:

  • Experience dental anxiety or fear
  • Have a low pain tolerance
  • Need multiple procedures done in one visit
  • Have a strong gag reflex
  • Have trouble sitting still due to medical conditions

Your dentist will assess your medical history and anxiety levels to determine the best sedation method for your needs.

How to Prepare for a Sedated Root Canal

  • Consult Your Dentist: Discuss sedation options and ask any questions.
  • Follow Pre-Sedation Guidelines: Depending on the sedation type, you may need to fast before the procedure.
  • Arrange Transportation: With IV or oral sedation, you’ll need someone to drive you home.
  • Wear Comfortable Clothing: This helps make the experience as stress-free as possible.

Aftercare and Recovery

Following your root canal, you may experience mild soreness, which can be managed with over-the-counter pain relievers. If sedated, you might feel drowsy for a few hours, so rest is recommended.

Post-Sedation Tips:

  • Avoid driving for at least 24 hours after IV or oral sedation.
  • Stick to soft foods until you feel comfortable chewing.
  • Follow any additional instructions from your dentist.
Sleep Dentist in St. Louis
Updated: March 10, 2025