950 Francis Pl #305, Clayton, MO 63105 Mon-Thu 7am-4pm · Fri 7am-3pm

Cerebral palsy dentistry · St. Louis

Cerebral Palsy Dentist in St. Louis

Many symptoms of cerebral palsy can put patients at greater risk of dental problems, and a traditional dental setting is not always built for their care. The Dental Anesthesia Center provides complete dental care under sedation or general anesthesia in a calm, accessible office in Clayton.

Our doctors are dentist anesthesiologists, and cerebral palsy care is part of our broader special needs dentistry. With regular checkups and the right support, patients with cerebral palsy can maintain healthy teeth and gums.

Doctor-owned, privately owned practice

Where other dentists come to learn

Care for severe anxiety and special needs

In-office sedation and general anesthesia

Dr. Behl! I cannot recommend Dr. Maris Behl enough. If you have dental anxiety, she is truly the kind of dentist you hope to find. If teeth could be wrapped in pillows and protected by flying unicorns, Dr. Behl would somehow make it happen. I have significant anxiety around dental procedures and have needed deeper sedation for dental work in the past. From the beginning, Dr. Behl took the time to listen to my concerns and made me feel genuinely heard rather than dismissed or rushed. She created such a sense of trust and safety that I was eventually able to have my dental work done with only nitrous instead of full sedation, which is something I honestly didn’t think I would be comfortable doing. During my crown placement, she explained what she was doing throughout the procedure, which made an enormous difference in keeping me calm. She also took the time to address a filling that had been bothering me for what felt like forever — and she actually fixed the problem. What stands out most about Dr. Behl is how safe I feel in her care. She is compassionate, patient, communicative, and incredibly attentive to how her patients are feeling. For someone with dental anxiety, that combination is invaluable. Finding a dentist I trust this much has completely changed my experience with dental care. I am incredibly grateful to Dr. Behl and would recommend her without hesitation, especially to anyone who has dental anxiety or has struggled to feel comfortable receiving dental treatment.
Dr Thoms and his team are phenomenal. No question, the absolute best possible option for my child when he needed work done while sleeping (age based). While this option is not inexpensive, this set up of have anesthesiology in-house allowed us to get his mouth healthy when a traditional pediatric dentist could/would not. I am a parent that asks a lot of questions on behalf of my toddler’s care and at no point did I feel judged for this, nor was I rushed during my evaluation process during the consultation. Although the procedure is not one I would like to repeat for my child, my husband and I were both so pleased with how well Dr. Thoms communicated and how he clearly cared for our son’s wellbeing (both physical and emotional during a less than comfortable visit). Cannot recommend the back of house team more highly. My one detraction is the FOH staff (not everyone) were not nearly as pleasant. I would like to communicate that while their day-to-day is very routine for them, being in that office as a parent is very scary for some people in their office and a little bit of kindness goes along way. I do recall, having a very pleasant conversation with Rebecca, but otherwise everyone else was on the apathetic side, in my personal opinion. That said you’ll notice that I still am leaving a five star review because the dental staff really just knocked out of the park, but as a parent I want to encourage you to look past any rudeness you may experience over email or on the phone because Dr. Thom’s is really that excellent.
Response from the owner:Thank you for taking the time to share such thoughtful feedback. We’re grateful to hear that our team provided compassionate, attentive care and took the time to answer your questions throughout the process. We also appreciate your comments regarding your experience with our front office team and will certainly share your feedback. Your kind words mean so much to us!
Very nice very convenient for me great people working
Response from the owner:Thank you for your kind words! We’re so glad you had a positive experience with our team. We truly appreciate your 5-star review!
The staff is always compassionate and explain all the steps of the procedure. This office has been a God send for me because otherwise I would have let my teeth fall into further disrepair. I highly recommend this office!!!!!
Response from the owner:Thank you for your kind words and recommendation! We’re so glad our team could help make your experience feel comfortable and supportive. We truly appreciate your 5-star review!
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. I adding to this post because of my visit today with the best dental hygienist Delaina and my exam with Dr. Biehl. I have truly never been to such a caring and supportive dental group. Everyone is always conscientious of my needs and knows that I have issues with anxiety. I am always calm when I am sitting in the chair because of their kindness. I am so pleased with the Dental anesthesia center. There needs to be more than five stars. Thank you, everyone.
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!

Oral health and cerebral palsy

Why oral health needs extra attention

Cerebral palsy itself does not cause oral abnormalities. Several of its symptoms, however, can raise the risk of dental problems.

Many patients with cerebral palsy experience gastrointestinal reflux, which exposes teeth to stomach acid. Some have more difficulty with drooling, and some take medications with a high sugar content. Combined, these factors put many patients at greater risk of tooth decay and gum problems. Other common challenges include:

  • Lack of control when brushing or flossing teeth
  • Difficulty chewing and swallowing
  • Excessive gagging
  • Misaligned upper and lower teeth
  • Lip, tongue, and cheek biting
  • Gingivitis, often a side effect of seizure medications

Many patients with cerebral palsy, especially young children, have trouble cleaning their teeth independently because it is difficult to relax the jaw muscles. Mouth and tongue sensitivity can make brushing harder still.

How we help

Dental treatment built around each patient

Families are sometimes hesitant to schedule a visit for fear it might go poorly. Our office and our team are set up so it does not have to.

Dr. Hoffmann and Dr. Thoms have years of experience caring for patients with cerebral palsy, from routine checkups to complete treatment under general anesthesia. Families who visit us can expect:

  • An office compliant with the Americans with Disabilities Act, able to accommodate wheelchairs of all sizes
  • A team trained to monitor breathing closely, which matters for patients who may have difficulty communicating pain or discomfort
  • Clear, friendly communication, including nonverbal communication when needed
  • Sedation and general anesthesia in our office, so treatment that would be difficult in a traditional setting can often be completed in a single visit

Between visits

At-home oral care

Beyond regular checkups, a simple home routine makes a real difference for you or your loved one.

  • Choose a toothbrush and floss that are easy to use. An electric toothbrush and floss picks can help when grip or control is limited.
  • Use a toothpaste made for sensitive gums and teeth.
  • Keep up regular dental checkups so small problems are caught early.

Academic partnerships

Where other dentists come to learn.

Our doctors train other doctors. Residents in graduate periodontics and dental anesthesiology rotate through our Clayton office to learn sedation and anesthesia care.

Residency rotation

Saint Louis University

Center for Advanced Dental Education

Graduate periodontics residents from SLU rotate through our office for a month of hands-on sedation training with our doctors.

Residency program

University of Pittsburgh

School of Dental Medicine

We partner with the University of Pittsburgh’s Dental Anesthesiology Residency Program, helping train the next generation of dentist anesthesiologists.

Questions answered

Frequently asked questions

Common questions from patients, parents, and caregivers. If yours is not here, call us. We are happy to talk it through.

Why are patients with cerebral palsy at greater risk for dental problems?

Gastrointestinal reflux, drooling, medications with high sugar content, and difficulty brushing independently can all raise the risk of tooth decay and gum problems. Regular checkups and a simple home routine go a long way toward keeping teeth and gums healthy.

Can your office accommodate a wheelchair?

Yes. Our office is compliant with the Americans with Disabilities Act, and we can accommodate patients with wheelchairs of all sizes.

What if my loved one cannot sit through treatment?

Every procedure we provide can be performed under sedation or general anesthesia, so care that would be difficult in a traditional setting can often be completed comfortably in a single visit. The right option depends on the patient’s needs, medical history, and the treatment planned.

Schedule a first visit built around comfort

It is easy to put off dental care when you worry about how a visit will go. Our team will listen, answer your questions, and plan the visit around you or your loved one. We are happy to discuss insurance and financing options for your care.