950 Francis Pl #305, Clayton, MO 63105 Mon-Thu 7am-4pm · Fri 7am-2pm

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

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.
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.
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.

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.