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Dental Anesthesia for Patients with Special Needs

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Sleep dentistry provides a safe and effective way for special needs patients to receive the dental treatment they need.

A special needs patient may require a special needs dentist. Patients who have paralysis, stroke, Down Syndrome, Alzheimer’s Disease, Parkinson’s Disease, and genetic disorders may need a little extra dental care to ensure they maintain optimal dental health. Everyone requires individual attention and dental care.

Special Need Dentist St. Louis
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!

We at The Dental Anesthesia Center are here to help you and your loved one. We work hard to make our patients feel at ease by providing exceptional patient care in a relaxed, convenient atmosphere.

Understanding the Different Levels of Sedation

There are different levels of sedation for each patient. The sedation method for an individual is determined by the patient’s medical history and current physical and mental health:

  • Nitrous oxide – If your dentist has recommended nitrous oxide or “laughing gas” for a patient, it is probably a good idea. Laughing gas is an odorless gas used to take away the anxiety children can sometimes experience when they are in the dentist’s chair. There are very few side effects and a low risk of using nitrous oxide. The pros of having a good experience are a significant advantage and can affect a patient’s oral habits in the future. When taking nitrous oxide, they never lose consciousness; they are awake and alert the whole time.
  • Oral sedation – If you are considering oral sedation, then there might be slightly more risk involved – but it is still minimal. Oral sedation is achieved by giving patients medication before they visit the office. The medication is meant to relax them, take away any anxiety, and make them calmer when the procedure is happening. Oral sedation typically will aid them in falling asleep so they can sleep through the procedure. That means they won’t have any negative memories and won’t be moving around, making it harder for the dentist to finish the procedure.
  • IV Sedation – IV sedation involves administering a sedative through a vein, which allows the medication to work very quickly. Since it is administered this way, a dentist can adjust the level of sedation as needed for the dental procedure. Being able to tailor the amount of sedative reduces the risk of complications and side effects. Patients are not asleep during IV sedation; they are semi-awake and may be able to communicate a little with the dentist. Typically, a patient will have little or no memory of the procedure and be able to relax during any treatment.

Sleep dentistry provides a safe and effective way for special needs patients to receive the dental treatment they need. Patients will have a complete exam, an entire mouth series of x-rays (pictures of teeth), and a thorough cleaning while under general anesthesia.

The Dental Anesthesia Center

When you come in for your appointment, Dr. Hoffmann, Dr.Thoms, or Dr. Behl will decide which level is best for you or your loved one.

Your initial oral examination includes a visual examination, charting, diagnosis, and treatment recommendations. We will also take x-rays, including the panoramic x-ray, for proper diagnosis of the anterior (front) and posterior (back) teeth and the bite-wing x-ray series for accurate diagnosis of proximal decay of posterior teeth.

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The first two board-certified Dentist Anesthesiologists in the state of Missouri.

Updated: August 15, 2024

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