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
I took my son to an appointment today with Dr. Hoffman. We had a great experience from the time we arrived until we departed. The receptionist was very friendly and helpful. The dental assistants were very helpful and polite with my son. The doctor is very kind and patient. They explain everything as we went through the process. We were aware of the cost from the beginning to the end and we're allowed to make decisions about how to handle my child's care and not shocked with additional charges after the fact. My child does not resist going to this office. Great experience.
Always nice and professional doctors and staff! Highly recommend especially if you have dental anxiety!
Response from the owner:Thank you for your kind words! We’re so glad you felt comfortable with our team. We truly appreciate your recommendation!
Dr. Thoms and everyone of his staff members are incredible. I was warmly welcomed and made to feel comfortable and relaxed. Which is saying something as I had not been to the dentist in years due to fear/anxiety.
My procedure was clearly explained. The office staff was beyond helpful with payment and insurance.
The day of my appt was exactly as planned. We started ahead of schedule! The technicians and assistants were clearly skilled and again, helped ease my nervousness. We finished all work as planned. And then Dr. Thoms sat with me and my husband to discuss “everything.” He is very thorough. And finally one of his staff wheeled me down to the elevator, out across the parking lot, and helped me into my van. Now that is service!
Around 8:30 p.m. my cell phone rang and it was Dr. Thoms calling to check up on me. Wow!!!!! This man has all you could want in a dentist—kind, compassionate, thorough, understanding, excellent communicator, and skilled.
I cannot come up with the best words to so highly recommend the Dental Anesthesia Center. It was a remarkable, yet simple, but thorough experience for me.
If you are putting off going to the dentist and have anxiety or fears please call them. They will gently and competently take care of you.
And no, this is not an advertisement/ commercial—I am a real live (satisfied) patient.
Response from the owner:Thank you so much for your kind and thoughtful review! We’re honored to hear that you felt welcomed, comfortable, and well cared for throughout your experience. Our team is dedicated to providing compassionate, thorough care—especially for those who may feel anxious about dental visits—so it means a lot to know that came through. We truly appreciate your recommendation and are grateful you chose us for your care.
The practice is top notch. Could not ask for better care.
Response from the owner:Thank you for your kind words! We’re grateful for your feedback and are proud to provide high-quality care in a supportive environment.
Great practice and nice people. I've been going there for 25+ years!!!
Response from the owner:Thank you for the kind review ! We appreciate that beyond words! It has been our pleasure having you as our patient! We look forward to seeing you at your next dental visit!

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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