Do I Need Sedation Dentistry for a Root Canal?

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If you are putting off a root canal due to fear or anxiety, it may lead to a serious infection.

For most patients, a root canal sounds overwhelming. The good news is that it doesn’t need to be. If you are afraid of the pain associated with a root canal, the good news is there is a way to have the procedure done with virtually no pain. Sedation dentistry turns a root canal procedure into a comparatively trivial matter. If a root canal is necessary and you are putting it off because of pain or anxiety, it may lead to a serious infection or an abscess.

Sedation Dentistry St. Louis
Dr. Thom and the entire staff at the Dental Anesthesia Center were warm, friendly and welcoming to me and my husband. My husband has dementia and needed extensive dental work. Dr. Thom took the time to explain to me what needed to be done before the procedure began. My husband is now fully recovered and doing just fine. I'm so grateful that we were referred to the Dental Anesthesia Center. Thank you!!
Response from the owner:Thank you for your kind words! We’re honored to hear that you felt welcomed and supported by our team. We truly appreciate you taking the time to share your experience and are grateful for your trust in our office!
This is one of the best places that I have gone to for extensive dental care. The professionals there are extremely caring, and their bedside manner is beyond compare!
Response from the owner:Thank you for your kind words! We’re so glad you had a positive experience with our team. Providing compassionate, high-quality care is always our goal, and we truly appreciate you taking the time to share your feedback.
Dr. Thoms and staff are Amazing!
My son is Autistic and he loves it there.
It’s always scary to put your child with disabilities under anesthesia. So it’s a relief to have such compassionate professionals to rely upon They are so sweet and kind to him it’s so nice to have people who genuinely care.
Response from the owner:Thank you for your kind words! Our team is dedicated to creating a comfortable and supportive experience for everyone who visits our office. We truly appreciate you taking the time to share your feedback and for trusting us with your family’s care.
The Dental Anesthesia Center (DAC) is awesome. When I started there 19 years ago my dental health had deteriorated and my fears were intense. Their expertise and compassion got me back on the right dental track. I still get nervous - but things are so much better now in terms of my dental and gum health.. Don't lose hope - try the DAC!

My appointment today was for a cleaning - and a standard check of gum health etc. Carrie - as always - did EXCELLENT work. She is very kind and thorough and knowledgeable .. and patiently answers all my questions. Carrie is positive and supportive with us patients ... and provides guidance on better at-home care for our teeth and gums.

My thanks also to the office staff who are very helpful with questions or concerns.
Response from the owner:Thank you for your continued trust and kind words! We're honored to have be part of your journey. It means so much to know we've made a lasting impact—your story is truly inspiring!
We’re very thankful to have found the kind folks at the dental anesthesia center. They are patient and informative with what’s needed and how it will get done. Big shoutout to Rebekah and crew at the front desk who always help us figure out all the paperwork and scheduling. Thank you Dr. Behl for your awesome bedside manner! Highly recommend to others
Response from the owner:Thank you for your kind words and recommendation! We’re so glad you had a positive experience with our team. We truly appreciate your support and look forward to continuing to provide compassionate, helpful care.

What is a Root Canal?

When you have a root canal, an opening is made in the crown of your tooth. The dentist removes the tooth’s pulp down to the tip of the roots. Once the infected pulp is removed, the dentist uses a filler to fill the tooth, and then an adhesive is used to ensure that the entire canal root of the tooth is sealed. Once the procedure is done, the dentist places a temporary crown on the tooth. You will then return for another appointment for a permanent crown to protect the tooth against further damage.

It can sometimes be a lengthy process, and since the dentist is dealing with the roots of your tooth, it can be highly sensitive and painful, so many patients avoid it. For a root canal, there are several options for dental sedation that will minimize any feeling you have and, in some instances, any memories you have of the procedure.

You can generally use nitrous oxide, oral conscious sedation, or IV sedation if you get a root canal. The sedation method for an individual is determined by the patient’s medical history and current physical and mental health.

Types of Sedation Available

Minimal sedation is the lightest level of sedation. It involves a mild sedative, such as a Valium-like medication or Nitrous Oxide (laughing gas.) Using this kind of sedation requires no additional training for the dentist. You can leave the office without any residual effects when the procedure is over.

Moderate sedation is referred to as “sedation dentistry.” This allows the patient to respond to questions. They are not asleep.

Deep sedation, or General Anesthesia Dentistry, is often called “Sleep Dentistry” (unconscious). This is generally the recommended level of sedation for individuals unable to tolerate dental treatment for mental or physical reasons. Using this method, there is no memory of the procedure. Dentists who provide this method require a two-year Dental Anesthesiology Residency or an Oral Surgery Residency.

St. Louis Sedation Dentistry


The Dental Anesthesia Center is a state-of-the-art dental facility for patients who require general anesthesia, deep sedation, or oral sedation for their dental care. Young children unable to cooperate and individuals with mental or physical disabilities can benefit from these services.

Call us today at (314) 862-7844 to schedule an appointment. We look forward to meeting you!

Read more: Root Canal Post-Op Instructions

Updated: December 26, 2024

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