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St. Louis Sedation, Sleep & Special Needs Dentistry :: The Dental Anesthesia Center

St. Louis Sedation, Sleep & Special Needs Dentistry :: The Dental Anesthesia Center

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950 Francis Pl #305
Clayton, MO 63105
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      • Sean M. Thoms, DMD, MS
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Do I Need Sedation Dentistry for a Root Canal?

December 29, 2017 by DAC

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

Sedation Dentistry St. Louis

For most patients, a root canal sounds a little overwhelming. The good news is that it doesn’t need to be. If you are afraid of the pain associated with a root canal, there is a way to have the procedure done with virtually no pain. If you use sedation dentistry, a root canal is nothing serious at all. 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 if you choose not to have it done.

What is a Root Canal?

When you have a root canal, there is an opening made to 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 to have a permanent crown placed 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, which is why many patients avoid having it done. For a root canal, there are various options for dental sedation that will minimize any feeling you have and, in some instances, any memories that you have of the procedure at all.

You can generally use nitrous oxide, oral conscious sedation, or IV sedation if you are getting 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 simply respond to questions, they are not asleep.

Deep sedation, or General Anesthesia Dentistry, is often referred to as “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.

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

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

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Read more: Root Canal Post-Op Instructions

Updated: March 3, 2022

Filed Under: Blog, Sedation Dentistry Tagged With: dental anxiety, root canal

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The Dental Anesthesia Center: Sedation and Sleep Dentistry
950 Francis Pl #305
Clayton, MO 63105

(314) 862-7844

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