Do Sedation Dentists Accept Patients with Severe Anxiety?

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The short answer is yes—sedation dentists are specifically trained to help patients with dental anxiety. Contact us today.

For many people, going to the dentist can be a nerve-wracking experience. However, for those with severe dental anxiety or phobia, it can feel nearly impossible. If you or a loved one struggle with extreme fear of dental visits, you might wonder: Do sedation dentists accept patients with severe anxiety?

The short answer is yes—sedation dentists are specifically trained to help patients with dental anxiety. Many sedation dentistry practices cater to individuals who avoid the dentist due to fear, past trauma, or heightened sensitivity.

Dental Anxiety St. Louis
When we first visited The Dental Anesthesia Center, my child was experiencing severe tooth pain and multiple cavities. Dr. Sean M. Thoms and his team demonstrated excellent care, promptly assessing the situation and deciding to treat his teeth the next day. They came early in the morning, professionally addressing the cavities and placing a crown. They also followed up by phone to ensure my child was doing well. My baby is now pain-free,happy ,smiling, and sleeping soundly. This is truly a world-class dental center with an exceptional, caring team. Highly recommended.
Response from the owner:Thank you so much for your kind words and wonderful review! We’re truly grateful for your trust and so happy to hear your experience with our team was a positive one. It means a lot to know our care helped make things a little easier and brought smiles all around.
Carrie and the Dental Anesthesia Center have always been very professional and welcoming when having work done.
Response from the owner:Thank you for your kind words! We’re so glad to hear you’ve had a positive experience with our team. We appreciate your trust and support!
I cannot say enough wonderful things about The Dental Anesthesia Center and Dr. Thoms. My 7-year-old, who has autism, recently had dental work done here and the experience exceeded expectations. The staff was incredibly kind, patient, and understanding of his needs. They took the time to make him and us feel comfortable, never rushed, and explained everything. I am so grateful for this office and the team that made my son's dental care possible. I would recommend The Dental Anesthesia Center and Dr Thoms to any parent, especially those with children who have special needs. They truly go above and beyond. ❤️
Response from the owner:Thank you so much for your thoughtful review and kind words! We’re truly grateful for your trust in our team and Dr. Thoms. Knowing your visit was a positive and comfortable experience means the world to us — it’s exactly what we strive for with every patient and family. 💙
Very patient with elderly patients. Very good experience.
Response from the owner:Thank you for sharing your feedback! We’re pleased to know the visit was a positive experience.
My son has been a patient of Dr Michael Hoffman since he was 5 years old. He is now 21 years old. My son has diagnosis of autism spectrum disorder and therefore I am cautious of who I select as a treatment provider. Dr. Hoffman’s office is professional, kind and I know they have his best interest at heart. I highly recommend Dr. Hoffman and staff to anyone seeking dental care.
Response from the owner:Thank you for your kind words and recommendation! We truly appreciate your trust in our team over the years.

Understanding Severe Dental Anxiety

Dental anxiety is more than just a mild fear—it can cause overwhelming distress that prevents people from getting the dental care they need. Studies show that:

  • 36% of people experience some level of dental anxiety, while 12% suffer from extreme dental fear or phobia (National Library of Medicine).
  • Fear makes 22% of people skip the dentist entirely (American Dental Association).
  • Dental phobia can lead to serious health complications, including untreated infections, gum disease, and worsening dental conditions.

Severe anxiety about dental visits is often caused by:

  • Past traumatic experiences (such as painful procedures or negative encounters)
  • Fear of pain or needles
  • Feeling of loss of control in the dentist’s chair
  • Sensitivity to sounds, smells, and sensations in a dental office
  • Gag reflex issues or extreme discomfort with dental tools

Sedation dentistry provides a safe, effective solution for those suffering from these fears.

How Sedation Dentistry Helps Patients with Severe Anxiety

Sedation dentistry is designed to create a calm, stress-free dental experience. Dentists use various levels of sedation depending on the severity of the patient’s anxiety and the type of procedure needed.

Who Qualifies for Sedation Dentistry?

Most patients with moderate to severe dental anxiety qualify for some form of sedation. However, an experienced sedation dentist will assess each patient based on:

  • Medical history – Some conditions may affect sedation eligibility
  • Level of anxiety – More severe cases may require IV sedation or general anesthesia
  • Procedure complexity – Lengthy procedures may require deeper sedation
  • Previous dental experiences – Patients with past trauma often benefit the most

Patients who experience a strong gag reflex, difficulty sitting still, or extreme anxiety may benefit from sedation.

Will Sedation Dentists Judge Me for My Dental Anxiety?

One of the biggest fears anxious patients have is being judged or shamed for their dental health. At a sedation dentistry practice, the focus is on comfort, understanding, and solutions—not judgment.

Sedation dentists regularly treat patients who have:

  • Avoided the dentist for years or even decades
  • Severe dental phobia that causes panic attacks
  • Sensory sensitivities (common in individuals with autism or PTSD)
  • Dental trauma from past painful procedures

Sedation dentistry aims to create a fear-free experience so patients can restore their oral health without stress, fear, or embarrassment.

Finding the Right Sedation Dentist in St. Louis

If you’re searching for a sedation dentist who understands severe anxiety, look for the following:

  • Specialized Training – Ensure the dentist has advanced training in sedation techniques.
  • Accreditation & Licenses – Confirm they are certified to administer IV sedation or general anesthesia.
  • Experience with Anxious Patients – Read reviews from other anxiety-prone patients.
  • Office Environment – A calming, patient-friendly environment is key.
  • Customized Treatment Plans – Look for a practice that tailors sedation to individual needs.

The Dental Anesthesia Center in St. Louis specializes in sedation dentistry for patients with severe anxiety. The practice offers IV sedation, oral sedation, and general anesthesia, making dental visits stress-free.

Can I Get Dental Treatment If I Have Severe Anxiety?

Yes, sedation dentistry offers a way for patients with extreme dental fear to receive treatment without panic or distress. Sedation dentists are trained to work with anxious patients, ensuring a comfortable and safe experience.

If you’re in the St. Louis area and need anxiety-friendly dental care, contact The Dental Anesthesia Center today for a consultation.

Updated: February 21, 2025