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
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.
The entire team at The Dental Anesthesia Center is exceptional.

Not only is Dr. Hoffmann a 10/10 dentist, but he is very trustworthy and only recommends procedures when necessary.

The dental hygienists are uniformly wonderful. During cleanings, they are gentle but are still able to carry on a conversation as they work.

If i moved an hour away, I would still drive my family here for any dental needs.
Response from the owner:Thank you for your wonderful review! We’re so grateful for your trust in our team and are glad your experience with our doctors and hygienists has been a positive one. We truly appreciate your support!
I love this dentist office! Everyone is so friendly and accommodating. Dr. Thoms is an excellent dentist that listens to you and makes sure everything is done to your satisfaction. They do TRUE dental sedation. Not just give you a pill like other offices’s that claim they do sedation. Since I am allergic to medicine a dentist normally uses I have to be truly sedated to have work done on my teeth. They do Botox for teeth grinding and TMJ also
Response from the owner:Thank you for the kind 5-star review! We truly appreciate your thoughtful feedback and are glad you had a positive experience with our team and services. Your trust means so much to us.

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