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Down Syndrome Dentist

Dental Issues In People With Down Syndrome

There are many dental anomalies and anatomical soft tissue problems that one should be aware of that can occur in people with Down Syndrome. These problems can negatively impact one’s oral health.

The two main factors that contribute to the dental problems of those with Down Syndrome are the orofacial and skeletal development within a patient. The biggest changes in anatomical development are in the cranial base, the mid-third portion of the face, and the area between the mandible and maxilla. The most affected portion of soft tissue in the facial structure is the tongue, which is often protruded and enlarged. The reason for this protrusive appearance is the narrow dental arch in which the tongue is forced to rest. This can lead to mouth breathing and “dry mouth.”

down syndrome dentist
Our adult daughter has cerebral palsy and requires being fully sedated when having anything done. The DAC was such a positive experience. Dr Hoffmann and his staff were kind and did great explaining things. As a mom, I had a lot of questions about how certain things would be done as usually she’s in her chair when getting examined at her local dentist and they had everything under control including transferring from her chair to the dentist chair and keeping her secured in the dentist chair as well as keeping her neck and legs comfortable. Many thanks to them!
Response from the owner:Thank you so much for your kind words. We’re grateful for your trust and happy to hear that you had such a positive experience with our team. Our goal is always to provide compassionate, attentive care in a safe and comfortable environment. We truly appreciate you taking the time to share your experience.
TWENTY YEARS! That is how long our special needs son has been seeing Dr Hoffman and his dedicated team! Our son suffers from an intellectual disability, is non-verbal, and is unable to cooperate for dental cleaning, x-rays, or other routine dental work. He requires general anesthesia. It is such a blessing to avoid a hospital setting just for dental work.

The team is always well staffed, friendly, personable and very professional. Every single year we have been supported by a deeply caring team who are dedicated to patients with a very wide range of disabilities and needs. They have shared useful dental advice and tools (3 sided toothbrushes, blocks to hold open their mouth for daily at-home care, etc.) which improved our son’s daily dental care. We always receive a call back the day after to check his recovery-even on weekends!

Highly recommended and so appreciative to have this team supporting our ever long road of raising a special needs son.
Response from the owner:Wow — thank you for sharing such a heartfelt review! We are so grateful for your trust and for allowing our team to be part of your family’s journey over the years. It means so much to us to know that our care and support have made a difference. We truly appreciate your kind words and recommendation!
We've been coming to Dr.Hoffman for twenty years. There's a reason we keep coming back! He's great. His staff is great. He's double boarded as an MD (Anesthesia) and DDS!!! Our son with special needs needs sedation for even a cleaning. You get what you pay for. He's expensive and... we know he's getting the best care!
Response from the owner:Thank you for trusting our team over the years and for your kind words about Dr. Hoffmann and our staff. We truly value your confidence in the care we provide!
Omg!! This place is Amazing! The people who work here are so very nice and understanding. I love this team
Response from the owner:Thank you so much for your kind words! We truly appreciate your support and are grateful to have such wonderful patients.
Searching for a new dental clinic is challenging for someone who has
dental anxiety, fear, and traumatic experiences in a dental chair. The staff and doctors at the Dental Anesthesia Center were immediately very welcoming. Dr. Thoms put together a very detailed plan to repair and replace the previous work that I had in the past that was now causing problems. Putting my faith in him was the best thing that I could have done for my situation. I am more than completely satisfied with all of the extensive dental work that I’ve had with Dr.Thoms. I had my fourth sleep dentistry experience yesterday and I’m very happy with my results. I highly recommend this practice and truly want to give them more than five stars! Thank you for giving me back my health and confidence.
Response from the owner:We know it isn’t always easy to find a dental office where you feel at ease, so your words mean the world to us. We’re so glad you feel comfortable with our team and truly appreciate your trust and recommendation!

Beyond the tongue, the adenoids and tonsils are also enlarged. Some other dental anomalies include:

  • Decreased tooth size
  • Decreased crown-to-root ratio
  • Delayed eruption
  • Hypodontia

Going To The Dentist With Down Syndrome

Many patients with down syndrome find it difficult to communicate certain things when at the dentist, much of which has to do with how much pain they may be feeling. Unfortunately, even simple oral health issues can become major issues if they are not addressed appropriately or promptly.

Many of our St. Louis Down Syndrome patients, especially younger patients, have trouble understanding what is going on when they are at the dentist. If your loved one is a bit wary when they are around strangers, having a stranger with tools in their mouth can be quite a frightening situation for them to be in.

This is why we feel it is of the utmost importance that your loved one with Down Syndrome feels comfortable without fear or anxiety so that the dental visit goes as smoothly as it possibly can. Luckily, there are many ways in which we help Down Syndrome patients to cope with dental visits.

Sedation And Patients With Down Syndrome

Many patients benefit from sedation when they visit the dentist. If a patient cannot properly cooperate with a dentist during their appointments, sedation can sometimes be necessary to get the work done.

This is why many patients opt for sedation dentistry, which we offer here at The Dental Anesthesia Center in St. Louis. With patients who have Down Syndrome, sedation dentistry is not uncommon at all. Sedation dentistry, or sleep dentistry, is one of the most utilized methods to keep patients calm and relaxed during their trips to the dentist. There are many different levels of sedation, which range from mild sedation, where the patient is still awake and conscious, to heavy sedation, where a patient is completely asleep.

Of course, there aren’t many people who enjoy having someone poke around in their mouths with various tools, and for someone who suffers from serious sensory problems, such as a person with Down Syndrome, sedation can be the best option.

Sedation is especially important if the patient is in for extensive dental work, such as a major surgery, where they must stay completely still throughout a long procedure.

Making Your Appointment

If you have a loved one with Down Syndrome, you probably know how difficult it can be to find the proper dentist. Fortunately, there are dentists who specialize in working with patients who have Special Needs and may require sedation. Dentists in this field require additional training to communicate with their patients and utilize sedation options to accommodate their special needs.

Unfortunately, finding these dentists can prove to be quite a chore. Here at The Dental Anesthesia Center in St. Louis, we have worked with special needs patients, including those with Down Syndrome, for over 30 years.

We know how important it is to have oral health care for everyone, and we’re here to provide the best Down Syndrome dentistry in St. Louis. Give us a call at (314) 862-7844 to schedule an appointment with one of our top dentists. We look forward to meeting you!

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The first two board-certified Dentist Anesthesiologists in the state of Missouri.