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
Outstanding customer car for our 15 yrs old Autistic Granddaughter. Rebekah really helped put our minds and ease and helped us plan the next visit when it came to reservations we had on the cost of this treatment, and future ones. This is expensive, but worth it knowing they help special needs kids, teens and adults. Sedation dentistry team handle everything great!
Thank you Dr. Thoms and the team!!
Response from the owner:Thank you for your thoughtful review. We’re so glad our team could provide a supportive and reassuring experience while helping you plan for future care. It means a great deal to know you felt informed and cared for every step of the way. We truly appreciate your kind words and the trust you’ve placed in us.
Dr Thoms specializes in dental anesthesia for patients with Special Needs. My daughter has been a patient of his for many years.
His experience, depth of knowledge and understanding the needs of Special Needs patients is excellent.
He presents clear and detailed information for his procedures and treatment options along with expectations during aftercare.
Follow up instructions include a personal phone call from him as well as additional calls from his office staff. I highly recommend Dr Thoms and definitely give him 5 stars.
Response from the owner:Thank you for your kind words and for taking the time to share your experience. We’re grateful for the trust families place in our team and are committed to providing thoughtful, individualized care with clear communication every step of the way. Your recommendation means a great deal to us!
My hygienist, DeLaina Joost, takes excellent care of my teeth with her advanced skills, gentle touch and great “chair side” manner. She is a consummate professional, and such a compassionate person. I look forward to my visits at DAC!
Response from the owner:Thank you for your kind words! We’re so glad to hear you had a positive experience with our team and appreciate you taking the time to share your feedback.
I want to thank everyone at the Dental Anesthesia Center for taking care of me yesterday—Meaghan helped me get the forms filled out correctly and in on time, Daisy for guiding me in and getting me out safely, Dr. Hoffman for taking care of my teeth and dealing with my really terrible gag reflex, and EVERYONE who helps make this happen. I don't know all of your names, but I do know that it takes all of you working together to make my dental care possible and have good results.

I'm always nervous when I first arrive, even though every procedure has had a good outcome. I've never had any pain or excessive bleeding as a result. The one thing I realized yesterday is that all of you are warm, friendly, positive, you have what is called a good vibe, which helps me a great deal.
Response from the owner:Thank you for your kind words and for taking the time to share your experience. We’re so glad our team could help you feel comfortable and supported throughout your visit. Providing a safe, positive environment is very important to us, and your feedback means a great deal. We truly appreciate your trust in our care!
Dr. Thoms and his entire staff at The Dental Anesthesia Center have been absolutely wonderful!! They're all so kind and knowledgeable. I would give them 10 stars if I could!!!
Response from the owner:Thank you so much for your kind words! We truly appreciate you taking the time to share your experience. It means a lot to hear this feedback.

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.