950 Francis Pl #305, Clayton, MO 63105 Mon-Thu 7am-4pm · Fri 7am-3pm

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
Today was the second time that I became a registered patient with this office. I had previously had work done in the past with a different clinician, paused treatment for some time, and then returned today and was put with a new physician. I cannot even begin to describe the comfortability that I had with my dental anxiety after leaving the office. The new physician that I met with took over an hour to sit with me and go over my concerns, history, present scans, and any questions about the treatment plan moving forward that I had. She was optimistic, kind, compassionate, and most importantly, there for me in every aspect that a patient requires. She made me hopeful about any future needs I might encounter, and I would truly recommend this office yet again to anyone. They continue to find the kindest staff to support them as well, making it a well-rounded practice from start to finish.
Response from the owner:Thank you for your thoughtful review and kind words. We truly appreciate you taking the time to share your experience. Our team is committed to providing compassionate, patient-centered care and helping every patient feel informed and comfortable throughout their visit. Your recommendation means a great deal to us, and we look forward to continuing to provide you with excellent care.
All three doctors are nice to get over your fear of dentist.Thank you Dr. Hoffmann and team!
Response from the owner:Thank you for the 5-star review! We truly appreciate your kind words and support.
Carrie and Dr B are awesome!
Response from the owner:Thank you for your kind words! We’ll be sure to share your compliments with Carrie and Dr. Behl.
I cannot say enough about Dr. Hoffmann and his incredible staff. I never thought for a second that I would not be terrified to go to the dentist for the rest of my life, but Dr. Hoffmann changed that. I have had extensive work done over the last few months, all pain free. I was missing teeth due to a decades old bridge falling out and Dr. Hoffman made sure I had a beautiful smile in time for my daughter’s wedding. I have never experienced a kinder more compassionate team, when you go, you know you are in good hands. There is more work to be done, but I am no longer afraid, at all. Thank you Dr. Hoffmann, and thank you to your team. You’ve changed my life.
Response from the owner:Thank you so much for your incredibly thoughtful review. Your kind words truly touched all of us. It means so much to know that our focus on compassionate, gentle care and making people feel comfortable is making a difference. Dr. Hoffmann and our entire team are grateful for your trust and for taking the time to share such a heartfelt message. We appreciate you more than you know and wish you all the very best!
I was terrified of the dentist and had not gone in years. I’m so glad I found Dr Hoffmann. I now can go to the dentist and am not scared to death. He is so kind. So gentle. I’m so grateful!
Response from the owner:Thanks for your kind words! We're so glad you had a positive experience with our team. Providing compassionate, comfortable care is always our goal. We truly appreciate your support!

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.