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Everything You Need to Know About Sedation Dentistry

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Sedation dentistry is a therapeutic medical procedure where dentists administer different sedative levels to help their patients relax.

Do you suffer from dental fear or anxiety? Or maybe you can’t stand dental clinic sounds? If so, you’re not alone; there are thousands of people like you. Lucky for you, sedation dentistry exists. Please keep reading to find out how sedation dentistry is helping patients feel relaxed and less anxious during their dental procedures.

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

What is Sedation Dentistry
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!

What Is Sedation Dentistry?

Sedation dentistry is a therapeutic medical procedure where dentists administer different sedative levels to help their patients relax. The patients are usually sedated before a dental treatment or surgery to relieve pain and anxiety during the dental procedure.

Before sedating you, the dentist will check your medical background and consult widely to avoid health complications. This technique is suitable for patients who suffer moderate and severe dental anxiety. It’s also helpful for patients with special medical needs such as light and sound sensitivity.

Sedation Methods

Below are the different ways dentists sedate their patients:

Light Sedation/ Laughing Gas

Nitrous oxide, commonly referred to as laughing gas, is used to help patients relax during simple dental procedures. The gas goes through a nasal rod that patients use to inhale. It takes seconds for the gas to kick in.

You’ll be awake during the entire procedure but in a relaxed state. The best thing about laughing gas is that it has no post-treatment side effects.

Oral Sedatives/ Moderate Sedation

During oral sedation, you consume a prescribed pill or syrup a few hours before the dental procedure. This gives the medicine enough time to take effect. Once the sedatives are in action, you’ll feel drowsy and may even fall asleep during the dental treatment. However, you’ll still be conscious and may wake up with a slight nudge.

Because the sedatives can leave you with a drowsy feeling, oral sedation patients are usually advised to come accompanied by a friend or relative during their appointments.

IV Sedation

In IV sedation, the dentist administers the sedative through an IV line hooked to a vein in your arm. IV patients often fall into a deep sleep during a dental procedure, and it may take a while before they regain full consciousness. Like in moderate sedation, it’s advisable to bring a close friend or relative during an IV sedation to take you back home.

Benefits of Sedation Dentistry

The benefits of sedation dentistry include:

  • Stress and anxiety-free dental experiences
  • Extra comfort for light and sound sensitive people
  • Quicker and painless dental procedures
  • Appropriate for people of all ages

How to Select the Right Sedation Dentist for Your Procedure

Sedation dentistry is an excellent way to have lengthy procedures done without the pain and anxiety that can sometimes accompany them. It can also help to reduce the number of appointments you need to have the work done and allows you to save money if you can have it done in fewer sessions. When most people hear the word “sedation,” they think of highly risky and invasive methods, but there are many options for dental sedation that are completely safe and can really help to alleviate any negative feelings that can come with dental work.

How to Choose the Right Sedation Dentist

Since you and your dentist will be discussing what sedation options are available and coming up with a plan, finding the right dentist is imperative to feel comfortable and making the right decision for your individual needs. There are going to be many factors to help you decide which sedation dentist is right for you. Among them are:

  • Education level – Before you find the right dentist, it is important to know what their education level is and where they were trained. There are very few schools for dental sedation, but there are continuing education programs that dentists can engage in to be certified to administer sedation methods. If you are dealing with IV sedation, then the dentist must be trained in anesthesia, which requires that they have a postgraduate degree.
  • Ongoing education – Try to choose a dentist who regularly keeps up with training and industry changes. Since techniques continually evolve and become perfected, you will want to find someone who is well-trained by the American Society of Dental Anesthesiologists or the American Dental Society of Anesthesiology. Before choosing your sedation dentist, look for someone who continually goes through training and education programs to stay current.
  • Your own medical needs – If you have pre-existing conditions or take any medications, you will want to find a doctor who knows the complexity of mixing medicines to ensure that they understand the risks and can anticipate any potential problems that could arise due to your special needs. When interviewing sedation dentists, make them aware of any conditions that you have to ensure that they know how to manage them and are comfortable treating you in spite of them.

St. Louis Dental Anesthesia

Dr. Michael Hoffmann and Dr. Sean Thoms are general dentists, board-certified in general anesthesia and deep sedation by the Missouri Dental Board. Both are the first two Dental Anesthesiologist board certified in Deep Sedation in the state of Missouri.

Now that you know all about the advantages of sedation dentistry how to select the right sedation dentist for your procedure, it’s time to schedule your dental checkup. Be sure to work with dentists who offer quality dental care in a safe and comfortable setting. To get the best dental care in St. Louis, Missouri, contact The Dental Anesthesia Center today!

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

Updated: March 28, 2025

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