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Factors That Determine Which Type of Sedation You Receive

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Visit our office to determine which type of sedation dentistry is best for you or your loved one.

One of the issues that you might have with sedation dentistry is not knowing which type of sedation you will receive. Fortunately, a variety of guidelines help make this decision, many of which are listed in the sections below. Of course, talking to a sedation dentist in person is the best way to find out which type of sedation is best for you or your loved one.

When you come in for your initial consultation at The Dental Anesthesia Center, Dr. Hoffmann, Dr. Thoms, or Dr. Behl will decide which level is best for you.

Special Needs 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!

Severity of Condition

Whether you have anxiety, low pain tolerance, or any other condition, your issue will fall on a spectrum. Relatively mild cases will require weaker sedatives, while more severe issues will call for stronger ones. As an example, you might treat a minor case of anxiety with a pill, rather than nitrous oxide or IV sedation. Having a disease that causes uncontrollable physical movement would likely require those stronger treatments.

Fear of Needles

People that have a deep fear of needles often cannot take IV sedation. In this case, they have two options. The first is using nitrous oxide instead. The second is utilizing nitrous oxide for initial sedation, then adding the IV in once they are partially unconscious.

Type of Treatment You’re Receiving

Another factor is what kind of treatment you’re receiving. As you might imagine, a quick dental cleaning might not call for strong sedatives. On the other hand, an extended procedure definitely would, even for people who do not have issues going to the dentist.

Each Patient is Different

There are different levels of sedation for each patient. The sedation method for an individual is determined on the patient’s medical history and current physical and mental health.

Individuals with anxieties, phobias, severe gag reflex, or difficulty getting numb are candidates for the center’s general anesthesia services. In addition, young children or individuals with physical or mental disabilities who are unable to cooperate for dental treatment can benefit from these services.

Sleep and Special Needs Dentistry

As you now know, the kind of sedative you will receive depends on a multitude of factors. They include the severity of your condition, fear of needles, what treatment you need, available equipment, personal preference, and your dentist’s preference. The good news is that you don’t have to go through the complicated process of choosing on your own.

Your initial oral examination includes a visual examination, charting, diagnosis and treatment recommendations. Call us today to schedule your appointment at (314) 862-7844. We look forward to meeting you!

Updated: June 6, 2025

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