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How Sedation Dentistry Helps Break the Cycle of Dental Avoidance

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Struggling with dental anxiety? Here is how sedation dentistry can help. Contact The Dental Anesthesia Center today to schedule an appointment.

For millions of Americans, the thought of visiting the dentist provokes more than just mild unease—it can trigger real fear, anxiety, or even panic attacks. This dental anxiety can create a vicious cycle: the longer you avoid the dentist, the worse your oral health becomes, making the eventual visit feel even more intimidating. At The Dental Anesthesia Center in St. Louis, we specialize in breaking this cycle with sedation dentistry as a powerful, compassionate tool.

Dental Exam St. Louis
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!

The Dental Avoidance Cycle: What It Looks Like

Dental avoidance is more than just procrastination. It’s a deeply emotional pattern that can stem from:

  • Previous traumatic dental experiences
  • A strong gag reflex or sensitivity to sounds and smells
  • Embarrassment about oral health
  • Medical conditions that make dental care more difficult
  • Sensory issues related to autism or cognitive disabilities

What starts as one missed appointment can snowball into years without care, resulting in untreated cavities, gum disease, tooth loss, and other serious issues.

The Consequences of Avoiding the Dentist

When dental visits are delayed or skipped entirely, patients often experience:

  • Tooth pain and infections
  • Difficulty eating or speaking clearly
  • Increased anxiety about the condition of their teeth
  • A sense of shame or isolation

Ironically, the longer the delay, the more intensive (and frightening) the treatment becomes. For anxious patients, this only reinforces their fear—a self-perpetuating cycle.

Signs of Impacted Wisdom Teeth

How Sedation Dentistry Interrupts the Cycle

At DAC, we believe that fear should never be a barrier to health. That’s why we offer multiple forms of sedation, personalized to each patient’s needs:

1. Nitrous Oxide (Laughing Gas)

  • Ideal for mild to moderate anxiety
  • Takes effect quickly and wears off fast
  • Keeps patients relaxed while fully awake

2. Oral Sedation

  • Taken as a pill before treatment
  • Deeper relaxation, often with little memory of the procedure
  • Great for those with a strong gag reflex or moderate dental fear

3. IV Sedation & General Anesthesia

  • Ideal for patients with extreme anxiety, special needs, or those undergoing complex procedures
  • Safely administered by our in-house anesthesiologist team
  • Ensures an entirely pain-free, unaware experience

The Psychological Benefits of Sedation

Beyond physical comfort, sedation dentistry:

  • Builds trust: Positive experiences under sedation help reframe dental care as safe and manageable.
  • Reduces fear memory: Many patients have little or no memory of the procedure, reducing trauma.
  • Creates momentum: Once patients realize they can get through a visit without distress, they’re more likely to return.

For many of our patients in St. Louis, this first sedation visit becomes the turning point—the moment they stop avoiding the dentist and reclaim their oral health.

Who Can Benefit?

Sedation dentistry isn’t just for “extreme cases.” It’s often recommended for:

  • Adults with dental anxiety or past trauma
  • Children with fear or sensory sensitivities
  • Individuals with special healthcare needs
  • Seniors with complex health conditions
  • Patients needing multiple or lengthy procedures

Why Choose The Dental Anesthesia Center?

We’re not a typical dental office. We’re one of the only facilities in the St. Louis area with:

  • A dedicated anesthesia team
  • Special training in special needs dentistry
  • Decades of experience helping patients who have avoided the dentist for years

Most importantly, we meet you where you are—no judgment, just care.

dental sleep st louis

Take the First Step Toward a Healthier Smile

If you’ve been avoiding the dentist, you’re not alone and out of options. With sedation dentistry, we can help you move past fear and toward the health, confidence, and comfort you deserve.

Call The Dental Anesthesia Center today at (314) 862-7844 to schedule a consultation and take the first step. With the proper support, you’ll be surprised how easy it can be.

Updated: May 5, 2025