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.

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I cannot say enough wonderful things about The Dental Anesthesia Center and Dr. Thoms. My 7-year-old, who has autism, recently had dental work done here and the experience exceeded expectations. The staff was incredibly kind, patient, and understanding of his needs. They took the time to make him and us feel comfortable, never rushed, and explained everything. I am so grateful for this office and the team that made my son's dental care possible. I would recommend The Dental Anesthesia Center and Dr Thoms to any parent, especially those with children who have special needs. They truly go above and beyond. ❤️
Response from the owner:Thank you so much for your thoughtful review and kind words! We’re truly grateful for your trust in our team and Dr. Thoms. Knowing your visit was a positive and comfortable experience means the world to us — it’s exactly what we strive for with every patient and family. 💙
Very patient with elderly patients. Very good experience.
Response from the owner:Thank you for sharing your feedback! We’re pleased to know the visit was a positive experience.
My son has been a patient of Dr Michael Hoffman since he was 5 years old. He is now 21 years old. My son has diagnosis of autism spectrum disorder and therefore I am cautious of who I select as a treatment provider. Dr. Hoffman’s office is professional, kind and I know they have his best interest at heart. I highly recommend Dr. Hoffman and staff to anyone seeking dental care.
Response from the owner:Thank you for your kind words and recommendation! We truly appreciate your trust in our team over the years.
Super experience. Gentle and empathetic. All round care is great. Staff are wonderful.
Response from the owner:Thank you for your kind review! We’re so glad you had a great experience with our team.
We are forever grateful for Dr Hoffman and his wonderful staff for having the vision of how to get necessary dental work done for patients who are dealing with autism and cannot tolerate it without dental anesthesia. We have been taking our adult daughter there once a year for the last four years. Thanks to Dr Hoffman’s vast knowledge and expertise, our daughter has been able to get wisdom teeth removed, cavities filled, teeth cleaned and detailed X-rays to know exactly what needed done. The Dental Anesthesia Center is a great service to the community. Thank you so much for helping us.
Response from the owner:hank you so much for your thoughtful review and kind words about our team! We truly appreciate your trust in us and are honored to provide care in a way that helps make dental treatment more comfortable and accessible for all patients. Your feedback means a great deal to our entire staff.

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.

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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