If you have a history of not being able to get numb for your dental procedure, The Dental Anesthesia Center is here to help.
Many people ignore or put off going to the dentist for different reasons. Some patients have severe anxiety or fear. Others have special needs such as Alzheimer’s or autism which make it difficult for them to get to the dentist. However, some patients have a unique circumstance, they have an inability to become numb.
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!

3 Reasons You Can’t Get Numb
First, the fact is everyone is different. Just as some people react differently to medications, anesthetics are the same way. For some individuals, their body may remove the numbing agent from their system too quickly, making the numbness wear off faster than it should. This is the case when their vascular system removes the local anesthetic away from the tooth nerve quickly. This results in a person only be adequately numb for a very short period of time, or from not being able to get numb at all.
Second, although we all have what you might call standard anatomy, some individuals are different. This can be true of the way a person’s nerves are wired through their body. Some patients have extreme variability with the nerves going to their teeth. This is more often the case with lower molars.
Some patients may have 4 different nerves that lead to their lower molars. This means they may need as many as 4 different injections to get that area numb. If this has happened to you, it doesn’t mean that your dentist didn’t know what he or she is doing, it means that you are a little different than the usual patient and there is nothing wrong with that.
A third reason you may have difficulty getting numb is that you have what’s called a hot tooth. If you are experiencing severe pain in a specific tooth, it can be incredibly challenging to get that are numb. This is due to the fact that when a nerve becomes inflamed, such as with a large cavity, the nerve can actually change and become more much easily stimulated. This means more local anesthetic is needed to numb it.
St. Louis Special Needs Dentistry
If you have a history of not being able to get numb for your dental procedure, The Dental Anesthesia Center is here to help. There are many different levels of sedation that can be used to help you receive all of your dental care. The sedation method for an individual is determined on the patient’s medical history and current physical and mental health.
The levels of sedation include:
When you come in for your appointment, Dr. Hoffmann, Dr.Thoms or Dr. Behl will decide which level is best for you. We look forward to meeting you!
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The first two board-certified Dentist Anesthesiologists in the state of Missouri.