Inability to Become Numb at the Dentist

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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.

St. Louis Sleep Dentistry
Wonderful place for my special needs daughter. She is not always cooperative. They are very good and patient with her. Thankful she can receive anesthesia at the office and not have to take her for out patient service at a hospital. Thank you to all the staff 😇
Response from the owner:Thank you so much for your kind words and 5-star review! We truly appreciate you taking the time to share your experience. Our team is grateful for your trust and is always committed to providing patient-centered, compassionate care.
Best experiences ever. My two special needs children need sedation dentistry and see Dr. Thoms. Dr. Thoms is so kind, caring and reassuring. He truly has a special gift in treating people with special needs. So grateful to be his patients.
Response from the owner:Thank you for your kind feedback. We’re grateful for the opportunity to provide care in a supportive and reassuring environment.
As a 75 year old man, I have been to several dentist’s and none compare to Dr. Thoms and Dr. Behl. The entire staff is very knowledgeable and accommodating. I have had some major work done and I/V sedation is definitely the way to go. Five stars to the entire team at DAC. I highly recommend their services.
Response from the owner:Thank you for your kind words and recommendation! We truly appreciate your trust in our team. It’s always our goal to provide comfortable, high-quality care to every patient.
We absolutely love the Dental Anesthesia Center. From the staff to the doctors - everyone is amazing. They are caring, kind and efficient.
Response from the owner:Thank you for your kind words and 5-star review! We truly appreciate you taking the time to share your experience with our team.
A remarkably excellent experience everytime
My son needs anesthesia for any dental procedures. Dr. Thoms and staff always meet our needs. Cannot recommend highly enough
Response from the owner:Thank you so much for the wonderful review! We’re honored by your trust and truly appreciate the 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.

Updated: August 14, 2024

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