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
I had an excellent experience with Dr. Behl and her entire team during my wisdom tooth extraction. I chose IV sedation, and it made all the difference. I was awake and aware throughout the procedure, but I felt completely relaxed and never experienced the panic or anxiety I usually have at the dentist. Dr. Behl and her staff were compassionate, professional, and attentive from start to finish, making sure I was comfortable every step of the way. If you have dental anxiety or avoid going to the dentist because of fear, I highly recommend Dr. Behl and her team. They provided exceptional care and made what I expected to be a stressful experience surprisingly calm and comfortable.
Response from the owner:Thank you for your thoughtful review and kind words! We’re honored by your recommendation and are so glad you had a positive experience with our team. We truly appreciate you taking the time to share your feedback!
All of the staff have been extremely incredible. Dr. Thoms was amazing & really helped calm me before my procedure. Dr. Thoms answered any & all questions I have had & was extremely understanding when it comes to having dental anxiety. Robyn was the best X-ray technician I have ever had. She felt personable but still extremely professional. Throughout my life I have been to numerous dentists in hopes of finding one that will take my extreme dental anxiety seriously & not make me feel bad for it. I have finally found my favorite dentist. The Dental Anesthesia Center is my #1 pick if I had to chose any dentist.
Response from the owner:Thanks for your kind words and for sharing your experience. We’re grateful for your trust in our team and are pleased to hear you felt supported and comfortable throughout your visit. We appreciate your recommendation and look forward to continuing to provide compassionate, patient-centered care.
Hands down the best dental office in the area! They have always taken care of me and been very accommodating. The Doctors are the BEST!!! I would HIGHLY recommend this office if you are looking for a dentist! 5+ stars all around.
Response from the owner:Thank you for your wonderful review and recommendation! We’re grateful for your kind words and are thrilled to hear that our team has provided a positive experience. We appreciate your support and look forward to serving our community with exceptional care.
I started seeing this practice as a scared middle age woman that thought she was quickly on the way to being toothless. Years later now, still working with the amazing Dr Behl and her amazing staff, I have been able to continue with my present teeth. Alway kind, full of grace, mercy and humor!
Response from the owner:Thank you for your thoughtful review. We’re honored to be part of your dental journey and appreciate your kind words about Dr. Behl and our team.
We have been taking our son to Dental Anesthesia since 2019. He gets his dental treatment and blood work done at the same time. We find the staff and Dr. Thoms highly professional. They communicate well and provide excellent treatment/services. Getting blood work done during sedation helps us a lot.
Response from the owner:Thank you for your kind words and for sharing your experience. We’re honored to be part of your family’s care. We appreciate your trust in us.

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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