950 Francis Pl #305, Clayton, MO 63105 Mon-Thu 7am-4pm · Fri 7am-2pm

Intellectual disabilities dentistry · St. Louis

Intellectual Disabilities Dentistry in St. Louis

People with intellectual disabilities are often at greater risk of oral health problems, usually because communication breaks down or their needs are not well understood. The Dental Anesthesia Center provides complete dental care under sedation or general anesthesia in a calm, patient office in Clayton.

Our doctors are dentist anesthesiologists, and this care is part of our broader special needs dentistry. For many patients, the right reassurance is all it takes to get here safely and willingly. For those who need more support, every level of sedation is available in our office.

Doctor-owned, privately owned practice

Where other dentists come to learn

Care for severe anxiety and special needs

In-office sedation and general anesthesia

Our experience was wonderful. Our Down’s Syndrome son is very apprehensive about his appointments, but Dr. Thoms and all of his staff made our son more compliant. Each member seems vested in their job and are so kind and caring. Thank you for a positive experience.
Response from the owner:Thank you for your kind words! We’re so glad your family had a positive experience. Our team takes great pride in providing compassionate, individualized care, and your feedback means so much to us!
Everyone is always very welcoming and professional.
Response from the owner:Thank you for your kind words! We’re so glad our team makes you feel welcome. We truly appreciate your support!
This staff and these doctors are patient and kind and treat their patients with dignity. The doctors to a great job and go above and beyond.
Response from the owner:We’re so grateful for your thoughtful review! Thank you for trusting our team and for your kind support.
I had a dental problem that needed attention quickly. They got me in the next day and we identified the problem and came up with a great solution. I have been going there for over 10 years and they always come through.
Response from the owner:Thank you for your continued trust in our team over the years! We’re always happy to help and truly appreciate your kind words and recommendation!
Always a great experience. Carrie does a wonderful job keeping my smile healthy and bright. Dr. Thoms is always very nice and professional. They make going to the dentist much less stressful!
Response from the owner:Thank you for the great feedback! We're so glad Carrie and Dr. Thoms have made your visits comfortable and enjoyable.

Oral health and intellectual disabilities

Oral care for patients with intellectual disabilities

Anxiety, communication, and routine all play a bigger role in dental care than most offices are set up for.

Many patients become much more anxious when they know a dental visit is coming. Some have more severe disabilities or medical concerns that call for extra care and precaution. And because patients with intellectual disabilities often see the dentist less than the rest of the population, small problems can grow into ones that affect overall health and wellness.

People with intellectual disabilities also often have a hard time expressing pain or discomfort in a way others understand. As a parent or caregiver, watching for changes in behavior that signal illness, pain, or discomfort, and sharing them with the dental team, makes a real difference.

For parents and caregivers

Better oral care starts at home

The path to a healthy mouth starts at home, and a few practical choices make dental visits easier too.

  • Build a simple daily oral care routine, and keep it consistent. Routine makes cooperation easier over time.
  • Schedule around energy and anxiety. Patients who tire easily or feel strong anxiety often do better with appointments earlier in the day.
  • Keep regular appointments at the same time. Many patients rely heavily on routines, and a consistent appointment time helps.
  • Watch for changes in behavior that may signal pain or discomfort, and share them with your dental team.

Prioritizing oral health and building good routines now helps avoid bigger problems down the road. We care for both children and adults, including pediatric patients who need anesthesia for dental care.

Academic partnerships

Where other dentists come to learn.

Our doctors train other doctors. Residents in graduate periodontics and dental anesthesiology rotate through our Clayton office to learn sedation and anesthesia care.

Residency rotation

Saint Louis University

Center for Advanced Dental Education

Graduate periodontics residents from SLU rotate through our office for a month of hands-on sedation training with our doctors.

Residency program

University of Pittsburgh

School of Dental Medicine

We partner with the University of Pittsburgh’s Dental Anesthesiology Residency Program, helping train the next generation of dentist anesthesiologists.

Questions answered

Frequently asked questions

Common questions from patients, parents, and caregivers. If yours is not here, call us. We are happy to talk it through.

How do you care for a patient who cannot communicate pain?

We work closely with parents and caregivers, who know the patient best, and we ask about changes in behavior that can signal pain or discomfort. Our team adapts how we communicate to each patient, and sedation options are available when treatment is needed.

Can appointments be scheduled around my loved one’s routine?

Yes. Some patients do better at specific times of day, and patients who rely on routine often do best with regular appointments at a consistent time. We schedule around what works for your loved one.

What if my loved one cannot cooperate with treatment?

Every procedure we provide can be performed under sedation or general anesthesia, so care that would be difficult in a traditional setting can often be completed comfortably in a single visit. The right option depends on the patient’s needs, medical history, and the treatment planned.

Schedule a first visit that works for your loved one

Putting off dental care out of fear or anxiety only makes things harder. Our team will listen, answer your questions, and plan a comfortable visit. We are happy to discuss insurance and financing options for your care.