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

It was thorough professional and informative. I was satisfied with consultation and look forward to having my dental needs addressed
Everything went great today for her surgery but I do have some feedback about other things. My daughter was scheduled to be put to sleep to undergo a root canal. They ended up needing more anthesia which I was willing to pay for. Surgery was supposed to be an hour (I was told this before they started), and it ended up being 2 hours because of some minor complications. Noone came to the lobby to inform us. When it was over, I asked to see her. They said I had to pay first. I just paid almost 5k and they were more worried about an additional $300 before allowing me to see my daughter? This didn't sit right. I didn't say anything. I paid the bill and went to see my daughter. Dr. Hoffman is the nicest man I have ever met! He was outstanding. Also, in the weeks before her surgery, the office appeared to not communicate. I would receive a call saying one thing then someone else would say another. They were never on the same page. Last week, they needed to speak with me to confirm a few things. They called me at 8:16am then again at 1:06pm. Leaving me a voicemail that if they do not hear from me they were going to cancel her surgery. Wow! I work. I work 8am-5pm. I do not have access to my phone during those hours. They did leave a voicemail and I would have called the next day but they did not give me a chance before sending me an email threatening to cancel. Also, they had called me several weeks before to inform me I had no insurance. I called my insurance company and they said I did. Not sure what happened but it resulted in unnecessary phone calls during my only free 20 minutes at work. If your appointment is at 10am, do not plan on seeing anyone for awhile. All our appointments ran an hour behind. I think Dr. Hoffman is wonderful but the office staff needs some help. Not friendly at all. Noone even smiled! The nurses in the room with my daughter were great too.
I went to nervous and 3 to 4 hours later, I essentially woke up in the car on my way home without realizing anything had happened. If you have trauma with previous dental issues, this is the place. I have a had severe dental trauma my entire life. Until now, they are all fantastic.
Response from the owner:Thank you for your kind words and for sharing your experience. We’re grateful our team could help provide a comfortable experience and appreciate your trust in us.
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!

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.