950 Francis Pl #305, Clayton, MO 63105 Mon-Thu 7am-4pm · Fri 7am-3pm

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

I came here with my 18 year old daughter who has an immense fear of Doctors and Dentist , The kindness and understanding without any judgement we received from Dr.Thom was just unbelievable. The work he did on my daughter was life changing for her . I would recommend him to anyone . Just amazing, kind talented Doctor.
We met Dr. Shawn in Sept 2023 and in December, he removed our adult nonverbal son's wisdom teeth. Not gonna hold you, general anesthesia is billed incrementally (by the minute/quarter-hour) and is a heavy financial investment. I love this clinic because it really is a safe space for special needs families. There's a huge calm that accompanies knowing your dependent person is getting healthy. Dr. Shawn is exceptional. We drove 6 hours to get here so we'll choose a local practice for routine sedation cleanings down the road. I hope to see more neurodivergent acceptance built locally in our state's dentistry like this team has here. Meanwhile we are so grateful for this practice and grateful our son was in Dr. Shawn's care.
Dr. Thoms and Robin are excellent in their care, concern, and support. Dr. Thoms explains everything and takes his time. If I have questions or concerns, he is easy to talk to and listens well.Robin is right there by my side throughout procedures. Her technical skills and professionalism are impressive. She is terrific!
Individualized care, expertise in general anesthesia, and attention to detail are why we keep returning for our son.
Response from the owner:Thank you for your kind words and continued trust in our team! We’re grateful to be part of your family’s care and truly appreciate your confidence in us.
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.

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.