Even the most non-invasive procedure can be difficult for patients with special needs, causing them to miss their regular appointments or refuse routine procedures like dental cleaning.
Our adult daughter has cerebral palsy and requires being fully sedated when having anything done. The DAC was such a positive experience. Dr Hoffmann and his staff were kind and did great explaining things. As a mom, I had a lot of questions about how certain things would be done as usually she’s in her chair when getting examined at her local dentist and they had everything under control including transferring from her chair to the dentist chair and keeping her secured in the dentist chair as well as keeping her neck and legs comfortable. Many thanks to them!
Response from the owner:Thank you so much for your kind words. We’re grateful for your trust and happy to hear that you had such a positive experience with our team. Our goal is always to provide compassionate, attentive care in a safe and comfortable environment. We truly appreciate you taking the time to share your experience.
TWENTY YEARS! That is how long our special needs son has been seeing Dr Hoffman and his dedicated team! Our son suffers from an intellectual disability, is non-verbal, and is unable to cooperate for dental cleaning, x-rays, or other routine dental work. He requires general anesthesia. It is such a blessing to avoid a hospital setting just for dental work.
The team is always well staffed, friendly, personable and very professional. Every single year we have been supported by a deeply caring team who are dedicated to patients with a very wide range of disabilities and needs. They have shared useful dental advice and tools (3 sided toothbrushes, blocks to hold open their mouth for daily at-home care, etc.) which improved our son’s daily dental care. We always receive a call back the day after to check his recovery-even on weekends!
Highly recommended and so appreciative to have this team supporting our ever long road of raising a special needs son.
Response from the owner:Wow — thank you for sharing such a heartfelt review! We are so grateful for your trust and for allowing our team to be part of your family’s journey over the years. It means so much to us to know that our care and support have made a difference. We truly appreciate your kind words and recommendation!
We've been coming to Dr.Hoffman for twenty years. There's a reason we keep coming back! He's great. His staff is great. He's double boarded as an MD (Anesthesia) and DDS!!! Our son with special needs needs sedation for even a cleaning. You get what you pay for. He's expensive and... we know he's getting the best care!
Response from the owner:Thank you for trusting our team over the years and for your kind words about Dr. Hoffmann and our staff. We truly value your confidence in the care we provide!
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.
Searching for a new dental clinic is challenging for someone who has
dental anxiety, fear, and traumatic experiences in a dental chair. The staff and doctors at the Dental Anesthesia Center were immediately very welcoming. Dr. Thoms put together a very detailed plan to repair and replace the previous work that I had in the past that was now causing problems. Putting my faith in him was the best thing that I could have done for my situation. I am more than completely satisfied with all of the extensive dental work that I’ve had with Dr.Thoms. I had my fourth sleep dentistry experience yesterday and I’m very happy with my results. I highly recommend this practice and truly want to give them more than five stars! Thank you for giving me back my health and confidence.
Response from the owner:We know it isn’t always easy to find a dental office where you feel at ease, so your words mean the world to us. We’re so glad you feel comfortable with our team and truly appreciate your trust and recommendation!

Sedation dentistry is part of an approach to oral health, which is much more focused on the patient’s education and comfort than ever before. The goal of a good dentist is to make you feel safe and comfortable in the dentist chair and to be ready to come back anytime for your regular check-ups or any treatment you may need.
Sedation can range from the mildest type to general anesthesia, depending on how serious the procedure is, and the medical history of the patient. However, even the most non-invasive procedure can be difficult for patients with dental anxiety or special needs, causing them to miss their regular appointments or refuse routine procedures like dental cleaning.
Typically, a dental cleaning does not involve the use of sedation because many patients are able to sit through a cleaning with little or no pain and/or anxiety. However, in certain cases, yes, sedation can be used for cleaning a patients teeth.
When Sedation is Needed for a Teeth Cleaning
Special needs patients are those who due to their mental, physical, medical, cognitive and developmental conditions require special consideration when receiving dental treatment. Some of the conditions that require special needs dentistry, include:
Special needs dentistry addresses the specific issues of each patient and provides the special needs dental care he or she requires.
It takes compassion and understanding to care for patients with special needs. While most dentists are able to accommodate certain special needs patients, The Dental Anesthesia Center focuses on meeting the needs and limitations of these patients. We understand that some patients need sedation for even a routine teeth cleaning. If your child or loved one requires special needs dentistry, we will be glad to schedule your next appointment.
St. Louis Sedation, Sleep & Special Needs Dentistry
Your initial oral examination includes a visual examination, charting, diagnosis and treatment recommendations. We will also take x-rays, which includes the panoramic x-ray for proper diagnosis of the anterior (front) and posterior (back) teeth as well as the bite-wing x-ray series for proper diagnosis of proximal decay of posterior teeth.
Call us today to schedule your appointment at (314) 862-7844. We look forward to meeting you!