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IV Sedation and Acute Dental Visit Anxiety

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To ease anxiety, dentistry has developed sedation methods that help patients relax during dental treatment.

Sedation Dentist in St Louis

Did you know 50% of people admit to some form of anxiety visiting the dentist, with roughly 1 in 6 avoiding dental care altogether because of it? To ease anxiety, dentistry has developed sedation methods that help patients relax during dental treatment.

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.
I’ve had wonderful experiences at this dental office. The team is professional, the care is top-notch, and appointments run smoothly. I’ve never had to wait long in the waiting room. I highly recommend them!
Response from the owner:Thank you for your kind words and recommendation! We’re so glad to hear you’ve had such positive experiences with our team. We truly appreciate your support!
I love coming to the Dental CENTER , all the ladies are so nice and they keep you up to date. Dr. Belah is great and Carrie are so good. They do a great job.
Response from the owner:Thank you so much for your kind words! We’re thrilled to hear you’ve had such a positive experience with our team. We’ll be sure to share your appreciation with Dr. Behl, Carrie, and the rest of the team!
Great cleaning & checkup
Response from the owner:Thank you for the 5-star review! We’re so glad you had a great experience with our team. We truly appreciate your kind words!
Dr. Hoffman is a friendly individual and readily answers can't questions you may have. His office staff are all friendly. One in particular,Meaghan, has learned to put up with the grumpy old guy from Illinois. I would recommend you give these people a try for your special needs relative.
Response from the owner:Thank you for the kind words and recommendation! We’re so glad to hear you’ve felt welcomed and well cared for by Dr. Hoffman and our team. And we’ll be sure to let Meaghan know she’s doing a great job putting up with our “grumpy old guy from Illinois!”

Types of Sedation Dentistry

Many can achieve relaxation with an oral sedative taken about an hour before a visit. , some with acute anxiety may need deeper sedation through an intravenous (IV) injection of medication. Unlike general anesthesia, which achieves complete unconsciousness to block pain, IV sedation reduces consciousness to a controllable level. Patients aren’t so much “asleep” as in a “semi-awake” state that’s safe and effective for reducing anxiety.

While there are various IV medications, the most popular for dental offices are the benzodiazepines, most often Midazolam (Versed). Benzodiazepines act quickly and wear off faster than similar drugs and have a good amnesic effect (you won’t recall details while under its influence). While relatively safe, they shouldn’t be used with individuals with poor liver function because of their adverse interaction with liver enzymes.

Other drugs or substances are often used in conjunction with IV sedation. Nitrous oxide (“laughing gas”) may be introduced initially to help with anxiety over the IV needle stick. Sometimes, pain-reducing drugs like Fentanyl may be added to the IV solution to boost the sedative effect and reduce the primary drug’s amount.

If we recommend IV sedation for your dental treatment, there are some things you should do to help the procedure go smoothly and safely. Because the after-effects of sedation may impair your driving ability, be sure you have someone with you to take you home. Don’t eat or drink anything after midnight the day before your appointment, and consult with both your physician and dentist about taking any prescription medication beforehand. Wear loose, comfortable clothing, and don’t wear contact lenses or oral appliances like dentures or retainers, watches, or other jewelry.

The Dental Anesthesia Center

Our top priority is safety. We follow strict standards and protocols regarding IV sedation, and you’ll be carefully monitored before, during, and after your procedure. Performed with the utmost care, IV sedation could make your next dental procedure pleasant and uneventful and improve your oral health.

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The first two board-certified Dentist Anesthesiologists in the state of Missouri.

Updated: October 6, 2026

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