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

Novocaine vs. Other Sedation Options: The Best Option for You

At The Dental Anesthesia Center in St. Louis, we specialize in helping patients navigate this decision with expertise. Contact us today.

Dental visits don’t have to be scary. For patients dealing with dental anxiety, sensory sensitivities, or complex medical conditions, modern sedation options have transformed the experience into something peaceful, even relaxing. But with choices like Novocaine, nitrous oxide, oral sedation, IV sedation, and general anesthesia, how do you know which one is right for you or your loved one?

sedation
Best Dentists in St. Louis. Really a great dental experience. I have used this office for regular dental care, cavities, crowns, and cosmetic dentistry. Teeth look great.
Response from the owner:Christopher we apologize for the belated response. We are very pleased to hear you have a great dental experience with our office! Thank you for your kind words. We look forward to seeing you at your next dental appointment!
Amazing
Response from the owner:Thank you so much! We truly appreciate the amazing review! ⭐️
Thanks Laina for making my visit great. You are the best.
Response from the owner:Thank you for your kind words! We’ll be sure to share your appreciation with Laina. 😊
Dr. Behl! I cannot recommend Dr. Maris Behl enough. If you have dental anxiety, she is truly the kind of dentist you hope to find. If teeth could be wrapped in pillows and protected by flying unicorns, Dr. Behl would somehow make it happen. I have significant anxiety around dental procedures and have needed deeper sedation for dental work in the past. From the beginning, Dr. Behl took the time to listen to my concerns and made me feel genuinely heard rather than dismissed or rushed. She created such a sense of trust and safety that I was eventually able to have my dental work done with only nitrous instead of full sedation, which is something I honestly didn’t think I would be comfortable doing. During my crown placement, she explained what she was doing throughout the procedure, which made an enormous difference in keeping me calm. She also took the time to address a filling that had been bothering me for what felt like forever — and she actually fixed the problem. What stands out most about Dr. Behl is how safe I feel in her care. She is compassionate, patient, communicative, and incredibly attentive to how her patients are feeling. For someone with dental anxiety, that combination is invaluable. Finding a dentist I trust this much has completely changed my experience with dental care. I am incredibly grateful to Dr. Behl and would recommend her without hesitation, especially to anyone who has dental anxiety or has struggled to feel comfortable receiving dental treatment.
Response from the owner:Thank you for such incredibly kind words! We’ll be sure to pass this along to Dr. Behl. We’re pretty sure the flying unicorns are going to be the part she remembers most! 🦄💙 We’re so glad our team could help make your experience a more comfortable one.
Dr Thoms and his team are phenomenal. No question, the absolute best possible option for my child when he needed work done while sleeping (age based). While this option is not inexpensive, this set up of have anesthesiology in-house allowed us to get his mouth healthy when a traditional pediatric dentist could/would not. I am a parent that asks a lot of questions on behalf of my toddler’s care and at no point did I feel judged for this, nor was I rushed during my evaluation process during the consultation. Although the procedure is not one I would like to repeat for my child, my husband and I were both so pleased with how well Dr. Thoms communicated and how he clearly cared for our son’s wellbeing (both physical and emotional during a less than comfortable visit). Cannot recommend the back of house team more highly. My one detraction is the FOH staff (not everyone) were not nearly as pleasant. I would like to communicate that while their day-to-day is very routine for them, being in that office as a parent is very scary for some people in their office and a little bit of kindness goes along way. I do recall, having a very pleasant conversation with Rebecca, but otherwise everyone else was on the apathetic side, in my personal opinion. That said you’ll notice that I still am leaving a five star review because the dental staff really just knocked out of the park, but as a parent I want to encourage you to look past any rudeness you may experience over email or on the phone because Dr. Thom’s is really that excellent.
Response from the owner:Thank you for taking the time to share such thoughtful feedback. We’re grateful to hear that our team provided compassionate, attentive care and took the time to answer your questions throughout the process. We also appreciate your comments regarding your experience with our front office team and will certainly share your feedback. Your kind words mean so much to us!

What Is Novocaine?

Novocaine (procaine) is a local anesthetic historically used to numb a specific area during minor dental procedures. While it’s often used as a catch-all term, dentists today more commonly use lidocaine, which is safer and more effective.

Use Case: Best for fillings, minor extractions, or numbing a single area.

  • ✅ Minimal downtime
  • ✅ You stay awake
  • ❌ Doesn’t help with anxiety or fear

So, What If You’re Anxious or Have Special Needs?

If fear, trauma, autism, ADHD, or other cognitive conditions make a dental visit difficult, local anesthesia like Novocaine might not be enough. That’s where sedation dentistry steps in.

Here are the main options beyond Novocaine—and how they compare:

1. Nitrous Oxide (Laughing Gas)

  • What it is: A mild sedative inhaled through a mask.
  • Great for: Children and adults with mild anxiety.
  • Pros:
    • Fast-acting and wears off quickly
    • You can drive home after
  • Cons:
    • Not effective for severe phobia
    • Might not be suitable for some patients with respiratory issues

2. Oral Sedation

  • What it is: Anti-anxiety pills taken before your appointment.
  • Great for: Moderate anxiety or longer procedures.
  • Pros:
    • You stay conscious but feel calm
    • Deeper sedation than laughing gas
  • Cons:
    • You’ll need someone to drive you home
    • Harder to adjust dosage mid-procedure

3. IV Sedation

  • What it is: A deeper sedation delivered intravenously.
  • Great for: Patients with severe anxiety or those undergoing complex work.
  • Pros:
    • Fast onset and adjustable dosage
    • You may not remember the procedure at all
  • Cons:
    • Requires an experienced sedation dentist
    • Not typically available at general dental offices

4. General Anesthesia

  • What it is: Full unconsciousness, similar to hospital surgery.
  • Great for Patients with special needs, extensive dental needs, or a strong gag reflex.
  • Pros:
    • Complete comfort and immobility
    • Ideal for children or patients with disabilities
  • Cons:
    • Must be administered by trained professionals in a licensed facility
    • Longer recovery time

Comparing All Sedation Options

Sedation TypeConscious?Anxiety ReliefIdeal ForRecovery Time
Novocaine (Local)Yes❌ NoMinor proceduresMinutes
Nitrous OxideYes✅ MildMild anxiety, kidsMinutes
Oral SedationYes✅ ModerateModerate anxiety, adultsHours
IV SedationDrowsy✅ StrongSevere anxiety, long proceduresHours
General AnesthesiaNo✅ FullSpecial needs, major workSevere anxiety, lengthy procedures

Why Choose The Dental Anesthesia Center?

We’re not just a general dental office—we’re a licensed facility offering all levels of sedation, from nitrous oxide to general anesthesia for special needs and high-anxiety patients.

  • 🩺 Board-certified dental anesthesiologists
  • 💙 Experience with patients who have autism, dementia, cerebral palsy, and more
  • 🏥 In-office operating room setup with hospital-grade monitoring
dental sleep st louis

So, What’s the Best Option?

There’s no one-size-fits-all answer. The best sedation option depends on:

  • Your level of anxiety
  • Your medical history
  • The complexity of the procedure
  • Whether you or your loved one has special healthcare needs

Contact The Dental Anesthesia Center Today

Ready to talk? Schedule a free consultation with our sedation specialists and let’s find the most comfortable, safest option for you.

Updated: April 25, 2025