Pediatric Anesthesia

If your child has trouble visiting the dentist because of severe anxiety or special needs, or if they require major dental work, dental anesthesia may be the right choice.

If your child has trouble visiting the dentist because of severe anxiety or Special Needs, or if they require major surgery or procedure, it can sometimes be necessary for that child to be administered sedation or anesthesia. Dentist anesthesiologists have the necessary experience and qualifications to treat and assist children safely throughout the process.

Like regular anesthesiologists, dentist anesthesiologists are trained to work with children and infants. They can also deliver the proper care to children in the dentist’s chair or operating room.

Pediatric Oral Sedation
Always a team effort of caregiving based on need state - mental and dental, the doctors have a first class practice at 950 Francis Place. I’ve never heard a judgmental word spoken. They guide you in planning your visit and follow through on the execution every time. Just put your trust in the prevention, treatment and care you’re guaranteed to receive. Your health will benefit and any anxieties or physical limitations can be overcome. Oral care at home (or lack thereof) cannot meet 100% of your needs. The Dental Anesthesia Center will complete it.
My sweet daughter has Autism, and was unable to work with a typical dentist. She must be sedated for dental cleanings, which can be scary for both of us. The team here is always very warm and understanding. They’re patient and willing to help us when she is struggling. Dr. Thoms is so helpful and kind. We’ve seen him for several years now, and I trust him and his team completely. Thank you!
Response from the owner:Thank you for your kind words and trust in our team over the years. We’re so grateful to be part of your family’s care and truly appreciate you taking the time to share your experience. We’ll be sure to pass along your kind words to our team!
I am so impressed with this Place. The staff is super friendly and explains everything in great detail and really takes their time with their patients. I came here after 15+ years of not having Dental insurance or the means to see a Dentist. Needless to say, my teeth were in pretty bad shape, and I needed a deep periodontal cleaning. When I went in for consultation back in February I was totally nervous, anxious had no clue what to expect. I just knew that I needed to a tooth that was falling out pulled and needed to do something about my teeth. After talking with a staff member and Dr. Hoffmann I felt totally at ease. Both my procedures in Feb and May went incredibly well and I woke up from both with an incredible smile. I came back today for follow up and cleaning my Hygienist was awesome I still had some sensitivity around my front teeth and when she noticed I flinched she stopped and said do you need break, or do you want me to put some numbing jell on your front teeth. After we got done, I had a lot of questions about the proper way to floss, what type of tooth paste I should use for sensitive teeth etc and she really took the time to answer all my questions. If you have been putting off dental work because of anxiety, I encourage you to check this place out. The staff truly cares about their clients.
Response from the owner:Thank you for your thoughtful review and kind words. We’re so glad you felt informed, supported, and cared for throughout your visits. Helping patients feel comfortable and confident in their dental care means so much to our team. We truly appreciate your trust!
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.
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.
Amazing staff from entering to exiting! Thank you all for truly caring and taking the time to explain every step as you go. You are appreciated and I would highly recommend you to everyone!
Response from the owner:Thank you for your kind words and recommendation! We’re so glad you felt cared for and informed throughout your experience. Our team truly appreciates your support!

Anesthesia & Children

The American Academy of Pediatrics and the American Academy of Pediatric Dentistry updated the current guidelines for dentists and oral surgeons in 2019. These guidelines help dentists and oral surgeons with a procedural map to follow when providing children with general anesthesia or deep sedation.

For starters, there must always be two people in the room, each trained to provide full life support in an emergency. One of the people in the room will be the dentist or oral surgeon who will perform the actual procedure.

The other person in the room is known as an independent observer.

Understanding The Different Levels of Sedation

It is essential to know that there are different levels of sedation. The dentist will ultimately decide the type of sedation necessary for the patient or procedure, though understanding each level will help you, as a parent, feel more in control.

  • Mild Sedation – Mild sedation is when the child remains conscious throughout the procedure. It is the lightest level of sedation that we offer and typically involves a mild sedative such as Nitrous Oxide, otherwise known as laughing gas or a Valium-like medication. Nitrous Oxide is the most popular choice, though some children don’t like the feeling. Dentists don’t need to go through additional training to administer mild sedation.
  • Moderate Sedation – Moderate sedation, or sedation dentistry, makes the child sleepier during the procedure, though they are not entirely asleep. We highly recommend this for older children, who are less fearful.
  • Deep Sedation – Deep sedation, otherwise known as sleep dentistry, is a method of sedation in which the child is completely asleep throughout the procedure. There will be no memory of the procedure. During your child’s procedure, an independent observer will always be in the room to monitor the child’s heart rate, blood pressure, oxygen saturation, etc. This method is entirely pain-free and excellent for more extended operations or procedures.

Making Your First Appointment

Whether your child struggles with severe anxiety or special needs, or if they need a serious dental operation, including surgery, St. Louis pediatric anesthesia can help. At The Dental Anesthesia Center in St. Louis, we have been practicing sleep and sedation dentistry for the past 30 years. We know how important the safety and comfort of your child are during their procedure, and we aim to provide nothing less than that!

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