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.

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The Dental Anesthesia Center: Sedation and Sleep Dentistry

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Whitney S.

I cannot say enough wonderful things about The Dental Anesthesia Center and Dr. Thoms. My 7-year-old, who has autism, recently had dental work done here and the experience exceeded expectations. The staff was incredibly kind, patient, and understanding of his needs. They took the time to make him and us feel comfortable, never rushed, and explained everything. I am so grateful for this office and the team that made my son's dental care possible. I would recommend The Dental Anesthesia Center and Dr Thoms to any parent, especially those with children who have special needs. They truly go above and beyond. ❤️

Response from the owner:Thank you so much for your thoughtful review and kind words! We’re truly grateful for your trust in our team and Dr. Thoms. Knowing your visit was a positive and comfortable experience means the world to us — it’s exactly what we strive for with every patient and family. 💙

Joy H.

Very patient with elderly patients. Very good experience.

Response from the owner:Thank you for sharing your feedback! We’re pleased to know the visit was a positive experience.

Carla B.

My son has been a patient of Dr Michael Hoffman since he was 5 years old. He is now 21 years old. My son has diagnosis of autism spectrum disorder and therefore I am cautious of who I select as a treatment provider. Dr. Hoffman’s office is professional, kind and I know they have his best interest at heart. I highly recommend Dr. Hoffman and staff to anyone seeking dental care.

Response from the owner:Thank you for your kind words and recommendation! We truly appreciate your trust in our team over the years.

Paul

Super experience. Gentle and empathetic. All round care is great. Staff are wonderful.

Response from the owner:Thank you for your kind review! We’re so glad you had a great experience with our team.

Nancy S.

We are forever grateful for Dr Hoffman and his wonderful staff for having the vision of how to get necessary dental work done for patients who are dealing with autism and cannot tolerate it without dental anesthesia. We have been taking our adult daughter there once a year for the last four years. Thanks to Dr Hoffman’s vast knowledge and expertise, our daughter has been able to get wisdom teeth removed, cavities filled, teeth cleaned and detailed X-rays to know exactly what needed done. The Dental Anesthesia Center is a great service to the community. Thank you so much for helping us.

Response from the owner:hank you so much for your thoughtful review and kind words about our team! We truly appreciate your trust in us and are honored to provide care in a way that helps make dental treatment more comfortable and accessible for all patients. Your feedback means a great deal to our entire staff.

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!