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

Pediatric anesthesia · St. Louis

Pediatric Anesthesia in St. Louis

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. The Dental Anesthesia Center provides complete dental care for children under sedation or general anesthesia in our Clayton office.

Our doctors are dentist anesthesiologists, trained to care for children and infants safely, whether in the dental chair or the operating room. Pediatric care is part of our broader special needs dentistry practice.

Doctor-owned, privately owned practice

Where other dentists come to learn

Care for severe anxiety and special needs

In-office sedation and general anesthesia

Very nice very convenient for me great people working
Response from the owner:Thank you for your kind words! We’re so glad you had a positive experience with our team. We truly appreciate your 5-star review!
The staff is always compassionate and explain all the steps of the procedure. This office has been a God send for me because otherwise I would have let my teeth fall into further disrepair. I highly recommend this office!!!!!
Response from the owner:Thank you for your kind words and recommendation! We’re so glad our team could help make your experience feel comfortable and supportive. We truly appreciate your 5-star review!
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. I adding to this post because of my visit today with the best dental hygienist Delaina and my exam with Dr. Biehl. I have truly never been to such a caring and supportive dental group. Everyone is always conscientious of my needs and knows that I have issues with anxiety. I am always calm when I am sitting in the chair because of their kindness. I am so pleased with the Dental anesthesia center. There needs to be more than five stars. Thank you, everyone.
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!
I am unusually tense about my appointments. However, from the moment I checked in I relaxed. The staff was welcoming and assuring, and helped me to relax completely. Dr. Hofmann is superb. He is by far the best dentist and dental surgeon I have ever ever experienced.
Response from the owner:Thank you for your kind words! We’re so glad our team helped create a welcoming and comforting experience. We appreciate you sharing your feedback!
I cannot thank this clinic enough for their amazing care. They completely accommodated my individual needs by letting him wait in the hallway where he had more room for his feet and space to pace. Instead of forcing him into a tiny exam room, the dentist came out to the hallway to check his mouth. It made the entire visit so much easier for him. Fantastic service!
Response from the owner:Thanks so much for your kind words! We're grateful for the opportunity to provide compassionate, individualized care and appreciate you taking the time to share your experience. Wishing you all the best!

Safety standards

Two trained providers in the room, every time

Anesthesia and children is a serious subject, and it is governed by clear professional guidelines. Our practice is built around them.

The American Academy of Pediatrics and the American Academy of Pediatric Dentistry publish joint guidelines for deep sedation and general anesthesia in children. The guidelines call for two people in the room, each trained to provide full life support in an emergency: the dentist or oral surgeon performing the procedure, and an independent observer whose only job is to monitor the child.

That is exactly how our office works. During your child’s procedure, a dedicated provider continuously monitors heart rate, blood pressure, and oxygen levels while the dentist focuses on treatment.

Levels of sedation

Understanding the levels of sedation

The dentist will recommend the level of sedation that fits your child and the procedure. Understanding each option helps you, as a parent, feel more in control.

Mild sedation

Your child remains awake and relaxed throughout the procedure. The lightest option we offer, typically nitrous oxide (laughing gas) or a mild oral medication.

Moderate sedation

Your child becomes drowsy and deeply relaxed, though not fully asleep, often with little memory of the visit afterward.

Deep sedation and general anesthesia

Your child sleeps through the entire procedure with no memory of it afterward, while an independent observer continuously monitors heart rate, blood pressure, and oxygen.

The right option depends on your child’s needs, medical history, and the treatment planned, including extensive treatment plans completed in a single visit. We review the choice together before any care begins. Read more about our sedation dentistry and sleep dentistry options.

Your first appointment

Making your child’s first appointment

Whether your child struggles with severe anxiety or special needs, or needs a major dental procedure, pediatric anesthesia can help.

At The Dental Anesthesia Center, we have been practicing sleep and sedation dentistry for more than 30 years. We know how important your child’s safety and comfort are during their procedure, and every visit is built around both.

Parents and caregivers are welcome to call with questions at any point, before or after the visit. Our team is glad to walk you through what to expect.

Academic partnerships

Where other dentists come to learn.

Our doctors train other doctors. Residents in graduate periodontics and dental anesthesiology rotate through our Clayton office to learn sedation and anesthesia care.

Residency rotation

Saint Louis University

Center for Advanced Dental Education

Graduate periodontics residents from SLU rotate through our office for a month of hands-on sedation training with our doctors.

Residency program

University of Pittsburgh

School of Dental Medicine

We partner with the University of Pittsburgh’s Dental Anesthesiology Residency Program, helping train the next generation of dentist anesthesiologists.

Questions answered

Frequently asked questions

Common questions from parents and caregivers. If yours is not here, call us. We are happy to talk it through.

Is dental anesthesia safe for children?

Pediatric dental anesthesia follows strict joint guidelines from the American Academy of Pediatrics and the American Academy of Pediatric Dentistry. Two trained providers are in the room for every deep sedation or general anesthesia procedure: the dentist performing treatment and an independent observer who continuously monitors your child’s heart rate, blood pressure, and oxygen.

Will my child remember the procedure?

With deep sedation or general anesthesia, children sleep through the procedure and typically have no memory of it afterward. With milder levels, your child stays awake but relaxed. We recommend the level that fits your child and the treatment planned.

What ages do you treat?

Our dentist anesthesiologists are trained to care for children of all ages, including infants and toddlers. Care is planned around each child’s age, medical history, and individual needs.

Schedule a visit for your child

Whether your child needs routine care under sedation or a complex procedure, our team is here to help. We are happy to discuss insurance and financing options for your child’s care.