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
Yes, my grandson has nonverbal autism and they took very good care of him.. He had to have some extra extractions which I was concerned about, but everything went very well. Very happy and I thank you all for all the work you did.
Response from the owner:Thank you for your kind words. We’re so glad to hear you had a positive experience and that everything went smoothly. We truly appreciate your trust in us.
I took my son to an appointment today with Dr. Hoffman. We had a great experience from the time we arrived until we departed. The receptionist was very friendly and helpful. The dental assistants were very helpful and polite with my son. The doctor is very kind and patient. They explain everything as we went through the process. We were aware of the cost from the beginning to the end and we're allowed to make decisions about how to handle my child's care and not shocked with additional charges after the fact. My child does not resist going to this office. Great experience.
Response from the owner:Thank you for your kind words! We’re so glad to hear your experience was positive from start to finish. Our team works hard to create a comfortable, transparent, and supportive environment for every patient and family. We truly appreciate you taking the time to share your feedback!
Always nice and professional doctors and staff! Highly recommend especially if you have dental anxiety!
Response from the owner:Thank you for your kind words! We’re so glad you felt comfortable with our team. We truly appreciate your recommendation!
Dr. Thoms and everyone of his staff members are incredible. I was warmly welcomed and made to feel comfortable and relaxed. Which is saying something as I had not been to the dentist in years due to fear/anxiety.
My procedure was clearly explained. The office staff was beyond helpful with payment and insurance.
The day of my appt was exactly as planned. We started ahead of schedule! The technicians and assistants were clearly skilled and again, helped ease my nervousness. We finished all work as planned. And then Dr. Thoms sat with me and my husband to discuss “everything.” He is very thorough. And finally one of his staff wheeled me down to the elevator, out across the parking lot, and helped me into my van. Now that is service!
Around 8:30 p.m. my cell phone rang and it was Dr. Thoms calling to check up on me. Wow!!!!! This man has all you could want in a dentist—kind, compassionate, thorough, understanding, excellent communicator, and skilled.
I cannot come up with the best words to so highly recommend the Dental Anesthesia Center. It was a remarkable, yet simple, but thorough experience for me.
If you are putting off going to the dentist and have anxiety or fears please call them. They will gently and competently take care of you.
And no, this is not an advertisement/ commercial—I am a real live (satisfied) patient.
Response from the owner:Thank you so much for your kind and thoughtful review! We’re honored to hear that you felt welcomed, comfortable, and well cared for throughout your experience. Our team is dedicated to providing compassionate, thorough care—especially for those who may feel anxious about dental visits—so it means a lot to know that came through. We truly appreciate your recommendation and are grateful you chose us for your care.
The practice is top notch. Could not ask for better care.
Response from the owner:Thank you for your kind words! We’re grateful for your feedback and are proud to provide high-quality care in a supportive environment.

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.