Losing the first tooth can be an overwhelming feeling for a child.
It is hard to think back that far, but losing your first tooth may have been a very anxious time in your young life. Although it may be made easier by the promise of a visit from the Tooth Fairy, losing a first tooth can be an overwhelming feeling.
Our adult daughter has cerebral palsy and requires being fully sedated when having anything done. The DAC was such a positive experience. Dr Hoffmann and his staff were kind and did great explaining things. As a mom, I had a lot of questions about how certain things would be done as usually she’s in her chair when getting examined at her local dentist and they had everything under control including transferring from her chair to the dentist chair and keeping her secured in the dentist chair as well as keeping her neck and legs comfortable. Many thanks to them!
Response from the owner:Thank you so much for your kind words. We’re grateful for your trust and happy to hear that you had such a positive experience with our team. Our goal is always to provide compassionate, attentive care in a safe and comfortable environment. We truly appreciate you taking the time to share your experience.
TWENTY YEARS! That is how long our special needs son has been seeing Dr Hoffman and his dedicated team! Our son suffers from an intellectual disability, is non-verbal, and is unable to cooperate for dental cleaning, x-rays, or other routine dental work. He requires general anesthesia. It is such a blessing to avoid a hospital setting just for dental work.
The team is always well staffed, friendly, personable and very professional. Every single year we have been supported by a deeply caring team who are dedicated to patients with a very wide range of disabilities and needs. They have shared useful dental advice and tools (3 sided toothbrushes, blocks to hold open their mouth for daily at-home care, etc.) which improved our son’s daily dental care. We always receive a call back the day after to check his recovery-even on weekends!
Highly recommended and so appreciative to have this team supporting our ever long road of raising a special needs son.
Response from the owner:Wow — thank you for sharing such a heartfelt review! We are so grateful for your trust and for allowing our team to be part of your family’s journey over the years. It means so much to us to know that our care and support have made a difference. We truly appreciate your kind words and recommendation!
We've been coming to Dr.Hoffman for twenty years. There's a reason we keep coming back! He's great. His staff is great. He's double boarded as an MD (Anesthesia) and DDS!!! Our son with special needs needs sedation for even a cleaning. You get what you pay for. He's expensive and... we know he's getting the best care!
Response from the owner:Thank you for trusting our team over the years and for your kind words about Dr. Hoffmann and our staff. We truly value your confidence in the care we provide!
Omg!! This place is Amazing! The people who work here are so very nice and understanding. I love this team
Response from the owner:Thank you so much for your kind words! We truly appreciate your support and are grateful to have such wonderful patients.
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.
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!

When your child is about to lose a tooth, it can become very sensitive, and any anxiety they have about it falling out may increase. That is why being communicative and supportive is so important in creating a positive experience.
Losing the First Tooth
Most children lose their first tooth by the age of six, although every child is different. Typically, all of their baby teeth are gone around the age of 13. Of course, every child goes through it on their own time frame. Although most parents think that it’s the end of the story once the tooth is gone, if it’s not anticipated or treated correctly, the tooth loss can cause problems. If your child has lost their first tooth, it is important not just to make sure that the Tooth Fairy leaves them a little surprise but that you care properly for the socket that is left.
Make sure to wipe their gums – When your child loses their tooth, there is going to be a gaping socket where the tooth once stood. To ensure that an infection doesn’t set in, make sure to wipe the socket with a sterile gauze pad. You will also want to have them rinse their mouth with a mixture of salt water to prevent any inflammation or infection and to soothe your child’s mouth. If they are having a hard time with pain, then you can place a cool tea bag on the open socket or give them Motrin or Tylenol just to take the sting away.
Don’t brush the missing tooth space – You want to encourage your child to brush their teeth at least twice a day, but once they lose that first tooth you need to make sure that they skip over the sore and empty socket. If they brush it, it will further irritate and hurt the area. The socket is going to be tender for a day or two, so just make sure that they gloss over the area where the tooth is missing.
Consider mouthwash – To ensure that the socket doesn’t become infected, consider using mouthwash. Mouthwashes have antibacterial ingredients that are excellent for your child’s first tooth loss. Since you want them to not brush the area, mouthwash can ensure that no bacteria sets in or add inflammation to the injury of the tooth loss.
There are all sorts of milestones that parents and children get to go through. Your child’s first tooth loss is exciting, and if you handle it right, it can be a positive experience for you both.
Pediatric Dentistry in St. Louis
Your child’s initial oral examination will include a visual examination, charting, diagnosis, and treatment recommendations. We work hard to make your child feel at ease by providing exceptional patient care in a relaxed, convenient atmosphere.
Call us today to schedule your appointment at (314) 862-7844. We look forward to meeting you!