Sedation Dentistry: What to Expect and How It Works

At The Dental Anesthesia Center, we understand that dental anxiety is a genuine concern for many patients.

Sedation dentistry offers a solution, allowing those with fears or special needs to receive necessary dental care comfortably. We’ll walk you through the types of sedation available, how they work, and what you can expect during your visit.

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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.

What is Sedation Dentistry?

Sedation dentistry uses medication to help patients relax during dental procedures. It’s often called “sleep dentistry,” although patients usually remain awake except under general anesthesia. Sedation can be used for everything from simple cleaning to more complex procedures.

Nitrous Oxide (Laughing Gas)

Nitrous oxide, commonly known as laughing gas, is a mild sedative inhaled through a mask placed over your nose. It helps you relax and can produce feelings of euphoria. The effects wear off quickly once the mask is removed.

What to expect: You’ll feel relaxed and slightly giddy but remain fully conscious. How it works: The gas is mixed with oxygen and inhaled throughout the procedure. It is best for mild anxiety, short procedures, and patients who want to drive themselves home afterward.

Oral Sedation

Oral sedation involves taking a prescribed pill, usually from the benzodiazepine family, about an hour before your procedure.

What to expect: You’ll feel drowsy but remain awake. Some patients may fall asleep but can be easily awakened. How it works: The medication helps reduce anxiety and may cause amnesia about the procedure. It is best for moderate anxiety and more prolonged procedures.

IV Sedation

Intravenous (IV) sedation delivers sedative medication directly into your bloodstream.

What to expect: You’ll be in a deep state of relaxation and may not remember much of the procedure. How it works: A trained anesthesiologist administers and monitors the sedation throughout the procedure. It is best for severe anxiety, complex procedures, and patients with special needs.

General Anesthesia

General anesthesia renders you completely unconscious during the dental procedure.

What to expect: You’ll be completely unaware of your surroundings and feel no pain. How it works: Medication is administered through IV or inhalation and carefully monitored by an anesthesiologist. It is best for extensive procedures, patients with severe anxiety, or certain medical conditions.

The Sedation Dentistry Process

Before the Procedure:

  • Your dentist will review your medical history and current medications to determine the most appropriate type of sedation.
  • You’ll receive instructions about eating and drinking before the procedure, depending on the type of sedation used.
  • For oral sedation, IV sedation, or general anesthesia, you’ll need someone to drive you home afterward.

During the Procedure:

  • Your vital signs will be monitored throughout the procedure.
  • The level of sedation can be adjusted as needed.
  • Local anesthetic will still be used to ensure you don’t feel pain.

After the Procedure:

  • Recovery time varies depending on the type of sedation used.
  • You may feel groggy or sleepy for several hours after the procedure.
  • Your dentist will provide aftercare instructions specific to your procedure and type of sedation.

Benefits of Sedation Dentistry

  1. Anxiety Relief: Helps patients with dental phobias receive necessary care.
  2. Pain Management: Reduces discomfort during lengthy or complex procedures.
  3. Time Efficiency: Allows dentists to perform multiple procedures in one visit.
  4. Reduced Gag Reflex: Helps patients who have a sensitive gag reflex.
  5. Memory Suppression: Many patients have little to no memory of the procedure.
Sedation Dentist in St. Louis
St. Louis Sedation Dentistry

Is Sedation Dentistry Right for You?

Sedation dentistry can be beneficial for patients who:

  • Have dental anxiety or phobia
  • Have a low pain threshold
  • Can’t sit still in the dentist’s chair
  • Have a strong gag reflex
  • Need a large amount of dental work completed

However, it’s not suitable for everyone. Factors like pregnancy, certain medical conditions, or taking specific medications may affect your eligibility for sedation.

Safety and Risks

When administered by trained professionals, sedation dentistry is very safe. However, as with any medical procedure, there are some risks. These can include:

  • Nausea and vomiting
  • Headache
  • Prolonged drowsiness
  • In rare cases, allergic reactions or complications from underlying health conditions

At The Dental Anesthesia Center, our experienced professionals prioritize your safety and comfort. We carefully assess each patient’s needs and medical history to determine the most appropriate and safest form of sedation.

Sedation dentistry has revolutionized dental care for many patients, making it possible to receive necessary treatments without anxiety or discomfort. Understanding the options available and what to expect lets you decide whether sedation dentistry is right for you.

Contact us

If you have questions about sedation dentistry or want to discuss options, please get in touch with us at The Dental Anesthesia Center. We’re committed to providing comfortable, anxiety-free dental experiences for all our patients.

Updated: July 2, 2024

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