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

Special needs dentistry · St. Louis

Special Needs Dentistry in St. Louis

The Dental Anesthesia Center cares for children and adults with special needs who cannot be treated comfortably in a traditional dental setting. Our doctors provide complete dental care under sedation or general anesthesia in a calm, welcoming office in Clayton.

If you are arranging care for someone you love, we will walk through every step with you, from the first phone call to the day of treatment.

Doctor-owned, privately owned practice

Where other dentists come to learn

Care for severe anxiety and special needs

In-office sedation and general anesthesia

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!
Great experience! The staff went above and beyond to make my individual comfortable. They let him wait in the hallway so he could pace instead of staying in the crowded waiting room. The dentist even examined him right there. Highly recommend this accommodating team! Fantastic service!
Response from the owner:Thank you for your thoughtful review! We're honored by your recommendation and are committed to providing compassionate, individualized care for every person we serve. We truly appreciate your kind words!
Calm, peaceful, respectful, kind
Response from the owner:Thank you for your kind review! We appreciate your thoughtful words and are grateful you took the time to share your experience with our team.

What we provide

Complete dental care in one place

Our practice offers the full range of dental care for patients with special needs, all under one roof.

Care we provide includes:

  • Thorough dental examinations
  • Digital X-rays
  • Professional cleanings
  • Cavity treatment
  • Emergency dental care
  • Preventive dentistry

Every procedure can be performed under sedation or general anesthesia. For many patients, treatment that would take several appointments elsewhere can be completed in a single visit.

Who we help

Care for a wide range of conditions

If a condition, diagnosis, or past experience makes dental care difficult, our doctors can help. We treat patients with:

Developmental conditions

Neurological and degenerative conditions

Anxiety and sensory challenges

Behavioral and medical considerations

  • ADHD (attention deficit hyperactivity disorder)
  • ADD (attention deficit disorder)
  • Modified behavior
  • Medically compromised patients (allergies, complications, and other medical concerns)

If you do not see a condition listed here, call us at (314) 862-7844. Our team will talk through your situation and help you decide whether our office is the right fit.

Why families choose us

Not a typical dental office

Patients come to us when a traditional dental setting has not worked. Everything about our office is built around making care possible.

The Dental Anesthesia Center is a privately owned practice that proudly remains doctor-owned, allowing us to keep our focus where it belongs, on exceptional, patient-centered care. Families who visit us can expect:

  • Dentist anesthesiologists who administer sedation and general anesthesia in our office
  • A calm, sensory-aware environment with equipment and techniques suited to each patient
  • Experience with both pediatric and adult patients with special needs
  • Complete care under one roof, from routine cleanings to extensive treatment plans

Every patient’s needs are unique. Before we recommend anything, we take time to understand sensory sensitivities, communication preferences, medical history and medications, previous dental experiences, and comfort level with each step of care.

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.

Beyond the office

Community involvement and advocacy

Our commitment to special needs dentistry extends beyond our practice. We take part in community events like the annual Autism Walk and the Autism Glow Run, and we work with local special needs organizations to promote oral health awareness and access to dental care.

The Dental Anesthesia Center team at the Autism Walk in St. Louis
The Dental Anesthesia Center at the Autism Walk 2019
The Dental Anesthesia Center team at the Autism Glow Run
The Dental Anesthesia Center at the Autism Glow Run 2019

Questions answered

Frequently asked questions

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

What makes a dentist qualified to treat patients with special needs?

Look for advanced training in sedation and anesthesia, experience with patients who have a wide range of conditions, and an office environment designed around sensory comfort. Our doctors are dentist anesthesiologists with years of experience caring for patients with autism, sensory processing differences, and developmental disabilities, and dental residents from Saint Louis University and the University of Pittsburgh rotate through our office to learn this care.

What types of sedation are available for special needs dental care?

We offer every level of sedation, including nitrous oxide (laughing gas), oral conscious sedation, IV sedation, and general anesthesia. The right option depends on your loved one’s needs, medical history, and the treatment planned, and we review the choice together before any care begins.

Is sedation dentistry safe for patients with special needs?

Sedation dentistry is generally considered safe when it is administered by doctors trained in anesthesia and the patient has been carefully evaluated first. We complete a thorough evaluation before treatment, monitor patients continuously during procedures, and follow strict safety protocols. Each sedation plan is customized to the patient’s medical history and specific needs.

Schedule a visit for you or your loved one

Taking the first step can feel overwhelming. Our team will listen, answer your questions, and help you plan a comfortable visit. We look forward to meeting you and your loved one.