Special Needs Dentistry: Can You Be Allergic to Novocaine?

Published:
Updated:

You may not be able to use Novocaine, or you may need an adjustment in dosage or monitoring during your dental treatment.

Sedation Dentist in St. Louis

When it comes to sedation dentistry, the most common form that all dentists use is local anesthesia. Novocaine has been in use for a number of decades and, most of the time, doesn’t cause any problems. However, as with any type of medication, there is always the potential for side effects.

When we first visited The Dental Anesthesia Center, my child was experiencing severe tooth pain and multiple cavities. Dr. Sean M. Thoms and his team demonstrated excellent care, promptly assessing the situation and deciding to treat his teeth the next day. They came early in the morning, professionally addressing the cavities and placing a crown. They also followed up by phone to ensure my child was doing well. My baby is now pain-free,happy ,smiling, and sleeping soundly. This is truly a world-class dental center with an exceptional, caring team. Highly recommended.
Response from the owner:Thank you so much for your kind words and wonderful review! We’re truly grateful for your trust and so happy to hear your experience with our team was a positive one. It means a lot to know our care helped make things a little easier and brought smiles all around.
Carrie and the Dental Anesthesia Center have always been very professional and welcoming when having work done.
Response from the owner:Thank you for your kind words! We’re so glad to hear you’ve had a positive experience with our team. We appreciate your trust and support!
I cannot say enough wonderful things about The Dental Anesthesia Center and Dr. Thoms. My 7-year-old, who has autism, recently had dental work done here and the experience exceeded expectations. The staff was incredibly kind, patient, and understanding of his needs. They took the time to make him and us feel comfortable, never rushed, and explained everything. I am so grateful for this office and the team that made my son's dental care possible. I would recommend The Dental Anesthesia Center and Dr Thoms to any parent, especially those with children who have special needs. They truly go above and beyond. ❤️
Response from the owner:Thank you so much for your thoughtful review and kind words! We’re truly grateful for your trust in our team and Dr. Thoms. Knowing your visit was a positive and comfortable experience means the world to us — it’s exactly what we strive for with every patient and family. 💙
Very patient with elderly patients. Very good experience.
Response from the owner:Thank you for sharing your feedback! We’re pleased to know the visit was a positive experience.
My son has been a patient of Dr Michael Hoffman since he was 5 years old. He is now 21 years old. My son has diagnosis of autism spectrum disorder and therefore I am cautious of who I select as a treatment provider. Dr. Hoffman’s office is professional, kind and I know they have his best interest at heart. I highly recommend Dr. Hoffman and staff to anyone seeking dental care.
Response from the owner:Thank you for your kind words and recommendation! We truly appreciate your trust in our team over the years.

People who are sensitive to Novocaine may experience an allergic reaction. If you’ve used it before and it hasn’t caused any issues, then you will likely not suffer an allergic reaction. However, if it is your first time, let your dentist know so that he or she can monitor you for any symptoms.

A Decrease in Novocaine Use

Anesthesia was first used in the 1800s, and the practice has continued to progress substantially over the past two hundred years. When Novocaine was first introduced, dentists used it to inject into the sensitive parts of the mouth so that patients wouldn’t feel any pain. Over time, the number of people having an adverse reaction began to grow, which has led many in the dentistry field to try to find an alternative.

Articaine

Although not used frequently, studies show that Articaine is not only a viable solution for those with Novocaine sensitivity or allergies, but it might be a better product overall. Articaine is a medicine that can be an excellent alternative to injectable Novocaine. It is the most widely used local anesthetic in many European countries.

Lidocaine

Lidocaine is a medication that has been used in both the medical and dental industries for a long time. Like Novocaine, it is an injectable substance that is meant to numb the nerves and gum tissue in the mouth to make dental procedures far less painful.

Lidocaine remains the standard of care when dentists are looking for local anesthesia options. The advantages of using Lidocaine versus Novocaine are that there are fewer side effects and that Lidocaine has had a proven track record for the last 50 years.

Allergic Reactions to Novocaine

Allergic reactions to Novocaine can range in severity. The signs and symptoms of an allergic reaction are typically limited to the area of the mouth where it is applied and may consist of swelling. In rare but severe cases, a person may experience a drop in blood pressure or difficulty breathing.

The Dental Anesthesia Center St. Louis


At The Dental Anesthesia Center, we have the first two board-certified Dental Anesthesiologists in the State of Missouri, including the St. Louis Metro Area. We believe that patients should have sufficient information to make educated decisions about their oral health, treatment options, and choice of sedation dentists in Saint Louis.


We work hard to make our patients feel at ease by providing exceptional patient care in a relaxed, convenient atmosphere. We strive to develop lifelong relationships with our patients by combining the latest dental technology with a professional and compassionate team.


Call to schedule an appointment at (314) 862-7844.

Updated: March 28, 2025

Leave a Comment