Special Needs Dentistry: Can You Be Allergic to Novocaine?

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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.

All of the staff have been extremely incredible. Dr. Thoms was amazing & really helped calm me before my procedure. Dr. Thoms answered any & all questions I have had & was extremely understanding when it comes to having dental anxiety. Robyn was the best X-ray technician I have ever had. She felt personable but still extremely professional. Throughout my life I have been to numerous dentists in hopes of finding one that will take my extreme dental anxiety seriously & not make me feel bad for it. I have finally found my favorite dentist. The Dental Anesthesia Center is my #1 pick if I had to chose any dentist.
Response from the owner:Thanks for your kind words and for sharing your experience. We’re grateful for your trust in our team and are pleased to hear you felt supported and comfortable throughout your visit. We appreciate your recommendation and look forward to continuing to provide compassionate, patient-centered care.
Hands down the best dental office in the area! They have always taken care of me and been very accommodating. The Doctors are the BEST!!! I would HIGHLY recommend this office if you are looking for a dentist! 5+ stars all around.
Response from the owner:Thank you for your wonderful review and recommendation! We’re grateful for your kind words and are thrilled to hear that our team has provided a positive experience. We appreciate your support and look forward to serving our community with exceptional care.
I started seeing this practice as a scared middle age woman that thought she was quickly on the way to being toothless. Years later now, still working with the amazing Dr Behl and her amazing staff, I have been able to continue with my present teeth. Alway kind, full of grace, mercy and humor!
Response from the owner:Thank you for your thoughtful review. We’re honored to be part of your dental journey and appreciate your kind words about Dr. Behl and our team.
We have been taking our son to Dental Anesthesia since 2019. He gets his dental treatment and blood work done at the same time. We find the staff and Dr. Thoms highly professional. They communicate well and provide excellent treatment/services. Getting blood work done during sedation helps us a lot.
Response from the owner:Thank you for your kind words and for sharing your experience. We’re honored to be part of your family’s care. We appreciate your trust in us.
This was my first time coming to the Dental Anesthesia Center, recommended by my sister whose special needs son has seen Dr. Hoffmann for years. I have a very difficult jaw condition resulting from a car accident and Dr. Hoffmann made me feel so immediately at ease that I’ve scheduled some extensive dental work to be done later this summer. I also loved my nurse, Ashley, who was so attentive, sweet and knowledgeable. She made me feel not as an anomaly, but valued and validated, and I hope she will be with me during my upcoming surgery. Thank you, Dr. Hoffmann and Ashley, for welcoming me to your practice!
Response from the owner:Thank you for your kind words and for trusting our team. We’re honored to provide a welcoming, compassionate experience and will be sure to share your compliments with Dr. Hoffmann, Ashley, and the rest of our staff. We appreciate your support!

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

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