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.

The entire team at The Dental Anesthesia Center is exceptional.

Not only is Dr. Hoffmann a 10/10 dentist, but he is very trustworthy and only recommends procedures when necessary.

The dental hygienists are uniformly wonderful. During cleanings, they are gentle but are still able to carry on a conversation as they work.

If i moved an hour away, I would still drive my family here for any dental needs.
Response from the owner:Thank you for your wonderful review! We’re so grateful for your trust in our team and are glad your experience with our doctors and hygienists has been a positive one. We truly appreciate your support!
I love this dentist office! Everyone is so friendly and accommodating. Dr. Thoms is an excellent dentist that listens to you and makes sure everything is done to your satisfaction. They do TRUE dental sedation. Not just give you a pill like other offices’s that claim they do sedation. Since I am allergic to medicine a dentist normally uses I have to be truly sedated to have work done on my teeth. They do Botox for teeth grinding and TMJ also
Response from the owner:Thank you for the kind 5-star review! We truly appreciate your thoughtful feedback and are glad you had a positive experience with our team and services. Your trust means so much to us.
If we lived in closer proximity, we would see Dr. Thoms for all of our dentistry needs. As it is, we happily made the 2.25 hour trip three times for my daughter's root canal and crown. Dr. Thoms and the entire team were expert, kind, and compassionate.
We could not ask for more!
Response from the owner:Thank you so much for your kind words and for trusting our team. We truly appreciate you sharing your experience and are grateful for the opportunity to provide care. Wishing you and your family all the best!
Wonderful place for my special needs daughter. She is not always cooperative. They are very good and patient with her. Thankful she can receive anesthesia at the office and not have to take her for out patient service at a hospital. Thank you to all the staff 😇
Response from the owner:Thank you so much for your kind words and 5-star review! We truly appreciate you taking the time to share your experience. Our team is grateful for your trust and is always committed to providing patient-centered, compassionate care.
Best experiences ever. My two special needs children need sedation dentistry and see Dr. Thoms. Dr. Thoms is so kind, caring and reassuring. He truly has a special gift in treating people with special needs. So grateful to be his patients.
Response from the owner:Thank you for your kind feedback. We’re grateful for the opportunity to provide care in a supportive and reassuring environment.

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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