We feel it is of the utmost importance that your loved one with Down Syndrome feels comfortable without fear or anxiety so that the dental visit goes as smoothly as it possibly can.
I have NEVER had a positive experience with dentist…until now!! I was mind blown how kind the staff was, not just to me but to everyone! I have debilitating anxiety when it comes to dentists because of bad previous experiences, so I was very nervous. But, all the staff, including Dr. Thom, were very gentle, kind, and understanding. They took time to listen to all my concerns and address them, helping to put me at ease. I was also amazed how professional the whole office ran and how completely reliable they were. They easily guided me through the process and everything went so smoothly, including my sedation. I have never been treated so kindly by any dental office before, I was struggling to believe I wasn’t in some kind of dream. But. They really were that nice.
My recovery from sedation and all
The dental work they did to save my tooth was amazing, not a single issue! Dr. Thom even called personally to check on me a day later.
Coming back to put my permanent crown in was the same experience. They were all so kind,
Good about explaining everything they were doing and make the experience light and dare I say…fun.
I would drive 2.5 hours again in a heartbeat to do my work here. Best dental experience I’ve ever
had hands down!!!!!!! Thank you Dr. Thom for giving my life and tooth back. I’m so excited to not be in so much excruciating pain anymore!
Response from the owner:We can’t thank you enough for your kind and heartfelt words. Our entire team is dedicated to creating a gentle, supportive, and positive experience for every patient, so it means the world to hear your visit felt that way. We’re so glad you felt cared for and comfortable throughout the process, and we truly appreciate you making the trip to see us. Thank you for trusting us—it’s an honor to care for patients like you!
Dr. Hoffmann and his team takes great care of my special needs daughter. We have been coming here for over 20 years. The staff is so kind and patient with her and explains everything to help her stay calm.
Response from the owner:Thank you so much for sharing your kind words and for trusting our team for so many years. We’re honored to care for your family and appreciate the opportunity to make each visit a positive experience.
I have had the best experience with Dr Behl and her staff! I have awful dental anxiety from some past experiences and they are so kind and supportive. Rebecca is incredible to work with. I highly recommend them to everyone I know!!
Response from the owner:Thank you so much for sharing your kind words! We’re happy to know you felt supported and comfortable during your visit. Our team strives to create a welcoming environment for everyone, and we truly appreciate your recommendation.
We always receive excellent care at the Dental Anesthesia Center.
Response from the owner:Thank you for your kind words! We truly appreciate your trust in our team and are grateful for the opportunity to provide care.
Our adult daughter has cerebral palsy and requires being fully sedated when having anything done. The DAC was such a positive experience. Dr Hoffmann and his staff were kind and did great explaining things. As a mom, I had a lot of questions about how certain things would be done as usually she’s in her chair when getting examined at her local dentist and they had everything under control including transferring from her chair to the dentist chair and keeping her secured in the dentist chair as well as keeping her neck and legs comfortable. Many thanks to them!
Response from the owner:Thank you so much for your kind words. We’re grateful for your trust and happy to hear that you had such a positive experience with our team. Our goal is always to provide compassionate, attentive care in a safe and comfortable environment. We truly appreciate you taking the time to share your experience.

Patients with Down Syndrome frequently need specialized care for their unique dental needs. One reason is due to their higher risk of developing cavities and gum disease. They can also have orofacial and skeletal development problems, which can negatively impact their oral health. It is essential to find the right dentist so that your child or family member receives the best dental care possible.
At The Dental Anesthesia Center, we feel it is of the utmost importance that your loved one with Down Syndrome feels comfortable without fear or anxiety so that the dental visit goes as smoothly as it possibly can.
Unique Dental Needs
Each patient is different, and therefore, the degree of difficulty varies from person to person. People with Down Syndrome generally need specialized dental care for many different reasons. Some of the most common oral health factors to consider include:
- Delayed eruption of baby teeth
- Crossbites – where the top teeth lie inside the bottom teeth
- Open bites – where the top and bottom teeth do not touch
- Crowed, missing, or extra teeth
- Decreased crown to root ratio
- Impacted canine teeth
- Higher risk of cavities and gum disease
- Bruxism – grinding or clenching the teeth
- Tongue thrust and mouth breathing
Unique Health Needs
In addition to the oral health factors patients with Down Syndrome face, they also often have complex health factors that must be considered. This is yet another reason why it is important to find a dentist who understands all the potential issues a patient with Down Syndrome may face.
Some additional potential disorders and concerns include:
- Cardiac defects
- Epilepsy
- The fragility of the cervical vertebrae
- Compromised immune system
- Diabetes
- Sleep apnea
- Hearing loss
- Vission problems
- Increased risk of leukemia
- Hypothyroidism
Sedation And Patients With Down Syndrome
Many patients benefit from sedation when they visit the dentist. If a patient cannot properly cooperate with a dentist during their appointments, sedation can sometimes be necessary to get the work done.
This is why many patients opt for sedation dentistry, which is exactly what we offer here at The Dental Anesthesia Center in St. Louis. For patients who have Down Syndrome, sedation dentistry is not uncommon at all. In fact, sedation dentistry, or sleep dentistry, is one of the most utilized methods to keep patients calm and relaxed during their trips to the dentist. There are many different sedation levels as well, which range from mild sedation to where the patient is still awake and conscious to heavy sedation, where a patient is completely asleep.
Of course, there aren’t many people who enjoy having someone poke around in their mouths with various tools, and for someone who suffers from serious sensory problems, such as a person with Down Syndrome, sedation can be the best option. Sedation is essential if the patient is in for extensive dental work, such as major surgery, to stay completely still throughout a long procedure.
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The first two board-certified Dentist Anesthesiologists in the state of Missouri.