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.
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.
TWENTY YEARS! That is how long our special needs son has been seeing Dr Hoffman and his dedicated team! Our son suffers from an intellectual disability, is non-verbal, and is unable to cooperate for dental cleaning, x-rays, or other routine dental work. He requires general anesthesia. It is such a blessing to avoid a hospital setting just for dental work.
The team is always well staffed, friendly, personable and very professional. Every single year we have been supported by a deeply caring team who are dedicated to patients with a very wide range of disabilities and needs. They have shared useful dental advice and tools (3 sided toothbrushes, blocks to hold open their mouth for daily at-home care, etc.) which improved our son’s daily dental care. We always receive a call back the day after to check his recovery-even on weekends!
Highly recommended and so appreciative to have this team supporting our ever long road of raising a special needs son.
Response from the owner:Wow — thank you for sharing such a heartfelt review! We are so grateful for your trust and for allowing our team to be part of your family’s journey over the years. It means so much to us to know that our care and support have made a difference. We truly appreciate your kind words and recommendation!
We've been coming to Dr.Hoffman for twenty years. There's a reason we keep coming back! He's great. His staff is great. He's double boarded as an MD (Anesthesia) and DDS!!! Our son with special needs needs sedation for even a cleaning. You get what you pay for. He's expensive and... we know he's getting the best care!
Response from the owner:Thank you for trusting our team over the years and for your kind words about Dr. Hoffmann and our staff. We truly value your confidence in the care we provide!
Omg!! This place is Amazing! The people who work here are so very nice and understanding. I love this team
Response from the owner:Thank you so much for your kind words! We truly appreciate your support and are grateful to have such wonderful patients.
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.
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!

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.