950 Francis Pl #305, Clayton, MO 63105 Mon-Thu 7am-4pm · Fri 7am-3pm

Special needs dentistry · St. Louis

Special Needs Dentistry in St. Louis

The Dental Anesthesia Center cares for children and adults with special needs who cannot be treated comfortably in a traditional dental setting. Our doctors provide complete dental care under sedation or general anesthesia in a calm, welcoming office in Clayton.

If you are arranging care for someone you love, we will walk through every step with you, from the first phone call to the day of treatment.

Doctor-owned, privately owned practice

Where other dentists come to learn

Care for severe anxiety and special needs

In-office sedation and general anesthesia

The practice is top notch. Could not ask for better care. Wish dental care was more affordable.
Response from the owner:Thank you for your kind words! We’re grateful for your feedback and are proud to provide high-quality care in a supportive environment.
The best staff for dealing with my level 3 non verbal autistic son. Very understanding and supportive.
We brought our 1.5 and 3.5 year old daughters here for cleaning / check ups. Our dental hygienist Laina was amazing...made them feel so comfortable. They had a great time and keep asking when they can go to the dentist again. Dr. Hoffman was great too and made everything super quick and not stressful. Great place for kids in addition to adults!
Response from the owner:Thank you for your kind words! We’re so glad to hear your little ones had such a positive experience. We’ll be sure to share your compliments with Laina and Dr. Hoffman! 💙
Every person in the office is so personable. That first off makes you comfortable. But then the methods used to clean my teeth, particularly. I don't feel a thing, and it's the first time in my life that I haven't. And I have a lot of anxiety about dental work, and I really do not feel a thing when my teeth are being cleaned
Response from the owner:Thank you for your kind words! We’re so glad our team could help make your experience comfortable and relaxing. It means so much to know you felt at ease with your care!
I came here with my 18 year old daughter who has an immense fear of Doctors and Dentist , The kindness and understanding without any judgement we received from Dr.Thom was just unbelievable. The work he did on my daughter was life changing for her . I would recommend him to anyone . Just amazing, kind talented Doctor.
Response from the owner:Thank you so much for your heartfelt words! It means a great deal to our team to know that you felt welcomed, understood, and cared for. We’re especially grateful you shared how meaningful your experience was.

What we provide

Complete dental care in one place

Our practice offers the full range of dental care for patients with special needs, all under one roof.

Care we provide includes:

  • Thorough dental examinations
  • Digital X-rays
  • Professional cleanings
  • Cavity treatment
  • Emergency dental care
  • Preventive dentistry

Every procedure can be performed under sedation or general anesthesia. For many patients, treatment that would take several appointments elsewhere can be completed in a single visit.

Who we help

Care for a wide range of conditions

If a condition, diagnosis, or past experience makes dental care difficult, our doctors can help. We treat patients with:

Developmental conditions

Neurological and degenerative conditions

Anxiety and sensory challenges

Behavioral and medical considerations

  • ADHD (attention deficit hyperactivity disorder)
  • ADD (attention deficit disorder)
  • Modified behavior
  • Medically compromised patients (allergies, complications, and other medical concerns)

If you do not see a condition listed here, call us at (314) 862-7844. Our team will talk through your situation and help you decide whether our office is the right fit.

Why families choose us

Not a typical dental office

Patients come to us when a traditional dental setting has not worked. Everything about our office is built around making care possible.

The Dental Anesthesia Center is a privately owned practice that proudly remains doctor-owned, allowing us to keep our focus where it belongs, on exceptional, patient-centered care. Families who visit us can expect:

  • Dentist anesthesiologists who administer sedation and general anesthesia in our office
  • A calm, sensory-aware environment with equipment and techniques suited to each patient
  • Experience with both pediatric and adult patients with special needs
  • Complete care under one roof, from routine cleanings to extensive treatment plans

Every patient’s needs are unique. Before we recommend anything, we take time to understand sensory sensitivities, communication preferences, medical history and medications, previous dental experiences, and comfort level with each step of care.

Academic partnerships

Where other dentists come to learn.

Our doctors train other doctors. Residents in graduate periodontics and dental anesthesiology rotate through our Clayton office to learn sedation and anesthesia care.

Residency rotation

Saint Louis University

Center for Advanced Dental Education

Graduate periodontics residents from SLU rotate through our office for a month of hands-on sedation training with our doctors.

Residency program

University of Pittsburgh

School of Dental Medicine

We partner with the University of Pittsburgh’s Dental Anesthesiology Residency Program, helping train the next generation of dentist anesthesiologists.

Beyond the office

Community involvement and advocacy

Our commitment to special needs dentistry extends beyond our practice. We take part in community events like the annual Autism Walk and the Autism Glow Run, and we work with local special needs organizations to promote oral health awareness and access to dental care.

The Dental Anesthesia Center team at the Autism Walk in St. Louis
The Dental Anesthesia Center at the Autism Walk 2019
The Dental Anesthesia Center team at the Autism Glow Run
The Dental Anesthesia Center at the Autism Glow Run 2019

Questions answered

Frequently asked questions

Common questions from patients, parents, and caregivers. If yours is not here, call us. We are happy to talk it through.

What makes a dentist qualified to treat patients with special needs?

Look for advanced training in sedation and anesthesia, experience with patients who have a wide range of conditions, and an office environment designed around sensory comfort. Our doctors are dentist anesthesiologists with years of experience caring for patients with autism, sensory processing differences, and developmental disabilities, and dental residents from Saint Louis University and the University of Pittsburgh rotate through our office to learn this care.

What types of sedation are available for special needs dental care?

We offer every level of sedation, including nitrous oxide (laughing gas), oral conscious sedation, IV sedation, and general anesthesia. The right option depends on your loved one’s needs, medical history, and the treatment planned, and we review the choice together before any care begins.

Is sedation dentistry safe for patients with special needs?

Sedation dentistry is generally considered safe when it is administered by doctors trained in anesthesia and the patient has been carefully evaluated first. We complete a thorough evaluation before treatment, monitor patients continuously during procedures, and follow strict safety protocols. Each sedation plan is customized to the patient’s medical history and specific needs.

Schedule a visit for you or your loved one

Taking the first step can feel overwhelming. Our team will listen, answer your questions, and help you plan a comfortable visit. We look forward to meeting you and your loved one.