Top 5 Dental Concerns for Seniors and How Sedation May Help

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Sedation dentistry in St. Louis may help seniors manage pain, anxiety, and complex dental needs safely and comfortably.

As we age, our dental needs evolve — and so does our comfort level with dental visits. For many older adults, the idea of sitting through lengthy or complex dental procedures can cause anxiety, discomfort, or even pain due to underlying health issues. That’s where sedation dentistry comes in. At The Dental Anesthesia Center in St. Louis, sedation is not just about easing fear; it’s about making quality dental care accessible, comfortable, and safe for seniors.

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When we first visited The Dental Anesthesia Center, my child was experiencing severe tooth pain and multiple cavities. Dr. Sean M. Thoms and his team demonstrated excellent care, promptly assessing the situation and deciding to treat his teeth the next day. They came early in the morning, professionally addressing the cavities and placing a crown. They also followed up by phone to ensure my child was doing well. My baby is now pain-free,happy ,smiling, and sleeping soundly. This is truly a world-class dental center with an exceptional, caring team. Highly recommended.
Response from the owner:Thank you so much for your kind words and wonderful review! We’re truly grateful for your trust and so happy to hear your experience with our team was a positive one. It means a lot to know our care helped make things a little easier and brought smiles all around.
Carrie and the Dental Anesthesia Center have always been very professional and welcoming when having work done.
Response from the owner:Thank you for your kind words! We’re so glad to hear you’ve had a positive experience with our team. We appreciate your trust and support!
I cannot say enough wonderful things about The Dental Anesthesia Center and Dr. Thoms. My 7-year-old, who has autism, recently had dental work done here and the experience exceeded expectations. The staff was incredibly kind, patient, and understanding of his needs. They took the time to make him and us feel comfortable, never rushed, and explained everything. I am so grateful for this office and the team that made my son's dental care possible. I would recommend The Dental Anesthesia Center and Dr Thoms to any parent, especially those with children who have special needs. They truly go above and beyond. ❤️
Response from the owner:Thank you so much for your thoughtful review and kind words! We’re truly grateful for your trust in our team and Dr. Thoms. Knowing your visit was a positive and comfortable experience means the world to us — it’s exactly what we strive for with every patient and family. 💙
Very patient with elderly patients. Very good experience.
Response from the owner:Thank you for sharing your feedback! We’re pleased to know the visit was a positive experience.
My son has been a patient of Dr Michael Hoffman since he was 5 years old. He is now 21 years old. My son has diagnosis of autism spectrum disorder and therefore I am cautious of who I select as a treatment provider. Dr. Hoffman’s office is professional, kind and I know they have his best interest at heart. I highly recommend Dr. Hoffman and staff to anyone seeking dental care.
Response from the owner:Thank you for your kind words and recommendation! We truly appreciate your trust in our team over the years.

1. Dental Anxiety and Fear of Pain

It’s not uncommon for seniors to carry past dental trauma or general anxiety about dental visits. Some even delay or avoid care because of it. Unfortunately, postponing treatment often leads to more complex dental issues later on.

💤 How Sedation Helps: Sedation dentistry enables seniors to receive the care they need in a calm and relaxed state. Options like oral sedation, IV sedation, or general anesthesia can help ease tension, reduce awareness of the procedure, and make the entire experience more positive. At DAC, each sedation plan is tailored to the patient’s specific health, medications, and comfort level.

Why It Matters: Reduced anxiety leads to improved oral health outcomes and fewer future emergencies. Seniors can maintain regular visits without fear holding them back.

2. Dry Mouth and Medication Side Effects

Many older adults take prescription medications that reduce saliva production, leading to chronic dry mouth (xerostomia). Without sufficient saliva, bacteria can multiply rapidly, leading to tooth decay, gum disease, and discomfort.

💤 How Sedation Helps: While sedation doesn’t directly treat dry mouth, it makes treatment for the resulting dental problems — such as fillings, crowns, or cleanings — more comfortable. Seniors with dry mouth often experience tooth sensitivity or soreness during procedures, which sedation can ease.

💡 Comfort Tip: Ask your dentist about fluoride varnishes or specialized mouth rinses that help protect enamel if you struggle with dry mouth.

3. Gum Disease and Tooth Loss

Gum disease is one of the most common oral health issues in older adults. It can progress silently until it causes tooth loss, infection, or systemic health concerns. Advanced gum treatments can be uncomfortable or lengthy — making them challenging for seniors with dental anxiety or physical limitations.

💤 How Sedation Helps: Sedation allows dentists to complete deep cleanings or periodontal treatments more efficiently and comfortably. Patients remain relaxed, minimizing movement and discomfort. For those who need multiple procedures, sedation can make it possible to complete them in fewer appointments.

🫶 Why It Matters: Healthy gums are key to overall wellness. Managing gum disease early can improve not just oral health but also heart and systemic health.

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4. Physical Discomfort During Dental Visits

For seniors with arthritis, Parkinson’s, or mobility limitations, sitting still or keeping the mouth open for long periods can be difficult. Some may also experience back or neck pain in the dental chair.

💤 How Sedation Helps: Sedation dentistry helps the body relax naturally, reducing tension and discomfort. With mild to moderate sedation, seniors can rest comfortably while the dentist completes the procedure more efficiently. It’s especially beneficial for patients who experience muscle stiffness or involuntary movements.

💡 Comfort Tip: At DAC, we tailor each visit to the patient’s mobility needs — from supportive positioning to allowing extra time for movement and rest.

5. Complex Dental Needs and Longer Procedures

As patients age, restorative needs become more common — dentures, implants, bridges, and full-mouth restorations. These treatments can require multiple steps or extended chair time, which can be stressful or tiring.

💤 How Sedation Helps: Sedation dentistry makes it easier to complete longer treatments in a single visit. Whether replacing missing teeth or performing extensive restorations, sedation helps patients remain comfortable and calm throughout the procedure. For some, it may even feel like the appointment lasted only minutes.

🌟 Why It Matters: When comfort and calm are maintained, patients are more likely to complete their recommended care plans — and experience better long-term outcomes.

❤️ A Safer, More Comfortable Way to Care for Senior Smiles

At The Dental Anesthesia Center, every sedation plan begins with a thorough medical review to ensure patient safety and well-being. Our team has extensive experience providing dental care under general anesthesia and IV sedation for older adults — including those with complex health conditions or heightened anxiety. We understand that comfort is not a luxury — it’s an essential part of care.

Updated: November 10, 2025