What Happens If You Avoid the Dentist for Too Long?

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Avoiding the dentist? Discover the real risks and how sedation dentistry in St. Louis can help you return to care—safely, comfortably, and fear-free.

st. louis dental patient speaking with dentist

Many people avoid going to the dentist—sometimes for years. Whether it’s due to fear, past trauma, busy schedules, or caring for a loved one with special needs, it’s easy to put dental care on the back burner. But the longer you wait, the more your oral health—and your overall well-being—can suffer.

At The Dental Anesthesia Center in St. Louis, we understand that returning to the dentist after a long time can feel overwhelming. That’s why we offer sedation and sleep dentistry to make the process as easy, safe, and stress-free as possible.

Here’s what really happens when you avoid the dentist for too long—and how sedation dentistry can help you reclaim your oral health with confidence.

The Long-Term Effects of Avoiding Dental Care

Skipping dental appointments occasionally may not seem like a big deal. But if months turn into years, the effects of dental neglect can become more severe, costly, and painful over time. Here’s a closer look at the risks:

Cavities start small, but they never go away on their own. Without professional cleaning and early intervention, tooth decay spreads deeper into the tooth structure. What may have required a simple filling can turn into the need for a root canal, crown, or extraction.

Worse, untreated cavities can lead to infections that spread to other parts of the body, posing serious health risks.

Gingivitis, the earliest stage of gum disease, is often painless and easy to overlook. But if left untreated, it can evolve into periodontitis—a chronic condition that causes bone loss around the teeth, gum recession, and eventual tooth loss.

Gum disease is also linked to serious health problems like:

  • Heart disease
  • Stroke
  • Diabetes
  • Complications in pregnancy

Regular dental checkups are key to catching gum disease early and preventing irreversible damage.

Tooth loss is one of the most severe consequences of dental neglect. It doesn’t just affect how you look—it impacts your ability to eat, speak, and maintain bone density in your jaw.

Missing teeth can cause surrounding teeth to shift, change your bite, and lead to further dental complications. Replacing lost teeth with implants or bridges is possible but more complex and expensive than preventive care.

When decay reaches the inner pulp of a tooth, it can cause a painful abscess or infection. These infections can swell, spread, and sometimes require hospitalization.

Dental abscesses are not only excruciating—they’re dangerous. That’s why it’s so important to seek treatment before things escalate.

Avoiding the dentist can impact more than your health. Stained teeth, bad breath, visible decay, or missing teeth can make you feel embarrassed or reluctant to smile. Social anxiety and low self-esteem are common side effects of untreated dental issues.

Getting back on track can dramatically improve your confidence, smile, and overall well-being.

Why People Avoid the Dentist—And Why It’s Okay to Feel That Way

There are many reasons people delay dental care. Some of the most common include:

  • Dental anxiety or phobia
  • Fear of pain or needles
  • Traumatic past experiences at the dentist
  • Sensory sensitivities or special needs
  • Embarrassment over the condition of their teeth
  • Mobility or medical conditions that make dental visits challenging
  • Difficulty finding a dentist who understands their unique needs

If any of this sounds familiar, you’re not alone. It’s estimated that up to 36% of people experience dental anxiety, and around 12% avoid the dentist entirely due to fear.

At The Dental Anesthesia Center, we’re not here to judge you. Our team is trained to work with patients who haven’t visited the dentist in years—or even decades. We meet you exactly where you are and help you take that first step with dignity and compassion.

How Sedation Dentistry Helps You Return Without Fear

Sedation dentistry can make your return to dental care not only possible—but pleasant. If fear, anxiety, or physical limitations have kept you away, sedation offers a safe, effective way to receive the care you need.

Types of Sedation We Offer

This involves taking a prescribed sedative pill to help you feel calm and relaxed before your appointment. You’ll remain awake but at ease.

IV sedation allows for a deeper level of relaxation and is often used for longer or more complex procedures. You may remain semi-conscious or sleep lightly through the visit.

Ideal for patients with severe dental phobia, special needs, or extensive treatment needs, general anesthesia lets you sleep completely through your dental care. Our on-site anesthesiologist ensures your safety and comfort throughout the procedure.

Why Sedation Dentistry is a Game-Changer

  • You won’t feel anxious or fearful during your visit
  • Years of dental work can be completed in just 1-2 appointments
  • Ideal for patients with sensitive gag reflexes, severe anxiety, or special healthcare needs
  • Helps you rebuild trust in the dental experience

Our facility is fully equipped for sedation and general anesthesia, and our team includes highly trained professionals with experience treating children, adults, and patients with developmental or cognitive disabilities.

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Rebuilding Your Smile—It’s Never Too Late

No matter how long it’s been since your last dental visit, we can help you restore your oral health—step by step, without pressure or shame. Our process is designed to make your return as smooth as possible:

We’ll discuss your concerns, review your medical and dental history, and determine the right sedation option for you.

We’ll gently assess your teeth, gums, and overall oral health. Using X-rays and visual exams, we’ll create a personalized treatment plan tailored to your needs and comfort level.

Whether you need a cleaning, fillings, extractions, or restorations, our sedation options ensure you’re relaxed—or asleep—during your visit.

Once your smile is restored, we’ll help you maintain it with stress-free cleanings and regular checkups.

Dr. Thoms and staff are Amazing!
My son is Autistic and he loves it there.
It’s always scary to put your child with disabilities under anesthesia. So it’s a relief to have such compassionate professionals to rely upon They are so sweet and kind to him it’s so nice to have people who genuinely care.
Response from the owner:Thank you for your kind words! Our team is dedicated to creating a comfortable and supportive experience for everyone who visits our office. We truly appreciate you taking the time to share your feedback and for trusting us with your family’s care.
The Dental Anesthesia Center (DAC) is awesome. When I started there 19 years ago my dental health had deteriorated and my fears were intense. Their expertise and compassion got me back on the right dental track. I still get nervous - but things are so much better now in terms of my dental and gum health.. Don't lose hope - try the DAC!

My appointment today was for a cleaning - and a standard check of gum health etc. Carrie - as always - did EXCELLENT work. She is very kind and thorough and knowledgeable .. and patiently answers all my questions. Carrie is positive and supportive with us patients ... and provides guidance on better at-home care for our teeth and gums.

My thanks also to the office staff who are very helpful with questions or concerns.
Response from the owner:Thank you for your continued trust and kind words! We're honored to have be part of your journey. It means so much to know we've made a lasting impact—your story is truly inspiring!
We’re very thankful to have found the kind folks at the dental anesthesia center. They are patient and informative with what’s needed and how it will get done. Big shoutout to Rebekah and crew at the front desk who always help us figure out all the paperwork and scheduling. Thank you Dr. Behl for your awesome bedside manner! Highly recommend to others
Response from the owner:Thank you for your kind words and recommendation! We’re so glad you had a positive experience with our team. We truly appreciate your support and look forward to continuing to provide compassionate, helpful care.
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!
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.

Take Control of Your Health—Without the Fear

Avoiding the dentist doesn’t make you irresponsible—it makes you human. Life gets complicated. Fear is real. But your health and comfort matter, and you deserve a dental team who understands that.

At The Dental Anesthesia Center, we specialize in helping patients who haven’t seen a dentist in years. Whether you need sedation, general anesthesia, or simply a caring team who listens—we’re here for you.

Call us today at (314) 862-7844 or schedule a consultation online to take that first step back—without judgment, without fear, and with sedation options tailored just for you.

Updated: May 21, 2025