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.

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!
I love this dentist office! Everyone is so friendly and accommodating. Dr. Thoms is an excellent dentist that listens to you and makes sure everything is done to your satisfaction. They do TRUE dental sedation. Not just give you a pill like other offices’s that claim they do sedation. Since I am allergic to medicine a dentist normally uses I have to be truly sedated to have work done on my teeth. They do Botox for teeth grinding and TMJ also
Response from the owner:Thank you for the kind 5-star review! We truly appreciate your thoughtful feedback and are glad you had a positive experience with our team and services. Your trust means so much to us.
If we lived in closer proximity, we would see Dr. Thoms for all of our dentistry needs. As it is, we happily made the 2.25 hour trip three times for my daughter's root canal and crown. Dr. Thoms and the entire team were expert, kind, and compassionate.
We could not ask for more!
Response from the owner:Thank you so much for your kind words and for trusting our team. We truly appreciate you sharing your experience and are grateful for the opportunity to provide care. Wishing you and your family all the best!
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.
Best experiences ever. My two special needs children need sedation dentistry and see Dr. Thoms. Dr. Thoms is so kind, caring and reassuring. He truly has a special gift in treating people with special needs. So grateful to be his patients.
Response from the owner:Thank you for your kind feedback. We’re grateful for the opportunity to provide care in a supportive and reassuring environment.

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