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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.

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!

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