We value our patient relationships, making it our priority to deliver gentle dental care that you deserve from a sedation dentist.
Having IV sedation for your dental procedure can be intimidating and overwhelming if you don’t know what to expect. Although IV sedation comes with relatively little risk, the things that you do before your appointment and how carefully you follow instructions is important.
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!

Before Your Appointment
There are specific steps that a patient needs to take before undergoing IV sedation. To make sure that things go smoothly and you aren’t doing things to increase your risk of complications, follow the directions of your dentist.
To ensure that things go well, do the following:
- Wear clothing that’s nonrestrictive but warm. The temperature of the procedure room will be a little cooler than the typical office.
- Don’t drink or eat for a minimum of 8 hours before your scheduled procedure.
- Do not smoke for at least 12 hours before your procedure.
- Do not wear contact lenses during the procedure.
- Don’t take any medications before the appointment, unless they have been cleared with your dentist.
- If any part of your medical history has changed since your consultation, make your doctor aware of it.
- Bring someone with you to the appointment who can escort you home.
What Will Happen During the Procedure?
Once you arrive at the appointment, the doctor or nurse will get the IV started in your arm. All of the IV medications will be given via IV so that they can be pushed directly into the bloodstream. There will likely be a mixture of medicines including sedatives, anti-inflammatory, and pain medicine.
Although you will be heavily sedated, your body will still show signs of discomfort if you are experiencing any, and that will signal your dentist to adjust your medications appropriately. Your reactions will determine the amount of anesthesia that is necessary.
What Happens After the Dental Procedure?
After IV sedation, it is not uncommon for you to feel very drowsy. The anesthesia will last a while after the procedure, so be prepared to have someone escort you home and monitor you until they know for sure you are fully conscious and aware.
If you can, restrain from eating food until any numbness has worn off. If you can’t feel the sides of your mouth, you can be at risk for biting injuries, that can lead to infection. After the numbness has worn off, eat foods as tolerated.
They recommend not to drive or operate heavy machinery for 24-hours post-procedure. This is to make sure that the sedation has had enough time to work its way out of your system. Also, don’t make any crucial decisions because, while you might think that you are rational, the drugs might be unwittingly affecting you.
Sedation Dentistry St. Louis
Knowing what to expect before, during, and after your procedure, will ensure that you limit the potential for risk and also that you decrease any anxiety you might be feeling about your IV sedation.
Schedule an appointment: Call (314) 862-7844. We are a state-of-the-art dental facility for patients who require general anesthesia, deep sedation, or oral sedation for their dental care.
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The first two board-certified Dentist Anesthesiologists in the state of Missouri.