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Oral Sedation Pediatric Dentistry – What to Expect

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If your child is having a dental procedure involving oral sedation, there is no reason to fear; it generally comes with minimal risks.

If you have a child who is going to have oral surgery, oral sedation might be recommended or even required. Oral sedation might sound intimidating due to the word sedation. However, unlike anesthesia or IV sedation, oral sedation is much less complicated and generally has very few adverse effects or concerns.

Pediatric Oral Sedation

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!

What Is Oral Sedation?

Oral sedation is when your child receives oral medication that helps them to be conscious but in a sleep-like state during a procedure. The medicine usually allows them to sleep, but it is possible that they can be completely awake and feel very little and remember little to nothing.

Like a magic memory eraser, oral sedation is an excellent way to take away the pain and anxiety of having something like a tooth pulled, so that your child doesn’t have to suffer any emotional distress.

“How Will My Child Behave?”

The oral medication that a child receives during a procedure will usually last after the treatment is completed. Your child can be sent home immediately following its completion without concern. It might be alarming to see your child at first because they can seem incredibly out of it and incoherent, but this should be very short-lived.

Once the medication wears off, they generally will not remember what happened during the procedure and will be back to their old self.

It is not unusual for your child to talk after a procedure about it, which can also be somewhat concerning. They often will not make much sense and be completely unaware of what they are saying.

Even if they talk about what happened and what they witnessed, that doesn’t mean that the oral sedation didn’t work. When your child fully wakes up after the medications have worn off, it is unlikely that they will remember a thing.

What to Watch for After Oral Sedation

Take precautions to ensure that your child doesn’t injure themselves after oral sedation. Since they aren’t fully aware of what they are doing, it is best not to let them eat hard foods, especially if their mouth is still numb post-surgery.

Serve only soft foods until you know they are coherent and have sensation back in their mouth. Otherwise, there is a risk that they will hurt themselves when chewing.

Also, if they are incredibly groggy, it is essential to observe them. If your child gets up to go to the bathroom or starts to roam the house, things like stairs or tripping hazards can be risky. If they are awake but not very alert, you might want to watch them until you are sure that they are fully conscious.

If your child is having a dental procedure involving oral sedation, there is no reason to fear; it generally comes with minimal risks. The only thing that you might want to be concerned about is watching them afterward until the medications have run their course.

If you have questions or would like to learn more about sedation dentistry, we’d be happy to speak with you!

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The first two board-certified Dentist Anesthesiologists in the state of Missouri.

Updated: April 9, 2025

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