According to one report, about 42% of kids aged two to 11 get dental cavities.
You are aware of the importance of good oral hygiene habits. So, you brush your toddler’s teeth thoroughly two times a day. You are not giving him any candies or sugary drinks and his diet is overall balanced and healthy. So, why does he keep getting cavities?
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!

The first thing that you need to know is that it’s not unusual. According to one report, about 42% of kids aged two to 11 get dental cavities. It happens so often that cavities are more common than conditions like asthma. Lack of proper oral hygiene, as well as an unhealthy diet, play an important role. However, that’s not the full picture.
How Babies and Toddlers Get Cavities
There is a group of bacteria called streptococcus mutans. The bacteria feed on sugar and produce acid that affects the structure of the teeth. It also creates plaque that erodes the teeth even more, depleting it from calcium. In time, the surface of the teeth is affected and eventually collapses. That’s when you get a cavity.
Babies are born without these bacteria but get infected by their caregivers (most often their mother.) Whenever you are kissing your baby on the mouth, eating with the same spoon or letting him use your toothbrush, you are creating opportunities for the bacteria to populate his mouth. And, if you have cavities yourself, then the chances of passing these bacteria on to them increases considerably.
What You Can Do
The first thing you need to do is to make sure that your toddlers brush his teeth correctly. It can be difficult for babies to understand the concept of cavities and why they need to brush. It’s also uncomfortable for them when someone sticks something into their mouth for no apparent reason. So, try to make brushing as fun as possible.
Here are some ideas:
- Sing a song and dance while you are brushing
- Let them brush the toy’s teeth first
- Let them brush their teeth by himself. Praise him for a good job then tell him that you are just going to make sure that he didn’t miss anything.
It’s Never too Soon to Visit a Dentist
The American Academy of Pediatric Dentistry Association (AAPD) recommends that babies see a dentist by their first birthday. If you wait too long, tooth decay may be well on its way and more difficult to prevent. If you haven’t already, then schedule an appointment with your St. Louis pediatric dentist as soon as possible. They can help you understand what you need to know about how to care for your kid’s pearly whites.
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