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Will My Dental Insurance Cover Dental Sedation?

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Your insurance may cover dental sedation as it may be considered a medical necessity.

If you are undergoing a series of dental procedures or treatments, or you need to have major oral surgery, and you are wondering if your dental insurance will cover the cost of having oral sedation, the answer is that it depends on the type of dental policy you have. Many dental insurance policies only cover up to a specified amount. The fee for the dental treatment, plus the cost of the sedation, could be over your policy’s coverage. However, many sedation options are inexpensive.

Dental Sedation in St Louis

It often depends on the type of sedation used. Your insurance may cover general anesthesia, as it may be considered a medical necessity. Sedation is a broad term because it describes different levels of consciousness.

Dr Thoms and his team are phenomenal. No question, the absolute best possible option for my child when he needed work done while sleeping (age based). While this option is not inexpensive, this set up of have anesthesiology in-house allowed us to get his mouth healthy when a traditional pediatric dentist could/would not. I am a parent that asks a lot of questions on behalf of my toddler’s care and at no point did I feel judged for this, nor was I rushed during my evaluation process during the consultation. Although the procedure is not one I would like to repeat for my child, my husband and I were both so pleased with how well Dr. Thoms communicated and how he clearly cared for our son’s wellbeing (both physical and emotional during a less than comfortable visit). Cannot recommend the back of house team more highly. My one detraction is the FOH staff (not everyone) were not nearly as pleasant. I would like to communicate that while their day-to-day is very routine for them, being in that office as a parent is very scary for some people in their office and a little bit of kindness goes along way. I do recall, having a very pleasant conversation with Rebecca, but otherwise everyone else was on the apathetic side, in my personal opinion. That said you’ll notice that I still am leaving a five star review because the dental staff really just knocked out of the park, but as a parent I want to encourage you to look past any rudeness you may experience over email or on the phone because Dr. Thom’s is really that excellent.
Very nice very convenient for me great people working
Response from the owner:Thank you for your kind words! We’re so glad you had a positive experience with our team. We truly appreciate your 5-star review!
The staff is always compassionate and explain all the steps of the procedure. This office has been a God send for me because otherwise I would have let my teeth fall into further disrepair. I highly recommend this office!!!!!
Response from the owner:Thank you for your kind words and recommendation! We’re so glad our team could help make your experience feel comfortable and supportive. We truly appreciate your 5-star review!
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. I adding to this post because of my visit today with the best dental hygienist Delaina and my exam with Dr. Biehl. I have truly never been to such a caring and supportive dental group. Everyone is always conscientious of my needs and knows that I have issues with anxiety. I am always calm when I am sitting in the chair because of their kindness. I am so pleased with the Dental anesthesia center. There needs to be more than five stars. Thank you, everyone.
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!
I am unusually tense about my appointments. However, from the moment I checked in I relaxed. The staff was welcoming and assuring, and helped me to relax completely. Dr. Hofmann is superb. He is by far the best dentist and dental surgeon I have ever ever experienced.
Response from the owner:Thank you for your kind words! We’re so glad our team helped create a welcoming and comforting experience. We appreciate you sharing your feedback!

Types of Sedation Options

Nitrous oxide is a clear, odorless substance that is extremely effective in curbing the anxiety that can come with oral treatment. It is the lowest level of sedation that you can have, and it is typically called “laughing gas” because it makes you feel euphoric. With nitrous oxide, you don’t lose consciousness. The patient receiving laughing gas is awake throughout the procedure; they are just altered. Laughing gas is usually given in the dentist’s office, and the fee is very small.

Another type of minimal oral sedation involves the patient taking a pill before going to the procedure. When it takes effect, the patient typically falls asleep and rests peacefully throughout treatment. This is also a highly effective and extremely inexpensive form of oral sedation. Even if your dental insurance does not cover the medication, it is a minimal cost you can pay out of pocket.

If you have to have extensive or major oral surgery, IV sedation might be required or recommended. IV sedation is more expensive than more minimally invasive forms of sedation. It requires that an anesthesiologist be present—not just to place the IV but also to monitor the procedure and ensure that you are safe throughout the entire process. Since you are unconscious, a breathing tube is usually placed to ensure that you are getting enough oxygen.

It’s a much more invasive form of sedation, but if it is recommended and the oral surgery you are having is extensive enough, then it may be covered by your insurance – minus your deductible and at a rate that is predetermined by your policy itself.

Who Can Benefit from Dental Sedation?

Individuals with anxieties, phobias, severe gag reflexes, or difficulty getting numb are candidates for the center’s general anesthesia services. In addition, young children or individuals with physical or mental disabilities who are unable to cooperate for dental treatment can benefit from these services.

St. Louis Dental Anesthesia

If you or a loved one needs a dental procedure but requires dental sedation, we will help determine which level is best and how it works with your insurance policy. Call us today to schedule your appointment at (314) 862-7844. We look forward to meeting you!

Updated: August 14, 2024

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