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What Are the Best Dental Care Tips for Individuals with Autism?

Working with experienced dental professionals and caregivers can help ensure a positive and stress-free dental care experience.

Dental care can be a challenge for individuals with autism due to sensory sensitivities, communication barriers, and difficulty adjusting to new routines. However, proper oral hygiene prevents cavities, gum disease, and other dental issues. With the right strategies, caregivers and dental professionals can make dental care more manageable and comfortable for individuals with autism.

Contact The Dental Anesthesia Center today to schedule your first appointment.

Dentist for Autistic Children St. Louis
I am happy to see dentists finding ways to make things easier for those who don't like to go to the dentist. I have even seen some dental offices that have been tricked out to make the little patients to think that he or she is in a much different place than the dentist office. Historically the building was built in the 1950s and the office used to belong to an opthamologist.
Dr. Hoffman is very skilled. Additionally everyone one on his team and in his office are great. Very compassionate and patient.
Absolutely highest quality service and staff! My son was treated so well and it made a scary appointment easier for him to handle. If I could, I’d give 10 ⭐️!
Christy and Dr. Behl spent a lot of time with me making sure I was comfortable and my anxiety was not ramping up. They both explained exactly what they were doing before they did it and gave me frequent breaks to catch my breath.
Great staff, and great experience!
I wouldn’t trust anyone else with my son. Flawless experience and staff. Highly recommended.
Love these folks. They go above and beyond. So much so I am a regular dental patient! So gentle and caring, I could not say enough.
I've been with this group for about a decade & can't say enough good things about them. From the dentists to the hygienists to the desk staff, they are fabulous. I have incredibly high anxiety when it comes to dental work & they go out of their way to make me feel as comfortable as possible. I've never had a bad experience & if it wasn't for them I'd still be getting dental cleanings under real anesthesia due to the fear. They turned that around for me & while I still feel anxiety, I'm able to get cleanings without any anesthesia, pills, gas, etc. I've had both large scale & routine work done there & highly recommend them. Extremely helpful, professional & pleasant staff all around. Wonderful people.
A 10/10 Experience!

I cannot express how grateful we are for Dr. Thoms and his team! Their sensitivity, expertise, and dedication made a potentially challenging dental experience for our daughter as comfortable and stress-free as possible (for her AND us!).

We were very impressed by Dr. Thoms' thoroughness in explaining the procedure and his willingness to answer all of our questions, alleviating any anxieties we had. The ability to be present by our daughter's side as she was falling asleep was a huge comfort factor.

We felt a sense of genuine care and compassion towards our daughter and felt that they treated her as if she was one of their own. Dr. Thoms and his team clearly go above and beyond to provide exceptional patient care and makes a complex dental procedure feel safe, comfortable, and even reassuring. A huge THANK YOU to Dr. Thoms and his team!
Always a great experience. Carrie does a wonderful job keeping my smile healthy and bright. Dr. Thoms is always very nice and professional. They make going to the dentist much less stressful!
The Dental Anesthesia Center (DAC) is truly unique. They provide all forms of anesthesia - and a wide range of dental treatments. I have been a patient there for 17 years - and I continue to be impressed with the legacy of expertise and kindness built by Dr. Hoffmann and his team.

If your dental phobia and dental issues have made you feel hopeless ... I encourage you to contact the DAC for a consultation. That's what I did 17 years ago - and it proved to be a very good decision and a true blessing.
I just had my first visit with Dr. Thoms. He took his time and thoroughly explained everything to me about sedation and dental procedures. He is extremely knowledgeable and very friendly. Comfort of their patients is utmost in their minds at this practice and Dr. Thoms, Emily and Robyn are outstanding! Highly recommended!
I just had my implant surgery 3/22 with Dr. Thoms.The patients Dr. Thoms has with me is simply INCREDIBLE!!!!! I know I’m a lot to deal with. I am so blessed to have crossed paths with Dr. Thoms.His entire staff goes above and beyond ANY dental office I’ve ever dealt with in the past. from the bottom of my heart, I am so glad that I made the decision to try the dental anesthesia center..
Dr. Hoffman and team are the most amazing dental team you will ever meet. Have been a patient for years and will continue to do so. If you have nerves about going to the dentist, they will eliminate those fears very quickly.
AS I SIT HERE THIS MORNING I AM GRATEFUL FOR GOD'S MERCY AND THE STAFF OF DOC. HOFFMAN !!! I AM HOWEVER STILL TO EMBARRASSED FOR THE WALK OF SHAME BRINGING HIS GIFT . I LOST TWO DAYS AND WAS CHOKING ON 19 STICHES EATING SUCKERS SAME DAY SEEMS TO BE WITH MYSELF !!! SO WITH MY SINCERE APPRECIATION, I APOLOGIZE TO ALL !!! EXCELLENT SKILLS IN ALL ASPECTS.
As a 73 year old man, I have been to several dentist’s and none compare to Dr. Thoms and Dr. Behl. The entire staff is very knowledgeable and accommodating. I have had some major work done and I/V sedation is definitely the way to go. Five stars to the entire team at DAC. I highly recommend their services.
These folks are great!! Always very professional and personable and don't try to over sell you on what you need done!! I would highly recommend!!
I love my friends at the Dental Anesthesia Center! This place has the nicest clinical staff and they do such a wonderful job for any issue that arises. They are prompt and thorough. I love all the hygienists, but especially my personal hygienist, Carrie. My dentist, Dr. Biehl is knowledgeable, friendly, highly skilled and fun.

I started taking my kids here when they needed procedures under anesthesia. Once my former dentist retired (and I realized the DAC also does family dentistry), I switched the entire family to this office. Best decision I ever made.

I’m also so impressed with the experience this team has treating individuals with special needs.
Response from the owner:Thank you so much for taking the time to post your kind review!
I went for a consultation at the center. I was terrified. I saw Dr.Sean Thoms he was so professional and caring. I have had five different consultations at other dentist offices trying to make a final decision on who I feel more comfortable with and no other doctor was as caring or attentive as Dr. Thoms. He called me a couple of days later with SEVERAL different ways he could give the results I wanted. I’m truly blessed to have found Dr Thoms. The entire staff was so professional and attentive. I have made the final decision to put my care in the hands of Dr Sean Thoms
Response from the owner:Thank you for taking the time to share your experience with us, Juanita. Your positive words mean so much to us. Cheers, The Dental Anesthesia Center
Maris E. Behl DDS Is a wonderful dentist. She did extensive work including several dental crowns and fillings. There was little to no pain during all of her procedure’s. I am 86 years old and have been to more dentists than I can count. Dr Behl is by far the best of all. If you want a friendly disciplined and accomplished dentist, you will be glad you used her work.
Response from the owner:Thank you so much for your kind words, James. We really appreciate you taking the time out to share your experience with us. Cheers, The Dental Anesthesia Center
Best dental office in St. Louis hands down! It’s a great place to go for sedation or just general dentistry! Highly recommend!
I recently had fillings done by Dr. Thoms. His crew that was helping prep me to go under did an amazing job. I have really bad trauma (& anxiety) from previous dental work and permanent nerve damage from a surgery I had in 2021. The staff and Dr. Thoms made sure that I was calm and comfortable. This has probably been the best experience I have ever had, thanks to this dental clinic. The front end staff is patient and kind to their patients. I would most definitely recommend anyone to go here if they have dental anxiety. Dr. Thoms explained everything very thoroughly during our consult months prior and also the day of my fillings. After we were finished with my filings, I told him about my bottom teeth pushing too much on my 8 and 9 (another issue I had been dealing with after my last dental surgery), he was more than happy to help and filed down my bottom teeth. I am relieved that he was able to do that for me, even though it was not initially planned. The price of the fillings, anesthesia and odontoplasty/enameloplasty was reasonable. I wouldn't want to pay any less because the outcome was worth it.
The entire staff is always very compassionate and patient with my daughter who’s autistic😊 I am a patient as well the staff and the doctor are very knowledgeable and are capable of answering every question explaining in detail to my satisfaction. I am in the process of bringing my grandson to become a patient as well keep up the superb service 👏
I would highly recommend DAC to anyone. I brought our two boys (ages 6 & 3) in to have their routine cleaning. The moment we walked in we were greeted with smiles and warm hellos. The staff does a great job of talking to the boys, saying hello, and making them feel extra special. Carrie cleaned their teeth, and she is awesome. The boys were both so comfortable, she tells them exactly what she is doing, and makes sure they are ok the whole time. She talked with them about their summer plans, school, and fishing. Then Dr. Behl came in to check everything out. She was so personable, informative and positive with the little ones. She explained things very well, and she was so patient as they asked questions or had something to tell her. Thank you to all of the staff at DAC, for being so warm and making this a great experience for the little ones.
5 Stars!

I skipped going to the dentist for 6 years and what a mistake that was. Everyone at this office is extremely nice and a pleasure to deal with.

Laina, their hygenist is awesome even though she is a Cubs fan. I actually look forward to my 3 month cleanings now and will not miss another.

Dr. Thoms and his team (I requested Julie as an assistant I would do the same :)) were amazing. As I said I skipped going for 6 years so I had some work to be done and chose to be put to sleep instead of 4 visits. They make sure you are as comfortable as possible and even take the time to check up on you after to make sure you are healing properly.

Last but not least, Marie and the entire front office are great. Always a pleasure to deal with and are very accommodating. They are the face of the operation and the tone of the visit is set with them. The amount of care and compassion they show the patients in the waiting room is beyond extraordinary.
I have a special needs son that needed some work done. The Dental Anesthesia Center is an amazing place I can't imagine Trevor being in any better hands. We love Dr. Thoms and his staff. So nice and caring. A little on the expensive side but very well worth the care he received. I would recommend to anyone that has special needs, fear of dentistry or just in need of a dentist.
It can be frightening to have to put a two-year-old under anesthesia. The staff and Dr. Thoms took the time to explain the treatment options.
The process went well, and the services were outstanding. Everyone was polite and empathetic, from the front desk receptionist to the dentists. The customer service was excellent. I rarely post reviews, but I do so because I want others to know that they can trust and feel safe with their care. The Dental Anesthesia Center comes highly recommended from this mama bear.
My son has autism and a lot of anxiety around medical procedures. This is the most understanding and compassionate group of people, I am so grateful we found them. The doctor calls personally to check up on us after the appointment. Even though we only come once a year they remember my son's needs without me having to explain everything all over again. They are always on time, organized, and transparent about billing. I wish all of our medical appointments could go as smoothly as they do here.
Absolutely wonderful!
My five year old had to have extensive dental work done and from start to finish the dental anesthesia center delivered five star work !
Going to the dentist is scary enough but having to take your own child to be put under was next level and the care he received from the nurses and dr was mind easing.
Very kind and compassionate staff. They took excellent care of my special needs kiddo and took extra time to make sure it was done right. I would highly recommend.
beyond pleased with our experience with Dr. Hoffman!! My son, Cameron, had work done and everything turned out way better than I could've ever expected. Dr Hoffman saved all of his teeth, where other dentist told me the only option for two of his teeth were to be pulled. His smile is so beautiful and I couldn't think them enough! They were sooo kind!! The dental hygienist were so sweet, and throughly explained everything to me. There was no judgement. They made this whole process so comfortable. Yes, it was pricey, but worth EVERY penny. Thank you, thank you, thank you!!!
Response from the owner:Thank you so much for taking the time to share. We are so appreciative.
So caring, so nice, as others said, a little higher priced. But it is worth every penny. I can't describe how great everyone is
Response from the owner:Thank you so much for taking the time to share this positive review. It is very appreciated!
We love all the workers there. Their very welcoming staff, but very professional. We’ve been going there for about 15 years.
Dr Sean Thoms and his staff were great! The office is very welcoming and they yook very great care of my 2year old. I would recommend them to the world!
Dr. Hoffman and his staff are amazing, friendly and caring. I have high anxiety and fear of dentists due to my past bad experiences, but the Dental Anesthesia Center made me feel at ease and comfortable. Had a lot of dental work done in one visit while sedated and recovered well. Now I have my smile back thanks to Dr. Hoffman and his team. If youre a person like me I definantly recommend you the Dental Anesthesia Center.
Response from the owner:Thank you Lejla, we are happy to help!
My son is in need for oral surgery and Dr. Thoms was so kind and gentle with my son! We are so blessed to have found this team!
Response from the owner:Thanks Taylor!
Very professional and clean environment
Response from the owner:Thank you Alen!
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Understanding the Challenges

Autistic individuals often experience sensory processing differences, overwhelming brushing, flossing, and dental visits. Common challenges include:

  • Sensitivity to textures and tastes (toothpaste, toothbrush bristles)
  • Aversion to strong scents in dental offices
  • Fear of new or unexpected experiences
  • Difficulty with communication, making it hard to express pain or discomfort
  • Inconsistent routines leading to irregular brushing and flossing habits

Create a Structured and Predictable Routine

Children and adults with autism often thrive on routines. Establishing a structured dental care routine can make oral hygiene easier and less stressful.

  • Use visual schedules or social stories to explain each step of brushing and flossing.
  • Maintain consistency by brushing and flossing at the same time every day.
  • Introducing dental care gradually allows the individual to explore toothbrushes and toothpaste before using them.

Choose the Right Dental Products

Sensory-friendly dental products can significantly improve comfort and compliance.

  • Soft-bristled or silicone toothbrushes can be gentler on sensitive gums.
  • Unflavored or mild-flavored toothpaste (e.g., brands like Tom’s of Maine or Hello) can help those who dislike intense mint flavors.
  • Electric toothbrushes with gentle vibrations can make brushing easier if tolerated.
  • Floss holders or water flossers can be an alternative for those who struggle with traditional flossing.

Make Brushing a Positive Experience

To encourage cooperation, associate brushing with enjoyable activities.

  • Use rewards and reinforcement, such as stickers, a favorite song, or a small prize.
  • Sing a song or use a timer to create a predictable brushing duration.
  • Let the individual have control by allowing them to choose their toothbrush color or toothpaste flavor.

Desensitize Sensory Sensitivities

Gradually exposing an autistic individual to dental care can help reduce sensitivities.

  • Allow them to touch and explore the toothbrush before using it.
  • Practice dry brushing (without toothpaste) to get used to the sensation.
  • Introduce toothpaste slowly by starting with a small amount and increasing it over time.
Sedation Dentist for Patients with Autism

Prepare for Dental Visits

Dental visits can be stressful, but proper preparation can make them more manageable.

  • Find a sensory-friendly or special-needs dentist who has experience with autistic patients.
  • Schedule a pre-visit so the individual can become familiar with the environment.
  • Use social stories or videos to explain what will happen at the appointment.
  • Bring comfort items like noise-canceling headphones, sunglasses, or a favorite toy.
  • Request accommodations, like a quiet waiting room or breaks during the appointment.

Use Communication Strategies

Since some individuals with autism may have limited verbal communication, alternative methods can help them express their needs and discomfort.

  • Use visual cue cards to indicate pain, discomfort, or specific requests.
  • Teach simple signs or gestures related to dental care.
  • Encourage the use of AAC devices or apps if applicable.

Monitor Diet and Oral Habits

Diet and oral habits play a crucial role in preventing dental issues.

  • Limit sugary and acidic foods to prevent cavities.
  • Encourage hydration with water instead of sugary drinks.
  • Be mindful of chewing habits, such as chewing on non-food objects, which can damage teeth.

Seek Professional Support

Working with professionals can significantly improve dental care for individuals with autism.

  • Regular dental check-ups help prevent serious dental problems.
  • Occupational therapists can assist with sensory integration and tolerance-building.
  • Behavioral therapists can help develop positive associations with dental care.
Updated: February 5, 2025