Nitrous, Oral Conscious Sedation, & IV Sedation

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Young Child covering teeth while dentist administers Exam

To enable even the most fearful patient to receive dental care, Dr. Sameer Dogra has obtained the training and certification needed to qualify him to administer nitrous, oral conscious sedation, & IV sedation dentistry. He understands that dental visits make some people very anxious, while there are others who find it difficult to remain still during treatment and follow directions from the dentist. Every person needs to maintain their dental health to protect their overall health. Sedation is the key factor that can help people in these situations stay healthy. 


A trained and experienced practitioner can scale the level of sedation to meet the needs of the patient. For some, light sedation through oral medications taken before the visit is all that is needed for dental work. For others, deeper oral sedation through the use of nitrous oxide can facilitate treatment. During this sedation, a patient remains somewhat conscious and can respond to the dentist or his staff. When the sedation wears off, the patient will very often have little or no recollection of the procedure that has taken place. 


Nitrous oxide is an inhaled sedative administered throughout the dental procedure. A small mask placed over the nose is used to deliver the sedative. When the procedure is over and the nitrous oxide is withdrawn, the patient wakes up very quickly. Pure oxygen is provided to hasten the patient’s recovery. 


If you are scheduled for a procedure during which sedation will be administered, please talk to our office staff before your arrival. With most types of sedation, a patient will need someone to drive them home afterward.

Before Your Procedure

It is vitally important that the staff of Dental Arts of Salem know your complete medical history and any other medications you might be taking before sedation is administered. We want you to have the most positive experience possible, so it is important that we design the exact dosage and choices of medication to enable this to happen without severe side effects.


It is our intention to enable you to receive the care you need without the anxiety that might keep you away from the dentist. With our ability to offer sedation, we can help those people who otherwise would not get care. This way, we can prevent small problems from growing into huge ones that could then affect or ruin a person’s overall health. 


If anxiety or blood pressure affects your ability to get dental care or if there is someone in your family who needs extra support to receive our dental treatment care, please get in touch with us. Let us know the exact situation so we can design a solution especially for you or your loved one. Call (603) 898-9180 to coordinate care or make an appointment.

Meet Your Anesthesia Provider

Jennifer O'Brien

Jennifer O'Brien - MSN, CRNA

Jennifer has a Bachelor of Science in Nursing from the University of Pennsylvania, and a Masters degree in Nurse Anesthesia from Boston College. She began her anesthesia career in 2012 in Boston, and has worked at Catholic Medical Center since 2014.


Jen began providing anesthesia for office procedures in 2019, and endeavors to provide safe, efficient anesthesia services combined with a personal concern for the health and comfort of her patients.


As a board certified nurse anesthesiologist, Jen adheres to mandatory continuing education requirements, and follows national and local recommendations for safe administration of anesthesia in the office setting.

What To Expect

  • Before Your Procedure

    You will speak with Jen on the phone to determine if you are a good candidate for anesthesia in the office. She will ask questions about your health history, anesthesia history, medications and allergies. You will have the opportunity to ask any questions you may have about your planned anesthetic, and Jen will provide you with a cost estimate. Following this conversation, a member of the office team will contact you to schedule your procedure.

  • The Day Of

    Jen will speak with you again a few days before your appointment to discuss pre-procedure instructions, and answer questions. When you arrive at the office, you will be greeted by your procedure team including Jen, who will place monitiors for cardiac, oxygen, and blood pressure surveillance, and will start your IV. When the procedure is completed you will wake up in the procedure room and recover for a few minutes. When you feel ready you will be escorted to your car.

  • After Your Procedure

    The effects of the anesthesia may make you groggy or forgetful. For 24 hours please observe the following guidelines.


    • You must have someone drive you home
    • Do not drive a vehicle
    • Do not operate heavy machinery
    • Do not make important decisions or sign legal documents

    You may eat or drink as you are comfortable, in accordance with your surgeon's instructions. If you are having a medical emergency, please call 911 or go to the nearest emergency room. For nonurgent post procedure questions, or to comment on your anesthetic, please email OBrienAnesthesiaPLLC@gmail.com.

Nitrous

Office Surgery and Anesthesia

Surgery and anesthesia provided in a doctor's or dentist's office is a safe alternative to hospitals or surgical centers. The office setting can provide more comfort for the patient without compromising safety or successful outcomes plus....

  • Better Access To Care
  • Lower Costs
  • Better Efficiency
  • Confidentiality

Is Office Anesthesia Safe?

Due to improvements in drugs, technology, anesthesia techniques, and provider education, anesthesia care is safer than it has ever been. The same standards of anesthesia care for hospitals also apply to office settings. In addition, New Hampshire has adopted regulations and guidelines concerning office anesthesia practices as the demand for these services has grown.

SCHEDULE AN APPOINTMENT

We do not accept Medicaid, Medicare, WellCare, MassHealth and State Insurances at this time.

S - Oral and Conscious Sedation

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