Nitrous Oxide Certification Course

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MORTON B. ROSENBERG, D.M.D. Professor and Head, Division of Anesthesia and Pain Control, Department of Oral and Maxillofacial Surgery, Tufts University School of Dental Medicine; Associate Professor of Anesthesia, Tufts University School of Medicine

C.S. MALLER, D.M.D. Assistant Clinical Professor, Department of Oral and Maxillofacial Surgery, Tufts University School of Dental Medicine; Fellow, American Dental Society of Anesthesiology; Diplomate, American Dental Board of Anesthesiology

PATRICK D. MCCARTY, D.D.S. Dr. McCarty provides sedation/anesthesia services in dental offices throughout Massachusetts and Rhode Island with McCarty Anesthesiology. In addition, he is on the Anesthesia Staff at the Franciscan Hospital for Children and serves as a Clinical Assistant Professor at the Boston University Goldman School of Dental Medicine, Department of Pediatric Dentistry

WILLIAM A. MACDONNELL, D.D.S. Assistant Clinical Professor, University of Connecticut School of Dental Medicine; Private Practice in Dental Anesthesia, West Hartford, CT

This course conforms to the American Dental Association (ADA) Guidelines for Teaching the Comprehensive Control of Anxiety and Pain in Dentistry. It therefore fulfills the educational requirements of the Massachusetts Board of Registration in Dentistry. Upon successful completion of a posttest, participants will receive documentation of course completion.


Participants must be certified in CPR prior to registration.

Topics covered:

  • Historical, philosophical, physiological and psychological aspects of anxiety and pain control
  • Patient evaluation, selection, monitoring and records
  • The stages of drug-induced C.N.S. depression through all levels of consciousness and unconsciousness
  • Review of pediatric and adult respiratory and circulatory physiology and related anatomy
  • Pharmacology of agents used in inhalation sedation
  • Indications and contraindications for use of inhalation sedation
  • Review of dental procedures possible under inhalation sedation
  • Prevention, recognition and management of complications and life-threatening situations
  • Administration of local anesthesia in conjunction with inhalation sedation techniques
  • Introduction to potential health hazards of trace anesthetics
  • Discussion of abuse potential and hallucinatory effects

Learning objectives:

  • Describe the basic components of inhalation sedation equipment and their functions
  • Understand the advantages and disadvantages of inhalation sedation
  • Understand the indications and contraindications of inhalation sedation
  • List and understand the complications associated with inhalation sedation and discuss the prevention, recognition and management of these complications
  • Administer inhalation sedation to patients in a clinical setting in a safe and effective manner
  • Discuss the abuse potential, occupational hazards and other untoward effects of inhalation agents