Nitrous Oxide/Oxygen Analgesia Certification

Location: Penn Dental Medicine | 240 S. 40th Street, Philadelphia, PA
Date/Time: Friday, November 22, 2019 | 6:00 pm – 9:00 pm (3.0 lecture credit hours);
Saturday, November 23, 2019 | 9:00 am – 5:00 pm (4.0 lecture credit hours and 3.0 hands-on credit hours);
Date & Time TBD for third session (4.0 hands-on credit hours)
*The last four hands-on credit hours will be scheduled during clinic hours at a mutually agreeable time by the course director and the participant within two months of the course.
Registration Fee: $900.00 (dentists), by September 30, 2019
$950 (dentists), after September 30, 2019
$712.50 Penn Dental Medicine Alumni and Faculty
$712.50 Military
**Course is limited to 24 participants, please register early**
Register: CLICK HERE »
CE Credits: 14.0 total credits | 7.0 lecture credits, 7.0 participation credits


This course is designed to provide didactic and clinical instruction in nitrous oxide/oxygen analgesia in accordance with American Dental Association guidelines. Upon completion of this course, the participant will be eligible for an Anesthesia Restricted Permit II from the Pennsylvania Board of Dentistry. Participants will have the opportunity to administer (to each other and patients) and undergo nitrous oxide sedation under close supervision. The course is geared towards general dentists and dental specialists.


Educational Objectives:

  • Define and describe physiological and psychological aspects of anxiety.
  • Describe the stages of consciousness and the levels of sedation.
  • Review respiratory and circulatory physiology and related anatomy.
  • Discuss the pharmacology of nitrous oxide.
  • Discuss the advantages/disadvantages and indications/contraindications of nitrous oxide/oxygen analgesia.
  • Perform patient evaluation, selection, and preparation for nitrous oxide/oxygen analgesia.
  • Describe and discuss the function and basic components of nitrous oxide/oxygen delivery and scavenging systems.
  • Administer nitrous oxide/oxygen analgesia to patients in a clinical setting in a safe and effective manner.
  • Monitor patients undergoing nitrous oxide/oxygen analgesia and document the procedure.
  • Discuss the complications associated with nitrous oxide/oxygen analgesia and the prevention, recognition, and management of medical emergencies.
  • Discuss potential occupational health hazards and abuse potential.

This course will enable participants to:

  • Achieve competency in the administration of nitrous oxide/oxygen analgesia.
  • If licensed in Pennsylvania, be eligible for an Anesthesia Restricted Permit II from the State Board of Dentistry.

Please note: Participants cannot be pregnant. If you have any medical conditions that may be worsened by receiving nitrous oxide, consult your physician before registering for the class.


Prior to the course, participants must provide a copy of their BLS certification, dental license and a certificate of liability insurance.  Please fax the documents to the attention of the Office of Continuing Dental Education at 215.573.9606.


Helen Giannakopoulos, DDS, MD, is Associate Professor of Oral and Maxillofacial Surgery/Pharmacology at Penn Dental Medicine; and an Attending of the Department of Maxillofacial Surgery at the Hospital of the University of Pennsylvania and Children’s Hospital of Philadelphia. Dr. Giannakopoulos is also the Director for Post-doctoral Oral & Maxollofacial surgery Residency Program. She received her DDS degree from the University of Illinois College of Dentistry and her MD degree from the Medical College of Pennsylvania, Hahnemann University, and completed postgraduate training in Oral and Maxillofacial Surgery at the University of Pennsylvania.

Lee Carrasco, DDS, MD is Associate Professor of Clinical Oral & Maxillofacial Surgery/Pharmacology. He received his M.D. degree from the University of Miami and received his D.D.S degree from the University of Detroit Mercy School of Dentistry. In addition to his teaching responsibilities, his areas of research expertise are in facial trauma and condylar position.

Dr. Helen Giannakopoulos and Dr. Lee Carrasco: No relevant financial relationships to disclose.

CE Planning Committee: Members of the CE planning committee have no relevant financial relationships to disclose.

University of Pennsylvania School of Dental Medicine is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

University of Pennsylvania School of Dental Medicine designates this activity for 14.0 continuing education credits.

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