We are dedicated to providing our patients with an unparalleled experience, which is why we offer several types of sedation. Our facility is equipped with the latest technology needed for excellent endodontic care, as well as cardio and pulmonary monitoring equipment to ensure that the procedure is as safe as it is comfortable.

Unlike General Anesthesia where a patient is completely unconscious, asleep, and unable to respond, patients under Conscious Sedation, are able to respond to commands and breathe on their own.

Sedation Dentistry works well for patents who:

  • Have had traumatic dental experiences
  • Feel uneasy in the chair
  • Have sensitive teeth
  • Have difficulty getting numb
  • Patients with limited openings
  • Have needle phobia
  • Have gag reflex

The Three Levels of Oral and/or I.V. Conscious Sedation Dentistry that we offer include:

 

Nitrous Oxide (Laughing Gas)

Nitrous oxide is a gas that is generally used to help you feel more relaxed during a dental procedure. It is the most commonly used sedation and inhaled through a small rubber nose piece placed over your nose. The effects of it wear off within minutes after use. It is best used for patients with mild anxiety in the dental office or for short, uncomplicated dental treatments. The patient is able to return to normal daily routine including driving after treatment.

Oral Conscious Sedation

Oral conscious sedation is accomplished with a pill to be taken prior to your visit. While you’ll still be awake during this level of sedation you’ll feel very relaxed, kind of sleepy, and be less aware of what is going on in the dentist’s office. Patients often describe oral sedation as the experience of being asleep but are able to move, speak, and respond to verbal requests. It offers a deeper level of relaxation then nitrous oxide. Because people react differently to medications, however, the level of sedation is harder to control. Also, the effects of the pill do not take effect immediately, so adjusting the level of sedation quickly during a procedure is difficult. Oral conscious sedation is best used with patients who have moderate fear about dental appointments.

Intravenous (I.V.) Sedation

I.V. Sedation in Dentistry is the greatest development for fearful dental patients in many years. This level of sedation requires an anesthesiologist. It produces a much deeper level of sedation, usually within just a few minutes. Patients can receive treatment without feeling pain, remembering or experiencing the smells, tastes or noises of their dental visit. Administering I.V. Sedation is quick, predictable and can be adjusted during treatment so the procedure can be easily completed. In addition, because the patient is more deeply sedated, prolonged procedures are easily completed without the need for numerous visits. I.V. Sedation is best for people with severe fear of dental office and dental procedures.

Nicholas Leon-Guerrero D.D.S

EDUCATION:

  • Bachelor of Science, University of the Pacific, Stocton, CA
  • Doctor of Dental Surgery, University of the Pacific Arthur A. Dugoni School of Dentistry, San Francisco, CA
  • General Practice Residency, Kings County Hospital Center, Brooklyn, NY
  • Certificate of Endodontics, Columbia University College of Dental Medicine, New York, NY

MEMBER, DENTISTRY:

  • American Dental Association
  • Virginia Dental Association
  • Northern Virginia Dental Society
  • Delta Sigma Delta Dental Fraternity

MEMBER, ENDODONTICS:

  • American Association of Endodontics

HONORS:

  • Board Eligible, American Board of Endodontics
  • Eagle Scout, Boy Scout of America
  • AAE Foundation Mission Outreach Participant

Frank Portell, D.M.D., M.S.

EDUCATION:

  • Doctor of Medical Dentistry, University of PuertRico, San Juan, PuertRico
  • Certificate of Endodontics, Walter Reed Army Medical Center, Washington, DC
  • Master of Science, George Washington University, Washington, DC

MEMBER, DENTISTRY:

  • American Dental Association
  • Virginia Dental Association
  • Northern Virginia Dental Society

MEMBER, ENDODONTICS

  • American Association of Endodontists
  • Virginia Academy of Endodontics (Past President)

HONORS:

  • Fellow of The American College of Dentistry
  • Fellow of The International College of Dentistry
  • Fellow of The Academy of General Dentistry
  • Pierre Fauchard Academy Fellow
  • Fellow of The Virginia Dental Association
  • Voted Top Endodontist by Northern Virginia Magazine
  • Voted Top Endodontist by Virginia Living Magazine
  • Voted Top Endodontist by Washingtonian Magazine

Nathan Schoenly, D.D.S.

EDUCATION:

  • Bachelor of Science, Saint Michael’s College, Burlington, VT
  • Bachelor of Arts, English Literature, Saint Michael’s College, Burlington, VT
  • Doctor of Dental Surgery, University of BuffalSchool of Dental Medicine, Buffalo, NY
  • Certificate of Endodontics, University of BuffalSchool of Dental Medicine, Buffalo, NY

MEMBER, DENTISTRY:

  • American Dental Association
  • Virginia Dental Association
  • Northern Virginia Dental Society
  • Korean American Dental Association
  • Alpha Omega Dental Fraternity

MEMBER, ENDODONTICS:

  • American Association of Endodontists
  • Virginia Academy of Endodontics
  • American Board of Endodontics
  • College of Diplomates of the American Board of Endodontics

HONORS:

  • Diplomate, American Board of Endodontics
  • Eagle Scout, Boy Scout of America

David Palmieri, D.M.D., M.S.

EDUCATION:

  • Bachelor of Science in Biology, University of Pittsburg, Pittsburg, PA
  • Doctor of Medicine in Dentistry, University of Pittsburg, Pittsburg, PA
  • Certificate of Endodontics, University of Pittsburg, Pittsburg, PA
  • Master of Science, University of Pittsburg, Pittsburg, PA

MEMBER, DENTISTRY:

  • American Dental Association
  • Virginia Dental Association
  • Northern Virginia Dental Society
  • Alexandria Dental Club (Past President)

MEMBER, ENDODONTICS:

  • American Association of Endodontists
  • Virginia Academy of Endodontics (Past President)
    Penick Endodontic Study Club
  • Seattle Study Club
  • Spear Study Club

HONORS:

  • Fellow of the Virginia Dental Association
  • Omicron Kappa Upsilon National Dental Honor Society
  • American Association of Endodontics Student Achievement Award
  • Pierre Fauchard Academy Fellow
  • Voted Top Endodontist by Northern Virginia Magazine
  • Voted Top Endodontist by Virginia Living Magazine
  • Voted Top Endodontist by Washingtonian Magazine
  • Voted Top Endodontist by Washington Consumer Checkbook Magazine
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