
Dr. Aiyar is the dentist and owner. She does the exams, fillings, crowns and tooth removals herself, and she gives the nitrous oxide.
General dentist · Manchester, New Hampshire
Amoskeag Dental is a one-dentist office for adults who dread the chair. Before we begin you pick a signal, and when you use it, everything pauses.

Staying comfortable
You can ask for any of these at any visit, and you don't have to say why.
Before we start, we agree on a signal. Most people raise a hand. When you use it, Dr. Aiyar stops, sits back and waits until you say go on. She will not ask you to explain.
Ask for a break whenever you like, or ask us to pause on our own every few minutes to check in. Sit up, sip water, look out the window, then decide.
Bring your own or borrow a pair of ours. Music, a podcast or an audiobook all work. We tap your shoulder or lift a hand so you know when we need you.
A warm blanket, a neck pillow and a lamp instead of the bright light, if you'd like them. Tell us what helps and we will set the room before you sit down.
Some people want to hear each step before it happens and handle the instruments first. Others want quiet. We do what you ask, and you can change your mind midway.
A gas you breathe through a small mask over your nose. You stay awake and can talk. It is the one kind of sedation we offer.
About nitrous oxideAsk for the first appointment of the day, or one at the end of the week, so you aren't waiting with a racing mind in a full room.
Our limits
Dr. Aiyar offers local numbing and nitrous oxide, and nothing stronger. If you need more, she refers you to a dentist or oral surgeon who offers it, and sends your records with your say-so.
Sedation through a vein needs a state permit and a second person watching your breathing and heart. We don't give it.
A pill taken before the visit means someone must drive you and the effect is hard to adjust. We don't offer it.
That is a service for a surgeon's office or a hospital. We refer you there when it is the right choice.
The first visit
You sit across from Dr. Aiyar, with your shoes on and your questions first.
She asks what you dread and what has gone wrong before, and she listens. We look at your mouth only when you're ready. If that isn't today, we plan the next visit around what you told us, and you leave with nothing done to you.
A talk before anything else
Your signal agreed and written in your chart
An exam when you say so
A written estimate before any treatment

Nitrous oxide
Nitrous oxide takes the edge off. It doesn't take the visit away.
You breathe it through a small mask over your nose, mixed with oxygen. You stay awake and can talk, and you can ask us to turn it down or off. Dr. Aiyar and Nallely stay with you and watch your breathing and how you feel throughout, and the effect wears off in minutes after we stop. Some people feel light-headed or queasy, and it isn't right for everyone, so we talk it through first.

Services
The people
A small office. You see the same people each visit, and they know the signal you chose.

Dr. Aiyar is the dentist and owner. She does the exams, fillings, crowns and tooth removals herself, and she gives the nitrous oxide.

Dental hygienist
Constance does the cleanings. She works slowly, tells you what is coming and stops when you ask.
Dental assistant
Nallely stays beside you through every visit and watches for your signal. She speaks Spanish and English.
Front desk
Symone books your visit, answers questions about fees and writes your estimate.
Before you call
You're welcome here. Dr. Aiyar doesn't scold. The first visit is a talk, and what happens next is up to you.
Yes, at any point. Use your signal and we stop. We can pause, sit you up, or end the visit and plan the next one.
No. We offer local numbing and nitrous oxide. If you need more, we refer you to a dentist or oral surgeon who offers it.
Yes. A friend or family member can sit in the room if you'd like, or wait in the front. Tell us which.
Yes. You get a written estimate before any treatment. It lists each step and its fee, and you can take it home.
Send a request and Symone will call, text or email you with a time. You can tell her about your signal when you arrive.