IV Conscious Sedation · Bonney Lake, WA
For most surgical procedures at our office, IV sedation is the standard, and the option most patients prefer once they understand it. Administered by Dr. Jonathan Volland himself, with eight years of Naval surgical anesthesia experience and the certifications a hospital operating room expects.
At a glance
The practical details most patients want to know first.
Sedation Type
IV Conscious
You breathe on your own
IV conscious sedation is different from general anesthesia, you breathe on your own throughout and your protective reflexes are preserved. Fasting for 6–8 hours beforehand and a sober adult driver are required. For full-arch implant cases, sedation is included in the all-inclusive per-arch price.
The patient experience
If you’ve never had IV sedation, the most important thing to know is this: it doesn’t feel scary, it doesn’t feel like surgery, and you don’t remember it. Most patients wake up asking “is it done already?” Here is the visit, step by step.
Nothing to eat or drink for 6–8 hours beforehand, no alcohol or recreational substances for 24 hours prior, and a driver arranged to bring you home and stay with you afterward. Most patients arrive with a family member or friend who waits during the procedure.
You’re brought to a private surgical suite where vital signs are taken and a small IV is placed, similar to a blood draw. Monitors track your heart rate, blood pressure, breathing, and oxygen throughout. Local anesthetic is given after sedation begins, so you don’t feel the injections.
Soft-food diet the first week, then normal eating as healing continues.
Medications are administered through your IV. Within 30–60 seconds you become deeply relaxed and drift to sleep. You’re breathing on your own the whole time, this is what sets IV conscious sedation apart from general anesthesia. Your cough and swallow reflexes are preserved.
A short visit, no sedation, bite and fit are confirmed before the final is made.
The procedure proceeds normally while you sleep, with Dr. Volland and the surgical team monitoring your vitals continuously. Most patients have no awareness of it happening; if you briefly stir, additional sedation is given immediately to return you to sleep.
Your permanent teeth. The provisional comes off; the final goes in.
The sedation is allowed to wear off naturally and you wake gradually over 10–30 minutes, often groggy at first. You’re moved to a monitored recovery area, and most patients are ready to go home with their driver within 30–60 minutes.
A short visit, no sedation, bite and fit are confirmed before the final is made.
You’ll be drowsy for several hours and should not drive, work, or stay alone during that time. Most patients sleep for two to four hours after returning home. By evening, the sedative effects have usually worn off, although some surgical discomfort may remain.
Your permanent teeth. The provisional comes off; the final goes in.
Sedation options
Different procedures and different patients warrant different approaches. The choice is yours after discussion at consultation. IV sedation is the default for most surgical procedures, but it is not the only option.
Standard for wisdom teeth, extractions, implants
The option most patients prefer once they understand it
Anesthesia credentials
Office-based sedation requires specific training, licensing, and continuing certifications. The standard can vary meaningfully across providers. Here is what Dr. Volland brings to your sedation.
Specialty Surgical Training
Requires an accredited hospital-based residency and demonstrated surgical competency, including formal training in office-based anesthesia administration.
WA GA
Washington General Anesthesia Permit
A Department of Health permit authorizing general anesthesia and deep sedation in office settings. Requires demonstrated training, equipment standards, emergency protocols, and renewals with site inspections.
ACLS
Washington General Anesthesia Permit
AHA certification in managing cardiac arrest, arrhythmias, stroke, and other cardiovascular emergencies. Standard for hospital surgical teams; less universal in office-based practices.
PALS
Pediatric Advanced Life Support
AHA certification in pediatric resuscitation and emergency management, relevant for adolescent patients receiving sedation, particularly wisdom teeth cases in 16–19 year olds.
ATLS
Advanced Trauma Life Support
American College of Surgeons certification in acute trauma management, including airway management and hemorrhage control, relevant to any sedation-related airway or bleeding emergency.
8 YRS
Active-Duty Naval Surgical Practice
Eight years of active-duty practice including residency at Naval Medical Center Portsmouth and operational service aboard the USS Nimitz, experience that exceeds typical office-based training pathways.
Safety protocols
In-office IV sedation by an oral and maxillofacial surgeon has an excellent safety record. The structural elements that make it safe are specific and verifiable.
Before sedation is scheduled, your medical history, medications, and conditions are reviewed in detail. Certain complexities may call for modified protocols, hospital-based sedation, or added monitoring. This evaluation is not a formality, it determines what level of sedation is safe for you.
Throughout the procedure you’re monitored: heart rate, blood pressure, oxygen saturation, end-tidal CO2 (capnography), and respiratory rate. Devices are tested before each case, and a trained assistant has continuous responsibility for monitoring while Dr. Volland operates.
The office carries emergency airway devices, reversal agents (flumazenil and naloxone), an AED, and medications for cardiac, respiratory, and allergic emergencies. Staff run regular response drills. The WA GA Permit requires demonstrating these capabilities for issuance and renewal.
After surgery you’re monitored until you meet specific discharge criteria, stable vitals, appropriate consciousness, a protected airway. Discharge requires a sober adult driver and written instructions. We don’t release sedated patients to taxis, rideshares, or unsupervised situations.
Authoritative reference
Patient education on office-based anesthesia, how it works, the training and safety standards behind it, and what to expect, from the American Association of Oral and Maxillofacial Surgeons.
When sedation is used
Sedation is not assigned solely by procedure name. Two patients undergoing the same treatment may have different anesthesia needs based on surgical complexity, medical history, treatment length, and patient preference.
IV sedation is standard for most impacted wisdom teeth cases, including removal of all four teeth in a single visit. It allows you to remain comfortable throughout the procedure while breathing on your own.
IV sedation is commonly used when teeth are broken, impacted, below the gum line, or have complex root anatomy. Local anesthesia is also used at the surgical site.
Many single implant procedures can be completed with local anesthesia alone. IV sedation is available for patients who prefer additional comfort or when the procedure involves extraction, grafting, or added complexity.
All-on-4, All-on-6, and other full-mouth implant procedures are typically performed under IV sedation. These longer procedures may include extractions, implant placement, bone grafting, and placement of temporary teeth in the same visit.
These advanced implant procedures may be performed under deep IV sedation or general anesthesia depending on the complexity of the case, surgical plan, and patient needs.
Implant placement for snap-in dentures may be completed with local anesthesia or IV sedation. The recommendation depends on the number of implants, whether extractions or grafting are required, and patient preference.
Smaller grafting procedures may require only local anesthesia. IV sedation is commonly used for larger grafts, sinus lifts, or when grafting is combined with extractions or implant placement.
Dr. Volland determines the appropriate anesthesia plan during your consultation. IV sedation is used for many procedures performed in our office, while general anesthesia may be recommended for select complex cases when clinically appropriate.
Cost & insurance
IV sedation is priced by the duration required for your specific procedure. We verify your coverage before treatment and provide a written estimate of any patient responsibility.
Typical fee
$400–$700
Routine sedation · 30–60 minutes
Longer multi-hour cases generally run $700–$1,200 as a standalone fee
For full-arch cases, sedation is included in the $15,000 per-arch price, no separate fee
For all other procedures, sedation is priced separately and disclosed in writing beforehand
HSA and FSA funds are eligible for sedation costs
Insurance & financing
Many dental plans cover IV sedation when it’s medically necessary alongside a surgical procedure. Some classify it as elective and exclude it. Medical insurance occasionally covers sedation for medically complex patients.
We verify your specific coverage before treatment
Written estimate of any patient responsibility
HSA / FSA funds reduce out-of-pocket cost by your marginal tax rate
Local anesthesia available for most procedures if you’d rather avoid the cost
Patient Reviews
“I really appreciated how attentive and detailed Dr. Volland and his team were when answering questions and sharing what the experience would be like when getting my wisdom teeth removed. I felt very at ease during and after the procedure because of their reassurance despite being uneasy initially.”
“Dr. Volland is amazing! Had a great journey getting my wisdom teeth removed and a bone graft done. All the staff are super nice and make you feel at home. Recovery was quick, and I could tell I was in expert hands.”
“I was very nervous going into the procedure. Dr. Volland was absolutely amazing. He was kind, reassuring, and took the time to make me feel comfortable every step of the way. The procedure was quick, smooth, and much easier than I expected.”
“I cannot say enough about Dr. Volland. He is so thorough and caring. He truly listens to patients, making every visit feel special. Got my all-on-x treatment done, and the results are amazing!”
“The calm atmosphere and confidence of the dr and assistant was reassuring. The extraction was painless and they were attentive to me throughout the procedure. They made the entire experience as comfortable as possible.”
“Dr. Volland was super professional during my consult. Definitely recommend him for anyone in the Sumner area looking for dental implants. Talked through everything in detail. He truly knows his stuff!”
“I really appreciated how attentive and detailed Dr. Volland and his team were when answering questions and sharing what the experience would be like when getting my wisdom teeth removed. I felt very at ease during and after the procedure because of their reassurance despite being uneasy initially.”
“Dr. Volland is amazing! Had a great journey getting my wisdom teeth removed and a bone graft done. All the staff are super nice and make you feel at home. Recovery was quick, and I could tell I was in expert hands.”
“I was very nervous going into the procedure. Dr. Volland was absolutely amazing. He was kind, reassuring, and took the time to make me feel comfortable every step of the way. The procedure was quick, smooth, and much easier than I expected.”
“I cannot say enough about Dr. Volland. He is so thorough and caring. He truly listens to patients, making every visit feel special. Got my all-on-x treatment done, and the results are amazing!”
“The calm atmosphere and confidence of the dr and assistant was reassuring. The extraction was painless and they were attentive to me throughout the procedure. They made the entire experience as comfortable as possible.”
“Dr. Volland was super professional during my consult. Definitely recommend him for anyone in the Sumner area looking for dental implants. Talked through everything in detail. He truly knows his stuff!”
“Dr. Volland did an amazing job! The procedure was quick, completely painless, and I was in and out in no time. My recovery was also very fast and pain-free. Highly recommend!”
“Dr. Volland is as professional as he is kind. His extractions are quick and easy, implants are successful and look great, and IV sedation makes the whole process go off without a hitch.”
“Dr. Volland was so gentle and made sure I was comfortable during my implant surgery. He's the only Dr I'll trust with my oral surgery needs!”
“I went in for a dental implant under sedation and it was absolutely painless! It was so easy and smooth. I can't thank him enough!”
“Our family had an excellent experience with Dr. Volland and his team. Dr. Volland personally took a call from me when we got home and answered my questions. His commitment to patient care is outstanding.”
“Dr. Volland did an amazing job! The procedure was quick, completely painless, and I was in and out in no time. My recovery was also very fast and pain-free. Highly recommend!”
“Dr. Volland is as professional as he is kind. His extractions are quick and easy, implants are successful and look great, and IV sedation makes the whole process go off without a hitch.”
“Dr. Volland was so gentle and made sure I was comfortable during my implant surgery. He's the only Dr I'll trust with my oral surgery needs!”
“I went in for a dental implant under sedation and it was absolutely painless! It was so easy and smooth. I can't thank him enough!”
“Our family had an excellent experience with Dr. Volland and his team. Dr. Volland personally took a call from me when we got home and answered my questions. His commitment to patient care is outstanding.”
Opening January 2027
Needle anxiety is common, and it’s the part most patients find hardest. We use small-gauge catheters, can apply numbing cream to the site, and, if anxiety is severe, can discuss an oral pre-sedation pill taken before the IV is placed. The insertion takes a few seconds and is over quickly. Let us know beforehand so we can plan for it.
Common Questions
Office-based IV sedation by an oral and maxillofacial surgeon has an excellent safety record. Serious complications are reported at very low rates, although exact rates vary by study. Safety begins with a pre-sedation evaluation to identify higher-risk patients. Continuous monitoring, emergency equipment, reversal medications, and life-support training provide additional safeguards throughout the procedure. Dr. Volland’s qualifications include hospital-based specialty training, the Washington General Anesthesia Permit, full ACLS, PALS, ATLS, and BLS credentials, and eight years of hospital-based Naval surgical practice.
The main difference is the depth of anesthesia. With IV sedation, you continue breathing on your own and are placed in a deeply relaxed state. Most patients appear asleep and remember little or nothing about the procedure. General anesthesia produces a deeper level of unconsciousness and may require additional airway support. For many office-based oral surgery procedures, IV sedation provides the appropriate level of anesthesia, while general anesthesia may be used for select complex cases.
No. Local anesthesia is administered after sedation begins, so the surgical site is fully numbed before anything starts. The sedation eliminates anxiety and awareness; the local anesthesia ensures no pain at the site. Most patients have no memory of any discomfort. If you do have any awareness during the procedure, which is uncommon, additional sedation is given immediately to deepen your sleep.
No. Sedation medications can affect your judgment, reflexes, and coordination for several hours, even if you feel relatively alert. You must arrange for a responsible adult to drive you home and stay with you during your initial recovery. Rideshares and taxis are not appropriate substitutes because your escort needs to remain with you and monitor your recovery.
You’ll receive specific written instructions. In general: nothing to eat or drink for 6–8 hours before sedation (clear water up to 2 hours before is sometimes permitted), no alcohol or recreational substances for 24 hours, continue most prescription medications with small sips of water as directed, and arrange a driver. Wear comfortable clothing with sleeves that roll up for the IV, remove contacts, dentures, and piercings, skip heavy makeup and nail polish, and arrive 15 minutes early for vitals and final prep.
Needle anxiety is common. We use small-gauge IV catheters and can apply numbing cream beforehand if you let us know you are anxious. Insertion takes only a few seconds and is usually more uncomfortable than painful, similar to a blood draw. For most patients, it is brief and is often the most difficult part of the process. If your anxiety is significant, we can discuss additional options before your appointment to make the experience more manageable.
Coverage varies. Many dental plans cover IV sedation when it’s medically necessary alongside a surgical procedure, typically wisdom teeth, surgical extractions, and implant placement, while some classify it as elective. Medical insurance occasionally covers sedation for medically complex patients or medically necessary procedures. We verify your specific coverage before treatment and provide a written estimate. HSA and FSA funds are eligible and effectively reduce cost by your marginal tax rate.
Opening January 2027
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9907 205th Ave E · Bonney Lake, WA 98391
(206) 738-2503
