
Single Dental Implants · Bonney Lake, WA
When you’re missing a single tooth, or a few that aren’t adjacent, an implant is usually the best long-term answer. It doesn’t grind down healthy neighbors like a bridge, and it’s permanent. Placed by Dr. Volland under IV sedation.
The Decision
Patients missing a single tooth typically have four options. Each has real tradeoffs worth understanding before deciding which fits your situation.
A titanium post placed where the tooth root was, topped with a custom porcelain or zirconia crown. Functions exactly like a natural tooth.
Anchors a false tooth to the two teeth on either side of the gap, which are ground down and capped to support it. All three units are one connected piece.
A removable false tooth on a framework that clips onto neighboring teeth. Taken out for cleaning.
Some patients elect not to replace a missing tooth, especially a hidden back molar. Defensible in some cases, but not consequence-free.
The 30-year math
A bridge looks $1,000–$1,500 cheaper than an implant on day one. Over a realistic 20–30 year horizon, that math reverses decisively. Here’s the honest picture for one missing tooth.
The implant path
Total 30-year cost
One implant placed and restored at 45 (≈$4,500–$5,500). The crown may need replacing once at 12–15 years ($1,500–$2,500). The implant itself routinely lasts 25–30+ years, with no damage to neighboring teeth.
The bridge path
Total 30-year cost
One three-unit bridge at 45 (≈$3,000–$4,500), replaced every 10–15 years. By the second cycle, an anchor tooth often fails, leading to a longer bridge or implants anyway, now needing bone augmentation. Two healthy teeth compromised along the way.
The implant costs about $1,000–$1,500 more upfront, and $4,000–$10,000 less over its lifespan. For most working-age patients with adequate bone, the implant is the financially smarter choice once you look past year five. Bridges remain appropriate for specific cases: patients who aren’t surgical candidates, or where adjacent teeth already need crowns.
Why Elite for single implants
For your general dentist, choosing where to refer single-implant cases matters. Here’s what makes Elite the practice South Sound dentists send patients to.
Precise positioning around the sinus, nerves, and adjacent roots, plus management of anything that arises. Dr. Volland is an oral and maxillofacial surgeon with eight years of active-duty Naval surgical experience.
Dr. Volland holds the WA General Anesthesia Permit and is ACLS, PALS, ATLS, and BLS certified. You can be asleep for the placement and won’t remember it, or stay awake under local, your choice.
For most cases your general dentist places the final crown. We place the implant, send progress reports, share imaging, and coordinate timing. Your relationship with your dentist is preserved.
A written estimate itemizes placement, IV sedation, and grafting (if needed) separately, in writing before your surgical date is scheduled. No surprises after treatment begins.
The treatment workflow
Single-implant treatment typically spans 4–6 months from start to finish. Here’s the standard workflow, with timing notes for each stage.

3D Cone Beam CT assesses bone quality and quantity at the site. We review your history, discuss anesthesia, and hand you a written plan with itemized pricing. Typically 45–60 minutes.
Most consultations take 45–60 minutes. You leave with pricing in writing.

Surgical placement under IV sedation (or local, if you prefer). Bone grafting is placed at the same time when needed. Usually 30–60 minutes, then home with care instructions.
Plan for ~2 hours on surgery day. You’ll need a driver home after sedation.

The implant fuses with the surrounding bone over 3–4 months. A small healing cap sits at the gum line. We see you once during this period to verify healing.
One progress check during this period. No functional tooth at the site yet.

Once integration is confirmed, your general dentist takes impressions and places the final crown. We coordinate timing and share records throughout.
Restored at your regular dental practice. You go home with a complete tooth.
Faster protocols, immediate placement at extraction, immediate provisional crowns, are available for select cases when bone quality supports them. Whether yours qualifies depends on your specific anatomy, which we’ll review at consultation.
The Evidence
Properly placed and maintained single implants are among the most predictable procedures in dentistry. The figures below reflect published clinical outcomes.
95%+
Success at 10 years
5+ years³
2–5%
Failure over 10 years
5+ years³
25–30+
Years, typical lifespan
At 10–18 years²
10–15
Years before crown swap
At 10–18 years²
These rates are comparable to, or better than, published survival for natural teeth carrying crowns or root canal therapy. Individual outcomes vary with bone quality, hygiene, and behavioral factors.
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.”
Compared honestly
The tradeoffs that matter most for a single missing tooth, laid out plainly. Individual situations vary; we’ll walk through yours at consultation.
Option
30-Year Cost
Neighboring Teeth
Preserves Bone
Permanence
Single implant
$6K–$8K
Untouched
Yes
Permanent
Dental bridge
$10K–$18K
Ground down
No
Fixed, 10–15 yr
Partial denture
Lowest upfront
Clips on
No
Removable
Leave the gap
None
Drift & shift
No
Ongoing loss
Cost ranges reflect typical South Sound pricing over a realistic 20–30 year horizon and do not constitute a specific quote. Bridges remain clinically appropriate for select situations discussed at consultation.
Cost & insurance
A complete single implant, surgical placement plus the final crown, typically runs $3,500–$6,000 in the South Sound market. Elite’s pricing falls within this range, itemized in writing before you schedule.
Surgical placement (Elite)
Implant fixture, surgical placement, and standard imaging. Per implant.
$2,200–$2,800
Bone grafting (when needed)
Socket preservation or ridge augmentation, when clinically required. Determined by your 3D imaging.
+$300–$800
IV sedation (when elected)
Depending on case duration. Local anesthesia is available at no sedation fee.
+$400–$700
Final crown (your dentist)
Usually restored at your regular dental practice; your dentist sets this fee.
$1,500–$2,500
Many dental plans now cover implant placement at 50–80% as a major service, with separate crown coverage. Medical insurance occasionally covers implants documented as medically necessary (post-trauma, post-cancer, congenital). We verify your specific coverage before treatment and provide a written estimate of patient responsibility. HSA and FSA funds are eligible for all components, effectively reducing your out-of-pocket cost by your marginal tax rate.
Common Questions
Under IV sedation, the procedure is painless, you’re asleep. Under local anesthesia, you’re awake but fully numbed. Either way you feel no pain during placement. Afterward, discomfort is similar to a tooth extraction: mild-to-moderate swelling for 3–5 days, managed with prescribed and over-the-counter medication. Most patients describe recovery as easier than expected.
The surgical placement itself is typically 30–60 minutes. Including IV sedation setup and recovery, plan for about two hours at our office on surgery day. You’ll need a driver home after sedation. Most patients return to normal, non-physical activity the next day; physical exertion is restricted for 2–3 days.
Properly placed and maintained implants have a 95%+ success rate at 10 years, and many last 25–30+ years. The crown on top typically needs replacement after 10–15 years, but the implant itself can last for decades. Maintenance includes regular hygiene and professional cleanings. Avoiding heavy smoking and addressing issues such as teeth grinding and gum disease can also help protect the implant long term.
Upfront, yes, typically $1,000–$1,500 cheaper. Over the realistic lifespan, no. A bridge usually lasts 10–15 years; by the second replacement cycle, one or both supporting teeth often fail from decay or fracture, leading to a longer bridge or implants placed in a site that has now lost bone. The realistic 30-year math: an implant totals roughly $6,000–$8,000; a bridge, $10,000–$18,000, while grinding down two healthy teeth in the process.
Failure rates are 2–5% over 10 years. Early failures (first 6 months) are usually integration problems; late failures are typically peri-implantitis from gum disease. Our standard policy: implants that fail in the first 12 months from integration problems are replaced at no additional surgical fee, you pay only for the new fixture and any required grafting. This is documented in writing in your treatment plan.
For some cases, yes, immediate placement with an immediate provisional is a recognized protocol when bone quality and stability support it. The provisional isn’t the final crown; it comes off at 3–6 months once integration is complete. Don’t be misled by “permanent teeth in one day” marketing for single implants, osseointegration takes months regardless of which crown is delivered first.
Multiple individual implants can be placed during the same surgical session. When the missing teeth aren’t adjacent, each implant receives its own crown and functions independently. For several adjacent missing teeth, an implant-supported bridge may be more cost-effective. If you’re missing all or most teeth in an arch, see our full-arch implants page.
For single implants, a referral is typically requested, not strictly required, but the workflow is most efficient when your dentist coordinates, since they know your history and will place the final crown. If you don’t have a general dentist, contact us and we’ll discuss options. For full-arch cases, no referral is required and consultations are complimentary.
Opening January 2027
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9907 205th Ave E · Bonney Lake, WA 98391
(206) 738-2503


