Man smiling after receiving Sedation Dentistry

Sedation Dentistry

A More Comfortable Way to Enjoy Dental Care

We want all of our patients – even the most nervous ones – to be able to relax and enjoy their dental experience with us. We have chosen the safest sedation methods available, and of course Drs. Hakes and Eliassen, as well as their team, have received extensive training in all of the methods we employ.

Our Sedation Methods Include:

  • Minimal Sedation – A gentle state of sedation in which a patient can interact with us. Nitrous Oxide (“Laughing Gas”) is one type of minimal sedation.
  • Conscious Oral Sedation, or Moderate Sedation – A moderate amount of sedation in which the patient can still interact, but it does not wear off as quickly. Oral sedation is a good example.
  • IV Sedation – Intravenous sedation (IV sedation) is an option that allows dental procedures to be performed while you are under the influence of a sedative drug given via an injection. It is often referred to as ‘sleep dentistry’ or ‘twilight dentistry’.

In all processes for which we use sedation, the patients are constantly monitored, both by a member of our team and electronically.  During the process of IV Sedation, Drs. Hakes & Eliassen utilize the services of Dr. Rick Montandon, a dental anesthesiologist for administering and monitoring all patient vitals while they are performing their procedures.  Dr. Montandon earned his dental degree and then completed an intensive 4-year anesthesia residency.

Who May Need Sedation Dentistry? When patients are clinically afraid (or phobic), have a very low tolerance for pain, a lot of work to be done, strong gag reflexes, or certain physical disabilities, sedation may be necessary. We may also recommend sedation for treatments such as bridges, extractions, cosmetic procedures, and gum treatments.

How Can I Prepare for Sedation? If we tell you it is necessary or you plan to use sedation during your visit, it is imperative that you let us know about any medications you’re on or any recent or current medical treatments that are part of your life. We will provide clear and thorough instructions about any before- or after-care that is necessary because of sedation. Drs. Hakes and Eliassen are both highly qualified practitioners of conscious sedation. Both have numerous postgraduate seminars including 26 hours of training through Dental Organization for Conscious Sedation (DOCS Education). Additionally, both rigorously maintain CPR and first aid certification each year.  Both Dr. Hakes and Dr. Eliassen are certified in ACLS (Advanced Cardiac Life Support).  All to ensure both your safety and comfort during your visit. Please ask if you have questions or concerns. We are happy to provide additional information.


Spokane Oral Sedation Treatment

Oral sedation is a mild dose of prescription-strength sedatives that last for four to five hours and allow our patients to nap through their dental appointment. This option safe for almost anyone, and  is a great way to wrap all of your dental treatment up into just one visit. Most of our patients don’t remember a single thing about the visit. Patients do, however, need a friend or family member to drive them home.

Nitrous Oxide

More commonly known as laughing gas, nitrous oxide is easily utilized for any dental visit, including cleanings. This mild sedative has a quick onset and reversal that eliminates the need for a designated driver, even allowing our patients to go back to work if they want (though we understand if they don’t). Nitrous oxide is perfect for reducing discomfort as well as creating a relaxed sensation from head to toe.

Spokane Single Tooth Anesthesia Service

The Wand is a computerized local anesthetic delivery system that offers pain-free drug delivery. It makes local anesthesia a comfortable process for quick pain relief and prevention.


More comfort & less anxiety

  • Significantly more comfortable than the traditional syringe.
  • Greatly reduces anxiety.
  • Can eliminate collateral numbness.

More efficient use of your time

  • STA enables multi tooth treatment in one visit without face and lip numbness.
  • Can go straight back to work without a numb face and/or lip.

Greater satisfaction

  • Many of our patients are more satisfied with and prefer The Wand vs. the traditional syringe.
  • The latest technology that you can immediately feel, or not feel as is the case most of the time.