Is it normal for a dentist to leave you awake while extracting all of their teeth and placing implants?

I am getting top and bottom implant dentures. My dentist is not set up to put me to sleep during the extraction of all of my teeth or implantation of the 8 posts. He states that it is not necessary and he is not set up to do so. I am paying him 16 thousand dollars. He has good reviews and has a 3D imaging in office for such procedures. He gave me a script for a sedative. I just wonder if a dentist isn't set up for that should I wonder about his ability to give me an awesome smile?