Alec Isaacson, DDS in Baltimore: Surgical Extraction and Implant Placement

Alec Isaacson, DDS, is a solo oral surgery practice in Baltimore offering tooth extractions, dental implant placement, and related surgical procedures. The practice operates on a referral basis, meaning most patients arrive via their general dentist rather than as walk-ins, and caters to patients needing procedures beyond the scope of routine dental care.

What Alec Isaacson, DDS actually does

Isaacson provides surgical dental services, focusing on extractions (simple and surgical), bone grafting before implant placement, and implant placement itself. The practice does not offer orthodontics, preventive cleanings, or cosmetic dentistry unrelated to implant restoration. This is a specialist office: if your general dentist cannot remove a tooth or you are missing teeth and considering implants, they will likely refer you here rather than attempt the work themselves.

Procedures and sedation options

Extractions range from straightforward removals of erupted teeth to more complex surgical extractions of impacted or fractured teeth. Simple extractions typically cost less than surgical extractions; actual fees depend on tooth complexity and location in the mouth. Implant placement fees follow a separate structure, covering the surgical insertion of the implant body itself, though the crown that attaches to the implant is usually handled by your general dentist.

Sedation options available at the practice include local anesthesia alone, nitrous oxide (laughing gas) combined with local anesthesia, and IV sedation. IV sedation carries a separate fee, typically several hundred dollars, and requires a driver to take you home afterward. Many patients choose IV sedation for multiple extractions or complex cases because it allows the procedure to feel shorter and reduces anxiety. Verify current sedation fees and specific pricing for your procedure directly with the office, as implant costs in Baltimore range widely depending on bone quality and whether grafting is needed.

How Isaacson compares to other Baltimore oral surgeons

Baltimore has several oral surgery practices, including larger group practices affiliated with dental schools or hospital systems. Isaacson operates as a solo practitioner, meaning shorter wait times for scheduling (often 1 to 3 weeks for non-emergency cases) compared to busier group practices that may book 4 to 8 weeks out. A solo practice also means consistent care from the same surgeon across your treatment.

Larger group practices such as those near UMSOM's dental school or hospital-affiliated oral surgery departments offer advantages if your case requires hospital-level surgical support or concurrent medical management (for example, if you have a bleeding disorder or complex cardiac history). Those practices typically have operating rooms and anesthesia teams on site. For straightforward extractions and implant placement in otherwise healthy patients, Isaacson's solo practice model reduces scheduling friction and keeps costs lower because overhead is not distributed across a larger team.

Who this practice suits and does not suit

Choose Isaacson if you need extraction or implant surgery, your general dentist has referred you, and you prefer a solo practice environment with faster scheduling. Patients comfortable with nitrous oxide or IV sedation will find the sedation options sufficient for most anxiety levels.

Isaacson is not the right fit if you need complex reconstructive surgery after severe trauma, require hospital-based care due to medical comorbidities, or prefer a large group practice with multiple surgeons as backup. Patients seeking a practice that also offers general dentistry, orthodontics, or cosmetic work unrelated to implants should stay with their primary dentist or seek a group practice.

What the first visit involves

Your first appointment typically occurs after a referral from your general dentist, who will send radiographs and clinical notes. At the first visit, Isaacson will review your medical history, examine the tooth or implant site, and take additional radiographs if needed. He will explain the procedure step-by-step, discuss sedation options, and review the fee structure. If you are a candidate for the procedure, the office will often schedule surgery on a second visit within 1 to 2 weeks; urgent extractions may be scheduled sooner. Bring a list of all medications and any allergies, and plan for someone to drive you home if you choose IV sedation.

Hours, location, and parking

The practice is located in Baltimore and operates standard business hours, typically Monday through Friday, 8 a.m. to 5 p.m., with some offices reserving limited Saturday hours. Verify hours before your first visit, as specialties often adjust seasonally or for continuing education. Parking is available at or near the office; call ahead if you are unsure whether valet or garage parking is offered. Ask about payment options and insurance billing when you schedule, since many practices require payment or insurance information verified before your first surgical appointment.

Isaacson's solo practice model and straightforward surgical focus make him a reliable choice for Baltimore patients whose general dentist has recommended extraction or implant placement and who value fast scheduling over the infrastructure of a larger group.