Bartholomew G. Kreiner, DDS in Baltimore: Oral Surgeon for Complex Extractions and Implants

Bartholomew G. Kreiner, DDS is a solo oral surgeon practice in Baltimore offering tooth extractions ranging from simple to complex cases, dental implant placement, and wisdom tooth removal with multiple sedation options. He operates independently rather than as part of a larger group or hospital oral surgery program, which affects scheduling flexibility and how referrals are processed.

What Kreiner actually does

Oral surgeons complete four years of dental school plus four additional years of surgical residency. Kreiner's practice focuses on procedures general dentists cannot or will not perform: difficult extractions where teeth are impacted, broken, or heavily rooted; implant placement and bone grafting; and wisdom tooth removal. This differs from a general dentist's office, where extractions are limited to simpler cases, or from an oral surgery center attached to a hospital system, where trauma and complex reconstructive cases are also handled.

Procedures and sedation options

Kreiner offers three sedation levels during procedures. Local anesthesia (numbing injection alone) is standard for simple extractions. Nitrous oxide and local anesthesia combined is appropriate for anxious patients who wish to remain conscious and responsive. IV sedation, where a patient drifts into twilight sleep, suits complex multi-tooth extractions and implant work; IV sedation requires a driver and post-procedure rest. Confirm current sedation fees and whether your insurance covers IV sedation at the point of booking, as coverage varies significantly by plan.

Implant cases typically proceed in phases: extraction (if needed), bone assessment and grafting (if necessary), implant fixture placement into bone, and abutment and crown work six to nine months later. Kreiner's scope includes placement; the restorative crown is usually completed by your general dentist. This division of labor is standard but means coordinating with two providers.

How Kreiner compares to other Baltimore oral surgeons

Choosing between a solo practitioner and a group or hospital-affiliated practice depends on scheduling and complexity. Kreiner's single-provider practice offers direct scheduling with one surgeon; no coordinator assigns you to whoever is available. Solo practices often have longer wait times because there is no backup when the surgeon is booked or unavailable. If you need an extraction next week, a larger oral surgery group like those at University of Maryland Medical Center or Johns Hopkins may have faster availability. If you prefer continuity and a more intimate referral relationship with one surgeon, Kreiner's model suits that preference. Hospital systems excel when your case requires immediate access to imaging, anesthesia oversight, or operating room capacity; Kreiner's office is outpatient-only, which means routine cases stay efficient but emergency complications would route to a hospital.

Who suits this practice and who does not

Kreiner's practice fits patients with diagnosed dental conditions needing surgery: someone whose general dentist referred them for a difficult extraction, an implant candidate already evaluated, or a wisdom tooth extraction case. Patients requiring emergency surgery at 2 a.m. are not suited here; that need routes to a hospital ER. Patients seeking cosmetic bone grafting or complex reconstruction should discuss whether Kreiner's outpatient scope covers their case or whether a hospital oral surgery program is better. Insurance-dependent patients should confirm Kreiner is in-network before booking; solo practices sometimes have narrower insurance participation than larger groups.

The first visit

New patients typically arrive with a referral from their general dentist, which includes X-rays or CBCT scans already in hand. Kreiner will review imaging, examine the tooth or site, discuss the surgical approach, explain sedation options, and quote a fee. Some offices collect payment at this consultation; others bill after surgery. Ask at the time of scheduling whether a consultation is a separate visit or integrated into the procedure day itself. If you have multiple teeth to extract or need bone grafting, the visit may include a discussion of phasing (doing some teeth now, others later) to manage healing time and cost.

Hours, parking, and how to reach Kreiner

Verify current office hours and holiday closures directly by phone or website, as solo-practice scheduling can shift. Street or lot parking availability depends on the exact office location; ask when you call whether there is dedicated patient parking or validated lot access. After-hours emergencies are typically handled through a voicemail with an answering service or referral to a local ER.

Kreiner's direct practice model suits patients who value surgical continuity and have time to work with a single surgeon's schedule; the trade-off is less capacity for rush cases and a narrower scope than a hospital system.