David C. Bastacky DDS in Baltimore: Oral Surgery for Extractions, Implants, and Referral-Based Care

David C. Bastacky DDS operates as an oral surgery practice serving Baltimore and surrounding areas, offering tooth extractions, implant placement, bone grafting, and other surgical procedures that general dentists refer out. The practice works primarily on referral from other dental providers rather than accepting walk-in new patients directly.

What Bastacky DDS Actually Does

Oral surgeons handle procedures that require surgical technique and often sedation beyond the scope of general dentistry. Bastacky's scope includes simple and surgical extractions (teeth embedded or impacted, including wisdom teeth), implant placement and reconstruction, bone grafting, and treatment of oral trauma. Like most oral surgery practices in Baltimore, it functions as a referral destination: your general dentist or specialist identifies a need for oral surgery, then refers you to Bastacky rather than attempting the procedure in-office.

Services and Sedation Options

Bastacky offers extractions across the complexity spectrum, from straightforward removals to impacted wisdom teeth requiring bone removal. Implant placement, often paired with bone grafting when jaw volume is insufficient, represents a significant portion of surgical practices' case volume. Pricing for these services varies substantially by case complexity. Wisdom tooth extraction, depending on impaction and bone involvement, typically ranges from $250 to $500 per tooth in the Baltimore market, though final costs depend on your specific anatomy. Implant placement alone (not including the crown or abutment) runs $1,500 to $3,000, with bone grafting adding $400 to $1,200. Confirm current pricing directly with the office, as surgical fees adjust for material and technique.

Sedation options typically include nitrous oxide (laughing gas), IV sedation, and in some cases general anesthesia, depending on case complexity and patient preference. Sedation adds to the procedure cost and requires a responsible adult to drive you home.

How Bastacky Compares to Other Baltimore Oral Surgeons

Baltimore has several oral surgery practices, including those affiliated with University of Maryland School of Dentistry and private groups across the metro area. Choose Bastacky if your general dentist has established a working relationship with his office or if proximity to his location fits your schedule. If you need a surgeon close to Canton, Fells Point, or Inner Harbor, location may be a deciding factor. For complex reconstructive cases or those requiring hospital-based sedation, university-affiliated programs like UMSOM may have additional resources, though they often carry longer waits. Independent practices like Bastacky typically offer faster scheduling than academic centers. If your insurance requires in-network providers, verify coverage before scheduling, as insurance networks vary by plan and some oral surgeons are out-of-network for certain plans.

Who Bastacky Suits and Who It Does Not

This practice suits patients whose dentists recommend oral surgery and who prefer working with a surgeon their regular dentist trusts. It suits adults needing wisdom tooth removal, implant placement, or extraction of teeth with complex root anatomy. It does not suit patients seeking emergency tooth extraction on the same day without prior referral; oral surgeons schedule procedures in advance. It does not suit patients unable to arrange transportation home after sedation (a legal requirement for any IV sedation case).

What Your First Visit Involves

You will arrive with a referral from your dentist, which should include X-rays or imaging (CBCT scans help with implant and impaction assessment). The first appointment involves a consultation where Bastacky reviews imaging, examines the surgical site, discusses your medical history and any medications you take, and explains the procedure, recovery timeline, and cost. You will discuss sedation options and sign consent forms. If you elect IV sedation, you will receive preoperative instructions (typically nothing to eat or drink after midnight) and must confirm your driver. Surgical procedures are usually scheduled separately after the consultation, though same-day scheduling may be possible for simple cases.

Hours, Location, and Parking

Verify current hours by calling ahead, as surgical practices often block time for procedures rather than maintaining open reception hours throughout the day. Most oral surgeons in Baltimore are located in professional office buildings with dedicated parking rather than street parking, reducing the logistics burden compared to general dental offices in older commercial districts. Confirm the specific address and parking details with the office before your first visit.

Why This Matters in Baltimore

Baltimore's diverse dental provider landscape includes both university-affiliated and private surgical practices. Bastacky operates as a reliable referral destination for the general dentists who support his practice, making him a fixture in the local dental supply chain. Knowing where to send a surgical case matters to the referring dentist, which means knowing Bastacky matters to you when you need care.