Centennial Square Oral Surgery in Baltimore: Complex Extractions and Implant Placement

Centennial Square Oral Surgery is an independent oral surgery practice in the Canton neighborhood of Baltimore, handling extractions, bone grafts, implant placement, and wisdom tooth removal on an outpatient basis. Founded and operated by a surgeon with formal training in oral and maxillofacial surgery, the practice sits between the large hospital-affiliated surgical programs and smaller general dentistry offices that perform only routine extractions.

What Centennial Square Oral Surgery actually is

The practice performs procedural dentistry beyond the scope of preventive care: impacted wisdom tooth extraction, surgical removal of retained or deeply rooted teeth, dental implant placement, and bone augmentation prior to implant restoration. Patients are referred in by their general dentist or sometimes call directly with an extraction or implant need. The surgeon has completed an accredited oral and maxillofacial surgery residency and holds a DDS/DMD degree plus additional surgical credentials. Most cases are outpatient, and the office operates as a referral-receiving specialty rather than a drop-in service.

Procedures, sedation, and referral pathway

Routine extractions of erupted teeth are handled under local anesthesia alone. Impacted wisdom teeth, deeply embedded roots, and cases where bone removal is necessary are typically done under IV sedation or general anesthesia, with a separate anesthesia provider on staff. Implant placement begins after initial consultation and imaging (typically cone beam CT) and may require bone grafting if the jaw ridge has resorbed significantly; a graft waits 4 to 6 months before implant insertion.

Patients arrive with a referral from their dentist or periodontist, though self-referral is accepted. The initial appointment includes examination, X-rays or CT scan, a review of medications and medical history, and a written quote for the proposed procedure. Pricing is case-specific; simple extractions of erupted teeth typically range from $150 to $400 depending on tooth position and difficulty, while impacted wisdom tooth removal (all four) generally runs $1,200 to $1,800 depending on impaction depth and bone removal required. Implant placement alone (not including the crown restoration) ranges from $1,500 to $2,500 per tooth; bone grafting adds $400 to $1,200. Insurance coverage varies widely; many plans do not cover implants at all, and verify with your carrier before the appointment.

Sedation adds $300 to $600 to the bill depending on the type and duration. The surgeon meets with the patient to discuss anesthesia options and any medical concerns before the procedure is finalized.

How Centennial Square compares to other Baltimore oral surgeons

Oral surgery in Baltimore is divided among academic hospital programs (University of Maryland Dental School, Mercy Medical Center), large group practices affiliated with hospital systems, and independent specialists. Hospital-based programs offer the broadest scope for complex trauma and reconstruction but longer wait times for routine cases and higher overhead costs passed to the patient. Mercy Oral and Maxillofacial Surgery, the hospital-based program, typically handles more severe pathology and serves as a safety net for complications; those without medical complexity may wait 6 to 12 weeks for an appointment.

Centennial Square's independent model means faster scheduling for straightforward cases, typically 1 to 3 weeks from referral to procedure date. The trade-off is that complex trauma, massive reconstruction, or patients with serious medical comorbidities are referred onward to a hospital program. The practice is well-suited to patients who have a clear need (wisdom tooth extraction, implant placement after adequate bone exists) and want to stay within their insurance network and neighborhood.

Small general dentistry offices in Baltimore often perform "simple" extractions in-house but refer impacted wisdom teeth and implant work to a specialist. Centennial Square's advantage is having all three on a single pathway without re-referral delays. A patient whose dentist identified a partially impacted wisdom tooth can go directly to Centennial Square for both assessment and surgery, rather than waiting for a dentist's referral and a second consult.

Who it suits and who it should not expect to call

Centennial Square is the right choice for patients with a clear extraction or implant need, adequate bone for implant placement (or willingness to graft first), and no major systemic illness that would require hospital anesthesia support. Ideal patients include someone whose general dentist found an impacted wisdom tooth, a patient missing teeth who has been evaluated by a periodontist and deemed a good implant candidate, and anyone needing a difficult extraction in a single office.

Patients with severe jaw trauma, serious cardiac or respiratory disease, ongoing chemotherapy, or massive bone loss requiring sinus lifts or complex reconstruction should expect to be referred to a hospital program. Patients without a clear surgical diagnosis (e.g., "I think I might need my teeth out sometime") are better served by a consultation with their general dentist first.

First appointment and what to expect

Bring your insurance card, photo ID, and a list of current medications. The appointment typically lasts 45 to 75 minutes and includes a consultation, examination, and imaging. If a tooth is visible, the surgeon will assess it; if impacted or below the bone line, a CT scan or X-ray will be taken on site or reviewed from your dentist's office. You will receive a written treatment plan with a cost estimate and a timeline. If you choose to proceed, the surgical appointment is scheduled separately, usually 1 to 4 weeks later depending on complexity and operating-room availability. Do not eat or drink after midnight the night before surgery if sedation is planned; the surgeon will give you written preoperative instructions at your consultation.

Hours, parking, and logistics

Centennial Square Oral Surgery is located at the corner of Centennial Avenue and South Wolfe Street in Canton, Baltimore, with on-site parking available. Office hours are Monday through Thursday 8 a.m. to 5 p.m. and Friday 8 a.m. to 3 p.m.; call to confirm current hours, as specialty practices sometimes adjust schedules seasonally. Emergency cases are handled by phone consultation; post-operative complications can often be addressed the same day or next morning.

The practice accepts most major insurance plans but requires verification of benefits before surgery. Out-of-pocket costs vary widely by plan and procedure; ask for a written estimate once imaging is complete so you know what your insurance will and will not cover.

Centennial Square fills a gap in Baltimore's oral surgery landscape by combining the accessibility of a neighborhood practice with the credential and scope of a trained specialist, making it a practical stop for patients whose dentist has identified a surgical need.