Culotta Vincent DDS in Baltimore: Oral Surgery with Referral-Based Specialist Care

Vincent Culotta DDS operates an oral surgery practice in Baltimore offering tooth extractions, dental implants, and bone grafting. The practice accepts referrals from general dentists and works with patients who need specialist-level care beyond routine restorative dentistry. The scope is surgical procedures and complex cases, not preventive or cosmetic services.

Procedures and Sedation Options

Culotta performs third-molar extractions, simple and surgical extractions for compromised or impacted teeth, dental implant placement, and bone grafting for implant candidates. The practice offers local anesthesia and nitrous oxide sedation. Deeper sedation options (IV conscious sedation or general anesthesia) are available and are typical for complex extractions or patients with anxiety; confirm current sedation offerings and any associated fees at the time of consultation.

For implant cases, the practice handles the surgical placement phase. The restoration (crown, bridge, or denture attachment) is completed by the referring dentist, not in-office. This is the standard division of labor in oral surgery, where the surgeon places the fixture and the general dentist manages the crown months later after osseointegration.

Simple extractions run $100 to $300 per tooth in most Baltimore practices; surgical extractions (impacted teeth, bone removal needed) range $200 to $500+ depending on complexity. Implant placement alone averages $1,500 to $2,500, though total implant cost to the patient (including the restorative crown) is typically $3,500 to $6,500 when both surgeon and dentist fees are combined. Bone grafting adds $400 to $1,200 and may be necessary if the patient lacks sufficient jaw volume. Always confirm fees with the practice directly, as pricing varies by procedure scope and materials used.

How It Compares to Other Baltimore Oral Surgeons

Baltimore has several oral surgery practices, including providers at University of Maryland Dental School and private practitioners across Federal Hill, Canton, and the Greater Baltimore Medical Center network. Culotta operates as a referral-based specialist, meaning new patients typically come through their general dentist rather than calling directly. This model is common for surgical specialists and ensures the referring dentist and surgeon coordinate care.

Choose Culotta for complex extractions and implant cases when your general dentist has confidence in the referral. If you are uninsured or need to select your own surgeon without a dentist recommendation, contact the Maryland Dental Society or call practices directly to compare availability, sedation options, and fee structures. University-based programs often offer lower fees because they serve training purposes, but longer wait times are typical.

Who It Suits and Who It Does Not

This practice is appropriate for patients with impacted wisdom teeth, teeth that cannot be saved with restorative work, implant candidates, or cases requiring bone grafting. It suits people whose general dentist has identified a surgical need and wants specialist input.

It is not the right fit if you are seeking general preventive care, teeth cleaning, or cosmetic work; a general dentist is the starting point for those needs. If you have no dentist and need a surgeon, contact the referring dentist first or call practices directly to clarify whether direct patient contact is accepted.

The First Visit

The process usually begins with a referral from your general dentist, who sends records and imaging (X-rays or CBCT scans). You will have a consultation to review the surgical plan, discuss anesthesia and sedation, and ask about recovery time and restrictions. For extractions, recovery is typically 3 to 7 days; for implants, the surgical healing phase is 3 to 6 months before the crown is placed.

At the appointment, arrive with your referral documentation, insurance card, and a list of current medications. The surgeon will examine the area, confirm the plan, and schedule the surgery. Some practices ask for payment or insurance authorization at the consultation; confirm this when you call to schedule.

Hours and Logistics

Standard oral surgery hours in Baltimore are Monday through Friday, typically 8 a.m. to 5 p.m., with some providers offering limited Saturday availability. Call to confirm hours and next available appointment, as specialty schedules vary. Parking varies by location; most private practices in Baltimore offer on-site or street parking. Public transit via MTA bus and Light Rail connects to practices citywide, though driving is more common for surgical appointments since you may be sedated and require a driver.

Culotta DDS addresses a clear need in Baltimore's surgical dentistry landscape: straightforward, referral-driven specialist care for extractions and implants that general dentists cannot handle in-office.