Dr. Gregory Romanow in Baltimore: Oral Surgeon for Extractions, Implants, and Referral Cases

Dr. Gregory Romanow operates an oral surgery practice in Baltimore serving patients who need tooth extractions, dental implants, and other surgical procedures typically referred by general dentists or specialists. His office handles both straightforward and complex cases, with sedation options available for anxious patients or involved procedures.

What You Get Here

Romanow's practice is a referral-based oral surgery clinic. Patients typically arrive through recommendation from their general dentist rather than as walk-ins, though direct consultation appointments can be requested. The office handles the full range of oral surgery: routine extractions (including impacted wisdom teeth), dental implant placement, bone grafting, and soft-tissue procedures. This is not a cosmetic-focused practice; the emphasis is diagnostic and surgical precision.

Procedures and Sedation Options

Extraction costs vary by complexity. Simple extractions for visible teeth typically fall between $150 and $400 per tooth, depending on tooth type and root structure. Surgical extractions, including impacted wisdom teeth requiring bone removal, range from $300 to $800 per tooth. Implant placement alone (bone graft and implant body insertion) runs $1,500 to $3,000, though patients should expect additional costs for the prosthetic crown, usually placed six to nine months after bone integration.

Sedation availability matters for anxious patients. Most oral surgeons in Baltimore offer local anesthesia with nitrous oxide (laughing gas), IV sedation, or general anesthesia depending on procedure complexity and patient need. Confirm which sedation levels Romanow provides by contacting the office directly, as preferences vary by provider.

How This Office Compares Locally

Baltimore has several oral surgeons; the choice usually depends on referral, location, and how well your dentist coordinates with the specialist. Dr. Romanow's practice is one of several established surgical options in the city. If your general dentist refers you to him, coordination is typically handled by their office. If you are seeking a second opinion on implant candidacy or bone grafting strategy, practices like those affiliated with University of Maryland Dentistry or private practices near Harbor East may offer consultations; ask your dentist which surgeons they trust most for your specific procedure type.

The key difference between surgeons is often scheduling availability and surgical approach (some favor guided implant placement technology, others use conventional techniques). Call ahead to ask whether Romanow uses digital implant guides, as this affects precision and recovery predictability.

Who Should Go Here, and Who Should Not

This practice suits patients referred by their dentist for specific surgical needs: wisdom teeth that cannot be extracted in a general dental office, bone loss requiring grafting before implant placement, or implant placement itself. Patients with high anxiety benefit from the sedation menu. Those without a referral can still call for a consultation, though many insurances require a dentist referral to cover surgery.

Do not expect cosmetic dentistry or general checkups here. Romanow is surgical, not preventive. If you need a root canal, your endodontist will handle that; if you need routine cleaning, stay with your general dentist.

What the First Visit Involves

Expect a consultation where Romanow or an associate reviews your dental history, examines the tooth or implant site, and orders imaging (typically a cone-beam CT scan for implant cases). This clarifies bone volume, nerve proximity, and surgical approach. The consultation also covers anesthesia options, recovery timeline, and cost. Once you and the surgeon agree on a plan, surgery is usually scheduled two to four weeks out. Bring insurance information and any recent dental records from your referring dentist.

Hours, Parking, and Access

Specific hours and parking details require direct confirmation with the office. Oral surgeries often run by appointment during weekday business hours; emergency extractions may be accommodated. Call or check the practice website for current hours and whether parking is on-site or street-level nearby.

Why This Place Matters in Baltimore

Dr. Romanow fills the surgical gap in Baltimore's dental network. Patients who need extraction or implant care require a qualified surgeon; his practice handles that referral pathway efficiently, reducing delays and coordination headaches between dentist and specialist.