Marshall W. Fesche DDS in Baltimore: Oral Surgery with Sedation and Implant Focus
Marshall W. Fesche DDS operates a dedicated oral surgery practice in Baltimore, handling complex extractions, dental implant placement, and bone grafting procedures with on-site sedation capabilities. The practice sits between general dentistry and hospital-based oral surgery in scope and serves patients who need procedures beyond what a regular dentist can safely perform in-chair.
What Fesche Marshall W DDS actually is
Fesche runs a single-provider oral surgery office treating adult and select pediatric patients. The practice focuses on surgical extractions (impacted wisdom teeth, deeply rooted molars), implant placement, sinus lifts, and bone augmentation. Unlike hospital settings, the office handles scheduled surgical cases in a private clinic environment with moderate sedation available. This positions it for patients who want predictable surgical care without hospital admission but need stronger anesthesia than local numbing alone.
Surgical procedures and sedation options
The practice performs wisdom tooth extractions ranging from simple (fully erupted teeth) to surgical (impacted below the gum line). Surgical extractions typically cost between $300 and $800 per tooth depending on complexity and impaction depth; simple extractions run $150 to $300. Implant placement begins around $1,500 to $2,000 per implant, with bone grafting adding $400 to $1,200 if needed for insufficient jaw bone. Verify current fees directly, as material costs fluctuate.
Sedation at Fesche includes local anesthesia with nitrous oxide (minimal sedation) and IV sedation for more complex or anxious patients. IV sedation increases costs by roughly $300 to $500 depending on length of procedure. General anesthesia is not offered in-office; cases requiring it are referred to an operating room setting.
How Fesche compares to other Baltimore oral surgeons
Fesche operates as an independent, single-provider office, giving him control over scheduling and allowing direct dentist-to-patient continuity. Regional alternatives include larger group practices like Charm City Oral Surgery (multiple surgeons, multiple locations) and hospital-affiliated services through University of Maryland Medical Center or Johns Hopkins. Groups offer broader specialist availability and handle the most complex cases (severe trauma, jaw reconstruction, extensive bone loss). Hospital systems accommodate patients with significant medical history or complex anesthesia needs. Fesche suits uncomplicated to moderately complex cases in patients seeking faster appointment availability and a stable surgical relationship.
Who it suits and who it does not
Fesche is a strong fit for patients needing straightforward wisdom tooth removal, single or dual implant placement, and those who prefer sedation but not full general anesthesia. Adults with dental anxiety benefit from IV sedation in a focused surgical setting. The practice also accepts most major insurance plans, covering a portion of surgical fees.
The practice is less suitable for patients requiring general anesthesia, those with multiple serious medical conditions, or cases involving severe jaw deformity or extensive reconstruction. Pediatric scope appears limited; confirm age eligibility at booking.
What the first appointment involves
Initial consultations typically occur at general dentist offices when a patient is referred for extraction or implant placement. At Fesche, the first visit includes a clinical exam, often with cone-beam CT imaging (3D X-rays) to assess bone levels, nerve position, and impaction depth. The surgeon reviews imaging, explains the procedure step-by-step, discusses sedation options, and reviews cost and payment. Patients should bring insurance cards and a list of current medications. The visit takes 45 minutes to an hour. Scheduling the actual surgery usually happens at this visit; surgery dates often open 1 to 3 weeks out.
Hours, parking, and access
Confirm hours and parking directly with the office, as surgical practices often keep limited daytime schedules. Most oral surgery offices open weekday mornings and afternoons, often closing by 4 or 5 p.m., with limited or no weekend availability. Street or lot parking in Baltimore varies by neighborhood; call ahead to confirm whether the office provides dedicated spots or directs patients to nearby options.
Fesche's established reputation and focus on implant work make him a reliable choice for Baltimore patients whose general dentist recommends surgical care without the wait times or formality of a hospital referral.
