Golestaneh Ruhi DDS in Baltimore: Oral Surgery with Same-Day Sedation Options
Golestaneh Ruhi DDS is a general dentistry and oral surgery practice in Baltimore offering tooth extraction, implant placement, and bone grafting to referred patients and direct walk-ins. The practice provides three sedation levels, permits self-referral, and accommodates complex surgical cases alongside routine extractions in a single location.
What Golestaneh Ruhi DDS actually is
An oral surgeon's office distinct from general dentists by training and scope. Ruhi holds a degree in dental surgery and manages surgical extractions, impacted teeth, implant site preparation, and bone augmentation. The practice operates as a surgical hub; patients arrive either through referral from their general dentist or self-refer for a consultation to determine whether extraction or implant work is medically necessary. Unlike many surgical practices that require referrals before scheduling, this office accepts direct contact from patients seeking a second opinion or initial assessment.
Services and sedation options
Surgical tooth extraction covers routine removals, impacted wisdom teeth, and teeth fractured below the gum line. Implant dentistry includes implant placement and bone grafting to restore lost volume, allowing for crown attachment six months after osseointegration. The office also handles socket preservation after extraction, reducing bone loss and supporting future implant placement.
Sedation tiers affect cost and recovery time. Local anesthesia alone (numbness with conscious awareness) carries the lowest fee and shortest post-operative restriction. Nitrous oxide (laughing gas) with local anesthesia relaxes without full sedation and adds a moderate fee to the base procedure cost. IV sedation (twilight sleep under monitored anesthesia) is the deepest option available in-office and commands the highest fee; patients remain unconscious during surgery and require a driver for 24 hours afterward. Prices for extraction alone range from $150 for a simple surgical removal under local anesthesia to $300–500 under IV sedation, depending on tooth position and extraction complexity. Implant placement begins around $1,500 and varies with bone grafting needs. Confirm current fees at the time of consultation, as surgical material and sedation protocols shift.
How Golestaneh Ruhi compares to other Baltimore oral surgeons
Baltimore hosts several dedicated oral surgery practices: University of Maryland Dental Surgery (affiliated with UMSOM, oriented toward teaching and complex referrals), Evergreen Oral Surgery (multi-provider group in Towson), and independent practitioners like Ruhi. Ruhi accepts self-referrals and does not require prior clearance from a general dentist, reducing wait steps for patients who know they need extraction or implant work. University practices prioritize teaching cases and resident experience; referrals often queue longer. Evergreen operates a larger surgical team, useful if your case is rare or you prefer a clinic with multiple surgeons available; Ruhi offers continuity with a single surgeon across multiple visits. Ruhi's in-office sedation (up to IV) means simpler cases avoid hospital or outpatient surgical center fees. Compare this to oral surgeons who operate only in hospital operating rooms, where anesthesia administration and facility charges inflate total cost by 50–100% for straightforward extractions.
Who Golestaneh Ruhi suits and who it does not
Choose this practice if you need extraction or implant consultation without an existing referral, prefer a single surgeon for continuity, or want in-office sedation to avoid hospital overhead. The practice is a strong fit for wisdom teeth removal under IV sedation (common request among Baltimore-area patients), implant planning, and post-extraction bone preservation. Patients with systemic medical conditions (uncontrolled diabetes, cardiovascular disease, bleeding disorders) should expect pre-operative evaluation and possible coordination with their primary care physician; Ruhi will assess candidacy at consultation. Extensive head-and-neck trauma, severe immunocompromise, or complicated orthognathic (jaw repositioning) cases may require hospital referral. Pediatric extraction (under age 16) is not a primary focus; pediatric dental specialists or hospital-based pediatric oral surgeons are better equipped.
What the first visit involves
Call to schedule a consultation; self-referrals are accepted. Arrive 15 minutes early to complete medical history and informed consent. The surgeon will review imaging (bring recent X-rays or request they be transferred from your dentist), examine the tooth or implant site, discuss your surgical options and sedation choices, and outline recovery. If you elect surgery the same day (common for straightforward extractions), you will be walked through pre-operative instructions, time-of-nothing-by-mouth (NPO), and post-operative restrictions. If IV sedation is planned, arrange a driver before the appointment.
Hours, parking, and logistics
The practice operates Monday through Friday; confirm exact hours by phone, as surgical scheduling varies by case volume. Parking on-site or street parking is available; ask for directions to the entrance, as some office parks in Baltimore require tenant-specific lot access. Recovery after local anesthesia allows immediate return to routine activity; recovery after IV sedation requires 24 hours off work and no driving, machinery, or important decisions.
Golestaneh Ruhi serves Baltimore patients who value access to surgical extraction and implant work without referral barriers or hospital facility fees, making routine oral surgery affordable and scheduled within weeks rather than months.


