Barry B. Gross DDS in Baltimore: Oral Surgery for Extractions, Implants, and Wisdom Teeth

Barry B. Gross DDS is an oral and maxillofacial surgery practice in Baltimore offering tooth extractions, dental implant placement, wisdom tooth removal, and other surgical procedures under local anesthesia, IV sedation, or general anesthesia. The practice handles straightforward extractions as well as complex surgical cases and sees both referred and self-referred patients.

What Barry B. Gross DDS actually does

Oral surgeons operate at the boundary between dentistry and surgery. Gross's practice performs procedures that general dentists either decline or refer out: impacted wisdom teeth, complex extractions, bone grafting for implant sites, corrective jaw surgery, and dental implant placement. Unlike a general dentist's chair-side capability, this office has infrastructure for moderate to deep sedation, allowing patients to sleep through longer or more complicated procedures. The practice also handles trauma cases, such as broken jaws or teeth knocked out in accidents.

Procedures and sedation options

The practice offers extractions ranging from routine to impacted wisdom teeth, implant surgery (bone grafting and implant body placement), and bone augmentation. Sedation choices matter: local anesthesia numbs the tooth and surrounding area but you remain aware; IV sedation (twilight sleep) is common for wisdom tooth removal and implant work; general anesthesia is used for extensive reconstructive cases or patient anxiety. Each option changes cost and recovery time, and insurance may cover some but not all. Pricing varies sharply by complexity. A simple extraction under local anesthesia may run $150 to $300; wisdom tooth removal under IV sedation typically ranges $500 to $1,500 per tooth depending on impaction severity; implant placement runs $1,500 to $2,500 per implant. Verify current costs with the office, as surgical fees fluctuate with materials and sedation depth.

How Gross compares to other Baltimore oral surgeons

Baltimore has a handful of oral surgery practices. Mercy Medical Center and University of Maryland Medical Center both operate oral surgery departments within hospital systems, which means they handle trauma, complex reconstruction, and accept uninsured emergency patients, but can mean longer waits for elective surgery. Private practices like Gross and others (such as those affiliated with major dental networks) typically offer shorter scheduling for routine cases but may not handle acute trauma. Choose hospital-based oral surgery if you arrive with a fractured jaw or need immediate attention; choose a private office like Gross for scheduled wisdom tooth removal or implant work when you can wait a week or two and want a more dedicated team. Gross does accept referrals from primary dentists, which many insurance plans require before covering the procedure.

Who it suits and who it does not suit

This practice is right for patients whose dentist has recommended oral surgery, people extracting multiple teeth for implants, and those managing wisdom teeth impaction or pain. It works well for patients comfortable with sedation and wanting a focused surgical environment. It is not a substitute for a general dentist for routine cleanings and fillings, and it will not suit someone seeking a pediatric setting for a young child (specialized pediatric oral surgery practices exist elsewhere in Baltimore). It is also not an emergency room; serious facial trauma or massive infection belongs in a hospital ER first.

What the first visit involves

The first appointment typically includes a clinical exam, x-rays (often cone-beam CT if implant planning is involved), a review of your medical history and current medications, and discussion of sedation options and cost. The surgeon will assess tooth position, bone density, and proximity to nerves and sinuses to determine surgical approach and risk. Insurance authorization may be needed before scheduling surgery. You will receive post-operative instructions covering swelling, pain management, diet, and activity restrictions. Most patients recover in 7 to 14 days, though implant osseointegration (bone bonding to the implant) takes months.

Hours, parking, and logistics

Verify hours and parking availability directly with the office; oral surgery practices sometimes operate on compressed schedules (fewer days per week or afternoon-only hours to accommodate surgical blocks). Baltimore streets vary by neighborhood; ask about dedicated lot parking or street availability when booking. After surgery, arrange a driver; sedation means you cannot operate a car.

Barry B. Gross DDS fills a necessary gap in Baltimore dentistry for patients needing procedures beyond a general dentist's scope, with sedation options that make difficult extractions and implant surgery manageable.