Koch & Parsons DDS in Baltimore: Extraction and Implant Surgery in Canton

Koch & Parsons DDS is an oral surgery practice in Baltimore's Canton neighborhood offering tooth extraction, dental implant placement, and bone grafting for patients referred from general dentists and orthodontists across the city. The practice works with sedation and operates on a referral-based model, meaning most patients arrive with a treatment plan from their primary dentist rather than walking in for consultation.

What the practice handles

The practice focuses on procedures that go beyond general dentistry's scope. Extraction work includes simple removals and surgical extraction of impacted teeth, particularly third molars. Implant services cover placement of the titanium post itself, which is distinct from the crown restoration typically completed by the referring dentist. Bone grafting supports implant placement in patients with insufficient jawbone height or width. The practice also handles sinus lift procedures to add bone in the upper jaw before implant placement. Surgical removal of cysts, removal of retained root fragments, and treatment of dental trauma round out the surgical menu.

Sedation and what to bring on the day of surgery

Patients receive either local anesthesia with nitrous oxide (laughing gas) or conscious sedation using IV medication, depending on procedure complexity and patient preference. Conscious sedation is standard for wisdom tooth removal and significant implant cases. The practice requires a responsible adult to drive patients home if sedation is used; no exceptions are made for conscious sedation. Arrive 15 minutes early with insurance card, a valid photo ID, and a list of current medications and allergies. Fasting instructions (typically NPO after midnight) apply to sedation cases. Post-operative pain and swelling peak around day two or three; the practice provides written instructions and is available for questions about ice application, medication timing, and signs that warrant a call.

How extraction and implant costs compare in Baltimore

Extraction fees range from roughly $150 to $200 for a simple removal and $350 to $600 for surgical extraction of an impacted tooth. Implant placement alone runs $1,500 to $2,500 per post, not including the crown or abutment, which the patient's restorative dentist handles separately. Bone grafting adds $300 to $800. These figures are representative across Baltimore's oral surgery practices; costs are set by individual practices rather than a market rate, so confirmation with Koch & Parsons is essential before scheduling. Many insurance plans cover extractions at 80 percent after the deductible. Implant placement and grafting may be partially covered or denied as elective; review your policy's surgical benefits. In-network status varies; confirm coverage at time of referral. If cost is a major barrier, some practices offer 0 percent financing through CareCredit or similar plans, though availability at Koch & Parsons should be verified directly.

Who fits this practice and who does not

This practice suits patients with a clear surgical need and a referring dentist handling pre- and post-operative care. Patients comfortable with sedation and able to arrange transportation are a fit. Those seeking a consultation without a prior referral do not fit the workflow; Koch & Parsons requires a treatment plan and referral documentation from a dentist before scheduling. Patients who need implant planning, bone density imaging, or case review should start with their general dentist or have their current dentist contact Koch & Parsons to initiate the referral.

Timing and logistics

Most surgical procedures are completed in one or two appointments. Extraction takes 20 to 60 minutes depending on complexity. Implant placement typically takes 90 to 120 minutes. The practice is located in Canton on the northeast side of Baltimore; street parking is available on adjacent blocks, though lot parking specifics should be confirmed when the appointment is scheduled. Business hours typically run weekday mornings and early afternoons; evening and Saturday availability is limited. Call ahead to confirm hours before planning transportation, particularly if sedation is involved and a driver must be arranged. A follow-up visit is routine 1 to 2 weeks after surgery to remove sutures and check healing.

Koch & Parsons fills the surgical middle ground for Baltimore patients: more expertise than a general dentist but embedded within the primary-care referral chain. It is appropriate for patients whose dentist has identified a need and want a clear surgical plan without navigating multiple consultations.