Bina Makhijani DDS in Baltimore: Oral Surgery with Same-Day Extractions and Implant Planning

Bina Makhijani DDS is a solo oral surgery practice serving Baltimore County and the city proper, with a clinical focus on tooth extractions, impacted wisdom teeth, and surgical implant placement planning. The practice operates in a clinical, referral-based model where patients typically arrive from general dentists or periodontists already diagnosed with a need for extraction or surgical intervention, rather than as walk-in cases.

What Makhijani's practice actually is

Makhijani holds a DDS degree and additional surgical credentials specific to oral and maxillofacial procedures. The practice is structured as a surgical referral center, not a general dental office with surgical add-ons. Most patients arrive with a written referral from their general dentist or specialist, though non-referred patients may call directly. The scope centers on extractions (simple and surgical), bone grafting, and pre-implant site assessment, meaning that if you need routine cleanings or restorative work (crowns, fillings), you will coordinate with your general dentist for those services before or after the surgical appointment.

Procedures, sedation options, and referral pathways

Common procedures include removal of impacted wisdom teeth, extraction of severely decayed or broken teeth, and pre-implant bone evaluation. Sedation options typically include local anesthesia alone, nitrous oxide (laughing gas) combined with local anesthesia, or IV sedation for more complex cases. Patients requiring IV sedation should plan for a responsible adult to drive them home and allow 24 hours before returning to normal activities.

Referral is not mandatory but is the standard pathway. General dentists in Baltimore often partner with Makhijani when their patients need surgical extraction or when a tooth extraction site requires bone grafting prior to implant placement. If you are referred, your general dentist's office will handle the initial coordination. Self-referral is possible if you already have a diagnosis (such as impacted wisdom teeth confirmed by X-ray) and call the practice directly.

How Makhijani compares to other Baltimore oral surgeons

Baltimore has several oral surgeons operating as individual practices or within larger dental groups. University of Maryland School of Dentistry operates a postgraduate oral surgery clinic in Baltimore offering lower-cost surgical services, typically suitable for patients with Medicaid or uninsured status, though wait times run 6 to 12 weeks. Towson-based oral surgeons such as those affiliated with larger practices often handle emergency extractions and may have evening hours, while Makhijani operates a focused surgical schedule during standard business hours. The key difference is referral-based vs. emergency-ready: choose Makhijani for planned surgical extractions and implant planning; choose a group practice or emergency center if you have acute pain and need same-day assessment.

Who this practice suits and who it does not

Makhijani is a fit if you have been referred by a general dentist for a planned extraction, wisdom tooth removal, or pre-implant surgery assessment, and you prefer a single-provider surgical practice with specialized expertise. It is not a fit if you need emergency dental pain relief (call your general dentist or an urgent care center), routine preventive care, orthodontics, or comprehensive cosmetic work. Patients with significant dental anxiety should confirm sedation options before scheduling; IV sedation availability makes the practice suitable for nervous patients, but this requires separate scheduling and a driver.

What the first visit involves

You will arrive with a referral from your dentist or a recent imaging study (X-ray or CBCT scan). The appointment begins with a clinical history and review of imaging to confirm the diagnosis. Makhijani will discuss the proposed procedure, sedation level, post-operative care expectations, and costs. If you are a new patient and unfamiliar with Makhijani's practice, expect the appointment to include a brief surgical site assessment and a detailed consent conversation. Bring your insurance card and a list of current medications. The actual extraction or surgical procedure typically occurs on the same visit if the appointment is scheduled for the procedure itself, or Makhijani may schedule the surgery for a separate date, particularly if IV sedation is planned.

Hours, location, parking, and logistics

Verify current hours by calling the practice directly, as surgical schedules often adjust for referral volume. The practice is located in Baltimore County; if you are traveling from central Baltimore, allow extra time for the drive and confirm parking availability when you schedule. Post-operative recovery requires a responsible adult to accompany you if IV sedation is used, and you should avoid driving, working, or strenuous activity for at least 24 hours after surgery. Bring written post-operative instructions home and follow them closely to minimize swelling and infection risk.

Makhijani's narrow surgical focus and referral-based model make it a reliable option for Baltimore patients with clearly diagnosed extractions or implant-related procedures; choose it when your general dentist recommends a surgical specialist, not for dental emergencies or routine care.