Dr. Thomas A. Milleson in Baltimore: Oral Surgery with Implant Focus

Dr. Thomas A. Milleson operates a solo oral surgery practice in Baltimore specializing in tooth extractions, dental implant placement, and surgical correction of jaw alignment problems. His office serves Baltimore residents and referral patients from surrounding counties, positioning him within a competitive field of oral surgeons in the metro area.

What the practice handles

Milleson's scope includes routine extractions, wisdom tooth removal, complex surgical cases (impacted teeth, bone grafting), implant placement and restoration planning, and corrective jaw surgery consultation. The practice also manages some sleep apnea-related surgical options. He accepts referrals from general dentists and directly scheduled patients, particularly those already in need of surgical assessment.

Procedures, sedation, and referral pathways

Most extractions can proceed under local anesthesia alone; moderate sedation (conscious sedation with nitrous oxide and IV medication) is available and is the most common choice for multi-tooth extractions and wisdom tooth removal. General anesthesia is arranged through a hospital or surgical facility for cases requiring it, typically more complex jaw surgery.

Implant placement typically occurs in stages: bone assessment and graft (if needed) during the first appointment, followed by a 3 to 6 month integration period, then implant placement itself, with final restoration handled by the referring dentist or restorative specialist.

Referral is not mandatory. Patients may call directly if they already know they need a consultation, though many enter through a general dentist's referral. Either route is normal in Baltimore.

Sedation options compared to other Baltimore oral surgeons

Moderate sedation is standard across most Baltimore oral surgery practices. The distinction lies in facility and anesthesia personnel. Some larger practices (such as those affiliated with dental schools or multi-provider groups) maintain in-house anesthesia staff; solo practitioners like Milleson typically use a separate anesthesiologist on contract or arrange procedures at an outpatient surgical center. This setup is common and does not indicate lower safety but may mean a separate facility fee (typically $500 to $1,200 depending on the facility and type of sedation). Ask the office whether anesthesia fees are bundled or billed separately.

Who this practice serves and who might look elsewhere

Milleson suits patients needing straightforward to moderately complex tooth removal, single or multiple implants in adequate bone, and those with established relationships to local general dentists in his referral network. His solo-practitioner model typically offers shorter wait times (days to weeks) compared to larger group practices, which may schedule 4 to 8 weeks out during peak seasons.

Patients requiring extensive bone grafting, sinus lifts, or simultaneous correction of severe jaw misalignment may benefit from referral to a larger hospital-affiliated practice or a specialist with on-site imaging and operating capabilities, such as those at University of Maryland Dental School's oral and maxillofacial surgery clinic.

First visit: what to expect

Initial consultation typically lasts 30 to 45 minutes. Bring a referral (if applicable), insurance card, and a list of current medications and medical history. The office will take intraoral and radiographic images (likely CBCT for implant cases), discuss findings, treatment options, cost, and sedation choices. Many offices schedule the actual procedure during a separate appointment; some clear simple extractions during the consultation if patient and scheduling allow.

Bring a driver if moderate sedation is planned, as you cannot drive for the remainder of that day.

Cost range and insurance

Extraction costs in Baltimore typically range from $150 to $400 for a simple tooth, $400 to $900 for surgical removal of an impacted tooth. Implant placement (surgery only, not the crown) runs $1,500 to $2,500 depending on bone grafting needs. Bone graft material itself adds $300 to $1,200.

Most insurance covers medically necessary extractions; cosmetic implants are often out-of-pocket. Ask whether the office runs pre-authorization with your insurance; many Baltimore oral surgery offices do this before your visit.

Hours and logistics

Verification note: office hours and parking details change; call ahead to confirm. Most solo oral surgery practices in Baltimore operate Monday through Friday, 8 a.m. to 4 or 5 p.m., with limited Saturday availability. Street or lot parking is typical in neighborhood locations. Ask whether the office offers on-site or nearby validated parking.

Why this practice earns its listing

Milleson's established presence in Baltimore's dental referral ecosystem, demonstrated capacity for implant planning and complex extractions, and solo-practice accessibility make him a reference point for patients seeking specialist care without the delay or higher overhead of group models.