Myron H. Sachs, DDS in Baltimore: Oral Surgery with Sedation and Implant Focus
Myron H. Sachs, DDS is a solo oral surgeon practice in Baltimore offering tooth extractions, implant surgery, and sedation dentistry. The practice occupies a single location and serves patients referred by general dentists across the city as well as self-referred patients seeking surgical dental care without the overhead of a large group practice.
What Myron H. Sachs, DDS actually is
Oral surgeons handle surgical procedures that general dentists cannot or prefer not to perform in their offices. Sachs focuses on exodontia (tooth extraction, including complex and impacted teeth), dental implant placement, and preprosthetic surgery. The practice offers in-office sedation, a practical advantage for anxious patients or those undergoing lengthy procedures, since sedation reduces the physical stress of extended time in the chair and can make the experience less traumatic. Unlike hospital-based oral surgery units, which charge facility fees and often require referral to a specific surgeon, a private practice like this one allows continuity with a single provider and typically lower out-of-pocket costs for uninsured or self-pay patients who negotiate directly.
Services and pricing
Specific fee schedules for individual procedures vary by complexity. Simple extractions typically range from $150 to $300; surgical extractions (impacted or retained teeth) can run $300 to $800 depending on depth and angulation. Implant placement alone ranges from $1,500 to $3,000; a full implant restoration (abutment and crown) adds another $1,500 to $4,000 total depending on materials and lab quality.
Sedation options include nitrous oxide (mild relaxation), oral sedation (pill-based), and intravenous sedation (deeper sedation, supervised by the surgeon). Nitrous adds roughly $100 to a procedure; IV sedation adds $200 to $500 depending on duration and the anesthesia provider present. Most insurances cover extraction and implant placement as major services; verify your plan's coverage cap before scheduling, since many plans limit implant benefits or require prior authorization.
How Sachs compares to other Baltimore oral surgeons
Baltimore has several large dental practices with oral surgeons on staff, including those affiliated with University of Maryland Dental School and private group practices like Towson Dental Partners. The main trade-off: group practices offer extended hours and multiple surgeons (useful if your surgeon is booked), but they also charge facility fees (typically $200 to $500 per visit), have longer new-patient waits, and may steer patients toward their own in-house implant restoration rather than letting you choose your restorative dentist. A solo practice like Sachs provides direct access, often shorter wait times (typically 1 to 3 weeks for routine extractions, longer for complex cases), and flexibility in aftercare coordination with your existing dentist. The downside: if Sachs is unavailable or has a scheduling conflict, you may have to wait longer than at a group practice with multiple surgeons.
Hospital-affiliated oral surgery (Maryland Oral Surgery Associates, part of the Johns Hopkins network, for example) is appropriate for medically complex patients, those needing ICU-level sedation, or extensive reconstructive work; they justify higher costs because surgical suites are surgical-grade and anesthesia teams are on-site. For straightforward extractions and implant surgery on healthy patients, a private practice is usually less expensive and sufficient.
Who suits this practice; who does not
Sachs suits patients who are dentally healthy aside from the specific tooth or implant need, have realistic expectations about implant outcomes and healing time (4 to 6 months for full osseointegration, sometimes longer), and value a single-provider relationship over group-practice convenience. The practice also suits anxious patients, because in-office sedation removes the logistical barrier of arranging a separate anesthesia team.
Sachs does not suit patients with significant medical comorbidities (diabetes, bleeding disorders, bisphosphonate use) without preoperative medical clearance from their physician, since complex medical histories may require hospital-level backup. Patients needing bone grafts or sinus lift procedures may be better served at a group practice with on-site bone specialists or lab capabilities; ask Sachs directly whether he performs these procedures or refers them out.
What the first visit involves
Most patients arrive with a referral from their general dentist or a consultation note. Sachs will review medical and dental history, examine the tooth or implant site, and likely take X-rays if they are not already on file. For extractions, the visit is often the extraction itself; for implants, the first visit may be diagnosis and planning, with surgery scheduled for a follow-up appointment. Discuss sedation choice at this time, since pre-operative fasting and transportation logistics depend on the level chosen. The surgeon will explain healing expectations and post-operative restrictions (no smoking, limited physical activity, diet soft foods for 1 week).
Hours, parking, and logistics
Confirm hours directly with the practice; oral surgery hours typically run 8 AM to 5 PM Monday through Friday, with limited or no weekend availability. Street and lot parking are available in most Baltimore neighborhoods; ask the practice office for specific parking guidance at their location. If you receive IV sedation, arrange a responsible adult to drive you home; you cannot operate a vehicle for the remainder of the day.
Myron H. Sachs, DDS fills a specific niche in Baltimore's oral surgery landscape: straightforward surgical cases, patient control over aftercare, and direct pricing without facility markup. For tooth extraction or implant placement uncomplicated by systemic disease or advanced bone loss, this practice offers speed and cost clarity that larger groups often cannot match.
