Dr. Albert L. Ousborne Jr. in Baltimore: Oral Surgery with Same-Day Extractions and Implant Placement

Dr. Albert L. Ousborne Jr. DDS operates a solo oral surgery practice in Baltimore serving patients who need tooth extractions, dental implants, and other surgical procedures that general dentists cannot perform or prefer to refer out. His practice handles cases ranging from simple extractions to more complex implant restoration and surgical site management, with sedation options available to ease patient anxiety.

What the practice is

Ousborne operates as a full-scope oral surgeon, not a dental office offering minor extractions alongside fillings. The practice exists because Baltimore's dental system relies on referral specialists: general dentists identify patients who need oral surgery and refer them to a surgeon like Ousborne rather than attempting the work themselves. His scope includes preventive surgical care (wisdom teeth removal), restorative work (implant placement and augmentation), and trauma management. The practice is smaller than hospital-affiliated surgical centers but accepts self-referrals and insurance referrals equally.

Procedures, sedation, and pricing

Dr. Ousborne performs routine extractions, complex extractions (impacted teeth, surgical removal), implant placement, bone grafts, and sinus lifts. Pricing varies widely by procedure. Simple extractions typically cost $150 to $400 depending on tooth position and difficulty; surgical extractions range from $350 to $800. Implant placement averages $1,500 to $2,500 per implant, though bone augmentation or sinus work adds significantly to that cost. Confirm current fees directly with the practice, as surgical costs respond to material and anesthesia variations.

Sedation options include local anesthesia, nitrous oxide, and intravenous sedation. IV sedation is standard for complex or anxiety-prone patients and typically adds $300 to $600 to the procedure cost depending on duration and anesthesia level. This matters if you have dental anxiety: nitrous and IV sedation make longer procedures tolerable in ways local anesthesia alone does not, but they require a responsible adult for pickup afterward.

How to choose between local oral surgeons

Baltimore has several oral surgery practices. Dr. Ousborne's solo-practitioner model means shorter wait times than hospital systems but limits emergency coverage if his schedule is full. For routine wisdom teeth removal, a solo surgeon like Ousborne typically books faster than a hospital oral surgery department, where scheduling queues are longer due to surgical volume and specialist demand. For implant work requiring bone grafts or sinus lifts, ask whether the surgeon can perform augmentation in-house (Ousborne does) versus sending you elsewhere for that step, which extends your timeline. If you need sedation and have significant medical history (cardiac issues, sleep apnea, advanced age), a hospital-affiliated surgeon with full anesthesia and monitoring capacity may be safer than a private practice, though Ousborne is equipped for standard IV sedation.

Who suits this practice and who does not

This practice works well for Baltimore residents needing straightforward to moderately complex extractions or implant placement and who prefer a predictable, local referral path. Patients with dental anxiety benefit from the sedation options and a single surgeon over multiple appointments. Patients without dental insurance or with high-deductible plans should confirm that Ousborne's fees align with their budget; surgical costs are typically patient-financed unless part of a larger treatment plan your general dentist has discussed.

This practice is not suited for emergency extractions outside scheduled hours. If you have a severe abscess or broken tooth on a weekend, an emergency dentist or hospital emergency department is your access point. A solo practice lacks the 24/7 coverage that dental schools or hospitals provide. Patients needing extreme sedation (general anesthesia for complex reconstruction or patients with severe medical complexity) are better served at an academic or hospital setting with anesthesiologists on staff.

What the first visit involves

Your general dentist will refer you to Dr. Ousborne with records and imaging. You will meet with the surgeon, who will review your medical history, current medications, and the reason for surgery. He will examine the surgical site and take additional imaging if needed (often a cone-beam CT scan if implant planning is involved). The visit establishes a surgical plan, timing, sedation level, and cost estimate. If you are self-referring without a dentist, bring any existing X-rays and have a clear description of your problem or goal. The initial consultation typically takes 30 to 45 minutes.

Hours, location, and logistics

Verify hours directly with the practice office, as surgical schedules vary. Most oral surgery practices in Baltimore open weekdays 8 a.m. to 5 p.m. with limited or no Saturday hours. Parking depends on the office location; if the practice is in a medical building or shopping area with lot space, parking is straightforward. If sedation is planned, arrange a ride in advance; you cannot drive after IV sedation.

Dr. Ousborne's established standing in Baltimore's referral network means your general dentist knows where to send you and how to coordinate pre- and post-operative care, removing guesswork from the process.