Perez-West Clementina DDS in Baltimore: Surgical extractions and implant placement with on-site sedation

Perez-West Clementina DDS is an oral surgery practice in Baltimore offering tooth extractions, dental implant placement, and wisdom tooth removal with multiple sedation options available during procedures. The practice accepts both self-pay and insurance patients and handles cases ranging from straightforward single-tooth extraction to complex surgical restorations.

What the practice handles

The practice focuses on surgical procedures that require extraction or bone-level work. This includes third-molar (wisdom tooth) extractions, complex tooth removals where roots are curved or impacted, implant placement using either traditional screwed or zygomatic fixtures, socket preservation grafting for patients preparing for implants after extraction, and bone augmentation when jaw volume is insufficient for implant support. Oral surgeons differ from general dentists in that they train an additional 4 to 6 years in hospital-based surgery, sedation management, and bone grafting. Perez-West Clementina performs procedures in-office rather than routing patients to an operating room, reducing some logistical friction for routine cases.

Sedation options and referral pathway

The practice offers local anesthesia (numbing alone), nitrous oxide with local anesthesia (mild twilight feeling with patient awake), IV twilight sedation (controlled sedation where the patient sleeps lightly but is responsive), and general anesthesia for complex cases. Sedation choice depends on procedure complexity and patient anxiety. Patients can self-refer to the practice or come by dentist referral; most insurance plans require a referral, so confirming with your carrier before scheduling avoids surprise denials.

Cost varies substantially by procedure. A simple extraction under local anesthesia in Baltimore-area oral surgery offices typically ranges from $250 to $500. Impacted wisdom tooth removal usually ranges from $600 to $1,200 per tooth depending on severity. Single-tooth implant placement costs $1,500 to $3,000 for the surgical stage alone (the implant crown, made by a restorative dentist, adds another $1,200 to $2,000). Many practices, including surgical specialists in Baltimore, offer payment plans through third-party lenders like CareCredit. Contact the office directly for a treatment estimate on your specific case, as complexity varies widely.

Comparing to other Baltimore oral surgeons

Baltimore has several established oral surgery practices. University of Maryland's oral surgery residency clinic in downtown Baltimore offers lower-cost extractions and implants through supervised residents, often 30 to 40 percent below private-practice rates, suitable for patients without insurance or with high out-of-pocket costs but with longer appointment times. Mid-Atlantic Oral and Maxillofacial Surgery (multiple locations in the region) operates larger offices with extensive implant and bone-graft experience, appealing to patients needing complex reconstruction; their sedation and implant costs run slightly higher than solo practices like Perez-West Clementina but include broader specialist availability. Choose Perez-West Clementina if you prefer a smaller practice setting, need straightforward extraction or single-implant work, or want local Baltimore continuity without traveling to a hospital-affiliated clinic. Choose the UMD clinic if cost is your primary concern and you are comfortable with a teaching-clinic environment. Choose mid-Atlantic OMFS if your case is complex or you prefer a larger team.

Who suits this practice, and who does not

Perez-West Clementina suits patients needing simple-to-moderate extractions, wisdom-tooth removal, or first-phase implant placement; patients who can reach Baltimore comfortably; and patients comfortable with in-office surgical sedation. The practice is less suitable if you need extensive bone grafting, sinus elevation, or jaw reconstruction, as some patients travel to larger centers or university hospitals for such cases. It is also not the choice for pediatric oral surgery (which requires specialized pediatric anesthesia setup) or for patients seeking a large group where multiple surgeons are on-site daily.

First visit process

Expect the initial appointment to include digital X-rays (or 3D cone-beam CT if implant planning is needed), clinical examination, discussion of your procedure, and sedation consent. For extractions, the visit may include extraction if local anesthesia only is chosen and the tooth is uncomplicated, or scheduling of a surgery date if sedation is required. For implants, the visit is consultation and imaging; the surgery date is separate. Bring insurance card, photo ID, and a list of medications. If you take blood thinners or have a heart condition, notify the office before the first visit.

Hours, parking, and location details

Contact the office directly to confirm current hours and precise location, as oral surgery offices sometimes shift their schedules. Baltimore dental offices commonly charge for parking in their building or nearby lot, though some offer patient validation; call ahead if parking access matters to you.

Perez-West Clementina handles the upper tier of Baltimore dental work: surgical procedures that need expertise, sedation, and bone-level precision that a general dentist cannot provide, without the overhead and wait times of a hospital or large group setting.