Robert J. Tigani, DDS in Baltimore: Oral Surgery with Implant and Extraction Focus

Robert J. Tigani, DDS operates a dedicated oral surgery practice in Baltimore, handling wisdom tooth extractions, dental implants, bone grafting, and tooth extractions across all complexity levels, often serving referred patients from general dentists across the city.

What Robert J. Tigani, DDS actually is

This is a surgical dental practice, not a general dentistry office. Tigani holds a DDS degree and focuses exclusively on procedures that require surgical skill: extracting impacted teeth, placing implants, performing bone augmentation for implant sites, and managing other extractions. The practice receives the majority of its patients by referral from general dentists in Baltimore who lack the equipment or training to handle complicated removals or implant placement in-house. Patients occasionally self-refer after research, but the typical pathway runs through a primary dentist.

Procedures and sedation options

Wisdom tooth extraction represents a large share of the practice's volume, particularly impacted teeth that a general dentist cannot remove safely in an office setting. Simple extractions cost less than surgical removals; verify current pricing directly, as extraction fees depend on tooth position, impaction level, and bone density.

Dental implants (tooth replacement anchored into bone) are a major service. The implant itself is a titanium post placed surgically into the jaw; a crown attaches to it months later once bone integration occurs. Implant costs in the Baltimore area typically range from $3,000 to $6,000 per tooth depending on bone quality and grafting needs. Bone grafting, often required when jaw bone is insufficient, adds $500 to $2,000 to the total cost.

Sedation options shape the experience. Nitrous oxide (laughing gas) is the lightest and keeps you aware; oral sedation uses medication to relax you but you remain conscious; IV sedation puts you into twilight sleep with monitored vital signs. Most oral surgeons in Baltimore offer at least nitrous and IV sedation. Ask Tigani's office which sedation levels are available and whether your insurance covers the anesthesia fee separately (many plans do).

How Tigani compares to other Baltimore oral surgeons

Baltimore has multiple oral surgery practices. The University of Maryland School of Dentistry operates an oral surgery clinic that accepts both referrals and self-referred patients and charges on a sliding-fee scale for lower-income patients; surgical fees run lower there but appointment waits can stretch 4 to 8 weeks. Mercy Medical Center in West Baltimore also maintains an oral surgery department for referred patients.

Private practices like Tigani's typically schedule faster (1 to 3 weeks) and offer more flexible sedation timing. The tradeoff: private practices cost more than academic or hospital clinics. Choose Tigani if you want a quick appointment, have insurance that covers private surgeons well, or need complex implant work. Choose University of Maryland if cost is the primary concern, timelines are flexible, or you lack insurance. Hospital-based surgery suits you if complications are likely or if you need surgical care tied to medical monitoring.

Who Tigani suits and who it does not

This practice works well for patients referred by their dentist for a straightforward extraction or implant. If your general dentist says "you need to see an oral surgeon," Tigani's office is a logical next step. Patients with dental anxiety benefit from the sedation options; ask whether Tigani's team has experience managing fearful patients.

This practice is not a first stop for routine preventive care, cleanings, or fillings. It is not an emergency room; if you have severe facial swelling, fever, or uncontrollable pain, go to an ER. If you lack dental insurance and have a limited budget, the university clinic or hospital option may serve you better.

What the first visit involves

Call Tigani's office with a referral from your dentist (or explain you are self-referred). Bring any X-rays or records your dentist sends. The first appointment includes a clinical exam, imaging if not recent, and a consultation on the procedure, sedation choices, cost, and timeline. Expect to discuss your medical history in detail, especially medications and allergies; oral surgeons need to know about blood thinners, bisphosphonates, or immunosuppressants because they affect healing and infection risk. Most practices require payment or insurance verification before scheduling surgery. Ask about pre-op instructions (typically nothing to eat after midnight if you are having sedation) and post-op care (rest, ice, pain management, diet restrictions).

Hours, location, and parking

Verify current hours and location by calling the practice directly; hours at surgical offices sometimes shift seasonally or due to block bookings. Baltimore's oral surgeons typically operate during weekday business hours with limited weekend availability. Parking details depend on the office location; ask whether the building has dedicated parking or street parking only.

Why Tigani belongs in Baltimore's dental landscape

Oral surgery in Baltimore is often a handoff step: your general dentist identifies the need, and you move to a surgeon for the procedure. A dedicated, experienced oral surgeon reduces delay and complication risk, particularly for complex extractions and implant work that affect your long-term tooth replacement options and jaw health.