Montgomery Oral & Facial Surgery & Dental Implant Center in Baltimore: Implants and Extractions with Same-Day Sedation

Montgomery Oral & Facial Surgery & Dental Implant Center is a surgical dental practice in the greater Baltimore area specializing in extractions, dental implants, and tooth replacement. Unlike a general dentist who handles cleanings and fillings, this practice focuses narrowly on procedures requiring surgical skill and deeper sedation, typically receiving referrals from other dentists or treating patients who want implant consultation and placement under one roof.

What the practice does

The center handles surgical procedures that general dentists usually refer out. The main services include wisdom tooth extractions, impacted tooth removal, bone grafting to prepare sites for implants, implant placement, and extraction-to-implant same-day procedures for patients who want a tooth removed and a post inserted in a single visit. The practice can provide local anesthesia, nitrous oxide, oral conscious sedation, and IV sedation, depending on procedure complexity and patient anxiety level. This range of sedation options distinguishes it from a traditional dentist's office, which typically offers only local anesthesia or nitrous oxide.

Pricing and sedation options

Specific pricing changes based on case complexity, and fees should be confirmed directly with the office. Generally, wisdom tooth extractions range from $200 to $600 per tooth depending on impaction level. Dental implant placement alone typically costs $1,500 to $3,000, and a complete implant restoration (post, abutment, and crown) runs $4,500 to $8,000 per tooth. Bone grafting, if needed to restore jaw volume before implant placement, adds $400 to $1,500. IV sedation carries an additional fee, usually $500 to $1,500, based on the sedation provider and duration.

Verify current fees and any package pricing by calling the office. Many Baltimore-area dental offices offer in-house financing or partner with CareCredit; ask whether the practice does the same.

How it compares to other Baltimore-area oral surgeons

Baltimore has several oral surgery options. University of Maryland School of Dentistry's oral surgery clinic offers surgical procedures at reduced rates (often 40% below private practice) for students to gain supervised experience, but wait times run 6 to 12 weeks and appointments are primarily weekday mornings. The Greater Baltimore Medical Center (GBMC) operates an oral surgery department for patients already in the hospital system or with complex medical histories requiring close medical supervision. Private practices like BelAir Oral & Maxillofacial Surgery and practices within dental group settings like Aspen Dental's surgical centers offer competitive pricing but may require a separate referral and a second appointment for implant consultation.

Montgomery's strength lies in consolidation: patients can have a consultation, discuss sedation preferences, and schedule surgery with the same provider rather than bouncing between a general dentist and a surgeon. If cost is the priority, UMD's clinic is cheaper. If convenience and same-day services matter more, Montgomery and similar standalone practices justify their premium. If you are already hospitalized or have complex medical comorbidities, GBMC may be safer.

Who this practice serves and who it does not

This practice suits patients who need extractions or implants and value having sedation available. It is ideal for people with dental anxiety who want to avoid multiple office visits and for patients seeking implants as a standalone replacement option (not requiring a separate general dentist). Patients who prefer a fast, surgical-focused environment will find this setup efficient.

The practice is not the right fit for someone seeking routine cleanings, fillings, or general dental care. It also may not be appropriate for patients without stable health insurance or the means to cover out-of-pocket costs; many insurances classify implants as elective and cover little or none of the cost. Those requiring bone grafting or more extensive reconstructive work should ask in advance whether the practice has experience with their specific case; some oral surgeons specialize in complex trauma or reconstructive cases and may be better equipped than a general oral surgery practice.

What a first visit involves

A first visit typically includes a clinical exam, intraoral photography, and often a cone-beam CT scan to visualize bone structure and plan implant position. The surgeon discusses treatment options (extraction vs. implant, implant material, bone grafting need), reviews sedation choices, and outlines costs. Insurance verification and pre-authorization usually happen at this appointment or are handled within 24 hours. Patients are asked about medical history, current medications, allergies, and previous anesthesia reactions to determine safe sedation depth.

Allow 60 to 90 minutes for the initial visit. Bring insurance cards, photo ID, and a list of current medications. Ask about fasting requirements if sedation is planned; IV sedation typically requires six to eight hours of fasting beforehand.

Hours, parking, and logistics

Verify current hours by calling ahead; most oral surgery practices operate Monday through Friday, 8 a.m. to 5 p.m., with limited or no weekend availability. Confirm parking: many Baltimore-area surgical practices are located in office parks or medical buildings with free lot parking, but some downtown or near-hospital locations may require street parking or validated garage parking.

If receiving IV sedation, plan for someone to drive you home and stay with you for the first two to four hours post-procedure. Do not plan to work or drive the day of surgery under IV sedation.

Consolidating extraction, implant planning, and sedation administration with a single practice reduces your appointment burden compared to a referral model and removes the administrative friction of coordinating between providers.