Who Designs Your Smile? Surgeon & Cosmetic Dentist in One

You’ve decided to move forward with dental implants in Owings Mills. Now comes the part nobody prepares you for. You have to choose who does the work. Your options look very different.

There’s the implant chain with the billboards and the “teeth in a day” promise. There’s the solo dentist who places and restores implants in one office. Then there’s the model we’ve built at Cosmetic & Advanced Dentistry, where a cosmetic dentist and a prosthodontist plan and execute every implant case as one team.

The difference between those three options isn’t just marketing. It’s structural, and it determines who designs the smile you’ll live with for the next twenty years.

The Two Halves of an Implant Case

A dental implant isn’t one procedure. It’s two, performed by two different skill sets.

The surgical half is placing the titanium post in your jawbone. This requires training in bone anatomy, soft tissue management, and the biomechanics of osseointegration. When an implant goes in at the wrong angle or depth, the consequences show up months or years later.

The restorative half is designing the tooth or teeth that sit on top of the implant. This is where the visible result comes from. The crown’s shape, shade, how it meets your other teeth, and how it reads against your lip line. All that is a design decision.

In an implant chain, different people often handle these two halves and may never meet. The surgeon places implants based on a standard protocol and available bone. The lab technician designs the teeth from a digital scan. The restorative dentist may review the final product, but the design work was already done.

At our practice, two specialists handle this: they work in the same building, share the same records, and consult daily. Dr. Andrey Doroshenko places the implants. Dr. Ed Lazer designs the final smile. And critically, Dr. Lazer designs the smile before Dr. Doroshenko places the first implant.

Why the Order of Operations Matters

Here’s what separates a good implant outcome from a great one. The design has to come first.

Think about what happens if the surgery comes first and the design comes later. Dr. Doroshenko places the implant where the bone is strongest, and the anatomy is most favorable. That’s the right surgical call. But if nobody has planned where the final crown needs to sit for a balanced smile, the restoration has to adapt to wherever the implant landed.

Sometimes that works, sometimes it doesn’t. A crown that’s slightly too far forward or angled a few degrees off can create a smile that looks subtly wrong, or a bite that wears unevenly, or a restoration that needs to be redone years earlier than it should.

Now think about the opposite order. Dr. Lazer designs the final smile first. He looks at your facial proportions, your lip line, the shade and shape of your other teeth, and how the new teeth will read when you’re talking and laughing. Once that blueprint is in place, Dr. Doroshenko plans the implant positions to support that exact design.

That’s the Cosmetic & Advanced Method. Two specialists, one plan, and the aesthetic outcome is the blueprint, not the afterthought.

What This Means for All-on-4 Dental Implants in Baltimore

All-on-4 dental implants in Baltimore use four strategically placed implants to support a full arch of replacement teeth. Two go in vertically at the front, and two angle toward the back to use the densest available bone. The technique is designed to work even for patients who’ve been told they don’t have enough bone for traditional implants.

That’s the surgical side, but patients choose All-on-4 for more than function. It’s about getting a full smile back. The difference between an All-on-4 result that looks natural and one that looks like dentures screwed in place comes down to design.

Dr. Lazer designs the final prosthesis before Dr. Doroshenko places the implants. He considers lip support, tooth proportion, how the gumline should sit, and how the arch should read in photos. Dr. Doroshenko then plans the surgical placement to support that vision, using CBCT 3D imaging, digital planning tools, and 3D surgical guides to position each implant precisely.

At a chain, the same All-on-4 protocol applies to every patient. That’s what makes it efficient. But it’s also what makes the results look uniform. If you’ve ever seen a full-arch restoration that looked slightly too large or too opaque, that’s what happens when the design isn’t individualized.

Same-Day Implants Near Owings Mills: What “Same Day” Actually Depends On

If you’re searching for same-day implants near Owings Mills, you’ve probably seen the promise everywhere. Implants placed and temporary teeth delivered in a single appointment. It’s a real option, and it can genuinely change lives for patients who’ve been living without teeth.

Same-day treatment refers to the temporary teeth, not the final ones. The implants still need three to six months to fuse with your jawbone. What you walk out with on surgery day is a functional temporary prosthesis designed to get you through the healing period.

That temporary is important. You’ll see it in the mirror for months, and it should look like it belongs on your face, not like a placeholder.

That’s where the design-first approach pays off. Dr. Lazer plans the temporary prosthesis at the same time he plans the final one. The temporary isn’t an afterthought produced by a lab on autopilot. It’s designed to fit your face and function while the implants integrate. And when the final restoration is placed, it builds on what was already planned.

For patients searching for same-day implants near Owings Mills, that’s the difference between a fast solution and a good one.

What Dr. Lazer and Dr. Doroshenko Each Bring

The value of the team model depends entirely on who’s on the team. Here’s what each specialist contributes.

Dr. Ed Lazer is a general and cosmetic dentist who graduated from Georgetown Dental School in 1990 and completed a general practice residency at the North Chicago V.A. Hospital in 1991. He studied under Dr. William Dickerson, founder of the Las Vegas Institute for Advanced Dental Studies, and has completed hundreds of hours of hands-on continuing education at LVI. Baltimore Magazine, Smart Woman Magazine, and the Baltimore Business Journal have recognized him as a Top Cosmetic Dentist in Baltimore. In every implant case, he designs the final smile.

Dr. Andrey Doroshenko is a prosthodontist who earned his DDS from the University of Maryland School of Dentistry in 2014 and completed a three-year postgraduate prosthodontics residency at the University of Maryland. He’s received the Dorace Wallace Award, the Excellence in Prosthodontics Award, the Golden Articulator, and the Nathan David Gold Memorial Award. He lectures dental students and residents in prosthodontics and holds advanced certifications in implant dentistry, periodontal surgery, and digital dentistry. His role is to plan and execute the surgical placement that supports the design.

Neither of them can do the other’s job. That’s the point. That’s why the partnership produces results neither a solo dentist nor a chain can replicate.

The Questions to Ask Any Implant Provider

If you’re comparing practices, these questions reveal whether the design and surgery are actually coordinated:

Ask who designs the final teeth. If the answer is a lab technician you’ll never meet, that’s a different model than having a cosmetic dentist design them.
Ask whether they plan the final restoration before the surgery. If the answer is that they design the restoration after the implants heal, the surgeon and the designer worked separately.
Ask whether the same team handles both phases. If you’re being referred from a surgeon’s office to a restorative dentist’s office, you’re the one carrying information between them.
Ask how many All-on-4 cases the practice completes per year. Volume itself isn’t a virtue, but experience with complex cases matters.

At our Owings Mills office, the answer to each question is the same. One team, one plan, one place.

Learn more about your trusted Implant dentistry:

Schedule an Appointment Today

If you’re in Baltimore, Towson, Hunt Valley, Timonium, Pikesville, or anywhere in Baltimore County and you’re considering implants, the first step is a complimentary consultation. You’ll meet both doctors. You’ll see the imaging. You’ll hear how they approach your case, not just the implants, but your smile.

Call Cosmetic & Advanced Dentistry at (410) 697-6290 or request your consultation online. We’re at 5 Park Center Ct, Suite 302, in Owings Mills. Whether you’re exploring All-on-4 dental implants in Baltimore or looking for same-day implants near Owings Mills, we’ll show you what a coordinated plan actually looks like.

Who Designs Your Smile? Why the Surgeon and the Cosmetic Dentist Should Be in the Same Room