You’ve seen the ads. “Teeth in a day.” “Permanent smile in 24 hours.” “Free consultation, no obligation.” The implant chains have mastered the art of getting you in the door, and for a lot of patients, the promise is genuinely appealing. Who doesn’t want a fast, affordable solution to missing teeth?
The ads don’t tell you who, once the surgery is done and the temporary teeth are in, is actually designing the smile you’ll live with for the next 20+ years.
At Cosmetic & Advanced Dentistry in Owings Mills, we’ve built our practice around a different model. Not because we think chains are evil, but because we’ve seen what happens when the final result becomes an afterthought. For patients in Baltimore, Towson, Hunt Valley, and across Maryland, the difference between a volume-driven implant center and a cosmetic-implant specialist team isn’t just philosophical. You see it every time you smile.
What an Implant Chain Actually Optimizes For
Let’s be fair about this because implant chains exist for a reason. They’ve streamlined the process, built recognizable brands, and made full-arch implant treatment accessible to patients who might not have considered it otherwise. For some patients, that’s a legitimate path.
But the business model shapes the care. Chains are volume-driven. They see a high number of patients, rely on standardized workflows, and optimize for efficiency.
That structure means the surgeon places the implants, the restorative dentist designs the teeth, and the lab fabricates them. In a high-volume setting, different people perform those three steps and may never meet. They’re working from records that may not capture the full picture of what you wanted your smile to look like. The goal is a functional result, delivered on schedule, at a predictable cost.
For a straightforward case, that can work. For a patient who cares about how the final teeth look, how they fit the face, how they age, and how they function over decades, the standardized model has real limits.
Search results and patient reviews tell a consistent story about what happens when volume-driven care meets a complex case. One ClearChoice patient reported spending $40,000 for full upper and lower teeth, only to find that after four months, they still didn’t have their permanent teeth and hadn’t seen the same doctor twice. Another described being “dumped” when a prosthetic didn’t fit, told by certified letter that the practice would no longer treat them. These aren’t universal experiences, but they’re the kind of outcomes that happen when the structure prioritizes throughput over the long-term relationship.
What a Cosmetic-Implant Specialist Optimizes For
At Cosmetic & Advanced Dentistry, the structure is different. The difference starts with who is in the room when we create your plan.
We call it the Cosmetic & Advanced Method. Dr. Ed Lazer and Dr. Andrey Doroshenko evaluate every implant case together. Dr. Lazer is a nationally recognized cosmetic dentist trained at the Las Vegas Institute for Advanced Dental Studies. Baltimore Magazine has recognized him as a Top Cosmetic Dentist. He designs the final smile you’ll see in photos, meetings, and in the mirror every morning.
Dr. Doroshenko is a prosthodontist who completed his three-year postgraduate residency at the University of Maryland. He holds advanced certifications in implant dentistry, periodontal surgery, and digital dentistry, and he’s received multiple awards for clinical excellence, including the Dorace Wallace Award for Excellence in Prosthodontics. His role is to build the structural foundation that supports Dr. Lazer’s design.
Dr. Lazer designs the final smile before Dr. Doroshenko places the first implant. The implant positions are planned to support that exact aesthetic outcome, not the other way around. The final teeth aren’t an afterthought, adjusted to fit wherever the implants happened to land. They’re the blueprint!
The Question You Should Ask Before You Choose
If you’re comparing an implant chain to a cosmetic-implant practice, here’s the question that cuts through the marketing.
“Who is designing my final teeth, and have they seen my face?”
At a chain, the answer is often a lab technician working from a digital scan, following a standardized protocol. The restorative dentist may be involved, but the system’s efficiency requirements shape the design process.
At our practice, the answer is Dr. Lazer, a cosmetic dentist with decades of smile-design experience, working alongside Dr. Doroshenko, who has planned the surgical placement to support that design. They look at your face, evaluate your facial proportions, bite, and goals, and co-diagnose and co-plan before anything happens. This matters most for patients who have been told they’re “not candidates” or whose cases are complex.
Our restorative page notes that we handle cases other dentists have called “too complex” or “not enough bone.” That’s not marketing language. It describes a structural capability. Dr. Doroshenko’s prosthodontic training and surgical certifications mean he can plan and execute cases that a volume-driven center might decline or standardize into a less-than-ideal result.
What the Final Result Actually Depends On
A successful implant restoration depends on two things working together: a stable surgical foundation and an aesthetic outcome that fits the patient’s face and goals. Miss one, and the result suffers.
If the surgery is excellent but the design is generic, you get teeth that function but don’t look like they belong to you. They might be too large, too uniform, or positioned in a way that creates a “denture look.” The patient is left with a functional smile they don’t feel good about.
If the design is beautiful but the foundation is compromised, you get teeth that look good on day one and fail over time. Implants placed without aesthetic planning in mind can lead to bite problems, uneven wear, or restorations that need to be redone. The patient is left with an investment that doesn’t last.
The Cosmetic & Advanced Method prevents both outcomes. Dr. Lazer and Dr. Doroshenko share the same treatment rooms, digital records, and commitment to results that are both beautiful and built to last. They consult daily. They review cases together. When something needs adjusting, the people who planned it make the change.
Learn more about our implant dentistry here:
- Dental Implants in Baltimore, MD
- Full-Arch Reconstruction
- All-on-4 Implants
- Multiple Dental Implants
- Single Tooth Dental Implant
- Benefits of Dental Implants
- Cost of Dental Implants
- Dental Implant FAQ
- Dental Implants vs Dentures
- Types of Dental Implants
What This Means for Patients in Baltimore
If you’re in Owings Mills, Towson, Pikesville, Hunt Valley, or anywhere in the Baltimore area and you’re considering implants, you have choices. You can go to a chain. You can go to a solo dentist. Or you can go to a practice where two specialists, a cosmetic dentist and a prosthodontist, work as a single team on your case.
Our dental implant consultation is complimentary! This is your chance to see the difference for yourself, with no commitment. You’ll meet both doctors, review the imaging, and hear their approach to your case. You’ll leave with a clear understanding of what’s possible and what it would take to get there.
Call us at (410) 697-6290 or request your consultation online. We’re at 5 Park Center Ct, Suite 302, in Owings Mills. We serve patients from Baltimore, Towson, Hunt Valley, Timonium, Greenspring, Pikesville, and across Baltimore County.
You don’t have to choose between fast results and the right results. You just need a team that plans for both.