What Happens at a Complimentary Implant Consultation? Baltimore

Most dental consultations go the same way. You sit in a chair, and someone takes an X-ray. A dentist looks at the image, tells you what you need, and hands you a treatment plan and a price.

If you’re exploring implants, you’ve probably had that experience already. Maybe you left feeling like you got a sales pitch more than a medical evaluation.

The consultation at Cosmetic & Advanced Dentistry is different. Not because the office is fancier or the marketing is better. Because two specialists evaluate your case together, in the same room, at the same time, and because the consultation is complimentary, with no obligation to schedule treatment.

Here’s what actually happens at a complimentary implant consultation in Owings Mills, and why the structure matters.

Why the Consultation Is Structured Around Two Specialists

At most practices, one dentist evaluates you. If the case is complex, they refer you to a specialist. That specialist evaluates you again, in a different office, often weeks later. The two providers may never speak.

At our practice, we do the evaluation once, with both specialists present. Dr. Andrey Doroshenko, a prosthodontist who completed his three-year residency at the University of Maryland, evaluates your surgical candidacy, bone health, and structural foundation. Dr. Ed Lazer, a cosmetic dentist trained at the Las Vegas Institute for Advanced Dental Studies, evaluates your smile, your facial proportions, and your aesthetic goals.

Both are evaluating the same case at the same time. Neither of them is working from a referral note. Neither is guessing what the other would recommend. They’re building one plan together, in real time.

This matters most for complex cases. If you’re missing multiple teeth, considering All-on-4 dental implants in Baltimore, or have been told you’re not a candidate, a dual evaluation makes a coordinated plan possible.

Step One: The Conversation

Before any imaging or exam, you’ll sit down with both doctors and talk. They want to know:

What’s bringing you in?
What’s bothering you about your smile?
What have you tried before?
What have other dentists told you?
What outcome are you hoping for?
What does your timeline look like?
What does your budget look like?

This is the foundation of the plan. A patient missing a front tooth and getting married in six months has different priorities than a patient who’s lived with a partial denture for a decade. Someone who’s terrified of dental work needs a different approach than a patient who’s had multiple implants before. Someone who wants the most affordable option needs a different plan than one willing to invest in the most durable solution.

Dr. Lazer and Dr. Doroshenko are both listening during this conversation. They’re each hearing different things. Dr. Doroshenko is listening for clinical details about bone, health, and function. Dr. Lazer is listening for cosmetic details about goals, proportions, and what the patient wants to see in the mirror. Together, they’re building a complete picture.

Step Two: The Imaging

After the conversation, you’ll get imaging. Specifically, a CBCT scan.

CBCT stands for cone-beam computed tomography. This 3D imaging technology shows your jawbone, nerves, sinuses, and surrounding structures. A traditional 2D X-ray can’t do this. It shows a flat image that can’t capture the depth, density, or position of the structures that matter for implant planning.

The CBCT scan is quick and comfortable. You sit or stand in the machine, it rotates around your head, and the scan is done in less than a minute. The images are available immediately.

Dr. Doroshenko reviews the scan to evaluate bone volume and density, the position of the inferior alveolar nerve and mental foramen in the lower jaw, and the maxillary sinus in the upper jaw. This information determines whether implants are possible, whether grafting is needed, and where to place them.

This imaging also supports cosmetic planning. Dr. Lazer uses the same scan to plan the final restoration and visualize how the implants will support the teeth that will sit on them.

Step Three: The Clinical Exam

While they review the imaging, Dr. Doroshenko and Dr. Lazer will perform a clinical exam.

Dr. Doroshenko examines your teeth, gums, bite, and jaw. He’s looking for signs of gum disease, wear patterns suggesting grinding, and any structural issues that could affect the implant plan. He’s also evaluating the health of the teeth adjacent to the missing teeth because they’ll need to support the final restoration.

Dr. Lazer examines your smile from a cosmetic perspective. He’s looking at the shape, shade, and proportion of your teeth. He’s evaluating how your teeth sit in relation to your lips and face. He’s assessing what the final restoration should look like to fit naturally with the rest of your smile.

For patients considering same-day implants near Owings Mills, this is also the exam where the temporary restoration is planned. Dr. Lazer already considers what you’ll be wearing while the implants heal.

Step Four: The Diagnosis

After the conversation, imaging, and exam, Dr. Lazer and Dr. Doroshenko step out to review the findings together. This is the co-diagnosis part of the Cosmetic & Advanced Method.

They’re comparing notes. Dr. Doroshenko is explaining what the imaging shows about bone and structure. Dr. Lazer is explaining what the cosmetic evaluation suggests. They’re reconciling the two perspectives into one coherent plan.

This is the part of the process most practices lack. In a single-dentist office, one person makes the diagnosis. In a referral model, two people make the diagnosis but never compare notes. Here, two people build the plan together.

Step Five: The Plan

When they come back, they’ll present the plan that fits your case, with options if there are legitimate choices. For a straightforward single tooth implant, the plan might be simple. One implant, one crown, a specific timeline, and a specific cost.

For a complex case, the plan might involve multiple phases, such as extractions, bone grafting, implants, temporary restorations, and final restorations. Each phase has a cost and timeline, and the plan shows how the pieces fit together.

For a patient considering All-on-4 dental implants, the plan might explain why All-on-4 is the right choice for your anatomy, what the temporary will look like, and what the final restoration will be. You’ll see the plan in writing, with a clear cost and a clear timeline.

If you’ve been told you’re not a candidate, the plan might start with a candidacy evaluation that leads to a path forward. The plan focuses on making implants possible, not on confirming they aren’t.

Step Six: The Questions

After the plan is presented, you’ll have the chance to ask questions. The doctors are there to answer whatever you need to ask. For example:

What will my temporary look like?
What happens if an implant fails?
How much discomfort should I expect?
What will the final restoration look like?
Can I see a preview?
What if I want to phase treatment over time?
What if I want to think about it before committing?

The consultation is complimentary, so you’re not obligated to schedule treatment. You can leave with information and take your time to think about it. The doctors would rather have you leave informed than commit before you’re ready.

Why the Complimentary Consultation Matters

We offer the consultation free of charge because it reflects how we think about care.

Most patients who come in for a consultation are making a significant decision about their health and their finances. They deserve time with the doctors, honest information, and a plan that’s built around their specific situation. Charging for that initial visit would make some patients skip it, and that’s the opposite of what we want.

The consultation is also where the Cosmetic & Advanced Method comes to life. Patients experience the dual evaluation firsthand. They see how Dr. Lazer and Dr. Doroshenko work together and hear how the two perspectives come together in one plan. They leave understanding what makes this practice different because they experienced it.

Learn more about our implant dentistry:

What to Bring

If you’re coming in for a consultation, bring a few things:

Your dental records, if you have them. Recent X-rays, treatment plans from other practices, and any imaging you’ve had done. This gives the doctors more to work with.
A list of medications. Medical history matters for implant candidacy.
A list of questions. Write them down before you come in. It’s easy to forget the one thing you wanted to ask.
A sense of your goals. What do you want your smile to look like? What’s your timeline? What’s your budget? The more you share, the more tailored we can make the plan.

Reach Out To Us Today

Our office is at 5 Park Center Ct, Suite 302, in Owings Mills. We serve patients from Baltimore, Towson, Hunt Valley, Timonium, Pikesville, Greenspring, and across Baltimore County.

If you’re considering All-on-4 dental implants in Baltimore or looking for same-day implants near Owings Mills, start with a consultation. Call Cosmetic & Advanced Dentistry at (410) 697-6290 or request your complimentary consultation online.

What Happens at a Complimentary Implant Consultation? A Step-by-Step Look