Terence Toft, DDS in Oklahoma City: Oral Surgery with Referral-Based Practice

Terence Toft, DDS is a referral-based oral surgeon in Oklahoma City who performs extractions, dental implant placement, and bone grafting procedures using sedation options that range from local anesthesia to IV sedation. He operates as a single-surgeon practice rather than a multi-doctor group, which means patients are typically sent to him by general dentists or specialists in the area rather than walking in for initial consultations.

What oral surgery involves and why referral matters

Oral surgery sits apart from general dentistry because it requires a different skill set and licensing scope. While a general dentist can handle simple extractions and routine care, an oral surgeon manages complicated extractions (teeth deeply embedded or with curved roots), dental implants from bone grafting through final restoration, and jaw-related surgical procedures. Toft's referral-based model means your existing dentist identifies whether you need surgical care and sends records ahead, which typically accelerates scheduling and ensures relevant imaging has already been done.

This structure differs from practices like Oral Surgery Associates of Oklahoma City or Premier Oral & Maxillofacial Surgery, where multiple surgeons operate in larger facilities and may accept self-referrals. For patients uncertain whether they need oral surgery, a referral-based practice assumes your dentist has already determined that surgical intervention is appropriate.

Procedures and sedation options

Toft handles extractions across the range of complexity, from straightforward removals to impacted or severely decayed teeth where a surgical approach reduces trauma to surrounding bone and tissue. He places dental implants and performs bone grafting when insufficient jawbone exists to support an implant; this can mean the difference between an implant-supported bridge being possible or limited to other restoration types.

Sedation options typically include local anesthesia alone (for routine cases), IV sedation (where you remain conscious but deeply relaxed and have no memory of the procedure), and in some cases nitrous oxide. The specific sedation used depends on procedure complexity, patient anxiety, and medical history. Confirm sedation availability and any additional costs at your consultation.

Comparing single-surgeon to multi-surgeon oral surgery practices

Single-surgeon practices like Toft's typically build patient continuity (the same provider from start to finish) and may offer slightly more focused scheduling since availability hinges on one person's calendar rather than coordinating across multiple doctors. The tradeoff is less flexibility if the surgeon is booked; multi-surgeon groups like Premier Oral & Maxillofacial Surgery can often schedule sooner because appointments distribute across several practitioners.

If you have complex implant cases or anxiety about surgery, a single surgeon you see repeatedly may reduce stress. If you need to be seen urgently and Toft has a long wait, a multi-location practice may absorb you faster.

Who suits this practice and who may need to look elsewhere

Toft's model works best for patients whose general dentist has already identified the need for oral surgery and is comfortable referring to a single surgeon. It is also appropriate if you prefer continuity and don't have a pressing timeline that demands the first available appointment.

It may not suit patients without an existing dentist, those seeking a second opinion on whether surgery is necessary, or those who need to be seen within days. For urgent extractions or trauma, a hospital-affiliated oral surgeon or emergency dental clinic may be more accessible.

What the first visit involves

Your first appointment typically begins with the dentist's referral paperwork and any imaging your referring doctor has already obtained (X-rays or CBCT scans). Toft will review your medical history, discuss the procedure, answer questions about sedation, and establish a treatment plan. He will explain recovery expectations, restrictions (diet, activity, oral hygiene), and whether additional appointments will be needed (implant placement often happens in stages across several months).

Insurance verification and out-of-pocket cost estimates usually happen at this visit or shortly after, since oral surgery costs vary sharply by procedure. A simple extraction may run $200 to $400; implant placement with bone grafting can range from $1,500 to $3,500 or more depending on complexity. Ask whether the practice splits costs across multiple appointments or bills for the full treatment at once.

Hours, location, and logistics

Confirm specific hours and parking directly with the practice, as single-surgeon offices sometimes observe shorter schedules than multi-doctor groups. Ask whether your dentist's office can provide directions or whether Toft's practice sends appointment confirmations with address and parking details.

Terence Toft, DDS fills a specific role in Oklahoma City's dental landscape: the referred-to specialist who handles surgical cases that general dentists are not equipped or licensed to perform. For patients whose dentist has already recommended oral surgery, this focused practice delivers the continuity and expertise that complex extractions and implants require.