Welcome to Mid-Maryland Oral & Maxillofacial Surgery
Most people don’t think about finding an oral surgeon in Hagerstown MD until something goes wrong: a tooth that can’t be saved, a jaw that’s been broken, an infection that won’t quit, or an implant that requires more planning than a general dentist can offer. When that moment arrives, who you call makes a real difference. If you’re searching for an oral surgeon Hagerstown MD, or the surrounding region relies on, Dr. William E. Zwack, DDS, FACS, and Dr. Ayesha Nawab, DMD, MD, FACS, have been the answer for patients across central Maryland since 1998, bringing the credentials, the technology, and the bedside manner that complex cases actually demand. Mid-Maryland Oral & Maxillofacial Surgery, PA delivers hospital-level surgical expertise in a private practice setting, so you get the best of both worlds without the institutional experience that often comes with it.
Our Mission
There’s a version of oral surgery where patients are processed quickly, handed a post-op sheet, and shuffled out. That’s not what happens here. Dr. Zwack and Dr. Nawab built this dental practice on a different premise: that every person who walks through the door deserves honest guidance, real answers, and a surgical team that actually follows through.
Oral health shapes the quality of your life in ways that go far beyond your mouth. It affects how you eat, how you sleep, how you recover from illness, and how you show up in the world. The practice’s mission is to protect that, using the full scope of oral and maxillofacial surgery to restore function, relieve pain, and give patients back what they’ve lost. That commitment hasn’t changed since the practice was founded, and it won’t.
Our Services
Extractions (Surgical Extractions of Regular Teeth)
When a tooth is severely decayed, broken beyond repair, or causing problems with your bite or jaw, extraction may be the healthiest choice for your smile. At Mid-Maryland Oral & Maxillofacial Surgery, PA, our oral surgeon team takes a gentle, patient-focused approach, always reviewing alternatives and tooth replacement options with you first. We believe every patient deserves a clear plan before any procedure begins.
During your extraction, we administer a local anesthetic so you feel only mild pressure, never pain, as we carefully loosen and remove the tooth. If a tooth is firmly anchored or has curved roots, we may section it into smaller pieces for a smoother removal. We then send you home with detailed aftercare guidance to minimize swelling and support a safe, comfortable recovery.
Wisdom Teeth Removal (Removal of Impacted Wisdom Teeth)
Impacted wisdom teeth that don’t have enough room to fully erupt can lead to serious issues, including gum infections, cyst formation, crowding, and damage to neighboring teeth. That’s why early evaluation matters. Studies show that patients treated in their mid-teenage years experience better outcomes than those who wait. Our skilled oral surgeon reviews your x-rays and tooth positioning to determine the right timing and approach for your care.
When you’re ready for wisdom teeth removal, Mid-Maryland Oral & Maxillofacial Surgery, PA offers anesthesia options to keep you comfortable throughout the procedure. Once your teeth are removed and the area is sutured, our team monitors you before discharge and sends you home with a full postoperative kit, including care instructions, prescriptions, and a follow-up appointment. Most patients feel well on their way to recovery within three to five days.
Anesthesia-Related Services (General Anesthesia or Laughing Gas)
Feeling nervous about oral surgery is completely normal, and patient comfort and safety are always our top priorities. We offer several anesthesia-related services tailored to your procedure and anxiety level, including nitrous oxide, IV sedation, and office-based general anesthesia. Every option is administered with close monitoring to ensure you feel relaxed and well cared for from start to finish.
Nitrous oxide takes effect within minutes, easing anxiety while keeping you fully conscious and in control, with no lingering hangover afterward. For more involved procedures, IV sedation allows you to drift into a calm, relaxed state with little to no memory of the experience. Our oral surgeon holds a state-issued anesthesia license, renewed regularly through continuing education, so you can trust that safety and skill guide every step of your care at Mid-Maryland Oral & Maxillofacial Surgery, PA.
Dental Implants
A single missing tooth can cause up to one-third of your jaw’s bone thickness to disappear within the first year, which is why timing and proper placement matter so much. Dental implants replace both the root and the crown, stopping that bone loss and restoring full chewing function with a natural-looking result. If bone loss has already occurred, our team can discuss grafting options to ensure your jaw can fully support the implant.
The placement procedure takes just 30 to 60 minutes for a single implant, and sedation options are available so you stay comfortable throughout. Our oral surgeon makes a precise incision, gently inserts a titanium implant into the jaw, then monitors your healing across one to four follow-up visits before your dentist places the final crown. At Mid-Maryland Oral & Maxillofacial Surgery, PA, every step is planned around your specific bone quality, healing timeline, and long-term outcome.
Bone Grafting
The jaw bone depends on tooth roots to stay strong. Once a tooth is gone, that bone can quietly deteriorate until the wall separating the jaw and maxillary sinus becomes too thin to anchor an implant. Bone grafting addresses this directly by rebuilding that lost structure, with sinus lift procedures specifically designed to raise the sinus floor and stimulate new bone growth along the upper jaw’s gum ridge. Without this foundation, even a well-placed implant has nowhere solid to hold.
At Mid-Maryland Oral & Maxillofacial Surgery, PA, our oral surgeon assesses the quality and quantity of your existing bone before determining which grafting technique gives your implant the best long-term support. A sinus lift allows new bone to form in areas where loss from injury or gum disease has occurred. The result is a stable, secure base that makes successful implant placement possible.
Socket Preservation
Tooth loss triggers a chain reaction most patients don’t see coming: the surrounding bone and gum tissue begin shrinking almost immediately, creating jaw deformities that can complicate implants, bridges, or dentures. Socket preservation is performed at the time of extraction to prevent this collapse by filling the socket with bone or a bone substitute and covering it with a membrane that supports your body’s natural healing. This is especially critical for front teeth, where bone loss can visibly affect the shape of your lips and cheeks.
Our oral surgeon fills the socket immediately after extraction with bone or a bone substitute, then seals it with gum tissue or an artificial membrane to trigger the body’s natural repair process. As the socket heals, new bone fills the space, eliminating the collapse that would otherwise leave too little structure for an implant, bridge, or denture to succeed. Skipping this step at extraction often means a more complex, costly grafting procedure down the road at Mid-Maryland Oral & Maxillofacial Surgery, PA.
Meet the Doctors
Dr. William E. Zwack, DDS, FACS, is known around Frederick as the oral surgeon who takes the hard cases and gets them right. Patients who meet him for the first time often expect serious and formal; what they find is focused and quietly funny, with the kind of surgical confidence that only comes from years of doing this work at the highest level. Dr. Ayesha Nawab, DMD, MD, FACS, brings a background that’s difficult to match: Harvard-trained, University of Connecticut-residency-trained, a former Associate Professor and Chief of Oral and Maxillofacial Surgery at Ben Taub Hospital in Houston.
Patients who’ve done their research often arrive already impressed; they leave feeling genuinely cared for. She is one of only two female oral and maxillofacial surgeons practicing in Frederick, and her approach, equal parts precise and warm, has made her the face patients most often mention when they refer a friend. Together, this team of experienced oral surgeons is supported by a dedicated team of DAANCE-certified surgical assistants and caring staff members who treat every visit as a complete experience, not a transaction.
Ayesha Nawab DMD, MD, FACS
Managing Partner
William E Zwack DDS, FACS
Managing Partner
Why Choose Us
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Testimonials
Oral Surgeon in Hagerstown MD
Pain and uncertainty are a hard combination to sit with. The sooner you connect with a qualified oral surgeon, the sooner your health journey moves in the right direction, and the less likely a manageable problem becomes a serious one.
Dr. William E. Zwack, DDS, FACS, and Dr. Ayesha Nawab, DMD, MD, FACS, see patients from across the region, including Hagerstown and surrounding communities, because the level of care available at Mid-Maryland Oral & Maxillofacial Surgery, PA is worth the drive. Call the office at 301.694.2300, visit at 68 Thomas Johnson Drive, Suite A, Frederick, MD 21702, or check us out on Facebook for updates, patient resources, and a closer look at the team.
FAQs
What's the difference between IV sedation and general anesthesia for oral surgery?
IV sedation, sometimes called twilight sedation, keeps you in a relaxed, semi-conscious state where you’re comfortable and largely unaware of the procedure, but not fully asleep. General anesthesia renders you completely unconscious and is typically reserved for more complex cases or patients with significant medical needs. Both options are available here and administered by surgeons who are licensed Anesthesia Examiners for the State of Maryland Board of Dentistry, so the level of oversight matches the level of dental anesthesia selected.
How long does recovery typically take after oral surgery?
Recovery varies depending on the procedure, your overall health, and how closely you follow post-op instructions, but most patients are back to light activity within a few days and normal routines within one to two weeks. More involved procedures like corrective jaw surgery or major bone grafting require longer healing timelines, sometimes several weeks to months for full bone integration. The surgical team gives you specific recovery guidance before you leave, so you’re never guessing about what’s normal and what warrants a call back to the office.
What role does 3D imaging play in planning oral surgery?
3D cone beam CT imaging gives the surgical team a level of detail that standard dental x-rays simply can’t provide. Precise bone depth, nerve location, root orientation, and sinus proximity all become visible before a single incision is made. That information directly shapes the dental treatment plan, reduces surprises during surgery, and improves accuracy for procedures like dental implants and bone grafting. Patients benefit from shorter, more predictable procedures and better outcomes overall.
When does oral surgery need to happen at a hospital instead of the office?
Most dental procedures, including wisdom teeth extractions, dental implants, bone grafting, and dentoalveolar procedures, are performed comfortably in the office under IV sedation or general anesthesia. A hospital setting becomes necessary when a patient has complex medical conditions that require additional monitoring, or when the scope of surgery warrants a full operating room environment. Because both Dr. Zwack and Dr. Nawab hold active privileges at Frederick Health Hospital, your care stays with the same surgical team regardless of where the procedure takes place.
Is this practice a good fit for patients who've had bad experiences elsewhere?
It often turns out to be exactly the right fit. Patients who’ve been bounced between offices, told their case was too complex, or left feeling dismissed tend to respond strongly to a practice where the doctors take time, communicate clearly, and don’t flinch at difficult cases. The compassionate approach here isn’t a marketing line. It’s something former patients mention repeatedly when they refer others. If your previous dental services left you frustrated or uncertain about moving forward with care, this team is worth a conversation.
