The upside- The hygenist Pat gives a great and through cleaning. She really looks carefully and makes recommendations which I appreciate very much. I've had fillings replaced by Dr DeGirolamo who is very personable and friendly. The work seems to be very good. The only downside to this is I have a front tooth which one day will need a crown. He recommended that I get a bridge which shocked me. Why would I want to destroy 2 perfectly good teeth (around the one that needs attention) to create a bridge when implants are available, I asked?! He didn't have a good answer. This doesn't make me think he is the best around.