I will not argue the fact that Dr. Thoms is no doubt an excellent dentist. I will say though that if you are too difficult a case -- i.e. a difficult TMD case --that she will eventually admit to you that she knows little about the disorder. Her bedside manner varies from warm and fuzzy to godzilla-like. I find her quite willing to pass the responsibility to the patient for any errors she makes. On the plus side her assistant is a wonderful human being.