Dr. Alberti does the cleanings himself instead of using a separate hygenist. While uncommon for dentists to provide this extra level of service, it costs no more, and the dentist spends more time with you. Also he's very gentle - my gums don't bleed as much after the cleaning as they did with some rougher hygenists. On the other hand, the cosmetic work I had done (bridge and veneers) had to be re-done due to poor shaping - I'm not sure whether this was his fault or not.