Dr. Buse did a filling on one of my molars where she and her assistant dropped a total of four separate metal objects down my throat during two portions of the process. One of the objects was a ring with four metal spikes on it, which got lodged in my throat and was quite difficult to cough out, causing a good deal of shock and pain as well. She should have used a dental dam, like most other dentists do, in order to protect the patient from this sort of trauma. But instead, because of her negligence, I had to cough out these metal tools and check for blood. She was not apologetic about this. I immediately transferred my business elsewhere. Since that time, as with all dentists before Dr. Buse, my fillings have always been done with dental dams. You've been warned.