Dr. Mieger and another dentist in her office took out a crown that I had for 20+ years. The new "permanent" crown that they put in immediately caused me problems. It fell out twice over the next year and I was occassionally in pain. It turned out that my tooth had cracked. I do attribute this to when the dentists were trying to pull out my original crown which they had a lot of difficulty doing. Bottom line: I had to have the tooth pulled out and am currently in the process of having a titanium implant put in and will require a new crown. Will any of this be done by Dr. Mieger? No. Will dental insurance cover the new crown? No, because a "new permanent" one was put in within the past 5 years. In addition, my new dentist has noticed a lot of problems with my teeth. So even though Dr. Mieger often said my teeth were looking "fabulous" they were not in fact "fabulous."