I have a severe gag reflex due to sleep apnea. Dr. Fresch was the ONLY dentist that was willing to try normal procedures while I was wearing a CPAP device (smaller in size than a sedation mask). That willingness, plus an extraordinary patience in working with my major phobia (due to childhood dental trauma), and also her excellence skills in dentistry has allowed me to finally get my dental health on the right track. And I am her patient in sprite of the fact that my daughter is a dental hygienist at another excellence practice in the DC area.