I had TMJ surgery performed by a Dr. other than Dr. Kram. After surgery, I was not improving any and decided to get a second opinion because the old Dr. was not helping me. After visiting Dr. Kram and trying to schedule another follow up apt, I was told that Dr. Kram said he could not help me and refused to see me. It's really a shame when a Dr. refuses to see someone and attempt to help them when they are in pain everyday. I would NOT recommend Dr. Kram or any other Dr. in his office.