I have been seeing Dr. Keim for 25 years. He has always offered good advice, and has never pushed me towards an unnecessary procedure. When he offers cosmetic or optional treatments, he is very clear that they are optional, and is more than willing to take "no" for an answer. When I have needed a filling, etc., he will always discuss different pain-relieveing options to make sure I can get through my work day. He is great with children, too.