Everything was excellent with the exception of the Doctor's analysis of a growth on the rear gum. I felt he was overly alarmed about a growth I have had for at least 6 months on my top rear gum. I have had this for over six months and thought it was the result of a Windsor tooth pushing through after all these years. I had wished the doctor was more open about this. As usual Ann did an excellent job of cleaning my teeth, The good shape of my teeth can potentially at ;least her performance.