John Kraus: Outstanding! All technicians and Dr. Cottingham are kind, courteous, and gentle during office visits and appliance adjustments. Everything is explained before procedures are administered. Fear not if you are contemplating this procedure later in life. At 51 years of age I was dreading the whole ordeal. After all is said and done I'm enthralled with the outcome. The results are better than I hoped. I'm kicking myself for not doing this sooner. Visit Dr. Cottingham and get the process started, you'll be delighted!