First timer, I went in with the thought of getting a second opinion on dental work and after speaking with Dr. O'Keefe, I decided to have him do my dental work. Everyone at the office was nice and pleasant. Dr. O'Keefe appears to be a straight shooter and I like that. I don't want someone sugar coating anything. I am an adult and I want the straight scoop because I too won't hold back if I have issues with the process or end result. For me, being direct works great.