I wish I would have looked more into this Dentistry establishment. Not only do they immediately try and start selling you prescription tooth pastes and ""preventative procedures"" that are $50 per procedure, but they make you believe you have absolutely horrible teeth and need over $1,000 worth of work. As other reviewers have posted, this is a huge scam of a practice. Very disappointing! I will not be returning to this office and will be finding another dentist in the area to re-examine me. I rather feel that the hygienists and doctor have a sincere interest in my health rather than a sincere interest in my wallet. I do not recommend anyone to Great Expressions in Manchester.