In our experience, Dr. Smutka himself is amazingly good at doing his work and relating to young children during difficult procedures. No other dentist would consider extracting my son's infected tooth without general anesthesia, which has risks we'd rather avoid. He used local anesthetic, patience, and savvy instead. For this we will always be grateful. My son really likes him too, despite having had a tooth pulled at his office. Dr. Smutka's helpful in counseling about maintaining oral health with children highly resistant to tooth brushing. The other pediatric dentists we visited we not helpful, even when asked for tips and techniques.