Dr Deforge is perhaps the most sophisticated vet to handle animal's teeth problems in the country. This is because he is a dentist as well as a vet. His equipment is state of the art. He trains vets nationwide, but overall vets do not have the skill OR equiptment to do dog's and cat's teeth. Although most vets do offer teeth cleaning, don't think for a minute it's the same oral care given by a vet dentist like Dr Deforge. There only about 12 vet dentists in the country. Vets are not trained to care for teeth in vet school. Yes he is expensive, but he is one of a kind and his equiptment is equivalent to that used on people. He offers teeth cleaning, crowns, periodontal care, x rays, and other sophisticated procedures for animal oral care. I wouldn't even consider going anywhere else for routine cleanings or any other oral problem.