I often ask myself what makes a top dentist? At the Pankey Institute for Advanced Dental Education I learned three important ingredients for being at the top: caring, judgment and skill. First and foremost, a dentist needs to care about his/her patients, secondly he/she has to use good judgment to know what procedures are appropriate to perform. Thirdly, he/she needs to have the skills to carry out the procedures. I think about these three elements often. I work hard at my East Setauket dental office to develop my skills and judgment, and I always care deeply about my patients. They are part of our family.