Should I challenge my dentist on his wish to give me 7 Composite Fillings

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Nov 8, 2024
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I recently visited the dentist for the first time in 10 years and was told I need 7 fillings—5 are replacements and 2 are new. Two fillings will be in the front of my mouth, and the rest at the back. When I received the treatment plan, all 7 fillings were listed as composites, each costing £220. My total bill is £1600. However, I was confused about the £220 charge per filling because the website had stated that the fillings cost £113, which led me to research the differences between amalgam and composite fillings. While I had discussed wanting my teeth to look good, the filling material options were never brought up, and I was completely clueless about the differences between composite and amalgam materials.

I understand that composites are more aesthetic, which makes sense for the front teeth, but it seems unnecessary for the back ones, which aren't visible to anyone other than myself. I’d be happy with the two front teeth remaining composite and the five at the back being amalgam, as this would save me around £500.

Would other dentists agree with this approach, or is there something I’m missing? Is there truly a benefit for all 7 of the teeth to be composites? I want to bring this up to my dentist without coming across as a disgruntled Karen. I want my teeth to be healthy but I want the treatment to make sense.
 

Dr M

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May 31, 2019
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You can definitely request amalgam fillings on your back teeth, if your dentist does amalgam fillings. If he does not, perhaps he can refer you to another dentist that does. In terms of the amount of fillings needed, you can get a second opinion from another dentist, to ensure you are not being over-treated.
 

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