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How do I question a dental quote without assuming the dentist is upselling?

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"The whitening can wait," the dentist said. "The back tooth is the part I want you to understand."

I went to a private practice in England for a check-up. An old filling has a thin remaining tooth wall, according to the dentist, who recommended a crown. I nodded through the explanation. At reception the proposed crown was £780 and optional whitening was £220 on the same printed quote.

My husband saw £1,000 and said the whole visit sounded like a sales pitch. The whitening was something I had asked about, which I forgot to tell him. Now I have helped create a more suspicious version of the appointment than the one that happened.

I can pay for the crown by using money set aside for a car repair. A second opinion would also cost a consultation and time off, and I have not asked the first dentist how soon a decision is needed.

[The NHS advises asking the dentist to explain the proposed options, risks, benefits and likely outcome](https://www.nhs.uk/nhs-services/dentists/what-dental-services-are-available-on-the-nhs/). That is the conversation I failed to have. What should I ask before deciding whether to accept this recommendation or pay for another opinion?

Discussion

2 community replies

Start with the tooth rather than the total: "Could you show me what concerns you, explain the options for this tooth, and tell me the risks of waiting?" Ask what timing the dentist recommends and why. A forum cannot tell from the quote whether a crown is the appropriate treatment.

Tell your husband that you requested the whitening. It does not prove the crown is needed, but it changes the basis of his sales-pitch argument. You can remove the optional item from the current decision and still ask serious questions about the £780 recommendation.

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