During my regular 6 month dental visits, Dr. Nowak would show me up close photos of all my old fillings and would strongly encourage me to replace all of them. I finally replaced one as a trial because I felt pressured. Dr. Nowak did a very nice job and is a perfectionist with his work. Because of the cost and my fear of having a tooth shatter, I decided against further replacements. That decision created a lot of discussion from Dr. Nowak. He wants his patients to have beautiful teeth. That is fine if that is also what the patient wants and can afford. Because my wants were different, I switched dentists. My current dentist has not replaced any fillings and I'm happy with my teeth.