Guide · Second opinion

Second opinion from a dentist: when is it worth it?

Surgical microscope at Zahnlounge Zürich-Enge

A second opinion is worth it before any step that cannot be undone: before a tooth is extracted, before an implant and before larger work such as crowns or bridges. Likewise, if nobody has properly explained why something should be done. Bring your X-rays and your treatment plan. You are entitled to a copy. A good second opinion shows you both paths, with the outlook and the effort involved. The decision stays with you.

Updated: 9 November 2026

When a second opinion makes sense

  • A tooth is to be extracted, perhaps one that has already had root canal treatment.
  • An implant or a bridge is planned.
  • The treatment plan is extensive, for example several crowns or veneers.
  • Two dentists, two opinions, and you do not know whom to believe.
  • You would like to understand what is going on with your tooth before you decide.

Even with pain, there is usually time for a second look: a painful tooth can often be calmed first, without being extracted straight away.

How to get your records

You can ask for your X-rays and your dental records at any time. Under Swiss data protection law you are entitled to a copy, usually free of charge. You do not need to give a reason. It is best to ask your practice in writing for:

  • your X-rays, digitally as a file or printed,
  • the treatment plan or cost estimate,
  • the findings, if they exist in writing.

If something is missing, we take a current image where it makes sense. And you can mention the second opinion openly to your dentist. Before major decisions it is common practice and not a sign of mistrust.

What makes a good second opinion

  • An examination of its own, not just a look at old images. With us, under the microscope, and you see on screen what we see.
  • Both paths in writing: saving the tooth and extracting it, each with the outlook and the effort involved.
  • Honest in both directions: sometimes extraction is the better choice. Then we say so, and you know why.
  • No obligation: the second opinion stands on its own. If you wish, we send the documents to your dentist.

When saving a tooth is worth it is explained in “Save or extract a tooth?”.

How much does a second opinion cost?

A real second opinion includes an examination of its own, so it is charged like an appointment. We are happy to tell you the cost on the phone beforehand.

If you cannot agree with your practice

A second opinion helps you decide. If there is a dispute about treatment or an invoice, there are independent bodies:

  • SSO assessment commission: if your dentist is a member of the Swiss Dental Association SSO, you can contact the commission of your cantonal section.
  • SPO patient protection: the foundation advises patients in disputes.
  • Cantonal dental service: the canton can also help.
Further reading