Isn't dentistry fantastic these days? I got a crown the other day and the process was very modern- 3D scans of surrounding and facing teeth, maybe 5 minutes of fine-tuning the 3D model on a very fast 3D CAD system, send it off to the 5-axis (or whatever) mill in the next room, and the thing is done and ready to be polished while you're still in the chair. Still a lot of skill and experience to get it just right, but the skill is in the perfectionism of avoiding any floss snags and getting the bite just precisely correct rather than just getting the part to fit in there at all.
As you, I am "topping up" the insurance payout to get the best treatment that is recommended by a very good professional. If the work is done right, it has a good chance of outlasting me.. some of the stuff being updated is 30+ years old.
I think it's part of the job to recommend enhancements where practical, but also to point out where requested specs are difficult and expensive to meet, especially if there is some question as to the requirements. Machinists have to do this all the time, for example when an inexperienced Engineer puts tight tolerances on ALL dimensions, including the ones that could be off by 0.01" and wouldn't matter. It gets a bit trickier when the industry has a culture of lying about specs (as many do)- or at least stating them in a way that leads the neophytes to make undly optimistic interpretations of the numbers. You can have A (wonderful) and B (even better) s/he reads, when they are clearly mutually exclusive..
Best regards, Spehro Pefhany