I'm 60 years old. Up until about 25 I just listened to dentists. They drill-and-fill and I went along. No longer. In 35 years I've had one problem. I broke a tooth biting on a hard seed in some Indian food. I got a crown for that. A few years later the crown came off. I haven't bothered getting it replaced.
I don't have tooth pain. My teeth have not shifted. I still eat what I want. I'm careful with Indian food. :)
My takeaway? I'm not seeing the dentist until I'm in pain or something breaks. No one is drilling on X-ray shadows again.