The major drawback in tunnels is that water ingress can damage the concrete especially if no extra drainage is installed.
Also the interface between slab track and ballasted track can be a weak point due to the slab track not moving and ballasted track wandering.
Over time i would expect to start to see appear in all tunnels,viaducts ,stations and high residential areas where noise may be an issue?? (last point is debatable)
Slab track is essentially low maintenance, precisely due to the point of being "fixed" rather than "floating" geometry. It can be quieter, especially when noise reducing fastenings that the likes of Pandrol and Vossloh produce. The advantage in tunnels is that once installed, it most certainly is *fixed* and will maintain the required clearances. It won't develop problems, mainly due to water contaminating ballast and creating voiding wet spots, that require the geometry to be potentially changed.
The interface between slab and ballasted track is no different to any other floating/fixed geometry interface; for example, longitudinal timbered bridges. If the lifting and lining is correctly run out on the approaches when tamping, it should not be much of a problem.
Disadvantages include installation cost. It is expensive, I couldn't tell you exactly how much, but if you've researched 20% that's still a not inconsiderable figure to pay on top of your renewal costs. The nature of ballasted track means that it's self draining if maintained correctly, slab track requires drainage concerns to be built into the design as water doesn't find it's own way to the catchpit.
It is low maintenance, but be prepared for an incredible headache if something does go wrong, because it WILL cost a lot and be very time consuming to fix. This shouldn't happen if installed correctly; however, I have seen with my own eyes moderate cyclic top on old slab track due to poor installation that just cannot be fixed without tearing out the concrete base (consideration was given to double padding the rail in the low points but over time this would damage and break the fastenings). As such, it had been left - it wasn't dangerous and won't get worse like ballasted track will over time but of course a geometry defect will induce more wear into the track. Water ingress onto slab track again should only be a problem if the concrete starts cracking (which it shouldn't do!)
On the Soton on the W10 project, only Soton tunnel itself was ever slab tracked, every other tunnel was traditionally lowered. Previously the tunnel was ballasted, and was notoriously wet in there - one cab ride I did I noticed water literally gushing down the walls at one point. This encouraged geometry defects to build up in the tunnel itself, and most notoriously, at the tunnel mouth at the Soton end.I worked in Maintenance down there, the tunnel mouth area was just full of wet beds, twist and top defects (and to top it off, was a red zone working prohibited area, so rarely could sit in there for a good days digging). The tunnel got slabbed, the S&C at the mouth relaid and it's as good as gold now.