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Save the Tooth or Pull It? A Periodontist Gives You the Honest Answer
📌 Book a comprehensive assessment: https://chalfontdentist.co.uk/
Every dentist will tell you that saving a tooth is always the goal. I used to say the same thing. I don't anymore.
If you have been through crown after crown, root canal after root canal, and still cannot understand why nothing has held up, this video is the one nobody sat you down and gave you before your last appointment.
In this episode, I'm going to walk you through the honest case for saving, the honest case for removing and replacing, and exactly how I make the call in my own clinic.
⏱️ TIMESTAMPS
0:00 Save the Tooth or Pull It? A Periodontist Gives You the Honest Answer
1:17 Point 1: The honest case for saving a tooth
2:24 What the save everything instinct misses about bone
3:36 Point 2: The honest case for removing and replacing
4:22 How implant technology has changed the calculation
5:22 The window that closes quietly when you keep repairing
6:13 Point 3: The real variable most people never get measured
6:44 The 3 questions to ask before any recommendation
8:27 Point 4: The verdict from 25 years in practice
10:43 Point 5: The 3 questions to bring to your next appointment
❓ QUESTIONS ANSWERED
Q: Is saving a tooth always better than getting a dental implant?
A: A natural tooth with healthy bone and a genuine long-term outlook is always the right choice to save. But a tooth that has failed repeatedly under treatment, or sits in significantly compromised bone, is not the conservative option to keep. Continuing to repair it spends the bone that an implant will eventually need.
Q: How do you know when a tooth is worth saving versus removing?
A: Three questions determine it: Has the tooth had a full periodontal assessment measuring bone levels around every surface? How many times has it been treated in the last five years, and what was the outcome each time? And how much bone remains around the root on a 3D scan? Without those answers, you do not yet have the clinical information needed to make the decision.
Q: Why does waiting to remove a failing tooth make the implant harder?
A: Every month a failing tooth stays in the jaw, the surrounding bone continues to deteriorate. What may have been a straightforward implant site two years ago becomes a complex grafting case today. The window for a simple, clean solution closes quietly, and most patients only find out when a specialist tells them the treatment they need is now twice as involved.
📱 RESOURCES
Book a comprehensive assessment: https://chalfontdentist.co.uk/
Instagram: https://www.instagram.com/chalfontdentist
Facebook: https://www.facebook.com/chalfontdentist
🔔 Subscribe for a new episode every week. Dr. Naresh Hirani helps you understand your teeth, your real options, and how to stop wasting time and money on treatment that won't last.
💬 Have you ever been through the cycle of repairs on the same tooth? What did you wish your dentist had told you sooner? Tell me in the comments.
ABOUT NARESH HIRANI:
Dr. Naresh Hirani is principal dentist at Chalfont Dentist with nearly 25 years of experience specialising in dental implants and periodontics. He holds a BDS (London) and a Master's degree in Clinical Periodontics, the study of gums and the bone that supports your teeth. He works primarily with patients who have complex, failing, or missing teeth, particularly those who have spent years cycling through repeated treatments with no lasting result. His approach combines advanced digital dentistry, 3D scanning, and IV sedation to deliver stable, long-term outcomes for even the most complex cases. His practice is built on one principle: doing the right treatment once is always better than years of patchwork. His goal is not just to fix teeth. It is to restore confidence, function, and quality of life for patients who thought they had run out of options.
#FailingTeeth #DentalImplants #GumDisease #DentistAdvice #ToothLoss
View all episodes
By Naresh Hirani📌 Book a comprehensive assessment: https://chalfontdentist.co.uk/
Every dentist will tell you that saving a tooth is always the goal. I used to say the same thing. I don't anymore.
If you have been through crown after crown, root canal after root canal, and still cannot understand why nothing has held up, this video is the one nobody sat you down and gave you before your last appointment.
In this episode, I'm going to walk you through the honest case for saving, the honest case for removing and replacing, and exactly how I make the call in my own clinic.
⏱️ TIMESTAMPS
0:00 Save the Tooth or Pull It? A Periodontist Gives You the Honest Answer
1:17 Point 1: The honest case for saving a tooth
2:24 What the save everything instinct misses about bone
3:36 Point 2: The honest case for removing and replacing
4:22 How implant technology has changed the calculation
5:22 The window that closes quietly when you keep repairing
6:13 Point 3: The real variable most people never get measured
6:44 The 3 questions to ask before any recommendation
8:27 Point 4: The verdict from 25 years in practice
10:43 Point 5: The 3 questions to bring to your next appointment
❓ QUESTIONS ANSWERED
Q: Is saving a tooth always better than getting a dental implant?
A: A natural tooth with healthy bone and a genuine long-term outlook is always the right choice to save. But a tooth that has failed repeatedly under treatment, or sits in significantly compromised bone, is not the conservative option to keep. Continuing to repair it spends the bone that an implant will eventually need.
Q: How do you know when a tooth is worth saving versus removing?
A: Three questions determine it: Has the tooth had a full periodontal assessment measuring bone levels around every surface? How many times has it been treated in the last five years, and what was the outcome each time? And how much bone remains around the root on a 3D scan? Without those answers, you do not yet have the clinical information needed to make the decision.
Q: Why does waiting to remove a failing tooth make the implant harder?
A: Every month a failing tooth stays in the jaw, the surrounding bone continues to deteriorate. What may have been a straightforward implant site two years ago becomes a complex grafting case today. The window for a simple, clean solution closes quietly, and most patients only find out when a specialist tells them the treatment they need is now twice as involved.
📱 RESOURCES
Book a comprehensive assessment: https://chalfontdentist.co.uk/
Instagram: https://www.instagram.com/chalfontdentist
Facebook: https://www.facebook.com/chalfontdentist
🔔 Subscribe for a new episode every week. Dr. Naresh Hirani helps you understand your teeth, your real options, and how to stop wasting time and money on treatment that won't last.
💬 Have you ever been through the cycle of repairs on the same tooth? What did you wish your dentist had told you sooner? Tell me in the comments.
ABOUT NARESH HIRANI:
Dr. Naresh Hirani is principal dentist at Chalfont Dentist with nearly 25 years of experience specialising in dental implants and periodontics. He holds a BDS (London) and a Master's degree in Clinical Periodontics, the study of gums and the bone that supports your teeth. He works primarily with patients who have complex, failing, or missing teeth, particularly those who have spent years cycling through repeated treatments with no lasting result. His approach combines advanced digital dentistry, 3D scanning, and IV sedation to deliver stable, long-term outcomes for even the most complex cases. His practice is built on one principle: doing the right treatment once is always better than years of patchwork. His goal is not just to fix teeth. It is to restore confidence, function, and quality of life for patients who thought they had run out of options.
#FailingTeeth #DentalImplants #GumDisease #DentistAdvice #ToothLoss