Dental Truths with Dr Naresh Hirani

Naresh Hirani
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Dr Naresh Hirani is a UK dentist with nearly 25 years of experience specialising in dental implants, failing teeth, and full arch solutions. Based at Chalfont Dentist, he helps patients who are tired of temporary fixes finally get a long-term plan that works. This channel covers dental implants explained, dentures vs implants, why dental work keeps failing, gum disease and bone loss, sedation dentistry for nervous patients, and the truth about your options when teeth are failing. New videos weekly. No jargon. No sales pitch. Just honest answers from a dentist who has treated thousands of complex cases. Website: www.chalfontdentist.co.uk  Instagram: @chalfontdentist

Episodes

  1. 4d ago

    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

    13 min

  2. Jun 4

    The Dental Implant Mistake That Happens Before the Surgery Even Starts

    📌 Book a comprehensive assessment: https://chalfontdentist.co.uk/ You can spend thousands of pounds on dental implants and end up exactly where you started. It happens more often than most practices will admit. And almost every time, the mistake was made before the drill came out. In this video, I'm going to show you exactly what needs to happen before your surgery starts, what most consultations skip, and the five things that separate a long-term result from an expensive mistake. ⏱️ TIMESTAMPS 0:00 – You can spend thousands on implants and still end up back at square one 0:50 – The one step skipped in almost every failed implant case 1:20 – Point 1: The consultation decides the entire outcome 2:42 – Point 2: Surgery is not the critical moment 3:59 – Point 3: How to evaluate the terrain before anything is placed 6:07 – Point 4: What a proper pre-surgery assessment actually involves 8:15 – Go in as a patient seeking a diagnosis, not a customer being quoted a price 8:39 – Point 5: What to write down before your consultation ❓ QUESTIONS ANSWERED What should a proper dental implant consultation include? A proper implant consultation includes a cone beam 3D scan, a full periodontal evaluation, bite analysis, and an honest review of every tooth in the mouth. Being quoted a price before a thorough diagnosis is a warning sign. Why do dental implants fail? Most implant failures trace back to the planning phase, not the surgery itself. Uncontrolled gum disease, missed bone loss, and skipped periodontal assessment are the most common causes of long-term implant failure. How can I tell if I am seeing the right dentist for dental implants? If your dentist does not review cone beam 3D imaging, assess gum pocket depths around every tooth, or analyse your bite before quoting a price, you have not had a complete consultation. You are entitled to ask directly for each of these four assessments. 📱 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 episodes 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. 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

    10 min

  3. May 28

    If You Notice These Signs, Your Teeth Are in Serious Trouble

    📌 Book a comprehensive assessment: https://chalfontdentist.co.uk/ Your teeth do not fail overnight. They warn you months in advance, sometimes years. The problem is most people do not know what to look for, so they keep pushing the signs aside until the straightforward fix is no longer possible.  By the time they finally say something in the chair, the options have already narrowed. I have seen this pattern thousands of times. The patients who act early keep their options open. The ones who wait, genuinely do not. In this episode, I'm going to walk you through the five warning signs that your teeth are heading toward failure, what each one actually means, and exactly when you need to take action. ⏱️ TIMESTAMPS 0:00 Why your teeth warn you long before they fail 1:07 Who I am and what 25 years treating failing teeth has taught me 1:30 Warning sign 1: Something feels different when you bite 3:04 Warning sign 2: Bleeding gums are never normal 3:57 Warning sign 3: Food trapping in the exact same spot every day 5:10 Three questions to tell you if this is structural, not a hygiene problem 5:37 Warning sign 4: Foods you have quietly stopped eating 6:46 Warning sign 5: When you think about your teeth every single day 7:57 The two-column exercise and what to do tonight ❓ QUESTIONS ANSWERED Q: Is it normal for gums to bleed when you brush? A: No. Bleeding gums are never normal. They signal active inflammation, which is the first stage of gum disease. Left alone, that inflammation moves deeper, breaks down the fibers holding your teeth in place, and begins dissolving the surrounding bone. Blood in the sink is your earliest warning, not something to adapt to. Q: Why do my teeth feel different when I bite down? A: A change in how your bite feels almost always means the position or stability of a tooth has shifted. This is usually caused by bone loss, a failing filling, or structural breakdown that started long before any pain appeared. The window between noticing that change and feeling pain is your best opportunity to act while simple solutions are still available. Q: What does it mean when food keeps getting stuck in the same spot? A: Daily food trapping in one specific place means the contact between teeth has changed. That happens because something has moved, whether it is the tooth, the bone, or the surrounding tissue. Flossing that spot more often is not the answer. The change is structural and requires a proper assessment to understand what is actually driving it. 🎥 WATCH NEXT Why Your Dental Work Keeps Breaking: https://youtu.be/8A068n2ar9I 📱 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. 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

    9 min

  4. May 21

    Everything You've Been Told About Dentures Is Wrong (A Dentist Explains)

    📌 Book a comprehensive assessment: https://chalfontdentist.co.uk/ If your dentist keeps patching the same teeth, they're not fixing your problem. They're managing your decline.  Most patients never find out until thousands of pounds later, and their options are still shrinking. ⏱️ TIMESTAMPS 0:00 Everything You've Been Told About Dentures Is Wrong (A Dentist Explains) 0:52 Why repeated dental work makes things worse 1:29 Point 1: Teeth fail from patterns, not bad luck 2:59 The 3-treatment signal that tells you something is wrong underneath 3:18 Point 2: Gum disease is destroying your teeth silently 4:11 Why your gums not bleeding is not proof you are fine 5:12 Point 3: Why delaying treatment always costs more 6:57 Point 4: Dentures are not your only option 8:14 Patient story: from years of failed work to a new smile 9:24 Point 5: One proper plan always beats years of patchwork ❓ QUESTIONS ANSWERED Q: Why do my teeth keep failing even after I've had them fixed? A: Most failing teeth follow an underlying pattern, usually gum disease or a structural issue, that routine dentistry misses entirely. Fixing individual teeth without addressing the root cause means the cycle continues. Q: Can I have advanced gum disease if my gums don't bleed? A: Yes. Gum disease is often painless and symptom-free in its early and middle stages. By the time you notice it, significant jawbone has already been lost. Q: I've been told dentures are my only option. Is that actually true? A: In most cases, no. A dentist who specialises in implants can assess whether full-arch solutions are possible, even for patients told nothing else is available. 📱 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. 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

    7 min

  5. May 14

    5 Things Your Dentist Isn't Telling You About Your Failing Teeth

    📌 Book a comprehensive assessment: https://chalfontdentist.co.uk/ If your dentist keeps patching the same teeth, they're not fixing your problem. They're managing your decline.  Most patients never find out until thousands of pounds later, and their options are still shrinking. ⏱️ TIMESTAMPS 0:00 The real reason your teeth keep failing 0:52 Why repeated dental work makes things worse 1:29 Point 1: Teeth fail from patterns, not bad luck 2:59 The 3-treatment signal that tells you something is wrong underneath 3:18 Point 2: Gum disease is destroying your teeth silently 4:11 Why your gums not bleeding is not proof you are fine 5:12 Point 3: Why delaying treatment always costs more 6:57 Point 4: Dentures are not your only option 8:14 Patient story: from years of failed work to a new smile 9:24 Point 5: One proper plan always beats years of patchwork ❓ QUESTIONS ANSWERED Q: Why do my teeth keep failing even after I've had them fixed? A: Most failing teeth follow an underlying pattern, usually gum disease or a structural issue, that routine dentistry misses entirely. Fixing individual teeth without addressing the root cause means the cycle continues. Q: Can I have advanced gum disease if my gums don't bleed? A: Yes. Gum disease is often painless and symptom-free in its early and middle stages. By the time you notice it, significant jawbone has already been lost. Q: I've been told dentures are my only option. Is that actually true? A: In most cases, no. A dentist who specialises in implants can assess whether full-arch solutions are possible, even for patients told nothing else is available. 📱 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 video 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 spent thousands on dental work and still feel like you're back to square one? Tell me in the comments. How long have you been on the treatment treadmill? 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

    12 min

  6. May 14

    Why Your Dental Work Keeps Breaking (And What to Actually Do About It)

    📌 Book a comprehensive assessment: https://chalfontdentist.co.uk/ You've had the crown. The bridge. The root canal. You paid for it, showed up for every appointment, looked after it, and it broke anyway.  That's not bad luck. There are specific reasons dental work fails for certain patients, and none of them have anything to do with having weak teeth. In this episode, I'm going to break down the five real reasons your dental work keeps failing and what a proper long-term solution actually looks like. ⏱️ TIMESTAMPS 0:00 Why Dental Work Keeps Breaking (The Real Reason) 1:25 Reason 1: The Foundation Was Already Failing 2:39 Reason 2: Your Bite Is Destroying Your Dental Work 4:19 Reason 3: Tooth-by-Tooth Treatment vs. a Full Plan 5:46 Reason 4: Some Teeth Should Not Be Saved 6:37 Why Holding On to a Failing Tooth Costs You More 7:01 Reason 5: No One Has Planned for Your Next 20 Years 7:53 The 10-Minute Exercise That Changes Everything 8:24 How to Break the Cycle for Good ❓ QUESTIONS ANSWERED Why does dental work keep breaking or failing? Dental work fails when the root cause is never identified. That usually means active gum disease that was never treated, a bite placing too much force on the wrong teeth, or a patchwork approach that treats each problem in isolation instead of looking at the whole mouth. How do I know if my bite is causing my dental work to fail? Common signs include waking up with jaw tension or headaches, noticing chipped or worn edges on your teeth, and repeatedly needing work on the same tooth. A proper bite assessment should be a standard part of any treatment plan. When should you stop trying to save a failing tooth? When a tooth has been treated multiple times and continues to break down, continuing to patch it often makes the eventual solution more complex and costly. A specialist in periodontics or implants can tell you directly whether it is worth saving long term. 📱 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. 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

    9 min
  • 6 Episodes

About

Dr Naresh Hirani is a UK dentist with nearly 25 years of experience specialising in dental implants, failing teeth, and full arch solutions. Based at Chalfont Dentist, he helps patients who are tired of temporary fixes finally get a long-term plan that works. This channel covers dental implants explained, dentures vs implants, why dental work keeps failing, gum disease and bone loss, sedation dentistry for nervous patients, and the truth about your options when teeth are failing. New videos weekly. No jargon. No sales pitch. Just honest answers from a dentist who has treated thousands of complex cases. Website: www.chalfontdentist.co.uk  Instagram: @chalfontdentist

Information

  • Creator
    Naresh Hirani
  • Years Active
    2K
  • Episodes
    6
  • Rating
    Clean
  • Copyright
    © 2026 Dental Truths with Dr Naresh Hirani