Missing Teeth: Why It Happens and How Gaps Are Filled

Is it normal to have missing teeth?

Missing teeth are common. The CDC reports that about 1 in 10 adults aged 65 to 74, and about 1 in 5 adults aged 75 and older, have lost all their teeth. It also says tooth loss is largely preventable.

Some people are born without certain teeth. Cleveland Clinic explains that this condition, called hypodontia, affects between 2% and 8% of people and usually runs in families.

Whatever the reason, a dentist can help you protect the teeth you have and fill the gaps in a way that fits your health and goals.

Why do adults lose teeth?

Gum disease is the leading cause of tooth loss in adults, according to Cleveland Clinic. It slowly breaks down the gums and bone that hold teeth in place.

The CDC also lists cavities and smoking among the leading causes. Injuries, such as a fall or a sports hit, and years of teeth grinding can also cost a tooth.

If your teeth feel loose or your gums bleed, those can be early signs worth checking. Our guide to a loose adult tooth explains what to watch for.

What happens if you do not replace a missing tooth?

A gap affects more than your smile. Cleveland Clinic explains that untreated gaps can lead to bone loss in the jaw and to nearby teeth drifting out of position.

Other changes can follow over time:

• The remaining teeth take on extra pressure, and your bite can become misaligned.
• Chewing can get harder, which may affect what you eat.
• Some sounds can become harder to say clearly.
• The face can lose some support, which may change its shape.
• The CDC adds that tooth loss can lower self-esteem and overall quality of life.

What should I do right after losing a tooth?

If an adult tooth was knocked out, act fast. Hold it by the crown, not the root, rinse the root gently with water, and try to set it back in the socket without forcing it. If you cannot, keep it in milk and get to a dentist right away.

The AAE, a national dental association, says treatment within 30 minutes gives a knocked-out tooth the greatest chance of being saved.

For bleeding, Cleveland Clinic suggests pressing a piece of moist gauze on the area for 15 to 20 minutes and rinsing gently with mild salt water. An over-the-counter pain reliever may help with soreness. If the area is sore, softer foods may feel more comfortable for a while.

Is a missing tooth a dental emergency?

A knocked-out adult tooth is a dental emergency, and so is a tooth lost to an injury that also hurt your mouth or jaw. Call a dentist right away. Our emergency dental care page explains what to expect.

A tooth that was lost some time ago is not an emergency, but it is worth planning for. Call 911 or go to the nearest emergency room if you have any of the following:

• Swelling in your face, jaw or neck that makes it hard to breathe or swallow
• Swelling that spreads toward your eye or changes your vision
• A fever of 100.4°F or higher with facial swelling
• Bleeding that will not stop with steady pressure
• A serious injury to the face or jaw, such as a possible broken jaw

What are the options for replacing missing teeth?

The three main options are dental implants, bridges and dentures. Each has trade-offs, and the right one depends on how many teeth are missing, the health of your gums and bone, and your goals.

• Dental implants: a small post placed in the jawbone that acts as a new root, topped with a crown, bridge or denture. Cleveland Clinic calls implants the closest thing to natural teeth. Learn more on our dental implants page.
• Bridges: artificial teeth that span a gap and are anchored to the teeth on each side. The American Dental Association notes a bridge depends on the health of those supporting teeth. See our dental bridges page.
• Dentures: removable replacements for many or all teeth. They can be full or partial, and some are supported by implants. New dentures can feel awkward for a few weeks while your mouth adjusts.

What happens when you see us about missing teeth?

Your dentist will look at the gap, the teeth next to it, your gums and your bite, and talk with you about what matters most to you. Cleveland Clinic notes that implants need enough healthy jawbone, so the bone is part of the check.

Our Murrieta office has updated technology, including 3D imaging, digital X-rays and digital impressions, for more comfortable visits and fewer appointments. Our 3D imaging page explains more.

Cost depends on the option and your case. Our guide to dental implant cost explains the factors, and our team can answer questions about your dental insurance and our flexible financing options.

Many dental benefits renew at the end of the year, and our team is happy to help you use yours before then. Call (951) 677-1054 or request an appointment.

How can I avoid losing more teeth?

The CDC says tooth loss is largely preventable, and the steps are simple:

• Brush twice a day with fluoride toothpaste and floss every day.
• Limit foods and drinks high in added sugar.
• Get a dental checkup at least once a year, and professional cleanings as your dentist advises.
• Do not smoke or use other tobacco.
• Wear a mouth guard for contact sports, and a night guard if you grind your teeth.
• Treat gum disease early. Our gum disease treatment page explains how.

Questions & answers

Common questions