

Medically Reviewed By
Dr. Natasa Mandic-Kuljic, D.M.D.
March 8, 2025
What Happens if You Don’t Replace a Missing Tooth
Losing a tooth, whether due to injury, decay, or gum disease, is a surprisingly common issue. Many people might initially overlook replacing a missing tooth, especially if the gap isn't immediately visible.
However, at Dentistry of Newburyport, we frequently see firsthand how a missing tooth can significantly impact oral health. In this article, we'll explore what happens if you choose not to replace a missing tooth and why it's essential to address the issue promptly.
Immediate Effects of Losing a Tooth
When you lose a tooth, it might seem like a minor inconvenience initially, but the consequences can begin almost immediately. You may notice changes in how you speak, difficulty chewing certain foods, and even shifts in your smile’s alignment. Even a missing tooth can disrupt the harmony of your entire mouth, triggering a chain reaction of dental problems.
Teeth Shifting and Misalignment
One of the most noticeable long-term effects of not replacing a missing tooth is the shifting or drifting of the adjacent teeth. Teeth naturally provide support to each other. When one tooth is removed or lost, nearby teeth lose their support structure and shift into the empty space.
This shifting creates alignment problems, such as crooked teeth or gaps between teeth, leading to difficulties in biting, chewing, and maintaining proper oral hygiene. Misalignment can also increase your risk of cavities and gum disease due to difficulties in properly cleaning your teeth.
Bone Loss and Jawbone Deterioration
Your teeth play a critical role in maintaining the strength and health of your jawbone. When you chew, the roots of your teeth stimulate the underlying bone, promoting healthy bone density. However, when a tooth is missing, this stimulation disappears, leading to jawbone deterioration over time.
Within the first year of losing a tooth, you may lose up to 25% of the bone volume around that area. Over time, this bone loss can significantly affect your appearance, causing premature facial sagging or a more aged appearance.
Increased Risk of Gum Disease and Tooth Decay
Missing teeth leave behind open spaces that are more challenging to clean. These areas often trap food particles and bacteria, creating the perfect environment for plaque accumulation, gum inflammation, and eventual gum disease. Gum disease, if left untreated, can lead to further tooth loss and systemic health issues.
Difficulty Chewing and Digestive Problems
Chewing is the first and critical step in digestion. Missing teeth can limit your ability to chew, making it difficult to break down foods effectively. Over time, this difficulty can lead to nutritional deficiencies or digestive problems due to poorly chewed food entering your digestive system.
Changes in Facial Appearance and Aging
Another overlooked consequence of not replacing missing teeth is changes to your facial structure. Over time, jawbone loss leads to facial sagging, hollowing of the cheeks, and a prematurely aged appearance. Many patients who delay tooth replacement treatments later find themselves dealing with noticeable changes in their appearance that could have been prevented.
Speech Difficulties
Teeth play an essential role in speech. Gaps caused by missing teeth can affect your tongue moves, leading to difficulty pronouncing certain words. This can impact communication, causing feelings of self-consciousness or reduced confidence when interacting socially or professionally.
Reduced Confidence and Emotional Impact
A missing tooth can significantly affect self-esteem, causing embarrassment or reluctance to smile and engage socially. Many people underestimate the psychological impact that tooth loss can have, leading to reduced confidence in both personal and professional settings.
Options for Replacing a Missing Tooth
Fortunately, several reliable treatment options exist for replacing missing teeth, preventing the problems described above. At Dentistry of Newburyport, we offer personalized restorative solutions that include:
- Dental Implants: Implants provide a permanent, natural-looking replacement tooth that helps maintain jawbone structure.
- Dental Bridges: Bridges effectively close gaps, preventing adjacent teeth from shifting and maintaining alignment and bite function.
- Partial Dentures: Removable dentures are suitable when multiple teeth are missing, restoring aesthetics and function.
Your dentist will help determine the best choice for you based on your oral health, personal preferences, and budget.
Why You Shouldn’t Delay Replacing a Missing Tooth
Delaying tooth replacement treatment can lead to increased complexity and cost later down the road. Early intervention often means simpler, less invasive procedures and better overall outcomes. Promptly replacing a tooth helps maintain a healthy jawbone structure, prevents shifting teeth, improves your overall health, and restores your confidence.
At Dentistry of Newburyport, our experienced team provides personalized evaluations to help you understand your options clearly, allowing you to make informed decisions about your oral health.
Protect Your Smile at Dentistry of Newburyport
Replacing a missing tooth is more than a cosmetic decision—it's a choice that significantly affects your overall oral health, functionality, and quality of life. At Dentistry of Newburyport, we understand these concerns and offer advanced solutions tailored to your unique needs.
Don't let a missing tooth compromise your dental health or confidence. Schedule a consultation today and find out how we can restore your smile, prevent future complications, and protect your long-term oral health.
Your journey to a healthier, more confident smile starts with one call. Let us help you regain your smile and the confidence that comes with it.