What Happens If You Don’t Replace Missing Teeth?

Replace Missing Teeth at ADvanced Dentistry

Life happens. Whether you lost a tooth to an accident, decay, or gum disease, it’s more common than you think. But what comes next matters more than you might realize.

Choosing not to replace a missing tooth isn't just a casual decision. Often, it comes down to very real factors — finances, timing, and other health priorities. We understand. But even with the best intentions, waiting too long can lead to changes you might not expect. At Advanced Dentistry, our prosthodontists are here to walk you through it all, with expert guidance and support.

How missing teeth impact your health and confidence

We’re not here to sound alarm bells or add to your worries, but it’s important to understand how missing teeth can impact your overall health and well-being over time. Here’s what can happen, and why finding the right solution matters.

1. Shifting teeth and bite changes

Your teeth act like a team, supporting each other to stay in place. When one is lost, the neighboring teeth naturally begin to drift into the gap. According to recent studies, patients with missing teeth are significantly more likely to experience changes in bite alignment. This shifting can cause bite misalignment, leading to uneven wear, jaw discomfort, and even temporomandibular joint (TMJ) issues over time. 

2. Jawbone loss

Your jawbone depends on the pressure and stimulation that teeth provide during chewing. Without it, the bone starts to shrink — a process known as resorption. Research shows that during the first three months after extraction or tooth loss, approximately two-thirds of the affected hard and soft tissues undergo some degree of resorption. Over time, this bone loss can lead to a sunken facial appearance, making future restorations more complicated and costly.

3. Greater wear and tear on remaining teeth

When a tooth goes missing, the remaining teeth pick up the slack. This additional pressure can cause fractures, accelerated wear, and even lead to further tooth loss. It’s a slow domino effect that can build over time, making small dental problems harder and more expensive to fix later on.

4. Challenges with chewing and speaking

Chewing efficiency drops when teeth are missing, which can impact nutrition and digestion. Some foods become harder to enjoy, and speaking clearly can become difficult as your tongue and teeth work together for proper pronunciation. And people with missing teeth report a notable decrease in quality of life related to eating and communication.

5. Impact on confidence

Smiling, laughing, speaking — these everyday moments can start to feel different when you're worried about a gap in your teeth. Many patients share that they feel less inclined to socialize or put themselves forward, personally and professionally. While everyone experiences this differently, what remains constant is that restoring your smile can restore a sense of self that's hard to put into words.

What is the best way to replace missing teeth?

The best option to replace missing teeth depends on your unique situation, but dental implants are often considered the gold standard. Implants mimic the structure of natural teeth, helping to preserve jawbone health and restore full function and appearance. Other options like implant-supported dentures and traditional dentures can also offer great results, especially when customized to your needs. At Advanced Dentistry, we work closely with you to choose the right solution based on your goals, budget, and health.

Why you should choose a prosthodontist to help repair your smile

Prosthodontists are specialists trained to handle the most complex cases of dental restoration. They receive three additional years of training beyond dental school, focusing on the art and science of rebuilding smiles. Whether you're missing one tooth or need a full-mouth rehabilitation, a prosthodontist has the expertise to create solutions that look natural, feel comfortable, and stand the test of time.

How to address missing teeth when you feel like you can't

We know that replacing missing teeth can feel overwhelming. Maybe it’s the cost, the fear of surgery, the timing, or just not knowing where to start. Whatever’s holding you back, you’re not alone — and there are ways forward.

If cost is a concern, you're not without options. Some patients start with temporary solutions, like a partial denture or a transitional appliance, until they’re ready to move forward with something more permanent. Others explore financing options, like monthly payment plans, to spread the cost out over time. 

Sometimes a phased treatment plan is the answer — taking smaller steps now to prevent bigger problems later. Every situation is different, and there's no "one right way" to move forward. The most important thing? You don't have to figure it out alone.

At Advanced Dentistry, we’re happy to talk through all the possibilities and help you prioritize care based on your timeline and budget. We’re here to listen, answer your questions, and help you map out a plan that feels doable — whenever you’re ready.

Start with a consultation for missing teeth at Advanced Dentistry in Portland

Taking the first step can feel like the hardest part. That’s why we make it easy. At your first visit, we’ll get to know you, understand your needs, and discuss the best options for restoring your smile.

Let's work together to rebuild your confidence and restore what’s missing. Schedule your visit today — we’re ready to help you move forward, at your pace and on your terms.