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The Consequences Of Tooth Loss

Uncover the real impact of tooth loss and explore lasting solutions. Learn about dental implants, bridges, and dentures, and how to maintain your smile for years. Discover more about the surprising facts in the full article.

The Consequences Of Tooth Loss

According to the American College of Prosthodontists, 120 million Americans are missing at least one tooth, and more than 36 million have lost all of their teeth. This problem is getting worse and this figure is expected to exceed an unbelievable 200 million in the next 15 years. 

In this article, we explore the real-life consequences of tooth loss, discuss dental implant options, and provide practical tips for maintaining oral health post-tooth loss. Join us as we navigate this health epidemic and learn how to avoid the negative impact that missing teeth can have on your life.

The Immediate Consequences of Tooth Loss

Tooth loss has several consequences that impact oral health, daily function and quality-of-life. Understanding these effects is essential for making informed decisions about tooth replacement.

  • Chewing Difficulties: Losing teeth can disrupt your ability to chew food correctly and can alter food selection. It has been reported that people who have lost their teeth have significantly lower intake of vegetables, fiber and carotenoids and higher intake of cholesterol and saturated fat compared to people with their teeth. This can contribute to nutritional deficiencies and increased risk of chronic disease (1). 
  • Speech Challenges: Teeth play a crucial role in clear speech. Tooth loss can affect your ability to articulate certain sounds and words, potentially leading to speech difficulties and reduced self-confidence (2).
  • Shifting Teeth: The neighboring teeth may gradually shift to fill the space left by the missing tooth. This movement can lead to misalignment issues, affecting your bite and overall dental health. In the picture below, tooth loss has caused shifting of the lower molars, forward and upward. 
The Immediate Consequences of Tooth Loss


In this case, dental implants were used to replace the back teeth to level and correct the bite. This allows for more comfortable and efficient chewing. See picture below. 

dental implants

Understanding these immediate consequences underscores the importance of addressing tooth loss promptly to maintain optimal oral health and overall well-being.

The Long-Term Consequences of Tooth Loss

Tooth loss has lasting effects that extend beyond the immediate oral health and functional issues. It’s crucial to be aware of these long-term consequences to make informed decisions about your dental care.

Bone Loss and Facial Structure Changes

Over time, the absence of teeth can result in significant bone loss in the jaw. This bone resorption can alter your facial structure, contributing to a sunken appearance. Such changes may affect your self-esteem and oral health. 

The Long-Term Consequences of Tooth Loss


Psychological and Social Effects

Long-term tooth loss can also have psychological and social repercussions. Many individuals experience a decrease in self-confidence due to the impact on their smile’s aesthetics. This can lead to social anxiety and a reluctance to engage in activities that were once enjoyed (3).

Understanding the long-term consequences of tooth loss underscores the necessity of seeking effective tooth replacement solutions that address not only immediate needs but also the broader impacts on your physical and emotional well-being.

Solutions for Tooth Loss

Solutions for Tooth Loss

When facing tooth loss, it’s essential to explore the available options that will restore your smile and oral function. Here, we will describe the solutions, including dental implants, bridges, and dentures.

Dental Implants

Dental implants represent a modern and highly effective solution for tooth loss. These small titanium posts are surgically inserted into the jawbone and the bone will integrate with the implant, providing a sturdy foundation for artificial teeth.

How Dental Implants Work: Dental implants function as artificial tooth roots, anchoring crowns or bridges securely in place. This stability and natural appearance make them a popular choice.

Advantages and Considerations: Dental implants offer several benefits, including durability, improved chewing ability, and a natural look. However, they require oral surgery and adequate bone support. It’s essential to consider these factors when choosing implants as a solution.


Alternative Options for Tooth Replacement 

These include bridges and dentures. While they have been reliable solutions for many years, it’s essential to consider their advantages and limitations.

Bridges: Dental bridges consist of artificial teeth anchored to adjacent natural teeth or dental implants. They provide a fixed and stable solution for missing teeth.

Dentures: Dentures are removable prosthetic devices used to replace missing teeth. They come in partial and complete denture versions, offering versatility in addressing tooth loss.

When exploring solutions for tooth loss, it’s crucial to consider your unique needs and consult a dental professional to determine the most suitable option. Each choice comes with its advantages and considerations, so informed decision-making is essential for restoring your smile and oral function.

Maintaining Oral Health After Tooth Loss

After addressing tooth loss with a suitable solution, it’s crucial to focus on maintaining your oral health to ensure the long-term success of your dental restoration. This section highlights the critical aspects of post-tooth loss oral care.

The Importance of Oral Care

Maintaining good oral hygiene is essential, particularly after tooth loss. To ensure the longevity of your dental restoration and overall oral health:

  • Regular Brushing and Flossing: Continue to brush your remaining natural teeth and clean around your dental restoration. This helps prevent decay and gum issues.
  • Mouthrinse: A fluoride containing mouthrinse can help reduce the risk of tooth decay to preserve the remaining teeth. 
  • Healthy Diet: Consume a balanced diet rich in vitamins and minerals, as this supports oral health and overall well-being.

Regular Dental Check-ups

Frequent dental check-ups are crucial for monitoring the condition of your dental restoration and overall oral health. During these appointments:

  • Evaluation: Your dentist will assess the condition of your dental implants, bridges, or dentures, as well as the health of your remaining natural teeth.
  • Professional Cleaning: Dental professionals will clean and maintain your dental restoration to prevent issues.
  • Early Detection: Regular check-ups enable early detection of potential problems, allowing for prompt intervention and minimizing complications.

Sustaining a proper oral care routine and scheduling regular dental check-ups are essential for preserving your oral health and the success of your dental restoration. By following these practices, you can enjoy the benefits of your tooth replacement solution for years.

References

  1. Hung H, et al. Tooth Loss and Dietary Intake. JADA 2003;134:1185-1192.
  2. Pound E. Esthetic Dentures and Their Phonetic Values. J Pros Dent 1951;1:98-111.
  3. Davis D, etal. The Emotional Effects of Tooth Loss: A Preliminary Quantitative Study. Brit Dent J 2000;188(9):503-506.

Summary

A confident and captivating smile can transform your appearance and boost your self-assurance. Understanding the implications of tooth loss, the available solutions, and the importance of post-treatment care empowers you to make informed decisions regarding your oral health and well-being.

If you’re contemplating the next steps in your dental journey, our dedicated prosthodontic team at Geach Dental is here to support you. With locations in Downtown Los Angeles and Laguna Niguel, Orange County, we offer advanced knowledge and specialized expertise to help you achieve the attractive and confident smile you deserve.

We’re committed to ensuring every patient receives the treatment they need in a comfortable environment. 

We take the extra step to ensure you have a comprehensive understanding of your treatment, its potential benefits, and any associated risks. 

We prioritize open communication and collaboration to ensure your comfort and satisfaction with the treatment plan.

To embark on the path to a radiant smile and enhanced dental wellness, simply contact us today at (213) 622-3339 or click here to schedule a consultation. Your journey to a healthier, more confident smile begins here, and your dental well-being remains our foremost priority.

ABOUT THE AUTHOR: Meet Dr. Adam Geach, distinguished prosthodontics specialist and owner of Geach Dental. His dental education includes Harvard School of Dental Medicine and the University of Connecticut, where he earned a D.M.D. and an M.D.Sc. in Prosthodontics, respectively. Dr. Geach holds Diplomate status with the American Board of Prosthodontics, underscoring his exceptional expertise in dental care. 

At his clinics in Los Angeles and Laguna Niguel, Dr. Geach offers a wide range of services, from cosmetic treatments to full-mouth reconstructions, all delivered with a focus on personalized patient care.Take the first step toward your ideal smile and improved oral health by clicking here.

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Meet Dr. Adam Geach, distinguished prosthodontics specialist and owner of  Geach Dental. 

His dental education includes Harvard School of Dental Medicine and the University of Connecticut, where he earned a D.M.D. and an M.D.Sc. in Prosthodontics, respectively. Dr. Geach holds Diplomate status with the American Board of Prosthodontics, underscoring his exceptional expertise in dental care. At his clinics in Los Angeles and Laguna Niguel, Dr. Geach offers a wide range of services, from cosmetic treatments to full-mouth reconstructions, all delivered with a focus on personalized patient care.Take the first step toward your ideal smile and improved oral health by clicking here.

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The white, opaque color of zirconia along with the good biocompatibility, favorable mechanical properties and low affinity for bacterial plaque, make it a good potential material for dental implants.  Are zirconia implants as successful as titanium implants?  Osseointegration is a major factor in the success of modern dental implants. Titanium remains the material of choice for obtaining and maintaining osseointegration. Early studies show that zirconia implants have similar 1 and 2 year survival rates when compared to titanium implants. More clinical long-term studies providing detailed information about implant failures, biological and technical complications, and prosthetic and esthetic outcomes are urgently needed (3). Potential implant abutment and crown complications Once a dental implant has integrated and healed with the jawbone, an implant abutment and crown are then made to complete the replacement of the tooth. The abutment and crown is held into the implant by a screw. 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Several key factors determine whether dentures feel comfortable or problematic. 1. Proper Fit Complete denture comfort begins with precise custom impressions and detailed shaping of the denture borders to match the movement of your lips, cheeks, and tongue. This technique is called border molding and helps prevent soreness, rubbing, and looseness. For partial dentures, proper planning and preparation of the supporting teeth ensures thinner appliances and more comfort for the tongue, cheeks and surrounding tissues. 2. Correct Bite Alignment (Occlusion) Occlusion refers to how your upper and lower teeth come together when you bite. If the bite is uneven, dentures can rock, rub the gums, and cause sore spots. A balanced bite greatly increases comfort and chewing ability. 3. Dental Implant Support For many patients, implants are the key to truly comfortable dentures. Implants: Lower dentures benefit the most from implant stabilization. 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Titanium alloys are superior to stainless steel and cobalt-chrome (Co-Cr) alloys with regard to biocompatibility and corrosion resistance.  Titanium plays a pivotal role for dental implants because the roughened surface of these implants attract bone cells to deposit bone and fill the space between the jawbone and the implant surface. This process is called osseointegration and is critical for implant stability. Titanium dental implants quickly form a layer of titanium dioxide on the surface and this layer forms a boundary between the metal surface and the body, preventing corrosion and deterioration of the material. This is the reason for the high biocompatibility.  Can titanium dental implants cause an allergic reaction?  Exposure to titanium from implants is common, but reports on clinical allergy are rare. Titanium dioxide on the surface of dental implants is more stable than pure titanium. It is possible that titanium ions could be released from the surface and sometimes into distant tissue. However, evidence for the possible toxic effects and risk of allergic reactions is weak (1). One study showed that titanium allergy can be detected in dental implant patients, even though its estimated prevalence is very low (0.6%) (2). It should be noted that no material, including any dental implant, can be considered universally biocompatible. As mentioned above, the Ti-6Al-4V alloy is the preferred choice for dental implants. Small amounts of other elements associated with titanium alloys can act as “impurities.” Titanium alloys can contain very small amounts of beryllium, cobalt, chromium, copper, iron, nickel and palladium. These impurities may be causative factors for different allergic reactions in patients with dental implants, but the likelihood is low.  It is therefore advisable to test for titanium allergy in patients with a history of multiple and/or severe allergies. These include allergy to jewelry, nickel and cobalt. Furthermore, patients with previous unexplained implant failure could be tested. In the rare situation that a patient is allergic to titanium, it is preferable to use alternative treatment options or to use an alternative dental implant material such as zirconia (3).  What are zirconia implants?  The idea of an alternative to titanium dental implants has been growing for years due to the questions regarding sensitivity to titanium that was discussed above. Another drawback of titanium is its grey color. When a titanium implant is placed in an area with very thin gingival tissue, there is a risk that a dark grey shadow may be visible.  Zirconium dioxide (zirconia) has been introduced as an alternative to titanium dioxide. Zirconia was first used for the fabrication of dental crowns and implant abutments. Currently, tetragonal zirconia poly-crystal is the ceramic of choice for dental implants. The white, opaque color of zirconia along with the good biocompatibility, favorable mechanical properties and low affinity for bacterial plaque, make it a good potential material for dental implants.  Are zirconia implants as successful as titanium implants?  Osseointegration is a major factor in the success of modern dental implants. Titanium remains the material of choice for obtaining and maintaining osseointegration. Early studies show that zirconia implants have similar 1 and 2 year survival rates when compared to titanium implants. More clinical long-term studies providing detailed information about implant failures, biological and technical complications, and prosthetic and esthetic outcomes are urgently needed (3). Potential implant abutment and crown complications Once a dental implant has integrated and healed with the jawbone, an implant abutment and crown are then made to complete the replacement of the tooth. The abutment and crown is held into the implant by a screw. These 3 components are shown in the picture below.   When titanium is used for the implant and abutment, this connection is incredibly strong and stable with very few mechanical complications from chewing. On the other hand, zirconia is a more brittle material compared to titanium. When zirconia is used for the implant and abutment, more mechanical complications (breakage of the abutment) have been reported, see picture below. This has been reported in studies and I have also experienced this in my practice. The challenge with zirconia is the strength and stability of the connection between the abutment and implant. So far, this connection is not as reliable as titanium. When implant abutments break, this expensive abutment and crown needs to be replaced and has the possibility of breaking again.   Conclusions References At Geach Dental in Downtown Los Angeles and Laguna Niguel, Orange County our team has extensive experience in dealing with dental implant issues. If you are

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If you’re missing teeth and considering dentures, one of the most common questions seniors and implant candidates ask is: “Will dentures actually feel comfortable?” The good news is—yes, modern dentures can be very comfortable when they are custom-made, properly fitted, and supported by today’s advanced dental technology. For patients in Los Angeles and Orange County, especially seniors looking to restore their smile, chewing ability, and confidence, today’s denture and implant options offer far more comfort and stability than ever before. In this guide, you’ll learn: Types of Dentures Available in Los Angeles and Orange County Choosing the right type of denture plays a major role in comfort, function, and confidence. Below are the most common options recommended for seniors and patients that are missing teeth.  1. Complete Dentures Complete dentures replace all teeth in the upper or lower jaw. These removable appliances rest on the gums and rely on suction and fit for stability. Best for: Patients missing all teeth who want a less expensive, removable option.Comfort level: Good with proper fit, but may feel less stable over time due to natural bone loss. Material: Acrylic                                                                                                                    Adhesive use: Sometimes required 2. Removable Partial Dentures Partial dentures replace several missing teeth and attach to the remaining natural teeth using clasps. Best for: Patients who still have some healthy natural teeth.Comfort level: Good when properly designed, though clasps may take time to get used to. Material: Metal framework with acrylic. 3. Implant-Retained Dentures These dentures look similar to traditional removable dentures but are less bulky and snap onto dental implants for stability. Best for: Patients who struggle with loose dentures.Comfort level: Excellent – dramatically more stable than traditional dentures.                    Material: Metal framework is hidden for strength and wrapped with acrylic.                                                            Adhesive use: Not needed As few as two implants in the lower jaw and four in the upper jaw can significantly improve comfort and chewing efficiency. 4. Implant-Supported Dentures (All-on-4 / All-on-X) This is the most advanced tooth replacement solution available. A full arch of fixed teeth is supported by four or more implants and does not come out. Best for: Patients who want permanent, natural-feeling teeth.Comfort level: Highest – closest feel to natural teeth.Material: Zirconia ceramic for strength and esthetics. For many implant candidates, this option delivers the most life-changing results. What Makes Dentures Comfortable? Several key factors determine whether dentures feel comfortable or problematic. 1. Proper Fit Complete denture comfort begins with precise custom impressions and detailed shaping of the denture borders to match the movement of your lips, cheeks, and tongue. This technique is called border molding and helps prevent soreness, rubbing, and looseness. For partial dentures, proper planning and preparation of the supporting teeth ensures thinner appliances and more comfort for the tongue, cheeks and surrounding tissues. 2. Correct Bite Alignment (Occlusion) Occlusion refers to how your upper and lower teeth come together when you bite. If the bite is uneven, dentures can rock, rub the gums, and cause sore spots. A balanced bite greatly increases comfort and chewing ability. 3. Dental Implant Support For many patients, implants are the key to truly comfortable dentures. Implants: Lower dentures benefit the most from implant stabilization. The Adjustment Period: What Patients Should Expect When transitioning from natural teeth to dentures, an adjustment phase is completely normal and usually lasts a few weeks to a couple of months. During this time, you may experience: Tips for a Smoother Transition After extractions, your gums and bone continue healing for several months. Once fully healed, a final hard reline is performed to improve long-term comfort and fit. Denture Care & Maintenance for Long-Term Comfort Daily care is essential for both comfort and oral health.  1. Rinse after meals to remove food particles.2. Brush daily using a soft denture brush with mild soap (no toothpaste).3. Clean your gums and tongue with a damp cloth.4. Soak dentures overnight in water or a denture cleanser. 5. Never use hot water, bleach, or abrasive cleaners. 6. Visit your dentist yearly for fit checks and relines. Over time, jawbone changes can loosen dentures. Regular professional care prevents discomfort and instability. Common Denture Problems & Solutions Sore spots and irritationCause: Pressure or rubbing  Solution: Denture adjustment or reline Loose denturesCause: Bone shrinkage over timeSolution: Reline, remake, or add dental implants Difficulty chewingCause: New dentures or uneven biteSolution: Bite adjustment and dietary adaptation or remake dentures Difficulty speakingCause: Tongue adapting to new surfacesSolution: Speech practice and possible adjustment GaggingCause: Overextended denture baseSolution: Precision adjustment, add dental implants Unnatural appearanceCause: Poor tooth or gum contouringSolution: Remake and custom esthetic design Sunken facial appearanceCause: Bone loss without teethSolution: New dentures, add dental implants Are Implant Dentures Worth It for Seniors in Los Angeles and Orange County? For many seniors, implant-supported dentures are absolutely worth it because they: For patients seeking the most natural look and feel, All-on-4 or All-on-X solutions provide a permanent, fixed alternative to removable dentures. Frequently Asked Questions How long does it take to get used to dentures?Most patients adjust within a few weeks to a couple of months. Can dentures be worn at night?It is recommended to remove dentures at night to allow gums to rest and recover from daily use.  Are implant dentures permanent?Implant-supported bridges are fixed, while implant-retained dentures are removable but extremely stable. Do dentures hurt?Properly fitted dentures should not cause ongoing pain. Temporary soreness during adjustment is normal and treatable. How much do dentures cost in Los Angeles

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Zirconia Implants vs. Titanium: Health Benefits and Differences Explained

Dental implants have been a major advancement in replacing missing teeth. When placed correctly, titanium implants have incredibly high success rates and are the standard for tooth replacement. Dental implants can be used to replace a single tooth or can be strategically placed to support multiple missing teeth or a whole arch of teeth. The great benefit of dental implants is that they eliminate a removable denture and provide the function and appearance of natural teeth.  Over the past couple years, patients have become concerned about the idea of having metal titanium implants placed in their body. Some patients are not comfortable with the idea of having a “foreign metal object” placed into their jawbone. I can understand their concern especially if they are unsure of the science, materials used and potential risks. So much information is available on the internet and it is difficult to find answers to these questions. Because of this, some patients are more comfortable with the idea of non-metal zirconia implants as an alternative. So, are zirconia dental implants healthier than titanium dental implants?  Composition of titanium dental implants Titanium (Ti) is a metallic element with the atomic number 22 and has a silvery color. It is the ninth most abundant element in the earth’s crust. The alloy Ti-6Al-4V (Titanium, 6-aluminum, 4-vanadium), which was originally used for aerospace applications, is currently the most frequently used material for medical and dental implantation. Titanium alloys are widely used for orthopedic implantation (joint replacements) because of their lightweight, high biocompatibility and favorable strength/density ratios. Titanium alloys are superior to stainless steel and cobalt-chrome (Co-Cr) alloys with regard to biocompatibility and corrosion resistance.  Titanium plays a pivotal role for dental implants because the roughened surface of these implants attract bone cells to deposit bone and fill the space between the jawbone and the implant surface. This process is called osseointegration and is critical for implant stability. Titanium dental implants quickly form a layer of titanium dioxide on the surface and this layer forms a boundary between the metal surface and the body, preventing corrosion and deterioration of the material. This is the reason for the high biocompatibility.  Can titanium dental implants cause an allergic reaction?  Exposure to titanium from implants is common, but reports on clinical allergy are rare. Titanium dioxide on the surface of dental implants is more stable than pure titanium. It is possible that titanium ions could be released from the surface and sometimes into distant tissue. However, evidence for the possible toxic effects and risk of allergic reactions is weak (1). One study showed that titanium allergy can be detected in dental implant patients, even though its estimated prevalence is very low (0.6%) (2). It should be noted that no material, including any dental implant, can be considered universally biocompatible. As mentioned above, the Ti-6Al-4V alloy is the preferred choice for dental implants. Small amounts of other elements associated with titanium alloys can act as “impurities.” Titanium alloys can contain very small amounts of beryllium, cobalt, chromium, copper, iron, nickel and palladium. These impurities may be causative factors for different allergic reactions in patients with dental implants, but the likelihood is low.  It is therefore advisable to test for titanium allergy in patients with a history of multiple and/or severe allergies. These include allergy to jewelry, nickel and cobalt. Furthermore, patients with previous unexplained implant failure could be tested. In the rare situation that a patient is allergic to titanium, it is preferable to use alternative treatment options or to use an alternative dental implant material such as zirconia (3).  What are zirconia implants?  The idea of an alternative to titanium dental implants has been growing for years due to the questions regarding sensitivity to titanium that was discussed above. Another drawback of titanium is its grey color. When a titanium implant is placed in an area with very thin gingival tissue, there is a risk that a dark grey shadow may be visible.  Zirconium dioxide (zirconia) has been introduced as an alternative to titanium dioxide. Zirconia was first used for the fabrication of dental crowns and implant abutments. Currently, tetragonal zirconia poly-crystal is the ceramic of choice for dental implants. The white, opaque color of zirconia along with the good biocompatibility, favorable mechanical properties and low affinity for bacterial plaque, make it a good potential material for dental implants.  Are zirconia implants as successful as titanium implants?  Osseointegration is a major factor in the success of modern dental implants. Titanium remains the material of choice for obtaining and maintaining osseointegration. Early studies show that zirconia implants have similar 1 and 2 year survival rates when compared to titanium implants. More clinical long-term studies providing detailed information about implant failures, biological and technical complications, and prosthetic and esthetic outcomes are urgently needed (3). Potential implant abutment and crown complications Once a dental implant has integrated and healed with the jawbone, an implant abutment and crown are then made to complete the replacement of the tooth. The abutment and crown is held into the implant by a screw. These 3 components are shown in the picture below.   When titanium is used for the implant and abutment, this connection is incredibly strong and stable with very few mechanical complications from chewing. On the other hand, zirconia is a more brittle material compared to titanium. When zirconia is used for the implant and abutment, more mechanical complications (breakage of the abutment) have been reported, see picture below. This has been reported in studies and I have also experienced this in my practice. The challenge with zirconia is the strength and stability of the connection between the abutment and implant. So far, this connection is not as reliable as titanium. When implant abutments break, this expensive abutment and crown needs to be replaced and has the possibility of breaking again.   Conclusions References At Geach Dental in Downtown Los Angeles and Laguna Niguel, Orange County our team has extensive experience in dealing with dental implant issues. If you are

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