What it is
A missing tooth is one that has come out, been removed, or never developed. A failing tooth is one that is badly cracked, decayed, loose, infected or worn so that it may not be able to keep doing its job. Only an exam by a licensed dentist can tell what is going on with a specific tooth.
Teeth do more than help you smile. They help with chewing, speaking and supporting the shape of your face. When one is lost or struggling, neighboring teeth and the bite can sometimes shift over time, which is one reason many people choose to talk with a dentist sooner rather than later.
There is no reason for shame here. Teeth can be lost or weakened for many reasons, including injury, gum problems, decay, medications, past care that was hard to get, or simply life getting busy. Dentists see all of this every day and are there to help, not to judge.
How it’s traditionally been approached
Dentists have traditionally described a handful of well-known ways to restore a tooth or replace a missing one. A crown is a cap that covers a damaged tooth. A bridge uses neighboring teeth or implants to support a replacement tooth that fills a gap.
A dental implant is a small post placed in the jaw that can hold a crown, bridge or denture. Dentures and partials are removable (or sometimes implant-supported) sets of replacement teeth. Dental implants are placed by dentists and specialists, such as oral and maxillofacial surgeons or periodontists, who have the right training and state licensure.
Each option has different tradeoffs in terms of time, maintenance, comfort, appearance and cost. Costs vary by practice, location and case. Which option fits a particular person is a decision made with a licensed dentist after an exam, not something a web page can decide.
How the right dentist may help
The right dentist may help by listening first. A typical first visit often includes talking about your concerns and health history, an oral exam, and possibly X-rays or other images. You can ask to go at your own pace, and you can say so if you feel nervous.
Helpful questions to bring include: What is going on with my teeth? What options do I have, including doing nothing for now? What are the pros and cons of each? How long might treatment take and what does care afterward involve? Would you refer me to a specialist, and why?
Ask for a written treatment plan and estimate so you can review it at home, compare, or get a second opinion. Also ask what payment or financing options the office offers. A good dentist will welcome your questions and will not pressure you.
The whole-person view
Your mouth is part of your whole body. Stress, sleep, nutrition, health conditions and mood can all affect your teeth and gums, and dental problems can in turn affect eating, confidence and how much you want to be around others. Taking care of one part often supports the others.
If dental fear or worry about how you look is weighing on you, support is available. Somatic Experiences offers body-based approaches that some people find helpful for tension and anxiety, and Therapists.plus can help you find talk therapy. Many dental offices also have gentle approaches for nervous patients, so it is fine to ask.
Somatic Experiences: nervous system regulation →Therapists.plus: anxiety panic and ocd →
Keep in mind
- Tuung is educational only and is not dental or medical advice. Only a licensed dentist can examine you, diagnose a problem and recommend care.
- Facial or neck swelling with fever, trouble breathing or swallowing, uncontrolled bleeding, or a serious face or jaw injury is a medical emergency. Call 911 or go to the nearest ER.
- A knocked-out adult tooth needs a dentist right away. Severe pain or signs of infection also call for prompt professional care.
- If you are in emotional distress or crisis, call or text 988 to reach the Suicide & Crisis Lifeline.
Dentists who often help
Get matched privatelyFrequently asked questions
What are the options for replacing a missing tooth?
Common options that dentists discuss include dental implants, bridges and partial or full dentures. Which one may suit you depends on your mouth, health, goals and budget. A licensed dentist can explain the choices after an exam.
Are dental implants better than bridges or dentures?
None is best for everyone, because each has different tradeoffs. Implants, bridges and dentures differ in how they are placed, cared for and paid for. Ask your dentist to walk you through the pros and cons for your situation.
When is a crown used on a failing tooth?
A crown is a cap that covers and protects a tooth that is weakened, cracked or heavily restored. Whether a crown makes sense depends on the condition of the tooth, which a dentist must evaluate. In some cases, other options may be discussed instead.
How much do implants, bridges, crowns or dentures cost?
Costs vary by practice, location and case, so it is not possible to give a fair number here. Ask your dentist for a written treatment plan and estimate, and ask about payment options and what your insurance may cover.
Who places dental implants?
Dental implants are placed by licensed dentists, and often by specialists such as oral and maxillofacial surgeons or periodontists. Prosthodontists often design and restore the replacement teeth. It is reasonable to ask any provider about their training and experience with implants.
What if I am nervous or embarrassed about my teeth?
You are in good company, and dentists are used to caring for people without judgment. Tell the office about your worries when you book, and ask about ways to make visits more comfortable. Sedation is only given by dentists permitted by their state board, and you can ask whether it is an option.
Educational resource. Tuung shares general information and connects people with independent dentists. It is not medical advice, diagnosis or treatment. Talk with a licensed professional about your health.