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The Domino Effect: 5 Things That Happen When You Don't Replace a Missing Tooth

December 10, 2025
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Posted By: Dr. John , D.D.S
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Losing a tooth may seem like a minor concern at first, especially if the space isn’t visible when you smile. However, even a single missing tooth can gradually influence your bite, jawbone and surrounding teeth in ways many people don’t expect. At Park Place Dental, we regularly speak with patients who are surprised by how interconnected oral structures are and how quickly changes can begin after tooth loss.

Below, we outline five potential changes that may occur when a tooth is missing and why early tooth replacement may help support long-term oral health. Our dentists in Barrie, ON, offer a range of tooth replacement options, including dental implants, bridges or dentures. 

1. Jawbone Atrophy

What Is Bone Resorption?

The jawbone is living tissue that responds to daily function. Chewing stimulates the bone through the tooth roots. When a tooth is lost, that area of the bone no longer receives the same level of stimulation. Over time, the body may naturally begin to resorb, or break down, this unused bone.

Why This Matters

Bone changes occur gradually but can begin relatively soon after tooth loss. Progressive bone resorption may:

  • Alter the stability of neighbouring teeth
  • Influence how future replacement options fit
  • Add complexity to treatments such as dental implants, which may require grafting depending on the individual
  • Impact support for facial muscles

Replacing a tooth earlier may help reduce the need for more involved procedures later on.

2. Teeth Shifting and Tilting

Teeth help support one another, similar to how books stay upright when lined together. When one tooth is missing, the natural spacing can change. Neighbouring teeth may slowly drift toward the gap, tilt or rotate.

Possible Consequences of Shifting Teeth

  • Bite misalignment (malocclusion)
  • New crowding or spacing
  • Greater difficulty cleaning certain areas
  • Changes in the appearance of the smile

Replacing the missing tooth may help maintain the natural position of surrounding teeth.

3. Bite Collapse and Uneven Wear

Every tooth plays a role in distributing pressure when chewing and speaking. When a tooth is missing, the surrounding teeth may experience increased force as they compensate.

Imbalanced Chewing

Individuals may unconsciously rely more on one side of the mouth, which can increase stress on certain teeth.

Cracked and Chipped Teeth

Excess pressure may contribute to:

  • Fine cracks
  • Chips
  • Enamel wear
  • Tooth sensitivity

In some cases, additional restorative care may become necessary. Replacing the tooth can help restore more even pressure distribution.

4. Changes in Facial Structure

Jawbone changes from tooth loss can also influence the appearance of the lower face. The jawbone provides support for the facial muscles and soft tissues around the mouth.

Potential Aesthetic Changes

  • A sunken appearance around the mouth
  • Deepening lines or folds
  • A shorter-looking lower facial height
  • Reduced lip support

These changes may occur gradually, even when the missing tooth is toward the back of the mouth. Replacing missing teeth can help maintain support for facial structures over time.

5. Increased Risk of Gum Disease and Decay

New Traps for Bacteria

Gaps created by missing teeth may collect food debris more easily. If neighbouring teeth shift, tight angles or new spaces may also form, making it harder to brush or floss effectively.

Higher Risk of Periodontal Concerns

As plaque accumulates, the gums may be more susceptible to inflammation. Over time, this may contribute to:

  • Gingivitis
  • Periodontal (gum) disease
  • Gum recession
  • Further loss of bone support around nearby teeth

Replacing missing teeth may help maintain a more balanced and cleanable oral environment.

Considering Tooth Replacement?

Dental Implants as One Replacement Option

A dental implant is one way to replace a missing tooth. Once placed and healed, the tooth implant in Barrie can support a crown. Because it sits within the bone, it may help preserve stimulation in the area.

Other tooth replacement options include:

Suitability, treatment time and expected outcomes vary for each individual. We will need to conduct a clinical assessment to determine which option is appropriate.

Protecting Your Smile by Acting Early

Missing teeth can affect the following:

  • Chewing
  • Alignment
  • Bone health
  • Oral hygiene

Replacing a tooth early may help prevent further changes and support long-term oral function.

Do You Need Dental Implants in Barrie, ON?

Our team at Park Place Dental is available to provide personalized information and care. We invite you to please get in touch with our practice to arrange a consultation or discuss options that may suit your needs.

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