Replacing Missing Teeth: Options, Care & Expert Insights

Dr. Prana Shakya is a distinguished specialist in maxillofacial prosthetics with more than a decade of clinical and research expertise. Holding a Master’s degree from Mahidol University, Thailand, she has dedicated her career to restoring both function and confidence through facial, oral, and implant prostheses. As an international speaker and educator, Dr. Shakya continues to inspire and contribute to advancements in her field.

Missing teeth are more common than many realize. They can result from large cavities, decay, trauma, birth defects like cleft lip and palate, or cracked and broken teeth. Beyond aesthetics, missing teeth affect chewing, speech, and confidence—but modern dentistry offers reliable solutions.

Prosthodontists are specialists in restoring or replacing missing teeth. Depending on your needs, treatments may include:

1. Dental Implants
A small titanium fixture is surgically placed into the jawbone, topped with a crown or bridge.

  • Pros: Look, feel, and function like natural teeth.
  • Cons: Longer procedure, higher cost.

2. Crowns & Bridges
Bridges use crowns placed on healthy teeth around a gap to hold a false tooth (pontic) in place.

  • Pros: Non-invasive; available in porcelain, ceramic, zirconia, or metal.
  • Cons: Not suitable if supporting teeth are weak or decayed.

3. Dentures
Removable appliances used to replace several teeth or a full arch.

  • Pros: Affordable and accessible.
  • Cons: Require more maintenance; less aesthetic than implants or bridges.

Restored teeth need consistent care to last. Prosthodontists usually provide a personalized plan, but key tips include:

  • Visit your dentist every 6 months for cleaning, adjustments, or repairs.
  • Brush twice daily with fluoride toothpaste.
  • Floss at least once daily and consider a water flosser.
  • Avoid smoking, chewing tobacco, and excessive sugar.
  • Skip hard foods like ice cubes and unpopped corn kernels.
  • Report any discomfort promptly.

Implants require extra attention:

  • Avoid teeth grinding and clenching.
  • Clean thoroughly between teeth with floss or water flossers.
  • Use antibacterial mouthwash if prescribed.
  • Stick to softer diets when advised.
  • Keep up with follow-up visits—even if everything feels fine.

Each replacement option—from implants to dentures—comes with its own pros and cons. The best choice depends on your oral health, lifestyle, and budget. What’s universal is the need for proper home care, dietary mindfulness, and regular dental visits to protect your new smile.