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Missing teeth facial collapse

Your May Experience Face Collapse Finally, if you have a lot of missing teeth for a long time, the total shape of the lower half of your face may change. The shrinking jawbones can make your face look shorter than it should be. A shrinking lower jawbone can also cause the bone to rotate forward The Progression of Facial Collapse When your teeth are missing, your body begins to resorb the bone that was used to support those teeth. Over the course of about 10-20 years the jawbone shrinks significantly. This condition is known as facial collapse The fact is that if all of your teeth are missing and not replaced, the lower one-third of your face can collapse, creating the effect that your chin is trying to touch your nose. For some folks this is a nightmare come to life So-called bite collapse can occur when only some of the back teeth, which support the height (vertical dimension) of the face, are missing. This can cause the front teeth to be squashed or pushed forward. They were not designed to support facial height or to chew food — only to hold and incise or tear it

Jaw Bone Deterioration Atlanta | Facial Collapse | Jaw

How Missing Teeth Affect Your Jawbone and Fac

  1. Answer: Loss of teeth and facial structure changes Hi With loss of number of teeth of the lower back teeth, the front teeth often begin to show attrition or shifting and in turn causing loss of back support (posterior bite collapse). This can certainly change facial structures as the jaws over close from loss of support
  2. In addition to the drifting and supra-eruption mentioned above is a possible facial/oral asymmetry or collapse that may result following loss of teeth
  3. Facial Collapse - Our face shape and size changes as we age and although facial collapse is usually more pronounced in someone who has lost most or all of their teeth, patients who have lost several teeth may begin to notice a caved in look to their face compared to others of their own age group who have more teeth
  4. After a tooth is lost, the surrounding gum area undergoes a remodeling process. This is called residual ridge resorption (RRR). The ridges that the teeth rest on slowly melt away basically removing a part of the structure which forms your jaw
  5. Shorter teeth mean a shorter face. The bite is collapsed, the lower jaw is squished into the upper jaw. The result is an aging look (again, picture grandpa). Second, teeth get pushed inward over..
  6. Missing teeth affect your ability to consume food and the shape of your face and your jawline. It can cause jawbone loss and facial collapse. Not only that, but it's emotionally hard and painful to have missing teeth. If you weren't aware of all this, read on to see how your missing teeth change your face for the worse

Bite Collapse, Jaw Collapse, and Facial Collapse are reversible without jaw surgery, braces, clear aligners, and especially without drilling down your healthy teeth. The invasive methods utilized today are outdated and destructive to the patient and now can, in most cases, be avoided entirely The American Dental Association has stated that when teeth are lost and not replaced facial collapse occurs leading to the face look older. The mouth also loses some of its shape straightening the lip line. The chin moves forward and upwards to look more pointed. Why Dental Bridges Are Recommended The photos to the right of this page show how facial collapse looks. When teeth are absent, it's a signal to the body that the jawbone is no longer needed in that space. Jawbone shrinkage occurs when a single tooth is missing, but it usually isn't noticeable in your face. When all of your teeth are missing, your entire jawbone begins to shrink Facial Collapse Many people don't realize that once all your teeth extracted, your jawbone senses that it isn't needed any more, and your body begins to dissolve away that bone in order to use the minerals elsewhere in your body. This jaw shrinkage is called Facial Collapse, and it takes about ten or twenty years to occur Facial Collapse Missing teeth are a signal to the body that the jawbone is no longer needed to support the teeth. When all of your teeth are missing, the body resorbs the jawbone and uses the minerals from it elsewhere. Edentulous bite (all the teeth are missing) results in facial collapse

Facial Collapse Collapsed Face Syndrome Treatments

  1. But facial collapse isn't normal. If all of your teeth are missing, your jawbone will progressively shrink, leave your facial muscles without proper support, and eventually cause facial collapse. Jawbone progressively resorbs when all of your teeth are missing. Images on this page courtesy o
  2. Preventing Facial Collapse Facial collapse can be prevented with dental implants. An implant has a root form that's surgically placed in your jawbone. The presence of the root form alerts the body that the jawbone is needed and it won't be resorbed
  3. Because your jawbone tissue relies on this constant stimulation from your teeth, missing teeth due to advanced periodontal disease can also affect your overall face shape. In fact, research has shown that patients can lose as much as 25% of jaw bone ridge width within the first year following tooth loss, and it can continue to lose as much as 4.

Replacing Missing Teeth: Setting the Ideal Foundation 12. dayanorthodontics.com As a result of missing back teeth the patient over closes the lower jaw and there is collapse of lip and facial balance. During orthodontics the bite collapse is reversed, so that facial and lip balance are restored. The missing teeth can now be replaced Changes in the Jaw Bones, Teeth and Face after Tooth Loss The loss of teeth create many problems from the dissolving away of bone structure, way and seeing the arch collapse). That one missing tooth can set you up for a domino effect of losing teeth for the rest of your life Tooth loss causes remodeling and shrinkage (resorption) of the supporting jawbone and eventually leads to atrophic facial bone and collapse of overlying muscle and skin. Although the patient is often not aware or informed of potential consequences, over time they will occur

Missing molars therefore affect the manner in which we chew everything. And failure to chew adequately can impact digestion, resulting in problems like acid reflux. This sort of nuisance is completely avoidable by replacing missing teeth. 5. Facial Aesthetics. Your teeth help support the shape and structure of your face Avoiding Facial Collapse. An endentulous bite (all teeth are missing) eventually leads to facial collapse. Facial collapse occurs gradually, over a period of fifteen to twenty years. But it doesn't have to occur. Dental implants can stop the progression of facial collapse or, if you have just started wearing dentures, prevent it all together Face collapse from missing teeth With collapsed bite and loss of vertical dimension, the distance from your chin to the tip of your nose decreases, making your face shorter and old looking . Extrusion and movement of your maxillary (upper) alveolar bone until the gum tissue from the upper jaw can touch the teeth or gum tissue of the other jaw.

Facial Aging after tooth loss - How to prevent i

Facial collapse is when the jaw bone begins to shrink after a tooth is lost. Chewing forces are transmitted down teeth into the bone. The chewing forces stimulate and preserve bone levels. When teeth are missing the bone is no longer need to support the teeth. Therefore, the bone will start to disappear. This disappearing jaw bone makes the jaw. The teeth in your other jaw may also shift into the space. This can affect your bite and place more stress and wear on your teeth and jaws. You may find it harder to clean teeth that have shifted, which can lead to tooth decay and gum disease. This is why it's important to replace missing teeth. Facial collapse The individual will appear much older than they are and their face will appear sunken in. The image shown on the right is a series of jawbone models that demonstrate the varying stages of facial collapse. All of the teeth are present in the top image. The next one down shows the teeth having been removed When all of your teeth are missing, your body receives a signal that the jawbone, which once supported the teeth, is no longer needed. As a result, the body resorbs the bone and uses the minerals elsewhere, causing the jawbone to shrink. Within ten years, the shrinkage becomes severe and the result is facial collapse Facial collapse occurs when you have been missing teeth for an extended period of time, usually around 10 to 20 years. Over time, your body begins to resorb the bone that once supported your teeth, and your jawbone shrinks significantly. Facial collapse can drastically alter both the appearance of your face and the overall function of your smile

Hidden Consequences of Losing Teeth - How Dental Implants

Jawbone loss can also lead to facial collapse, in which your mouth seems to fall back into your face, your chin becomes more pointed, and your facial muscles weaken. If you have one or more missing teeth and still have enough bone density, it may be recommended that you get dental implants. Implants not only replace teeth but also stimulate. Treatment of a Bite Collapse: a) If the cause of the bite collapse is attrition - Crowns can be placed on the back teeth to deal with the collapse. b) If the cause of the bite collapse is a lack of a proper number of back teeth i.e. number seven above, then partial dentures can restore the vertical dimension 1- Losing teeth, especially the back teeth that bear a lot of the force when you bite down. 2 - Grinding your teeth. As you grind, you wear away tooth structure and your teeth get shorter, which causes your whole face to get shorter! 3 - Getting cavities. Cavities also eat away tooth structure and can cause your bite to collapse Bite collapse (also known as loss of vertical dimension of occlusion) occurs in one of two situations. In the first, the patient grinds their teeth so aggressively, and reduces the biting surfaces so extensively that the upper and lower jaws rotate closer together than normal (Figure 2). It is important to note that there is significant. Replacing Missing Teeth. There are many options available to replace missing teeth. The most permanent treatments are dental implants and implant-supported dental bridges. A qualified oral surgeon can implant titanium screws into the jaw that act as artifical tooth roots, providing optimum long-term strength and stability for false teeth

Answer: Facial changes. multiple teeth extraction may change arch shape, but in case of one tooth extraction arch will remain unchanged. and thats why there is no any negative effect on facial profile. Helpful. 1 person found this helpful. Nirav Patel, MDS, PhD Facial changes can be seen at early stages by removing dentures or partials and looking in the mirror. Once bone loss is underway, you'll notice your mouth seems to collapse into the face, the chin becomes more pointed, and deep wrinkles form around the mouth. Eventually, jowls form from the detachment of facial muscles from the jaws

If you replace your missing teeth with dentures, you are compromising your facial structures. Dentures accelerate the bone resorption process as they put pressure on and compact the gums and underlying bone. As facial structures continue to collapse, the dentures must be relined (made thicker) to compensate for additional bone loss The dental agenesis in the studied children was not part of a syndrome and was an isolated finding. Our children with permanent teeth missing due to congenital agenesis or permanent teeth extraction had a smaller oral cavity, known to predispose to the collapse of the upper airway during sleep, and presented with OSA recognized at a later age Before and After Photos. Every patient featured on this website was treated by Dr. Sam Muslin and willingly agreed to have their photos and videos shown to help you decide, as previous patients helped them. Photos are untouched and unaltered. Treating Patients in Los Angeles, CA from All Over the United States and the World. Before-After Videos One reason that the face takes on a sunken look is due to loss of bone in the mouth. When the bone in the jaw is lost or when it shrinks, it creates a sunken look. Keeping that in mind, it is easy to understand how one or more missing teeth will also produce the same results. In health, the skin on your face rests over the teeth and gums Facial Collapse From Missing Teeth & Bone Loss; Tooth Extractions; Oral Pathology; Bone Grafting for Dental Implants; Platelet Rich Plasma; After Exposure of an Impacted Tooth; 3D Imaging; Anesthesia; Why You Should Replace Your Missing Teeth; Mini Implants; Wisdom Teeth Removal; Other Services; Pre-Op; Post O

Do Multiple Missing Teeth Cause Changes to Facial Structure

However, dental implants can cause complications, such as infections, gum recession, and nerve and tissue damage. A person should see their dental surgeon if they develop any worrying symptoms. If they are lost, the face tends to lose height and close down; this is called posterior bite collapse [Figure 2]. Unlike implants, teeth move; not only do changes occur to the remaining back teeth affecting their spacing and biting function, these changes also put pressure on the front teeth which tend to move or splay forward [Figure 3]

Though dental bridges are often indicated for patients with 2-3 missing teeth, a cantilever bridge is advisable only when one tooth is missing. If two or more teeth are missing, a longer cantilever bridge will likely collapse. But this doesn't mean that this type of dental bridge cannot be used to treat patients who have two teeth missing The loss of all of one's teeth can contribute significantly to psychological, social, and physical impairment. Even when missing teeth are replaced with well-constructed dentures, there may be limitations in speech, chewing ability, taste perception, and quality of life The information in the Guide to Complete Tooth Replacement provides a comprehensive explanation of the consequences of missing teeth, a comparison of dental implants and dentures, and a detailed description of implant procedures. but more importantly the bone resorption results in loss of jaw height and collapse of facial structures over.

Losing our teeth causes a collapse in facial support, makes eating more difficult, and gives us an older appearance. As periodontists working with your general dentist, we have numerous options for preserving your teeth or replacing missing teeth with the aid of implants Dental Implants - Dental implants are the best solution for missing teeth because they are the only solution that replaces the root. This helps preserve bone mass in the jaw, resulting in a stronger bite and preventing facial collapse. Dr. Sreeni's smile in a day technique allows patients to receive both their implants and their. Rejuvenating Dentures counteract the gradual facial collapse that occurs when a person has been missing teeth for a long time. Learn more > Sleep Medicine. Dr. Kwolek attained Diplomate status with the American Board of Dental Sleep Medicine in 2019! This honor acknowledges special proficiency in dental sleep medicine

Dental implants have transformed the lives of countless patients who were missing all of their teeth in the upper or lower jaw. In fact, dental implants were originally designed specifically to address the problems patients have wearing dentures, especially the problems associated with significant bone loss and facial structure collapse over time Dental implants can help keep your lips and smile young and attractive. When multiple teeth are missing, wrinkles can appear around the mouth, or the entire lower third of the face can gradually collapse due to bone loss. Dental implants can virtually eliminate these problems. Dental implants offer durability

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Knowledge of Consequences of Missing Teeth in Patients

If you are missing all your teeth, dental implants are far preferable to removable complete dentures. Removable dentures not only have poor chewing efficiency (less than 50% of normal chewing efficiency), but they will lead to gradual bone resorption ending up with facial collapse and the inability to reasonably fit any kind of a denture.; If you have one or two teeth missing, and the adjacent. Collapse of facial structure-As multiple back teeth are lost facial support of the cheeks is lost causing a sunken in look. Once again the result is premature aging. Bone loss- The bones of our upper and lower jaws have only one natural purpose; the support of our tooth roots Help maintain Facial Structure Integrity: Implants help keep facial structures intact because they prevent bone deterioration that normally happens with missing teeth. This is very important for people who have multiple missing teeth because their facial profile could collapse due to steady bone deterioration Jawbone loss can also lead to facial collapse, in which your mouth seems to fall back into your face, your chin becomes more pointed, and your facial muscles weaken. This will cause premature. Dental Implants can prevent facial sagging and premature aging. Facial sagging can be an unwanted effect of bone loss resulting from missing teeth. This is where the lower third of the face starts to collapse, gradually closing the distance between the tip of the nose and the chin

If missing teeth are replaced with dentures, facial structures are compromised. Dentures accelerate the bone resorption process as they put pressure on and compact the gums and underlying bone. As facial structures continue to collapse, the dentures must be relined (made thicker) to compensate for additional bone loss TMJ Disorders. Millions of Americans suffer from chronic facial and neck pain as well as recurring headaches. In some cases, this pain is due to Temporomandibular Disorder, or TMD. Your temporomandibular joints (TMJ) connect your lower jawbone to your skull. These joints get a lot of use throughout the day as you speak, chew, swallow, and yawn Impacted Canines Expand Collapse. You may have noticed one of your children's front teeth is missing or your dentist may have told you your child has impacted canines. Capital Center for Oral and Maxillofacial Surgery supports patients with both non-surgical and surgical treatment options. Read Mor

The Consequence of Missing Teeth - Your Smile Dental Car

2. Preserve Your Facial Structures. By preventing the bone resorption or thinning of the jaw that would normally occur with the loss of teeth, your facial structures remain intact. This is particularly important when all of your teeth are missing. The lower one-third of your face may collapse if a dental implant is not placed to preserve your bone The defect can be even worse when teeth are missing in the back of the mouth, as the deterioration of bone tissue can collapse the bite and make the mouth start to droop down. If a patient is unlucky enough to lose all of their teeth, they'll eventually notice wrinkled lips, sagging muscles, and a deformed facial profile Dental Implants - Dental implants are the best solution for replacing missing teeth because they are the only solution that replaces the tooth both above and below the gum line. This prevents bone loss in the jaw and eventual facial collapse. Same Day Crowns - In the past, when you needed a tooth restoration, you'd have to make a few trips.

With dental implants, wrinkles and facial structure collapse is eliminated and you can take up to 20 years off your appearance! Even when only one tooth is missing, long-term aesthetics are usually much better with an implant-supported replacement tooth than with a traditional tooth-supported bridge Replacing missing teeth will make your smile whole once more. Improved facial structure - Missing teeth can lead to bone loss in the area where the tooth roots once were. This bone loss allows for your facial structure to collapse and skin to sag. Replacing missing teeth will help keep your face youthful Jul 12, 2021 at 11:49 AM. The excruciating process of identifying the victims in the Florida condo collapse has become increasingly difficult as the search — now on its 19th day — yields. This facial changes can make you appear much older because of the loss of bone and teeth that support lips and checks. Extreme jawbone loss increases the risk of jaw fracture. Prevent Jawbone Loss. To prevent jawbone loss, you should replace missing tooth/teeth with dental implants immediately after tooth extraction

Teeth Extractions: The Alarming Way They Change Your Fac

When a tooth is missing, the jaw bone begins to deteriorate. The eventual result of this deterioration is a weakened bite and a phenomenon called facial collapse, which causes a prematurely aged appearance. Because implants replace the root of the tooth, they can prevent and even reverse bone loss For the right candidates, dental implants are the best replacement option for tooth loss. Since dental implants replace the missing tooth roots, they provide excellent stability and preserve the health of the jawbone and surrounding tissue. In the long-term, this prevents facial collapse, helps patients maintain a more youthful appearance, and reduces the need for replacement tooth adjustments.

How Fixing Your Teeth Can Fix Your Face - The New York Time

500-year-old skulls with facial modification unearthed in Gabon. A skull (a) and photogrammetry of a skull (b) showing how the individuals had their upper incisors removed. Men and women living in West Central Africa 500 years ago dramatically changed their looks by removing their front teeth, ancient skulls reveal Some 143 people have died in Germany after burst rivers and flash floods earlier this week caused homes to collapse and ripped up roads and power lines. While the race to find survivors continues, hundreds of people are still missing or unreachable, as floodwater continues to hamper rescue efforts and make some areas inaccessible There are many reasons a person could need to have multiple teeth extracted. Although the most common reasons are because of decay or breakage, some of the other reasons include new teeth being blocked from growing in properly, teeth that need to be removed in preparation for orthodontic treatment, gum disease affecting the teeth's bone structures and supporting tissues, cosmetic reasons and. Overloading of existing functional teeth leading to problems 10. Collapse of cheek into the spacecosmetic & functional problems - esp. increased incidence of cheekbiting loss of teeth leads to wrinkling of the face and over closure of the lips. For a permanent replacement of missing teeth (except in case of implants), 3 months.

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How Missing Teeth Affect Your Face Shape and Jawline

This jaw shrinkage is called Facial Collapse which is caused in a lifetime of 10 to 20 years sometimes much earlier. The most obvious effect of missing teeth is aesthetic which may in time take up more major form of disorders like inability to chew or speak properly Facial sagging makes you (this is just like taking a brick out of an arch way and seeing the arch collapse). That one missing tooth can set you up for a domino effect of losing teeth for the rest of your life. Gum disease due to the movement and misalignment of the teeth can cause more tooth loss and decay. HEADACHE FROM MISSING TEETH. She had her braces after 40 and had 4 teeth pulled, and according to her, not-so-supple over-40 skins and muscles would not be able to adjust to the extraction, and your face would just collapse, sink and sag. Is this common? This is the answer from a professional cosmetic dentist NO I am not saying that your face will change at all. Many people have a tooth missing without it impacting on how they look especially if it is a back tooth and the gap cannot be seen. Your face should stay the same as it is now. If you choose to fill the gap I just gave you some options The best way to avoid this problem is to replace missing teeth with dental implants or a bridge And a 2013 review published in the Journal of Oral and Facial Pain and Headache reported that 22.

Reverse Facial and Jaw Collapse, Younger Face, Lip Suppor

Missing teeth. Missing top teeth gives the sinus (which contains slight pressure) the opportunity to expand. Over time, the Sinus expands. The maxillary sinus expands into the edentulous area, subsequently causing bone atrophy. Continued pressure & forces cause stress. The expanding sinus destroys surrounding bone Luis Pettengill, Sophia Lopez Moreira's husband. Their three children are also missing, but have not been named. Lady Luna Villalba, who worked for the couple. Leon Oliwkowicz, a 79-year-old man. Case 24.4: Oral Reconstruction for Broken, Discolored, and Missing Teeth With a Poor Smile and Facial Collapse (Fig. 24.4) Good preventive care can prolong the clinical health of dental tooth structures. However, many older patients present with worn teeth, discoloration, drifted spacing, and bite collapse

Dental Bridges Can Close the Gaps Created by Missing Teeth

When multiple anterior teeth are missing, the bone resorption eventually leads to collapse of the lip, which affects the facial profile. Long-term scientific and clinical studies by the leaders in implant dentistry show that in most cases, esthetics in the front of the mouth can be greatly enhanced with bone grafting Jawbone loss is surprisingly common, and it can lead to serious issues including inability to enunciate, difficulties chewing, and the appearance of facial collapse. A jawbone graft can help, but if possible, you should always take steps to avoid this situation. To that end, it's important to understand the causes of jawbone deterioration A dental bridge is a fixed appliance that fills the space in your mouth where one or more teeth are missing. Usually, a dental bridge is anchored to your healthy teeth on either side of the gap in your mouth. The purpose of a dental bridge is to restore your bite and help you keep your face's natural shape Loss of vertical dimension results in facial collapse, wrinkles by the nasolabial fold, and appearance of compressed and thin lips, which makes one appear older. RELATED READING |All-On-4 treatment option: a case report. Dentures can be fabricated to correct a collapsed bite and increase vertical dimension in patients with missing teeth Advantages of Dental Bridges. Dental bridges can provide many benefits, including: 3 . Restoring a natural look to your mouth/smile. Restoring the ability to speak normally, as missing teeth can impede proper enunciation. Maintaining normal facial structure by preventing bone loss from the jaw at the site of the missing tooth/teeth

Teeth are held in place by bones of the upper and lower jaw. Bone can be lost due to gum disease, missing teeth or pathology like cyst or tumors in the jaw. The jaw bone is alive and remodels according to function. Just like a muscle, bone needs to be exercised through the motions of the teeth to maintain its shape. Chewing and biting stimulates the bone to maintain its bulk And Often the result is not only an enhanced smile, but also a more youthful appearance, since missing teeth cause the face to collapse, making you look older. Read More. Teeth Whitening . A Teeth Whitening. perhaps the most commonly recommended cosmetic dentistry procedure. Teeth are often stained from smoking, food, drink (coffee, tea or red. Every year, our doctors work closely with restorative dentists to replace hundreds of damaged and missing teeth with natural-looking, durable restorations, from single-tooth procedures to addressing the entire arch. We can also use implants to improve the fit and function of dentures. READ MORE » COLLAPSE Habits such as thumb sucking, lip or nail biting, clenching or grinding teeth can also contribute to the problems. Missing back teeth in an adult can create or exacerbate a 'deep bite' leading to collapse of the bite and lower face, giving a more aged appearance

Missing teeth can cause the face to collapse making you look older, so it is necessary for the replacement of missing teeth. If the space is left unfilled, this space can cause the surrounding teeth to drift out of position and can cause teeth and gums to become more susceptible to tooth decay and gum disease that can cause further tooth loss

What Happens If Missing Teeth are not Replaced with ImplantsReplacing Back Teeth | Dear Doctor - Dentistry & Oral Health

2.2. Tooth Loss: Risk Factor for Impaired Mastication. The number of teeth has been chosen as a key determinant of oral function and oral health status [25, 26].Several studies using different methodologies have demonstrated that an important indicator for masticatory efficiency is the number of functional tooth units [27, 28].According to a systematic review evaluating the relationship. Why Replace Missing Teeth. Are you missing teeth? If so, the teeth around the gap can begin to shift out of place, leading to misalignment issues. The jaw bone surrounding the area may also start to deteriorate, which can result in facial collapse or negatively impact your ability to speak and chew

Does Donald Trump Have Lumineers? | Steve Sirin, DDSSmile Makeover Pictures | Cosmetic DentistryHow Your Teeth Affect The Length and Shape of Your Face

Slows bone loss and prevents facial collapse; More affordable; Mini implant complications. Although MDIs are many times considered to be the second-best option to regular implants when it comes to replacing teeth, they still have their complications. These can include: Screw fracture during placemen Treatment Options For Full Arch Teeth Replacement: Most popular-Teeth-On-4 Fixed Hybrid: $27500High Performance-Plus Fixed Hybrid (all-on-6): $32500Complete fee packages include all consultations, diagnostics, X-rays, 3-dimensional computer-assisted planning, CAM /CAD surgical guides, necessary simple extractions, dental implants placement, transitional prosthesis, final restorations, and all. Dentures are removable appliances that can replace missing teeth and help restore your smile. If you've lost all of your natural teeth, whether from gum disease, tooth decay or injury, replacing missing teeth will benefit your appearance and your health You may have heard that having your wisdom teeth out can change the shape of your face or jawline. In over 20 years of removing wisdom teeth, we have never seen this happen. Reports of faces slimming or becoming more V-shaped have not been measured objectively or verified in any research dental health. Your teeth are designed to work together to help you chew, speak, and smile. When teeth are missing, it is difficult to do these things. Even the loss of a back tooth may cause your mouth to shift and your face to look older. Fortunately, missing teeth can be replaced