One trusted dental group. Four Southern California offices.

Español

Start with the symptom

Missing teeth

A gap is not only about how a smile looks. The teeth around it and the bone underneath both respond to it, and they keep responding for as long as it is there. Here is what that means, what can replace the tooth, and how the choice is actually made.

How urgent is it?

What needs a call today, and what can wait

Call today

These do not improve on their own, and waiting tends to make the treatment larger.

  • A tooth has just been knocked out. This is the rare dental problem where minutes matter: handle the tooth by the crown rather than the root, keep it moist, and call the nearest office straight away.
  • The socket where a tooth came out is bleeding heavily and will not settle with steady pressure.

Book an appointment

Not an emergency, but not something to sit on for months either.

  • A tooth was extracted recently and nobody has walked you through what replaces it. The weeks right after an extraction are when the site is easiest to plan around.
  • A denture, bridge, or partial has become loose, sore, or hard to chew on. A poor fit tends to get worse rather than settle.

Raise it at your next visit

Worth mentioning, worth planning, no need to rearrange your week.

  • A gap that has been there for months or years is not an emergency. It is not static either: the ridge under an empty socket gradually loses volume, and the teeth on either side drift toward the space. Both can change which replacements are still straightforward, which is the real argument for an unhurried exam rather than a rushed one.

If anything in the “Call today” list describes what is happening, phone the nearest office and say what you are experiencing — the front desk will tell you how soon you can be seen.

What it usually means

The common explanations

Teeth are rarely lost for one reason alone. The usual paths are these, and an exam with X-rays is what tells which one applies.

Decay that reached too far

Decay works inward. Caught early it is a filling; further in it becomes a crown or root canal; past a certain point there is not enough sound tooth left to rebuild, and the tooth comes out.

A crack below the gum

A tooth can look intact and still be split. When the crack runs beneath the gum line the tooth usually cannot be sealed or restored predictably, and extraction becomes the honest option.

Gum disease

Teeth are held by bone, and advanced gum disease destroys that bone. Teeth lost this way often loosen slowly over years, which is why the condition is easy to miss until several teeth are involved.

An injury

Sport, a fall, an elbow. Front teeth take most of these. A tooth knocked clean out is sometimes replantable if it reaches a dentist quickly; a tooth broken at the root generally is not.

A tooth that never arrived

Some adult teeth never form — upper lateral incisors and second premolars most commonly. The baby tooth may hold the space for decades before it finally gives out.

The realistic routes

How it is usually treated

There is no single right answer, and the honest comparison is between what each option asks of you and what it gives back. These are the routes our offices provide.

  • Dental Implants

    Replaces one tooth or several without touching the neighbors. Needs enough bone to anchor into and a healthy foundation, so gum disease is treated first. The longest timeline of the options, because bone has to heal around the post before the tooth goes on.

    Provided at all four offices.

  • Dental Bridges

    Spans the gap by anchoring to the teeth on either side. Faster than an implant and does not involve surgery — but the anchor teeth are reshaped to carry it, so it costs those teeth something even when they are healthy.

    Provided at Beachside, Marina and Rio Hondo.

  • Dentures

    Replaces many teeth or a whole arch, removable. The most accessible route to a full set of teeth, and the one that asks the most adjustment of you: it rests on gum and ridge, so it moves in a way fixed teeth do not.

    Provided at Beachside, Marina and Rio Hondo.

  • All-on-4 Dental Implants

    A full arch carried on a small number of implants rather than resting on the gums. Priced and planned as its own project, not as a multiple of single implants, and it is the option most dependent on what the scan shows.

    Provided at Beachside, Marina and Rio Hondo.

What it costs

What actually moves the number

We do not publish prices, because the number depends on what the exam and the scan find. These are the factors that move it, so you can read a quote and compare two of them fairly.

How many teeth, and where
Several missing teeth do not always mean several implants — two posts can carry a short bridge. Back teeth take heavier chewing load; front teeth carry higher cosmetic demands and more lab work.
What has to happen first
An extraction, a bone graft, a sinus lift, or gum treatment are separate procedures with their own healing time. This is the factor that varies most between two people with the same-looking gap.
What goes on top
Abutments can be stock or custom; crowns come in different materials and from different labs. A quote for a post alone and a quote for a finished tooth are not the same quote.
Imaging and planning
Three-dimensional imaging shows bone volume and where nerves and sinuses sit. It is a line item, and it is the part of the process that prevents the expensive surprises.
Visits and comfort
Consultation, imaging, any preparatory surgery, placement, healing checks, impressions, delivery. A temporary tooth during healing is its own item, and sedation is priced separately from the treatment.

Where to go

Offices that provide these treatments

Not every office provides every route above — each treatment says where it is available, and so does each office's own page. Every office answers its own phone.

Keep reading

Articles that go deeper

On this problem

Browse all patient resources — or read thefull article index.

Other problems

  • A broken or chipped tooth

    From a chipped edge to a tooth split below the gum — the first hours, the real urgency, and which repair fits which break.

  • Tooth pain

    Sensitivity, throbbing, pain on biting, swelling — what each pattern usually points to and how quickly it needs attention.

See all symptoms

Before you act on this

This is education, not a diagnosis

This page explains how missing teeth are generally handled. It is not a diagnosis and it cannot tell you which option your jaw can support — an exam with X-rays is what settles that, and it is also what tells you whether anything has to happen first.

Sources

  1. Implants — American Dental Association (MouthHealthy)
  2. Single Tooth Dental Implants — American Academy of Periodontology
  3. Full Mouth Dental Implants — American Academy of Periodontology
  4. Bridges — American Dental Association (MouthHealthy)
  5. Dentures — American Dental Association (MouthHealthy)
  6. Dentures, Partial — American Dental Association (MouthHealthy)
  7. Extractions — American Dental Association (MouthHealthy)

Get it looked at, then decide.

An exam turns a symptom into options you can actually compare. Request an appointment, or call the office closest to you.