What to Do if You Lose a Tooth as an Adult

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What to Do if You Lose a Tooth as an Adult

Having a tooth fall out as an adult can be an unexpected shock. Considering how your permanent teeth are meant to last you for the rest of your life, losing one is usually a sign of some sort of underlying issue. Whether it's a sudden loss because of a hit to the face or the result of gradual, untreated decay, you should be fully aware of the effects of losing an adult tooth. Every smile deserves proper care and attention, and the chance to stay healthy for life. Orthodontic appliances such as clear aligners can help ensure your smile's longevity even after the loss of an adult tooth.

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What Happens If You Lose an Adult Tooth?

Loosing an adult tooth is considered a dental emergency; you can't just wait for another to erupt like a baby tooth. The loss of a permanent tooth will cause the surrounding bone and gum tissue to start degrading rapidly. Your jawbone depends on stimulation from the roots of your teeth. When that stimulation is cut off because of tooth loss, a process called bone resorption starts. This typically leads to your face sagging, dental misalignment, and the remaining teeth shifting out of place.

More than just an aesthetic issue, losing permanent teeth drastically impacts your oral functionality, damaging your ability to chew and speak normally. Once there is a gap, your other teeth will start shifting towards it, which totally disrupts your bite alignment and makes basic oral hygiene far more difficult. This will eventually lead to your other healthy teeth decaying and loosening in their sockets.

Even if your tooth fell out but doesn't hurt, it's still a dental emergency. The pain isn't the only indicator of serious damage; there are plenty of adult tooth loss cases where the tooth nerve has already died as infection wreaks havoc under the surface.

Common Reasons Adults Lose Teeth

A man showing us his plaque-ridden mouth.
Excess plaque and cavities often lead to tooth loss

If you want to understand how to prevent adult tooth loss, it's essential to know what causes it in the first place. Here is a breakdown of some of the most common causes of permanent tooth loss:

Gum Disease (Periodontitis): One of the most commonly reported causes of adult tooth loss. Periodontitis happens when an excess of plaque and tartar develops into a serious infection that damages your gums and the bones that support your teeth. This usually leads to gum recession and loose, unstable teeth over time.

Tooth Decay: A decayed tooth falling out in adults is a huge red flag. It is a clear indicator of infection spreading deep into the integral structural parts of your tooth. Neglecting severe tooth decay almost always leads to extreme deterioration that forces the tooth to become loose and unstable.

Accidents or Trauma: Sport-related injuries, falls, or accidents, and biting down on excessively hard foods or objects can easily dislodge and knock out your teeth. Even a tooth that is loose but still attached in adults requires immediate care from an orthodontic professional to prevent it from detaching entirely.

Nutritional Deficiencies: Having low calcium intake or a lack of vitamin D and C can lead to adult tooth loss. These nutrients are absolutely essential for maintaining sturdy teeth and bones, as well as healthy connective tissue.

Stress and Bruxism: Chronic stress can lead to many complications that indirectly cause tooth loss. Constantly being stressed out can cause chronic clenching and grinding issues, also known as bruxism, which damages your enamel and the supporting bone over time, eventually leading to tooth loss.

Age and Bone Loss: A commonly asked question is, “At what age do adults start losing teeth?” Truthfully speaking, your permanent teeth should simply never fall out without external circumstances. Bone loss linked to age and bad oral hygiene habits can make your teeth far more vulnerable, but there are steps you can take to prevent eventual tooth loss.

What to Do Immediately if a Permanent Tooth Falls Out?

A man cradling a big tooth on a table
Careful handling can save a fallen tooth

If one of your permanent teeth has loosened and fallen out, there is not a second to waste. Prompt action can significantly increase the chances of saving the tooth. Here's what you can do in case of this specific dental emergency:

  • Pick it up by the crown, not the root: Touching your tooth's root can seriously damage essential tissues that are vital to your tooth's functionality.
  • Rinse gently: Use milk or a saline solution, steer clear of tap water, and whatever you do, do not scrub the tooth.
  • Reinsert the tooth if possible: You should tenderly and carefully place your tooth back in its socket and softly bite onto some gauze to keep it in place.
  • Keep it moist: If you cannot reinsert your tooth, you should store it in milk or inside your cheek to stop it from drying out completely.
  • Visit a dentist immediately: Once the tooth has fallen out, you have a rough window of 30 to 60 minutes where you can still save it. Act immediately and get yourself to a dentist.

Even if you experience no pain, you must treat the situation as a dental emergency. Permanent tooth loss can significantly impact the alignment of your other teeth and lead to you requiring expensive restorative procedures later on.

When a Tooth is Loose but Still Attached in Adults

A loose but still attached tooth in adults should be treated with extreme care. You must resist the urge to wiggle or pull it. Any force you exert will worsen the pre-existing damage. A dentist can usually stabilize a loose tooth by making use of a splint that bonds the shaky tooth to nearby stable ones, promoting healing. Early intervention is essential in cases like these; the longer a loose tooth is neglected, the likelier it is to fall out entirely.

Once your tooth has been stabilized, you’ll likely require some sort of orthodontic appliance to reposition the nearby teeth (if they have shifted) and to keep your bite properly aligned. Clear aligners are an excellent choice for this.

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What to Do If Your Crown or Filling Falls Out

On occasion, it isn't your tooth that fails but rather the method used to restore it. If your crown fell out, but it doesn't hurt, you mustn't ignore it. Pain-free does not mean damage-free; an exposed tooth is still extra susceptible to decay and infection. Gently rinse your crown. Do not chew on the affected side of your mouth, and immediately contact your dentist to schedule a reattachment. If an immediate dentist visit is not an option, medical-grade dental wax is a decent temporary fix until you can make it to an orthodontic professional.

At What Age Do Adults Start Losing Teeth?

People tend to have a fairly skewed perspective on adult tooth loss; it's not a natural part of aging at all. The reality is that adult tooth loss is almost always a result of improper oral maintenance and care. Thorough cleanings, regular dentist visits, and prompt action when complications arise can keep your permanent teeth healthy and fixed in place well into your senior years.

How to Prevent Future Tooth Loss

Losing permanent teeth does not have to be an inevitable scenario. If you act proactively, you can save your remaining teeth and halt progressive damage. Here is a breakdown of the best preventative measures you can take:

  • Brush twice a day: Make use of fluoride toothpaste to strengthen your enamel and brush in gentle circular motions twice a day.
  • Floss regularly: Regular flossing gets rid of excessive plaque buildup between your teeth, preventing escalating tooth decay.
  • Eat nutrient-rich foods: Foods that support your bone health, such as dairy, leafy greens, and salmon, are an excellent choice. These foods are rich in calcium and vitamin D.
  • Avoid smoking and alcohol: Steer clear of smoking and alcohol consumption, both of which drastically increase the speed of gum recession.
  • Manage your stress properly: Effective stress management can stave off chronic clenching and grinding issues.
  • Visit your dentist twice a year: 2 visits a year is the bare minimum, it allows your mouth to be properly examined by an orthodontic professional so you can catch issues early.

It's important to remember that neglecting tooth issues can cost you far more than a single tooth. Early treatment, proper maintenance, and good oral hygiene habits are the secret to perfect teeth.

Treatment Options after Losing a Tooth

After a tooth has fallen out, appearance cannot be your only concern; you should prioritize restoring function and stability. Here is a breakdown of some of the restorative treatments you can opt for after losing a tooth:

  • Dental Implants: Dental implants are a permanent solution that replaces your tooth's root and crown. These implants will bolster and preserve your bone health and restore natural functionality to your teeth.
  • Dental Bridges: Dental bridges are a cost-effective option that makes use of your other teeth. They turn your other teeth into anchors for a replacement.
  • Partial Dentures: Partial dentures are a flexible and easily removable replacement for cases where multiple missing teeth are the issue.
  • Clear Aligners: Adult tooth loss is a common cause of misaligned teeth . Clear aligners are essential when your other teeth have moved out of place after a tooth loss. They gently guide your remaining teeth into the proper positions while improving the balance of your bite and making room for further restorative treatment if needed.

Losing an Adult Tooth Does Not Have to Ruin Your Smile

The loss of adult teeth doesn't mean that your days of smiling brightly and confidently are over. With immediate action, proper care, and the use of appropriate orthodontic and restorative treatments, you can easily fix your oral health and boost your self-esteem after adult tooth loss. Orthodontic appliances such as clear aligners can halt further tooth shifting, fix misalignment, and boost aesthetics, especially after the loss of an adult tooth. Your smile is precious; take good care of it.

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FAQs

1. What happens if an adult loses a tooth?

Adult tooth loss can lead to bone loss, misalignment, and shifting of nearby teeth.

2. What do you do if a permanent tooth falls out?

Pick it up by the crown and rinse it with milk or a saline solution. Get yourself to a dentist within an hour.

3. What is the average age to lose an adult tooth?

Adults shouldn't be losing teeth at all; there is always an underlying cause.

4. How to care for a lost tooth?

Keep it moist and clean. Entirely avoid the root and get to a dentist ASAP.

5. What causes adult teeth to fall out?

Gum disease, decay, and injuries are common culprits. Nutritional deficiencies may also be a factor.

6. Is it normal to lose a tooth at 40?

No, if you're losing teeth at 40, it's a sign of an underlying health issue.

Citations:

Silva, M. F., Junior, Batista, M. J., & Da Luz Rosário De Sousa, M. (2019). Risk factors for tooth loss in adults: A population-based prospective cohort study. PLoS ONE, 14(7), e0219240. https://doi.org/10.1371/journal.pone.0219240

Gabiec, K., Bagińska, J., Łaguna, W., Rodakowska, E., Kamińska, I., Stachurska, Z., Dubatówka, M., Kondraciuk, M., & Kamiński, K. A. (2022). Factors Associated with Tooth Loss in General Population of Bialystok, Poland. International Journal of Environmental Research and Public Health, 19(4), 2369. https://doi.org/10.3390/ijerph19042369

AI and Plagiarism Report: https://app.originality.ai/share/rb4skp70t9heycqn

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  • Michael Lee

    Michael Lee

    Content Contributor

    A prolific nutrition writer, Michael Lee holds a master's from the University of California. His science-backed essays on diet and preventive healthcare...

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  • Authored by
  • Dr. Anas Athar

    Dr. Anas Athar

    Medical Reviewer

    Dr. Anas Athar is a highly sought-after orthodontist with nearly two decades of experience in dentistry. He is the only dual-trained Oral and Maxillofacial Radiologist...

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  • Michael Lee

    Michael Lee

    Content Contributor

    A prolific nutrition writer, Michael Lee holds a master's from the University of California. His science-backed essays on diet and preventive healthcare...

    Read More
  • Authored by
  • Dr. Anas Athar

    Dr. Anas Athar

    Medical Reviewer

    Dr. Anas Athar is a highly sought-after orthodontist with nearly two decades of experience in dentistry. He is the only dual-trained Oral and Maxillofacial Radiologist...

    Read More
  • Reviewed By