Module 4
Tooth Loss
What is edentulism?
Edentulism is the loss of teeth. It can be:
- Partial, when one or several teeth are missing.
- Total, when all teeth are missing.
It is a common issue: about 1 in 4 people over 60 experience total tooth loss. Losing teeth affects more than just your smile; it can also impact eating, speaking, and how you feel about yourself.
Why does it happen?
As we age, our teeth and gums can weaken. The most common causes include:
- Gum disease (periodontitis or pyorrhea), which can loosen teeth and eventually lead to tooth loss.
- Untreated cavities, which can progress and destroy the tooth.
- Dental trauma or fractures.
- Unhealthy habits, such as smoking, drinking alcohol, or high sugar intake.
- Lack of regular dental check-ups and insufficient oral hygiene.
What are the consequences?
Tooth loss can lead to changes that affect daily life:
In the mouth:
- Gradual bone loss in the area where the tooth was.
- Neighbouring teeth may shift, causing bite misalignment.
- Jaw pain or noises when opening or closing the mouth.
In daily life:
- Difficulty chewing properly and pronouncing certain words.
- Challenges eating hard or fibrous foods.
- Changes in facial appearance, such as sunken lips and cheeks.
- Lower self-esteem, insecurity, and a higher risk of social isolation
How can it be treated?
Today there are several prosthetic solutions to replace missing teeth:
Partial tooth loss
(one or more teeth missing):
- Tooth-supported prostheses: can be fixed or removable
- Implant-supported prostheses: dental implants replace missing teeth and provide a stable foundation for crowns or bridges
Total tooth loss
(all teeth missing):
- Traditional complete dentures
- Removable implant-supported dentures (overdentures).
- Fixed implant-supported prostheses: offer a more natural feel and greater stability.
Remember: even if you wear dentures, you still need to care for your mouth and visit the dentist regularly.
Practical tips for everyday life
Brush your teeth at least twice a day with fluoride toothpaste
Use dental floss or interdental brushes at least once a day.
If you wear removable dentures, clean them after each meal with a denture-specific brush and soap, and remove them at night to let your gums rest.
Maintain a varied and balanced diet, and limit sugar, tobacco, and alcohol.
Visit your dentist regularly to check your teeth, gums, and dentures.
When should you see a dentist?
Consult a professional if:
- A tooth feels loose or causes pain when chewing.
- Your dentures no longer fit properly or cause irritation.
- You notice bleeding, inflammation, or other changes in your gums.
- You experience jaw pain or noises.
- Tooth loss is making it difficult to eat or speak.
Remember
A healthy, well-cared-for mouth supports good nutrition, a more attractive smile, and — most importantly — a better quality of life.
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Bibliography
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