
How to Know If You Need a Dental Implant: Signs and Symptoms

Dr. Sahota
07 February 2025
A lot of people assume they can just live with a missing tooth or rely on temporary fixes. But over time, untreated tooth loss can lead to bigger problems like shifting teeth, bone loss, or even issues with your bite. The good news? Dental implants offer a permanent, natural-looking solution. But how do you know if they’re right for you?
We will go over the key signs that a dental implant might be the best option for you. Whether you're dealing with pain, loose dental work, or difficulty eating, understanding these symptoms can help you make the right decision before things get worse.
Signs That You May Need a Dental Implant
Dental implants are used to replace missing or damaged teeth. They are designed to work like natural teeth, helping with chewing, speaking, and jaw support. Many people don’t realize they need a dental implant until they start experiencing discomfort or problems with their bite. Below are the key signs that a dental implant may be the right solution.
Missing One or More Teeth
A missing tooth does more than leave a gap in your smile. It changes how your teeth function. Every tooth helps distribute the pressure when you bite or chew. When one or more teeth are missing, the remaining teeth take on extra force, which can cause them to shift over time.
The space left by a missing tooth also affects alignment. Teeth naturally move toward open spaces. Over time, the shifting causes misalignment, which can make it harder to clean between teeth. This increases the risk of plaque buildup, cavities, and gum disease.
Missing teeth also affect speech. Depending on their location, gaps can cause slurring, whistling, or difficulty pronouncing certain words. Implants restore the full structure of your mouth, allowing normal function.
Difficulty Chewing or Eating
Teeth work together to break down food properly. When one or more are missing, chewing becomes uneven. Some foods, like meats, nuts, and raw vegetables, become harder to eat. This can lead to digestive problems if food is not chewed thoroughly before swallowing.
People with missing teeth often chew on one side of the mouth to compensate. Over time, this places extra strain on the jaw muscles and joints. This imbalance can cause jaw pain, headaches, or discomfort when opening and closing the mouth.
A dental implant replaces the lost tooth, restoring full chewing function. It allows for even pressure across all teeth, reducing strain on the jaw and preventing long-term issues.
Persistent Tooth Pain or Damage
Tooth pain can be a sign that a tooth is beyond saving. Decay, infection, or trauma can damage a tooth’s root. If the nerve inside the tooth is affected, it can cause pain when chewing, drinking hot or cold beverages, or even at rest.
In some cases, a cracked or fractured tooth can be treated with a crown or filling. However, if the damage extends below the gumline or weakens the tooth structure too much, removal may be necessary. A missing tooth left untreated can cause bone loss in the jaw and affect neighboring teeth.
Dental implants serve as a long-term replacement when a tooth cannot be repaired. They function like natural teeth and prevent future dental problems.
Loose or Failing Dental Work
Crowns, bridges, and dentures wear down over time. Crowns may become loose, bridges may shift, and dentures may no longer fit properly. These issues often require repeated adjustments or replacements, which can be costly and inconvenient.
Loose dental work also affects comfort. Dentures that no longer fit securely can cause sore spots or difficulty speaking. Bridges that shift can trap food, leading to decay in the surrounding teeth.
Jawbone Loss or Changes in Facial Structure
When a tooth is missing, the jawbone beneath it begins to shrink. This happens because the bone no longer receives stimulation from chewing. Over time, bone loss can cause changes in facial structure, making the cheeks appear sunken or the jawline less defined.
Bone loss also affects the stability of nearby teeth. When the jawbone weakens, surrounding teeth lose support. This can lead to further tooth loss or misalignment.

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Contact usAlternatives to Dental Implants
Dental implants are a long-term solution for replacing missing teeth, but they are not the only option. Some patients may prefer or require other treatments based on cost, bone health, or personal preference. Below are the most common alternatives to dental implants and when they might be the right choice.
Bridges and Partial Dentures
Dental bridges and partial dentures are two common alternatives for replacing missing teeth. They restore function and appearance but work differently from implants.
A dental bridge fills the gap left by a missing tooth by attaching an artificial tooth to the natural teeth on either side. The supporting teeth, called abutments, are fitted with crowns that hold the bridge in place. This option is often used when there is a healthy tooth on each side of the missing one.
A partial denture is a removable device that replaces multiple missing teeth in the same arch. It is held in place with metal clasps or precision attachments that connect to the natural teeth. Partial dentures are often used when a patient has several missing teeth but is not a candidate for implants.
When is a Bridge a Better Choice Than an Implant?
- If adjacent teeth need crowns, a bridge restores function while improving those teeth.
- If significant bone loss prevents implant placement, a bridge may be the best option.
- If a patient wants to avoid surgery, a bridge provides a quicker, less invasive solution.
- When is an Implant a Better Choice Than a Bridge?
- If adjacent teeth are healthy, an implant preserves them, while a bridge requires reshaping.
- Implants last longer than bridges, which may need replacement over time.
- Implants prevent jawbone loss, while bridges do not stimulate the bone.
Full Dentures for Extensive Tooth Loss
When a patient has lost most or all of their teeth, full dentures or implant-supported dentures are the main options.
Traditional full dentures sit on the gums and are held in place by suction or denture adhesive. They provide a full set of replacement teeth and restore function for eating and speaking. However, they do not prevent jawbone loss, and over time, the fit may change as the bone structure shifts. This often requires adjustments or replacements.
Implant-supported dentures offer more stability than traditional dentures. Instead of resting on the gums, they are anchored to dental implants, providing a secure fit. This prevents slipping or movement while eating or speaking.
When Are Full Dentures a Better Choice?
- If a patient wants a non-surgical option, dentures offer a simple alternative.
- If cost is a concern, full dentures are more affordable than implants.
- If bone loss is severe and grafting isn’t an option, dentures restore function and appearance.
- When Are Implant-Supported Dentures a Better Choice?
- If a patient wants a more stable fit, implant-supported dentures don’t shift or need adhesives.
- If jawbone preservation is important, implants help maintain bone structure.
- If a patient prefers a long-term solution, implant-supported dentures require fewer adjustments.
Final thoughts
Tooth loss changes how you chew, speak, and maintain oral health. While there are multiple ways to replace missing teeth, not all options provide the same level of function or comfort. Some solutions offer a quick fix but may need frequent adjustments. Others involve more investment upfront but provide long-term benefits.
If you are unsure about dental implants or their alternatives, scheduling a consultation can help. A professional evaluation will give you a clear understanding of your options and what will work best for your specific needs.
Contact your dentist today in Oakland, Dr. Sahota, at One Dental Livermore, to learn more about dental implant: signs and symptoms.
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Disclaimer
*This media/content or any other on this website does not prescribe, recommend, or prevent any treatment or procedure. Therefore, we highly recommend that you get the advice of a qualified dentist or other medical practitioners regarding your specific dental condition. *