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Understanding Bone Loss

Jawbone Loss & Deterioration

When the jaw stops receiving stimulation from teeth, it begins to dissolve away, quietly changing your bite, your smile, and your face.

What Happens

Use it or lose it, literally

Jawbone is maintained by the pressure of chewing, transmitted through the roots of your teeth. When a tooth is lost, that stimulation stops. The body senses that the bone in that area is no longer needed and begins to resorb it, a process called bone resorption. The bone becomes thinner and shorter, and the gum tissue over it shrinks along with it.

Most of this loss happens in the first year after a tooth is removed, and it continues over time. When many or all teeth are missing, the change is dramatic: after about ten years of wearing a traditional denture, there is often little bone left to support it; the denture becomes loose, and the lower face begins to fold in on itself, creating a prematurely aged appearance.

Bone can also be destroyed directly by periodontal (gum) disease, infection, or trauma, even while the teeth are still present.

A periodontist evaluating a patient for signs of bone loss
Common Causes

Why jawbone deteriorates

Missing teeth

An empty space transmits no chewing force, so the bone beneath it shrinks back. This is the most common cause of jawbone loss.

Gum disease

Untreated periodontal disease destroys the bone that supports teeth. It's the leading cause of adult tooth loss, and the bone damage comes first.

Long-term denture wear

Traditional dentures rest on the gums, not in the bone, and actually accelerate resorption while providing none of the stimulation bone needs.

Extractions without grafting

A socket left to heal on its own loses width and height quickly, which is why we recommend socket preservation at the time of extraction.

Infection or trauma

Abscesses, failed root canals, fractures, and injuries can all destroy bone around a tooth before or after it's lost.

The visible result

Sunken cheeks, thinning lips, a shorter lower face, and deepening wrinkles around the mouth; bone loss changes more than your smile.

It's Not Permanent

Bone loss can be stopped and rebuilt

Stop the loss: replacing missing teeth with dental implants restores the stimulation that keeps bone alive. Implants are the only tooth-replacement option that prevents jawbone resorption.

Rebuild what's gone: regenerative procedures, bone grafting, ridge augmentation, and sinus lifts, restore lost width and height so implants can be placed even after years of deterioration.

Treat the cause: if gum disease is driving the loss, treatments like scaling & root planing and laser gum surgery stop the destruction and help the bone heal.

A patient receiving implant treatment to restore jawbone stimulation
Take the Next Step

Worried about bone loss?

Whether you lost a tooth last month or have worn dentures for decades, a consultation with 3D imaging will show exactly where you stand, and what can be rebuilt. Request an appointment at any of our five Connecticut offices. No referral needed.