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Tooth loss is a process in which one or more teeth come loose and fall out. Tooth loss is normal for deciduous teeth (baby teeth) , when they are replaced by a person's adult teeth . Otherwise, losing teeth is undesirable and is the result of injury or disease, such as dental avulsion , tooth decay , and gum disease .
The loss of the permanent dentition is a multi-factorial process resulting from the impact of dental caries, periodontal disease and social factors. People who have lost teeth are referred to as (either partially or completely) edentulous (edentate), however those who have not lost teeth are referred to as dentate.
Dental attrition is a type of tooth wear caused by tooth-to-tooth contact, [1] resulting in loss of tooth tissue, usually starting at the incisal or occlusal surfaces. Tooth wear is a physiological process and is commonly seen as a normal part of aging.
There has been a decline in both the prevalence and incidence of tooth loss within the last decades; [1] [2] people retain their natural dentition for longer. Nonetheless there is still a great demand for complete dentures as more than 10% of adults aged 50–64 are completely edentulous, with age, smoking status and socioeconomic status being significant risk factors. [2]
1: Total loss of attachment (clinical attachment loss, CAL) is the sum of 2: Gingival recession, and 3: Probing depth. Gingival recession, also known as gum recession and receding gums, is the exposure in the roots of the teeth caused by a loss of gum tissue and/or retraction of the gingival margin from the crown of the teeth. [1]
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Dental caries result when the demineralization rate is faster than the remineralization, producing net mineral loss, which occurs when there is an ecologic shift within the dental biofilm from a balanced population of microorganisms to a population that produces acids and can survive in an acid environment.
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