Life

Ask the Dentist: Losing teeth can be difficult to deal with emotionally as we age

Tooth loss or extraction in adults can lead to psychological as well as physical challenges, writes Lucy Stock, dentist at Gentle Dental Care in Belfast

Losing teeth can lead to a dip in self-esteem as the realisation of ageing sparks negative feelings
Losing teeth can lead to a dip in self-esteem as the realisation of ageing sparks negative feelings Losing teeth can lead to a dip in self-esteem as the realisation of ageing sparks negative feelings

TAKING a tooth out tends to be the last resort when dealing with a diseased tooth. However, because we expect to have 32 adult teeth we have strong underpinning beliefs of what is normal. So, when we come to a part in our life when this normal default changes our emotions can be challenged.

In one study published in the British Dental Journal, 45 per cent of people questioned stated that they had experienced difficulties in accepting the loss of their teeth. In comparison with people who had no difficulties in accepting the situation, these people were: more likely to feel less confident about themselves; more likely to feel inhibited in carrying out everyday activities; and less able to accept the inevitable change in facial shape which occurs following the loss of teeth. Additionally, they took longer to come to terms with their tooth loss.

Some people go as far as to express the feeling of losing a tooth as a type of bereavement and a period of sadness can ensue, though thankfully this is normally temporary.

When we meet people, we are continually evaluating what we see and drawing conclusions – whether they are correct or not is a different matter. When it comes to teeth, studies have shown that people with good teeth and no gaps are perceived as more able, intelligent, and socially competent than people with smile imperfections.

So not only is losing part of your body that is beneficial to everyday-life activities a physical hindrance, it can also lead to a dip in self-esteem. Practically people avoid eating out in public in case their tooth loss is detected. People can also view it as a taboo subject, keeping their tooth loss a secret from loved ones.

A beautiful smile symbolises youth, health, and happiness. Consequently, losing a tooth can lead to the loss of these symbols and the realisation of ageing. All the negative feelings are magnified if having a tooth out was unanticipated with no time to prepare for the event.

If you are going to have a tooth out it's often helpful to have a good discussion with your dentist about why the tooth needs to be removed and all the other potential treatment options so that things are clear and can help eliminate any doubts you may have.

If you have got emotionally stuck after having a tooth out then you may wish to try cognitive behavioural therapy to tackle any ruminating thoughts and alleviate any anxiety.