Missing Teeth

One tooth or a full arch, fixed or removable. Here is what is usually going on, how each treatment fixes it, and how to choose between them.

treatments to weigh, from the smallest fix to the most durable
4
new patient exam and x-rays to find out which one fits
$99
patient comfort is the number one priority
Nothing in pain

What’s going on?

A missing tooth is rarely just a gap. The teeth on either side start to lean into the space, the tooth above or below it drifts, and the bone that held the root begins to shrink because nothing is loading it anymore. Chewing shifts to the other side, and a smile you used to give freely starts to close up.

How you replace it depends on three things: how many teeth are gone, how much bone is left to work with, and whether you want something fixed in place or something you take out at night. Those are the questions Dr. Bhoompalli works through at your consultation, starting with a 3D scan of your jaw.

Missing Teeth treatments at Johns Creek Family Dentistry

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Missing Teeth treatments at Johns Creek Family Dentistry

Replace the root, or bridge the gap

A dental implant is the only option that replaces the root as well as the tooth. A small titanium post goes into the jaw where the root used to be, the bone grows around it over a few months, and a custom crown is fitted on top. Because the post loads the bone the way a root does, the bone stays put instead of shrinking, and the neighboring teeth are never touched. Dr. Bhoompalli plans every implant from a 3D CBCT scan taken in this office, and the scan is free with your consultation.

A dental bridge takes the other approach. The teeth on each side of the gap are shaped to carry crowns, and the replacement tooth is fused between them, so the whole piece is cemented in as one. There is no surgery and no healing time, which is why bridges suit patients who cannot have implants or want the gap closed sooner. The trade is that the two anchor teeth give up some enamel to do the job.

When most or all of an arch is gone, the choice is between a set that rests on the gums and a set anchored to implants. Conventional dentures are removable and the lowest-cost way to chew and smile again. Implant-supported dentures snap onto or are fixed to a handful of implants, so they do not slip when you eat or talk. Dr. Bhoompalli recently delivered an All-on-X implant denture to a patient who had struggled for years to chew; she was in tears at having teeth that felt like her own.

Missing Teeth treatments at Johns Creek Family Dentistry

Time, cost, and what lasts

Implants ask for the most patience and pay it back in longevity. From placement to final crown usually takes a few months, most of it healing time you barely notice, and a well-kept implant can last decades. A single implant typically runs $1,500 to $3,000, more if bone has to be rebuilt first. Few insurance plans cover the implant itself in full, so we go over your benefits, financing, and the in-house membership plan before anything is placed. If you are weighing the two most common routes, implants versus dentures lays out the trade-offs plainly.

A bridge is faster, usually two visits a couple of weeks apart, and ranges from $1,500 to $5,000 per tooth replaced depending on the type and span. Most dental plans cover part of it. The honest caveat is that bridges do not stop the bone under the gap from shrinking, and the anchor teeth carry extra load, so a bridge typically has a shorter life than an implant. For one missing tooth, bridge or implant is the comparison worth reading before you decide.

Dentures cost the least up front, and new denture cases are currently $200 off. Implant-supported dentures range widely, roughly $3,000 to $30,000, depending on how many implants, whether the set is fixed or removable, and whether extractions or grafting come first. What the consultation settles is which of these your bone can support and which fits your budget and your patience. The scan shows the bone; the conversation covers the rest.

Bring the Concern.
Leave With a Plan.

Prefer to talk? Call 770-814-7600 during office hours.

Medically reviewed by Dr. Madhavi Bhoompalli, DDS, dentist and owner at Johns Creek Family Dentistry. Last reviewed September 2026. This page is for education and is not a substitute for an examination by a licensed dentist.