Missing teeth aren’t just about aesthetics—they can silently sabotage your health, confidence, and even your income. Over 120 million Americans lack at least one tooth, and 36 million have no natural teeth left, according to the American Dental Association (ADA). While dentures remain a common fix, modern dental replacement solutions like implants and bridges offer longer-lasting, healthier results. But how do you know when it’s time to take the leap? Here are five surprising signs you might need dental replacement, and three of them will shock you.