Hi. My name is Dr. Neela Patel, and one of the questions that I get asked a lot is, "Should I replace this missing tooth?" My answer is, "Yes." I would always recommend that we replace a missing tooth as soon as possible. The reasons that I recommend this are that the neighboring teeth will shift. Once the shifting begins, not just the side teeth, but actually the top tooth will shift down to try to meet its missing partners. Once these teeth shift, there can be bone loss around the shifting teeth, definitely a misaligned bite, and further extensive issues that will be more costly when you go to replace that missing tooth. That is why I recommend replacing the missing tooth as soon as possible.