If you've had a tooth removed, it's usually in your best interest to have it replaced, usually with a bridge. If you don't, the tooth above it will start to extend out into the gap, and the neighboring teeth will start to drift into the gap as well. Teeth aren't exactly fixed in their locations. They drift according to the pressure around them, so your perfect smile may start to shift into something a little less perfect.
Most people get bridges done. This is where they file down the two neighboring teeth and put the replacement teeth across them, thus bridging the gap. It's cheaper than implants, but destructive to those two neighboring teeth.
Ideally, if you can afford it, dental implants are a great way to replace missing teeth. There are mutliple steps involved to get one "installed" in your mouth, so you want to make sure you have a dentist who knows what they're doing. There's a directory available to search for Dental Implant Dentists in your area, complete with descriptions of their areas of specialty. Do your homework, then get the procedure done before your teeth start drifting too far.
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