How Gum Disease Affects Facial Shape

February 4, 2026

Woman pointing to gums.

Most people think of gum disease as a problem that only affects the gums and teeth. However, advanced gum disease can actually change the structure of your face over time. Because your teeth and jawbone help support your facial shape, damage to these structures can lead to noticeable changes in appearance.

Understanding Gum Disease

Gum disease, also known as periodontal disease, is a bacterial infection that affects the tissues supporting your teeth. It typically begins as gingivitis, causing red, swollen, or bleeding gums. If left untreated, it can progress into periodontitis, where the infection spreads deeper into the bone.

According to the American Academy of Periodontology, advanced gum disease is a leading cause of tooth loss in adults. As the supporting bone deteriorates, the stability of your teeth becomes compromised.

Bone Loss and Facial Structure

Your jawbone plays a major role in maintaining your facial contours. When gum disease destroys bone tissue around the teeth, the jaw can begin to shrink or resorb over time.

Bone loss can lead to:

  • A sunken or hollow appearance in the cheeks.
  • Thinning of the lips.
  • Increased wrinkles around the mouth.
  • A collapsed or shortened lower face.

These changes may develop gradually, but they can significantly affect your overall facial shape and make you appear older than you are.

Tooth Loss and Facial Collapse

When gum disease leads to tooth loss, the impact on facial structure becomes even more noticeable. Teeth provide support for your lips and cheeks. Without that support, the soft tissues may sag inward.

Missing teeth can cause:

  • A drooping smile.
  • Changes in bite alignment.
  • Shifting of remaining teeth.
  • Further bone loss in the jaw.

The longer teeth remain missing without replacement, the more bone loss may occur.

Preventing Facial Changes

The good news is that early treatment can stop gum disease from progressing. Regular dental checkups, professional cleanings, and consistent at-home oral hygiene are essential for preventing bone loss.

If gum disease has already caused damage, treatments such as deep cleanings, periodontal therapy, or bone grafting may help preserve remaining structure. Replacing missing teeth with options like dental implants can also help maintain jawbone health and facial support.

Gum disease doesn’t just affect your oral health; it can alter your facial appearance as well. By addressing gum problems early and maintaining consistent dental care, you can protect both your smile and your natural facial contours for years to come.

About the Practice

Do you find blood in the sink when you brush? Are your gums swollen? If so, Langworthy Family Dentistry has the answer with gum disease treatment. We provide exceptional care focused on comfort and results and have sedation dentistry available as well for acutely anxious patients. Plus, we’ll file all claims to maximize reimbursement. Book online with us or call (919) 762-6887.