A Missing Tooth Is More Than a Gap in Your Smile Losing a tooth — whether from gum disease, injury, or extraction — can feel like a cosmetic concern. But what happens beneath the gumline after a tooth is lost tells a more complex story. At Metropolitan Periodontists in Minneapolis, our periodontists — Drs. Elias Kersten, Mark Wilson, and Tamir Shalev — regularly treat patients who waited on replacement and are now facing consequences that go well beyond appearance ...