Three adjacent teeth fell out

Doctor placed two implants at the distal ends, doctor will make a bridge of three crowns. Two distal crowns will take support from the implants and the middle crown is attached to neighbouring crowns so do not need implant support.

Leaving tooth #25 empty between two implants (#24 and #26) can work in some cases, but it depends on several factors. Here's a simple breakdown:
When Leaving #25 Empty Can Be OK:-If the implants on #24 and #26 are strong, they can often support a three-tooth bridge (two implants holding a crown that spans the gap where #25 is missing).-This option is common and avoids the need for an additional implant, saving time, cost, and avoiding more invasive procedures.
When Leaving #25 Empty May Be a Problem:-If the space is too large, it may affect your bite alignment or chewing efficiency over time.-If there’s a lot of bone loss in the #25 area, it could cause food traps or impact gum health.
Recommendation:If your dentist planned the implants with the idea of supporting a bridge, leaving #25 empty should be fine. However, if no bridge or replacement is planned, it’s better to ask your dentist about the long-term impact on your bite and jawbone health.
Key Point:Discuss with your dentist if a bridge or other solution will help maintain balance and function in your mouth. Every case is unique, so their recommendation will be based on your specific situation.
Dr. Miller Vieira Paula

I’m sorry to hear about the loss of your teeth. You've done an excellent job by addressing the issue with implants on teeth #24 and #26, as this helps restore function and maintain your jawbone health. To answer your question directly: leaving tooth #25 empty is not typically recommended for optimal function and aesthetics. Here's why:
Potential Issues with Leaving Tooth #25 Empty:
1. Aesthetic Concerns:• Depending on the visibility of your smile line, the gap at tooth #25 might be noticeable, which can affect your smile's appearance.
2. Functional Problems:• Gaps in your dental arch can disrupt proper biting and chewing forces, potentially placing additional stress on your implants or natural teeth.• Over time, the neighboring teeth or implants may shift toward the empty space, leading to misalignment.
3. Bone Resorption:• Without a replacement for tooth #25, the underlying jawbone may start to shrink due to lack of stimulation, potentially affecting the long-term stability of surrounding implants and the overall contour of your gums.
Recommendations:To ensure the best long-term results, you might consider one of these solutions:• Individual Implant for Tooth #25: This is the gold standard, offering the closest match to a natural tooth in terms of function, appearance, and bone preservation.• Implant-Supported Bridge: If the space and positioning allow, a bridge supported by implants #24 and #26 can replace tooth #25 without requiring an additional implant.
Next Steps:I recommend consulting your implant specialist or prosthodontist to evaluate the space and determine the best solution. A detailed examination with tools like a CBCT scan can provide crucial information about the bone structure and alignment, ensuring your treatment plan is tailored to your needs.
Warm regards,Dr. Miller Vieira Paula.