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Are Teeth Bones? The Truth About Tooth Anatomy and Bone Loss

Updated: Jul 8

Woman wearing gloves holds a phone with a dental X-ray covering her mouth. Background is blurred, mood is professional and curious.


“Wait - Are Teeth Bones?” Great Question.

A patient asked me this today while looking at his X-rays. Honestly, it's a fair question. I understand why people think the - teeth are hard, white, and they live inside your face. It makes sense, right?

But nope. Teeth are not bones. Let’s break it down.


Teeth vs. Bones: What's the Difference?

Both teeth and bones are calcium-rich, but they’re built differently, act differently, and (spoiler) heal differently.

Teeth

Bones

Made of enamel (96% hydroxyapatite)

Made of living tissue and collagen

Can’t regenerate

Can remodel and repair over time

No bone marrow

Contain bone marrow

Anchored in the jawbone

Is the jawbone

So while they hang out in the same neighborhood (your mouth), teeth and bones are fundamentally different.

 

Quick Tooth Anatomy Refresher

Let's delve into the details for a moment.

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Your teeth have layers:

  • Enamel - The outer shield. Made of 96% hydroxyapatite, 3% water, and 1% proteins like enamelin. It’s the hardest substance in your body, but it has no living cells, so it can’t regenerate.

  • Dentin - Softer, sensitive layer beneath enamel.

  • Pulp - The nerve center (blood vessels + nerves).

  • Cementum - Covers the root and connects to the periodontal ligament.

The tooth sits in the alveolar bone. That’s the bone we’re trying to protect.


So What Is Bone Loss, Then?

When we say “bone loss,” we’re not talking about your teeth crumbling. We’re talking about the jawbone, specifically the alveolar bone that holds your teeth in place.


Think of it like a foundation. If the structure beneath your house starts breaking down, everything above it becomes unstable. Same idea here. Lose the bone, and your teeth lose their support.



Behind the Bite: What X-Rays Really Reveal

Today’s patient had X-rays from 2022 and 2025 side by side.

The difference? Visible bone loss.

Now, this patient's doing what he can, but let’s be honest: Flossing is nearly impossible when your lower front teeth are packed tighter than a Costco parking lot.


We talked about how aligning those teeth could help. Not just for looks, but for functionality, easier plaque control, and long-term gum support.

But here’s the kicker:

Why is he building up tartar so fast in the first place?

 Did you know? Bone loss in the jaw usually doesn’t hurt until it’s advanced. That’s why your X-rays matter more than you think.


Nearly 47% of U.S. adults over 30 have some form of periodontal disease. And many don’t even know it’s tied to systemic inflammation. (Source)


When bone loss shows up that quickly, it’s a sign of something deeper. Internal stressors like inflammation, hormone imbalances, or sluggish detox pathways can silently chip away at your jaw’s structural integrity long before pain or bleeding ever show up.


Why You Might Be Losing Bone (Even If You Brush Like a Boss)

  • Crowded teeth → harder to clean → more plaque → more inflammation

  • Chronic inflammation → immune response → bone breakdown

  • Hormonal changes → less bone stability

  • Blood sugar imbalance → increased cytokines → slower bone repair

  • Poor detox (hey, liver!) → trapped toxins → tissue damage

So no, it’s not just about brushing and flossing. Your body might be whispering (or shouting), “I need deeper support.”



What You Can Do (Besides Flossing More)

  • Keep up with cleanings (especially if you have crowding)

  • Use those specialty tools your hygienist gave you (you know- the ones you promised to use but ghosted. Time to reunite.)

  • Ask to review your X-rays for bone changes

  • Eat anti-inflammatory foods

  • Stay hydrated to support detox

  • Look beyond your gums, consider liver, blood sugar, and hormones too


Real Talk & Final Bite

Teeth aren’t bones, but they do depend on bone.

When the jawbone starts breaking down, the foundation of your smile becomes unstable.

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So the next time you hear "bone loss," don’t just reach for floss, get curious. Your mouth might be the first place your whole-body health is showing up.



-Khristina Maureen

Your Functional Nutrition Ally

Wondering what your mouth might be saying about your body?

Choose your next step below:

 
 
 

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