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What causes a younger person (30-40 give or take) to lose teeth?

I see a lot if men with like 5 teeth that aren't old. Is it drug use?
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Redstar · 36-40, M
I'm going to have a have a tooth removed soon because when brushing my teeth I've been using too much force (yeah, that's a thing, apparently) and it pushed my gum up and now one of my top back teeth's bottom is exposed. Hurts when I eat certain things.