To me, teeth represent two things: The ability to defend yourself (biting) and the (external) ability to acquire nourishment, ie. in the sense that chewing is the first act you perform when you bring food into your body.
Therefore, if I dream of my teeth falling out or succumbing to decay, these are the first areas of my life I look at: Am I worried about my ability to defend myself or about my continued ability to gain nourishment. In a transferred sense, this would mean f.ex. that I might have (sub)conscious worries about my job, health, how I appear to others etc.; Mind you though, it's not so much vanity as it is about the possibility of appearing weak (think alpha individuals who worry about loosing their status).
This would be my take on it anyway.
Cheers,
A
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