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As https://dungeonfantastic.blogspot.ca/2017/02/expanded-realistic-injury-in-pyramid.html identifies, this is a new disadvantage on page 32 of Pyramid 3/100.

It can be up to 2 levels and is cumulative with Weak Bite, allowing for a total of -4 points for -4 per die to bite damage.

Neither mention this alters the Control Points in GURPS Martial Arts: Technical Grappling but this would be a useful house rule.

Missing Teeth also appears appears in PU6p23 before Missing Toes. Unlike the pyramid version it does not reduce bite damage. Instead it has these effects:

  • no free grapple after bites
  • extra 30 minutes per day to chew food (lowers available 'study' time)