A Maryland bridge, also known as a resin-bonded bridge or a Maryland bonded bridge, is a dental prosthesis used to replace one or more missing teeth. It is a minimally invasive and conservative treatment option that provides excellent aesthetic results. This type of bridge is a popular choice for patients who are looking for a less invasive and more cost-effective alternative to traditional dental bridges or dental implants.
A Maryland bridge consists of a metal framework with porcelain teeth attached to it. The metal framework has small wings on each side that are bonded to the back of the adjacent teeth using a special dental resin. These wings serve as anchors to hold the bridge in place, eliminating the need for extensive tooth preparation or the placement of crowns on the adjacent teeth.
The main advantage of a Maryland bridge is its conservative approach. Unlike traditional dental bridges, which require the adjacent teeth to be significantly reshaped and capped with crowns, a Maryland bridge only requires minimal preparation of the adjacent teeth. This means that the natural tooth structure is preserved, reducing the risk of sensitivity or damage to healthy teeth.
The procedure to place a Maryland bridge typically involves the following steps:
1. Initial Consultation:
During the first visit, your dentist will conduct a thorough examination of your teeth and gums, take X-rays, and determine if you are a suitable candidate for a Maryland bridge. They will evaluate the health of the adjacent teeth and assess the available space to ensure that a proper fit can be achieved.
2. Tooth Preparation:
If you are found to be a good candidate for a Maryland bridge, your dentist will prepare the adjacent teeth removing a small amount of enamel from the back surface. This is done to create space for the metal wings of the bridge to be bonded securely. Local anesthesia may be administered to ensure your comfort during the procedure.
3. Impression:
Once the teeth are prepared, your dentist will take an impression of the prepared teeth. This impression is then sent to the dental laboratory, where a custom-made Maryland bridge is fabricated to match the shape, size, and color of your natural teeth.
4. Temporary Bridge:
While your permanent bridge is being created, your dentist will place a temporary bridge to protect the prepared teeth and maintain your aesthetic appearance. This temporary bridge is made of temporary materials and is not as durable as the final restoration.
5. Delivery of the Bridge:
Once your final bridge is ready, your dentist will remove the temporary bridge and check the fit, shape, and color of the permanent bridge. Any necessary adjustments can be made at this point. If everything is satisfactory, the permanent bridge is bonded to the prepared teeth using a strong dental adhesive.
6. Post-Treatment Care:
Your dentist will provide you with aftercare instructions to ensure the longevity of your Maryland bridge. It is important to practice good oral hygiene brushing twice a day, flossing daily, and visiting your dentist regularly for check-ups and professional cleanings.
A Maryland bridge is a dental prosthesis used to replace missing teeth in a minimally invasive and conservative manner. It offers excellent aesthetic results while preserving the natural tooth structure. By bonding to the adjacent teeth using metal wings, it eliminates the need for extensive tooth preparation or the placement of crowns. If you are considering a dental bridge, consult with a qualified dentist to determine if a Maryland bridge is the right option for you.