What Is a Maryland Bridge?
A Maryland bridge is a dental restoration used to replace a missing front tooth on the top or bottom. Unlike traditional bridges, which require significant alteration of adjacent teeth, a Maryland bridge is a minimally invasive option. It consists of a prosthetic tooth made from resin or porcelain, supported by “wings” that attach to the backside of the adjacent teeth. These wings, made of metal, resin, or porcelain, are cemented onto the supporting teeth without requiring extensive reshaping.
Who Can Get a Maryland Bridge?
A Maryland bridge is ideal for patients who:
- Have a missing front tooth with healthy adjacent teeth.
- Prefer a conservative, non-invasive tooth replacement option.
- Are looking for a temporary long-term solution before transitioning to a dental implant.
- Have adequate space to accommodate the bridge without interference during normal biting and chewing functions.
- Are adolescents who have completed orthodontic treatment and need a temporary solution before dental implants can be placed?
What to Expect When Getting a Maryland Bridge
The process of getting a Maryland bridge involves the following steps:
- Consultation & Evaluation – Your dentist assesses your dental health and determines if a Maryland bridge is the best option.
- Minimal Tooth Preparation – Unlike traditional bridges, Maryland bridges do not require significant reshaping of adjacent teeth. A small notch may be created on the backside of the supporting teeth to ensure proper fit.
- Impressions & Fabrication – An impression of your teeth is taken to create a custom bridge that matches your natural teeth.
- Bonding & Cementation – The bridge is securely attached to the adjacent teeth using strong dental cement.
- Final Adjustments – Your dentist ensures the bridge is comfortable and does not interfere with your bite.
Advantages and Disadvantages of Maryland Bridges
Advantages:
- Minimally invasive – No significant reshaping of supporting teeth.
- Aesthetic appeal – Preserves the natural structure of adjacent teeth.
- Fixed solution – Unlike removable dentures, it remains in place.
- Cost-effective – More affordable than dental implants.
- Good temporary option – Provides a long-term temporary solution while planning for implants.
Disadvantages:
- Potential for dislodgement – The bridge may detach, especially if subjected to excessive biting forces.
- Limited durability – Best suited for areas with minimal biting pressure, as it may not withstand heavy chewing forces.
- Material limitations – Resin bridges may stain over time, while porcelain offers better long-term color stability.
How to Take Care of Your Maryland Bridge
To ensure longevity and prevent complications, follow these care tips:
- Maintain good oral hygiene – Brush and floss daily to prevent plaque buildup.
- Use a non-abrasive toothbrush – Helps prevent damage to the bridge material.
- Avoid hard or sticky foods – Biting into hard foods (e.g., apples, nuts) or sticky candies can loosen the bridge.
- Regular dental check-ups – Visit your dentist for routine cleanings and assessments.
- Floss under the bridge – Use a floss threader or water flosser to clean around the bridge and prevent gum disease.
Maryland Bridges vs. Other Tooth Replacement Option
| Feature | Maryland Bridge | Traditional Bridge | Dental Implant | Partial Denture |
|---|---|---|---|---|
| Tooth Preparation | Minimal | Requires reshaping | None | None |
| Permanence | Semi-permanent | Permanent | Permanent | Removable |
| Aesthetic Appeal | High | High | High | Moderate |
| Durability | Moderate | High | Very High | Low to Moderate |
| Cost | Lower | Higher | Highest | Lowest |
| Ideal for | Temporary solution | Long-term replacement | Long-term replacement | Temporary or budget-friendly option |
A Maryland bridge is an excellent choice for patients who need a conservative and cost-effective tooth replacement, particularly for front teeth. However, for those seeking a more durable and permanent solution, dental implants or traditional bridges may be better alternatives.
By understanding the benefits and limitations of Maryland bridges, you can make an informed decision about the best tooth replacement option for your needs. If you’re considering a Maryland bridge or other tooth replacement solutions, Advanced Dental Care offers personalized consultations to help you find the best fit for your smile. Contact us today to explore your options and restore your confidence with expert dental care.