You have a missing front tooth and want to replace it without grinding down the healthy teeth on either side. A Maryland bridge could be the answer. Here is how it works and who it suits best.
A Maryland bridge is a type of fixed bridge used to replace a single missing tooth. Instead of crowning the neighbouring teeth, it uses a metal or porcelain wing that bonds to the back of the adjacent teeth.
How Does a Maryland Bridge Work?
The two teeth beside your missing tooth are called the abutment teeth. For a Maryland bridge, your dentist does not need to remove any enamel from these teeth — or only a very small amount.
A artificial tooth (pontic) is attached to a metal or reinforced porcelain framework. This framework has small wings that are bonded to the back surfaces of the neighbouring teeth using a strong dental adhesive.
The result is a fixed replacement that does not move. You cannot remove it yourself and it should feel stable when eating or speaking.
Why Choose a Maryland Bridge Over an Implant?
Dental implants require surgery and sufficient bone to place the titanium post. Not everyone has enough bone, and some patients have medical conditions that rule out implants.
A Maryland bridge is non-surgical and can be fitted in two appointments. It is also significantly less expensive than an implant.
It works best for front teeth where the biting forces are lower. Back teeth generate much more pressure when chewing, and a Maryland bridge may not be strong enough to handle those forces long-term.
What Are the Disadvantages?
The bonded wings can sometimes debond, meaning the bridge may need re-cementing. The metal framework can also show through if the adjacent teeth are thin, and some patients dislike the look of the metal.
Modern versions use tooth-coloured or translucent materials that look much more natural. But even with improvements, a Maryland bridge is generally considered a medium-term solution rather than a permanent one.
How Long Does a Maryland Bridge Last?
With good oral hygiene and regular dental visits, a Maryland bridge can last 5 to 10 years. The bonded wings may need replacing if they wear out, but the neighbouring teeth are not permanently damaged in the process.
If you want a conservative, non-surgical way to replace a missing front tooth, ask your dentist whether a Maryland bridge is suitable for you.
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Meads Village Dental Practice