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A Maryland bridge (also known as a resin-bonded or adhesive bridge) is a conservative way to replace a missing tooth without crowning the neighbouring teeth.

When carefully selected, it can be an excellent solution — particularly at the front of the mouth.

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FAQ

FREQUENTLY ASKED QUESTIONS

What is the treatment?

A Maryland bridge replaces a missing tooth using a false tooth that is bonded to the back of one or two adjacent teeth using thin metal or ceramic “wings.”

Because little or no drilling is required on the supporting teeth, it is considered a minimally invasive option.

Who is it suitable for?

Maryland bridges work best when:

  • A single tooth is missing.
  • The neighbouring teeth are healthy and largely unrestored.
  • Bite forces are light.
  • The replacement is at the front of the mouth.
  • A conservative or transitional solution is preferred.

They are commonly used for missing upper front teeth in carefully selected cases.

What are the benefits of a Maryland bridge?

  • Very conservative.
  • Little or no drilling.
  • No surgery required.
  • Natural appearance.
  • Can be reversible.
  • Useful as a medium-term or transitional solution.

When is a Maryland bridge not suitable?

Maryland bridges may not be appropriate if:

  • Bite forces are heavy.
  • There is significant tooth wear.
  • The patient grinds or clenches.
  • The gap is in the back of the mouth.
  • Supporting teeth have large fillings.

In these situations, the risk of debonding is higher and alternative options may be more predictable.

What does treatment involve?

  • Assessment of tooth position and bite.
  • Evaluation of supporting teeth.
  • Digital scans (no traditional impressions).
  • Minimal surface preparation is required.
  • Laboratory fabrication of the bridge.
  • Careful bonding and bite adjustment.

The bonding stage is critical for long-term success.

How does a Maryland bridge compare to an implant?

In many cases, dental implants provide a more durable long-term solution. However, Maryland bridges may be preferred when:

  • Implants are being delayed.
  • The patient is young and still growing.
  • A conservative approach is required.
  • Surgery is not suitable or not desired.

The most appropriate option depends on long-term planning.

Limitations

Limitations to understand:

  • They rely on bonding rather than structural support.
  • Debonding can occur.
  • They may not be ideal for heavy bite situations.
  • They do not prevent bone loss at the missing tooth site.

For this reason, they are often used in selected cases or as a step before implant treatment.

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Planning and responsibility of care

Maryland bridges require careful case selection and bite assessment. Your dentist will explain whether this option is suitable and outline realistic expectations.

Patient takeaway

Maryland bridges can be an excellent, conservative solution when carefully selected. Success depends on correct planning, appropriate case selection, and good maintenance.

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