Maryland Bridges

What is a Maryland Dental Bridge?

A Maryland dental bridge got its name from the University of Maryland. It’s a type of permanent dental bridge that can be put in the mouth to replace a missing tooth.

A Maryland bridge is a type of permanent dental restoration that can replace a missing tooth. The concept is similar to that of a typical dental bridge in that the dentist will attach the prosthetic tooth replacement to the teeth on either side of the gap to create a seamless smile.

However, there is one key difference to keep in mind: Maryland bridges are bonded differently.

How is a Maryland Bridge Held in Place? 

While a traditional dental bridge requires the dentist to shave down some of the enamel on the adjacent teeth, a Maryland dental bridge does not.

To place a typical dental bridge, your dentist needs to remove some healthy tooth enamel. This permanently affects the intact teeth to which it attaches.

A Maryland dental bridge has thin metal “wings” that attach to the back of your teeth. Your dentist will bond that metal framework from the false tooth to the supporting teeth with a composite resin. They will not remove any tooth enamel before placement.

While typical dental bridges are common, a Maryland bridge is not a tooth replacement option for everyone. They are only ideal for patients who have good oral hygiene and healthy neighboring teeth.

A dentist may only recommend a Maryland bridge for someone who meets these criteria and needs one or two missing front teeth replaced.

Pros and Cons of Maryland Bridges

Like all dental procedures, there are pros and cons to Maryland bridges. Here are some of the pros of getting a Maryland bridge:

• The procedure is non-invasive
• The procedure is generally low-risk
• The procedure can be done quickly with minimal preparation
• The procedure offers instant results
• Maryland dental bridges are cost-effective compared to other dental procedures
• Maryland dental bridges do not require the dentist to remove healthy tooth enamel
• Maryland dental bridges do not permanently alter healthy, adjacent teeth
• These dental bridges give you a seamless smile
• Maryland bridges are hygienic and allow you to brush easily
• They generally last a long time

The cons of Maryland dental bridges include the following:

• Maryland bridges may not be feasible for all teeth (such as molars in the back of the mouth)
• Maryland bridges may need to be rebonded every five to eight years
• The bonding on Maryland bridge wings may cause adjacent teeth to darken (teeth whitening may be an option to combat this)
• Bridges can cause tooth decay if they’re not cleaned properly
• The artificial tooth may not perfectly match your natural teeth
• You are only a good candidate with good oral hygiene and no tooth decay
• It is not recommended to get a Maryland bridge if you are missing more than two teeth

Maryland Bridge Procedure Steps

The implant procedure to place a Maryland bridge is simple. It is a generally quick and non-invasive procedure that shouldn’t require too many trips to the dentist’s office.

1. Your dentist will lightly etch the back of your adjacent teeth to help the bonding surface
2. Your dentist will apply a bonding resin to the back of each adjacent tooth
3. Your dentist will place the bridge’s metal wings to the bonding resin on the back of each tooth, fitting the new tooth in the gap
4. Your dentist will cure the resin to secure the dental bridge in place

Dental Bridge Recovery Tips 

Once you leave your appointment to have your dental bridge put in place, you should be able to eat, chew, and speak normally. There isn’t any downtime following a Maryland dental bridge placement, and you should not experience any pain. 

That said, you might notice mild sensitivity. You should stay away from hard and cold foods and liquids that can trigger your sensitivity.

Practicing proper oral hygiene by brushing your teeth, flossing, and rinsing with mouthwash will also help keep your mouth clean and healthy so your bridge can last longer.

Common Questions and Answers

Here are answers to some of the most commonly asked questions about Maryland dental bridges.