What Is a Maryland Bridge?
Maryland Bridge
One option for the replacement of missing teeth is a Maryland Bridge. There is some debate regarding who was responsible for the creation of the Maryland bridge. Some people believe that it was created by dentists at the University of Maryland named Dr. Gus Livaditis and Dr. Van Thompson. Another theory is that the bridge was created by a dentist named Dr. Stewart R Halbauer from Atlanta and the technique then gained popularity at the University of Maryland.
The concept of the Maryland bridge is a porcelain tooth which is securely attached to a metal base. The bridge contains a prosthetic tooth and two metal wings on either side. The metal wings have a rough surface which easily adhere to the natural teeth with a special bonding agent. The wings of the bridge are bonded to the back side of the teeth located on both sides of the missing tooth.
Benefits
There are numerous benefits of using the Maryland Bridge which are summarized below:
- Abutment teeth are not modified, and enamel is not removed
- Procedure does not require the use of anesthesia
- Procedure is conservative and non-invasive
- Highly successful procedure with a low risk for complications
Challenges
There are two challenges associated with the Maryland Bridge. One limitation is that the natural teeth are translucent. The bridge contains wings with metal backing. These wings are bonded to the back of the natural teeth which can make the teeth look slightly darker. After the placement of the bridge, the color of the teeth changes. As a result, the natural teeth differ in color from the other natural teeth in the mouth. In addition, the dental lab must take this darkening into account to ensure the prosthetic tooth matches the darker abutment teeth.
The other issue commonly associated with the Maryland Bridge is that the prosthetic tooth contains porcelain fused to metal. Based on the materials used, it lacks the translucency and appearance of the natural teeth. Prosthetic teeth which have the most natural appearance are created from all tooth-colored materials and do not contain metal.
Alternative Treatment Options
Below is a summary of other treatment options which can be used to replace missing teeth:
- New ceramics and zirconia: these materials are naturally tougher. They can be used for creating a Maryland Bridge which is more natural in its appearance
- Encore Bridge: all tooth-colored materials are used to create this ridge, resulting in a more attractive bridge which closely matches the natural teeth
- Ovate pontic technique: this technique is unique in that is gives the prosthetic tooth a more natural appearance as it fits snuggly next to the gums
While the Maryland Bridge has managed benefits as an excellent tooth-replacement option, there are also some challenges to consider. This bridge has been successfully used for over 20 years. Patients who practice good oral hygiene and properly care for their Maryland Bridge can expect it to last for many years. It can also be used as a temporary tooth-replacement solution, if needed.
Contact the office today to determine if you may be a good candidate for a Maryland Bridge. The team can discuss how the Maryland Bridge can effectively restore your smile.
