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Is a Maryland Bridge a Good Temporary Restoration?

Posted on December 23, 2020 by writeradmin.

My teen daughter has a genetically missing tooth. We’ve had orthodontics done. Our plan when she is old enough is to place a dental implant. In the meantime, we need a temporary replacement. Our dentist suggested a Maryland Bridge. He prepared the teeth and placed the Maryland Bridge. We decided on ceramic wings so they would blend more naturally with her teeth. But, two days later it fell out. Now they are talking about using metal wings. Will this be any better? Will the metal show through? Also, does it damage her teeth to put it on and off later when she gets her dental implant?

Flo

Dear Flo,

Maryland Bridge

Maryland Bridge

First, let me say that choosing a dental implant for your daughter’s permanent replacement is a great idea. It will give her a stable replacement for the remainder of her life. I am less enthusiastic about the “temporary” replacement they chose. My first issue is anything that requires preparation for a tooth or changes the structure of the tooth should not be considered a temporary replacement.

Tooth prepped for a Maryland BridgeHere are the problems your dentist is facing with the Maryland Bridge. The reason the one with ceramic wings fell out is because of inadequate preparation. If you look at the image on the left, you can see a grove in the tooth. In addition to the light preparation your dentist did, this groove would be necessary in order to keep the bridge more secure. That is a permanent structural change to her tooth.

As for whether the metal will be any better, it is actually a worse solution. Metal doesn’t bond to teeth as well as the ceramics. Plus, as you suspected, it will show through the color a bit. The bigger problem here is your dentist probably didn’t do adequate preparation. This is actually going to work in your favor because there hasn’t been too much damage done to her tooth yet.

My suggestion would be to forgo the Maryland Bridge and get a dental flipper. This should have been what they recommended to begin with. It’s much less expensive and will do no damage to your daughter’s tooth.

This blog is brought to you by East Cobb Dentist Dr. Cristi Cheek.

Filed Under: Dental Implants Tagged With: Maryland Bridge Dental Flipper, tooth replacement options

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Dr. Cheek has been honored by leading oral surgeons in the American Society of Implant and Reconstructive Dentistry as one of their restorative dental partners.

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After receiving a degree in genetics and biology, Dr. Chandler graduated in the top of her class at the Medical College of Georgia School of Dentistry.

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Dr. Brice worked every summer from age 9 until age 20 in his mother’s orthodontic practice. One of the things he loves about dentistry is the ability to help patients who have struggled with dental anxiety.

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Cheek Dental
  • Home
  • About Us
    • Meet the Team
      • Meet Dr. Cristi Cheek
      • Meet Dr. Kristina Chandler
      • Meet Dr. Houston Brice
      • Meet Our Staff
      • Dr. Cheek’s Published Articles
      • Community Involvement
    • Your First Visit
    • Contact Us
    • Office Tour
    • Reviews
    • Our Blog
  • Patient Resources
    • Patient Forms
    • Online Bill Pay
    • Book an Appointment
    • Financial Policies
    • Map to Our Office
  • Cosmetic Dentistry
    • Smile Makeovers
    • Porcelain Veneers
    • Teeth Whitening
    • Free Virtual Smile Consult
    • Zoom Whitening
    • Invisalign
    • Dental Bonding
    • Porcelain Onlays
    • Cosmetic Dentistry
  • Smile Gallery
  • Tooth Replacement
    • Dental Implants
    • Dentures
    • Implant Overdentures
  • Other Services
    • CEREC Same-Day Crowns
    • Pediatric Dentist
    • Emergency Dentist
    • TMJ Dentist
    • Mercury-Free Dentist
    • Sleep Apnea
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