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Maryland Bridge

A missing anterior tooth poses a rehabilitative and aesthetic challenge. There are several ways to replace it:

1. Implant – Insertion of an implant at the vacant area and rehabilitation of the missing tooth by affixing a porcelain crown.
2. Bridge – Sharpening at least one tooth on either side of the vacant area, and then affixing a porcelain bridge.
3. Maryland bridge – Also called an adhesive bridge. This is essentially a crown with “wings” on either side, which enables affixing the crown to the adjacent teeth on their posterior side.

The frame of the Maryland bridge (the part supporting the crown + the “wings”) may be prepared from various materials. In the past, the frame could only be constructed out of metal. Today, it is possible to construct the frame from advanced materials such as zirconia or reinforced porcelain – EMAX.

Advantages of a Maryland bridge:

  • Relatively quick solution.
  • No preparation of the adjacent teeth is required, except for in certain circumstances in which minimal preparation of their posterior side is needed.
  • Eliminates the need for surgical procedures.

Disadvantages of a Maryland bridge:


The bridge is only supported by the posterior side of the adjacent teeth; therefore, correct planning, choosing suitable material for the frame and the manner the bridge is affixed are extremely important.

A Maryland bridge is a permanent solution, but in certain cases, it can also serve as a temporary aesthetic solution.
1. After an implant, when immediate rehabilitation is not an option.
2. For youth, when permanent rehabilitation is not an option.
3. Combined with orthodontics, as a space saver until a permanent rehabilitation can be inserted.
4. As an immediate solution for important events, like a wedding.

A Maryland bridge, used as an immediate temporary solution, is prepared at the clinic and not in a laboratory. The frame of the temporary bridge is made of reinforced fiberglass affixed to the teeth adjacent to the gap. After the fibers are affixed, the missing tooth is rehabilitated using composite restoration materials (“white filling”).

Example of a Maryland Bridge

Photo no. 1:
In this case, upper lateral incisors have been missing since birth.
mariland bridge

Photo no. 2:
The patient arrived at the clinic after attempting to solve the problem with an orthodontic treatment and implants. Despite many efforts which were invested, they were unable to achieve optimal results and it was impossible to insert implants due to the location of the roots.
mariland bridge

Photos no. 3 + 4 + 5:
The next option available was rehabilitation using a bridge, meaning sharpening the adjacent teeth. The patient rejected this option from the start, saying that she did not want to “sacrifice” healthy teeth. In this case, we chose to rehabilitate the missing area using a pair of Maryland bridges, constructing the frame using zirconia.


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