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Maryland Bridge

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Maryland bridge refers to a fixed prosthesis used for replacing missing teeth on a temporary basis until the permanent replacement is fixed. A fixed prosthesis is one that cannot be removed once it is fixed to the teeth. The special thing about this bridge is that it does not require any grinding of the neighboring teeth. The metal grippers on the side of the bridge are attached to the inner side of the neighboring teeth, thus functioning as anchors.
Here is a Maryland bridge with a metal framework and ceramic teeth on a plaster model. The metal grippers are placed such that they are not visible externally and remain undisturbed by chewing movements.
A Maryland bridge can be fitted immediately after extraction of the tooth. When the bridge is pushed gently into position, the patient may feel a gentle pressure on the neighboring teeth for a short while.
The metal grippers should not be disturbed by chewing movements; this should be checked before gluing.
The bridge is fixed by means of a special plastic material. The bridge should not interfere with the meeting of the teeth with one another.
The extraction gap will no longer be seen after successful treatment, and the wound can heal undisturbed without any esthetic compromise.
The Maryland bridge is not as stable as a permanent bridge; therefore, it is used as a high-end temporary solution. Maryland bridges may have a metal core, as seen in the video, or may be made entirely from ceramic, as shown here.
Alternatives to a Maryland bridge include a removable prosthesis, a permanaent fixed prosthesis, or even replacement teeth attached to an implant. The ideal solution depends on the remaining teeth, patient wishes, and indications/contraindications.
With an experienced dentist, the risks associated with the attachment of a Maryland bridge are negligible. Nevertheless, complications occasionally occur, at times necessitating further measures. With every additional measure, there is a possibility of complications that can even progress to becoming life-threatening. Complications specific to the attachment of a Maryland bridge are listed below:
Sensitive tooth necks
Damage to neighboring teeth because of overloading
Breaking of the Bridge

Maryland Bridge