Maryland Bridges: A Conservative Approach to Aesthetic Tooth Replacement – A Case Report


Authors : Dr. Ananya R. M.; Dr. Srinidhi Bhat

Volume/Issue : Volume 9 - 2024, Issue 10 - October


Google Scholar : https://tinyurl.com/3jnvj9u8

Scribd : https://tinyurl.com/rcc9p6ch

DOI : https://doi.org/10.38124/ijisrt/IJISRT24OCT1715

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Restoring missing central incisors in the mandibular jaw is a challenging esthetic challenge in dentistry, especially for younger patients. Maryland bridges are a highly effective treatment option, restoring oral function and aesthetics, and resulting in high patient satisfaction. These bridges have advantages over conventional fixed dental prosthesis, such as minimal removal of the tooth structure, minimal pulpal trauma risk, and reduced time and cost. Provisional restorations are usually not required. Maryland bridges are cemented to the abutment tooth using electrolytic etching to retain the metal framework. The bond is strengthened after etching, and the development of resin cements has enhanced bridge retention. A missing anterior tooth poses an esthetic, functional, and rehabilitative problem, especially for younger patients. Resin bonded bridges are minimally invasive, offering advantages such as minimal removal of the tooth structure, minimal pulpal trauma risk, and reduced time and cost. This case report describes the fabrication technique for a single missing lower anterior tooth, focusing on conservative, economical, and esthetic treatment outcomes.

Keywords : Maryland Bridge, Minimally Invasive, Congenitally Missing Teeth, Resin – Bonded Fixed Partial Denture.

References :

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Restoring missing central incisors in the mandibular jaw is a challenging esthetic challenge in dentistry, especially for younger patients. Maryland bridges are a highly effective treatment option, restoring oral function and aesthetics, and resulting in high patient satisfaction. These bridges have advantages over conventional fixed dental prosthesis, such as minimal removal of the tooth structure, minimal pulpal trauma risk, and reduced time and cost. Provisional restorations are usually not required. Maryland bridges are cemented to the abutment tooth using electrolytic etching to retain the metal framework. The bond is strengthened after etching, and the development of resin cements has enhanced bridge retention. A missing anterior tooth poses an esthetic, functional, and rehabilitative problem, especially for younger patients. Resin bonded bridges are minimally invasive, offering advantages such as minimal removal of the tooth structure, minimal pulpal trauma risk, and reduced time and cost. This case report describes the fabrication technique for a single missing lower anterior tooth, focusing on conservative, economical, and esthetic treatment outcomes.

Keywords : Maryland Bridge, Minimally Invasive, Congenitally Missing Teeth, Resin – Bonded Fixed Partial Denture.

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