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 :
[1]. Ahmad M, Naim H, Adawi AM, Siddiq A, Mayidi
HM, Hakami YH. A conservative approach to
replace missing teeth in the aesthetic zone with
Maryland bridge – a case report. Dent Oral Craniofac
Res. 2017:3:1-3.
[2]. Howe DF, Denehy GE. Anterior fixed partial
dentures utilizing the acid-etch technique and a cast
metal framework. J Prosthet Dent 1977; 37: 28-31.
[3]. Burgess JO, McCartney JG: Anterior retainer design
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[4]. Saunders WP: Resin bonded bridgework: a review. J.
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bridges – a systematic review. Br. Dent. J. 2017 Jun;
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[6]. Shilingburg HT, Hobo S (1997) Fundamentals of
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[7]. Jenkins CB (1985) The bond strength of new
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[8]. Chan AWK, Barnes IE: A prospective study of
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Aust. Dent. J. 2000 Mar; 45(1): 31–36.
[9]. Durey KA, Nixon PJ, Robinson S, et al.: Resin
bonded bridges: techniques for success. Br. Dent. J.
2011 Aug; 211(3): 113–118.
[10]. Goodacre CJ, Bernal G, Rungcharassaeng K, YK
Kan J. Clinical complications in fixed prosthodontics.
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[11]. Pjetursson B E, Tan W C, Tan K, Bragger U,
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[12]. Negi P, Jaikaria A. Rehabilitation of patient with
missing anterior tooth with Maryland bridge: A case
report. Int J Res Rev. 2020;7(6):1-3.
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.