A Maryland bridge (also known as an adhesive bridge or adhesive bridge) is a fixed bridge that can be used to replace single missing teeth in the upper or lower jaw. The Maryland Bridge belongs to the group of fixed dentures and is glued to the lateral abutment teeth with a special fixation plastic. The Maryland Bridge itself consists of a metal or ceramic framework, which is attached to the abutment teeth with one or two wings at the back. In the field of vision (anterior or canine teeth), a Maryland Bridge can be veneered in a tooth-colored color, so that it is not obvious from the outside that it is a fixed denture and not the patient’s real teeth.
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Maryland Bridge costs
As a rule, the provision of a Maryland Bridge is not part of the statutory benefits of the statutory health insurance, so the costs for such care must be paid by the patient himself. The services are charged by the dentist according to the uniform fee scale for dentists (GOZ) as a private service. An exception is only the supply of a Maryland Bridge for children and adolescents dar. Here are the costs z. B. then taken if individual permanent teeth are not created in the jaw and the gap can be closed only by fixed dentures.
Maryland Bridge Requirements
A Maryland Bridge is particularly suitable as a tooth replacement for missing single teeth in the anterior region. In order for the wings to be securely and permanently attached to the abutment teeth, they must be free of caries and fillings and should have an intact enamel surface.
Unlike a dental bridge, the adjacent teeth are not ground. Instead, the tooth surface is roughened with a special acid. For this reason, less healthy tooth substance needs to be removed for a Maryland bridge, and irritation or damage to the tooth nerve due to the process of grinding can generally be avoided altogether.
In the treatment of children and adolescents who have not yet had the breakthrough of permanent canines, a Maryland Bridge is usually glued to a pillar tooth with only one wing. In older adolescents and adults, on the other hand, double-wing adhesive bridges are used, with which the abutment teeth are interlocked.
Pros and cons of a Maryland Bridge
Compared to a classic bridge, where the abutment teeth have to be sharply ground and thus lose much of their substance, the adhesive surface of an adhesive bridge only has to be roughened with minimum invasiveness. For a classic bridge, up to 60 percent of the tooth substance needs to be removed with the drill, and for a Maryland bridge, only the back of the abutment teeth needs to be ground and roughened – that’s a maximum of 10 percent of the tooth substance. In addition, the gum is significantly less strained by an adhesive bridge than with a classic bridge.
However, a Maryland Bridge has a comparatively lower durability: Since the bridge is only glued to the back of the abutment teeth, the wings can loosen over time. In most cases this is not a major problem because the dentist can then re-glue the bridge. However, this shortens the life of the Maryland Bridge, which usually lasts between five and ten years, before it needs to be renewed. The longest Maryland bridges in the anterior teeth in the lower jaw hold, thanks to new treatment methods, the lifetime is now comparable to that of conventional bridges.
Maryland Bridge treatment process
At the beginning there is always a thorough examination at the dentist. He checks that the abutment teeth are vital and sufficiently stable to act as a bridge pier for a Maryland Bridge. Subsequently, the surface of the abutment teeth is roughened with dilute acid, after which an impression or digital scan of the jaw is made. Den needs the dental laboratory to make the dentures individually for the patient. When the bridge to Maryland is completed in about 1 to 2 weeks, the dentist re-examines the fit and color of the tooth before inserting it, before the adhesive bridge is finally fitted and fixed to the abutment teeth with a special adhesive.
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