Few things are more distressing for a person than losing their front teeth. While there are several ways to replace a missing front tooth, most are expensive and involve the grinding down of the teeth on either side of the missing one. Luckily, this can be treated with the Maryland Bonded Bridge.

How Does it Work?
The Maryland bonded bridge consists of one false tooth which has been bonded to a set of ‘wings’ on either side. The wings are used to bond the false tooth to the teeth on either side of the missing one to hold it in place.


This procedure usually involves two trips to the dentist to accomplish. On the first visit, the dentist will prepare the teeth on either side of the missing (or loose) tooth for bonding. This is done through the use of acid etching. Then the dentist will make a mold, or impression, of the area. The impression is then sent to a dental lab to create the bridge.


When the bridge is completed, the patient returns to the dentist, where the bridge is then fitted in, and the wings are bonded to the teeth on either side to hold the false tooth securely in place.


It is possible to replace two missing teeth by the use of a Maryland bonded bridge when the two missing teeth are side by side. It is not possible to replace more than two teeth using this method.

How Long Has it Been Used?
Originally developed by the University of Maryland School of Dentistry, this type of bridge has been in use for over 20 years. In the past, the Maryland Bonded Bridge had some drawbacks. Because the false tooth was attached to wings made of metal, eventually the metal would harm the teeth is was attached to. But advancements in dentistry have led to the wings being fashioned from resins that can be firmly fastened to the surrounding teeth but will not harm them. Metal wings also tended to discolor the teeth they were affixed to, and this led to teeth that did not match. Again, the use of resins has eliminated this problem as well.


Today, the Maryland Bonded Bridge now has many advantages. First is the price. This type of bridge is more inexpensive than other types. This can make a real difference in a patient’s ability to have the work done. Next, the procedure is much less invasive than other types of bridges. Because the replacement tooth is simply placed in the area of the lost tooth, there is no invasive procedure to the gum. Because the wings are bonded to the surrounding teeth, there is no need of grinding these teeth down to allow another type of bridge to be affixed to them. And, the bonding of the bridge to the surrounding teeth can actually strengthen those teeth, in case they were becoming loose due to gum disease.