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Maryland
Bridge
Presented by :
D r. D e b a r g h y a B h a t t a c h a r y a
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Introduction
A Maryland bridge is a type of dental bridge used to replace missing teeth, typically in the
front of the mouth. It is a conservative alternative to traditional bridges and involves less
removal of tooth structure.
A Maryland bridge is often used when a quick, conservative, and cost-effective solution is
desired for a missing tooth, especially for younger patients or those seeking an interim
restoration.
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Advantages
•Minimally Invasive
•Cost-Effective
•Quick Procedure
•Preserves Tooth Structure: Good for Front Teeth
•Aesthetic Appeal
•Reversible.
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Limitation
•Limited Strength
•Bonding Durability
•Aesthetic Concerns with Metal
•No Involvement of Gum or Bone Stimulation
•Occlusion Issues:
•Potential for Tooth Decay Ideal for Large Gaps.
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HISTORY
A 25 year-old female patient reported to the Department of Prosthodontics and Crown & Bridge, Inderprastha
Dental College & Hospital.
C/O: Poor esthetics, speech difficulty, improper pronunciation and wanted replacement of missing teeth.
D/H: revealed extraction irt 31, 41 before 2-3 years.
Oral hygiene was compromised.
The patient did not have any systemic disease.
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Extra oral profile Pre- operative intra oral picture
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Figure 2: Tooth preparation Figure 3: Shade Selection
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Figure 4: Wax pattern fabrication
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Figure 5: Coping trial Figure 6: Final prosthesis
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Figure 9: Post operative intraoral photographs
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Discussion
• A Maryland bridge provides an optimal solution to address her primary concerns of poor aesthetics
and speech difficulties due to the missing lower central incisors.
• The minimal tooth preparation involved and the ability to match the bridge to the surrounding teeth
make this a conservative and aesthetically pleasing option. However, attention must be given to
improving her oral hygiene before and after the procedure to ensure the longevity of the restoration.
• Periodic follow-ups and oral care will be essential to avoid complications like debonding or decay in
the abutment teeth.
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