As with most restorative cases, proper planning and execution are key in ensuring this type of case will not only last but also provide the patient with the outcome that they desire.
The following list will help create the ideal outcome for a Maryland bridge design:
- No matter what material is used, the pontic should be designed so there are no occlusal forces present, including any cross-over function, to ensure a long-lasting restoration.
- Restorations should be bonded to the interproximal of the abutment tooth.
- Careful case selection is imperative to ensuring a successful, long-lasting bridge since not all cases are indicated for this type of restoration.
- Careful preparation and proper design are key to a successful outcome.
- Proper cementation techniques are critical to ensure a proper bond.
There are some issues that are often associated with Maryland Bridges. The number one issue is debonding. Other issues include tooth discoloration and dental caries. These issues can be combated with proper case selection, treatment planning, material choice, and meticulous cementation steps.
The loss of a young person's anterior permanent teeth can have a big impact on their development. For patients, such as adolescents who experience dental trauma, a Maryland Bridge design is often the best option for a single missing tooth in the anterior region.
Because adolescents are still in the growth process, these bridges allow for a long-term temporary option that restores a patient both functionally as well as esthetically. One of the best benefits of this type of restoration is that the adjacent dentition can remain intact as the preparation design is extremely conservative.