Resin Maryland Bridges

What types of conservative dentistry do you practice?

Let's talk about Maryland Bridges as one option. 

When an implant is contraindicated or rejected by the patient, it can be a great aesthetic solution.  (Ideally for a single maxillary or 2 adjacent mandibular incisors.) Whereas cases involving deep class II or tight occlusion, bruxism, or poor posterior support provide a potentially limited prognosis. 

The prep for these cases is also conservative and minimal!

Reduction is limited to the lingual (at least 0.5 mm.) from adjacent teeth, with 2% divergent of parallel in the Interproximal walls adjacent to the edentulous area being restored. The preparation should cover as much of the lingual surface as possible, terminating 1mm from the incisal edge and 1mm from the tissue.

Once the appliance is complete, the resin retainer wings are prepped for adhesion in the laboratory. After try in and adjustments, clean the retainers, silinate and bond to acid etched enamel with bonding agents and resin based cement or auto cure resin of choice. Dual cure resins are recommended.


Conservative dentistry wins this one.  

From overdentures to resin bridges, it can never hurt to expand your range of motion to be sure your patients are covered!

Happy Bonding!


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