Maryland bridge vs. Three crown bridge 
Author Message
 Maryland bridge vs. Three crown bridge

Hi there:

I am 30, and my dentist said I need to extract the right lateral
incisor (upper jaw), and fill it with a three porcelain crown. I am
very skeptical about this, because it would affect two very
important and healthy teeth (eye tooth and right incisor).

Is the Maryland Bridge not so long lasting as my dentist say,
so that it is out of the question? How long a three-crown bridge
last as compared to a Maryland bridge?

Implant seems to be too expensive for me since my insurance
will not pay anything. I will be paying about $700 for the
three-crown with an insurance.

Please, let me know your experience and suggestion about this matter.
Thank you very much.

Peter



Mon, 27 Sep 1999 03:00:00 GMT
 Maryland bridge vs. Three crown bridge

Quote:

> Hi there:

> I am 30, and my dentist said I need to extract the right lateral
> incisor (upper jaw), and fill it with a three porcelain crown. I am
> very skeptical about this, because it would affect two very
> important and healthy teeth (eye tooth and right incisor).

> Is the Maryland Bridge not so long lasting as my dentist say,
> so that it is out of the question? How long a three-crown bridge
> last as compared to a Maryland bridge?

> Implant seems to be too expensive for me since my insurance
> will not pay anything. I will be paying about $700 for the
> three-crown with an insurance.

> Please, let me know your experience and suggestion about this matter.
> Thank you very much.

> Peter

>>>>>>>>>>>>>>>>>>>>.....

Maryland Bridge's are not always possible depending on the occlusion
(your bite). I often opt for Maryland  bridge if bite allows to replace
lateral incisors (if Abutment teeth (incisor & canine) are {*filter*}
(unfilled, sound teeth) and non-mobile).  Maryland bridges do loosen
easier than conventional bridges, but are more conservative, and can be
rebonded into place.
Hope this helps,
Robert Gurmankin DMD


Wed, 29 Sep 1999 03:00:00 GMT
 Maryland bridge vs. Three crown bridge


Quote:

> I am 30, and my dentist said I need to extract the right lateral
> incisor (upper jaw), and fill it with a three porcelain crown. I am
> very skeptical about this, because it would affect two very
> important and healthy teeth (eye tooth and right incisor).
> > Is the Maryland Bridge not so long lasting as my dentist say,
> so that it is out of the question? How long a three-crown bridge
> last as compared to a Maryland bridge?
> > Implant seems to be too expensive for me since my insurance
> will not pay anything. I will be paying about $700 for the
> three-crown with an insurance.
> > Please, let me know your experience and suggestion about this matter.
> Thank you very much.

A Maryland will only be possible if there is enough room on the palatal
surface of the canine or incisor for the retainer. If there is enough room
then it should be a good option. Current opinion is that Maryland bridges
are more reliable if they only use one retainer. I would also prefer to use
a single retainer (the canine/cuspid) if constructing the conventional
"fixed" bridge.

Also, nothing will last forever. When the Maryland fails you will still have
intact (virtually) teeth on which either another Maryland, or a conventional
"fixed" bridge can be made; or by then you may be able to afford an implant.
Go for Maryland if feasible, if not then a two-crown bridge.

--
Graham Lovis
England



Fri, 01 Oct 1999 03:00:00 GMT
 Maryland bridge vs. Three crown bridge

Quote:



> > I am 30, and my dentist said I need to extract the right lateral
> > incisor (upper jaw), and fill it with a three porcelain crown. I am
> > very skeptical about this, because it would affect two very
> > important and healthy teeth (eye tooth and right incisor).
> > > Is the Maryland Bridge not so long lasting as my dentist say,
> > so that it is out of the question? How long a three-crown bridge
> > last as compared to a Maryland bridge?
> > > Implant seems to be too expensive for me since my insurance
> > will not pay anything. I will be paying about $700 for the
> > three-crown with an insurance.
> > > Please, let me know your experience and suggestion about this matter.
> > Thank you very much.

> A Maryland will only be possible if there is enough room on the palatal
> surface of the canine or incisor for the retainer. If there is enough room
> then it should be a good option. Current opinion is that Maryland bridges
> are more reliable if they only use one retainer. I would also prefer to use
> a single retainer (the canine/cuspid) if constructing the conventional
> "fixed" bridge.

> Also, nothing will last forever. When the Maryland fails you will still have
> intact (virtually) teeth on which either another Maryland, or a conventional
> "fixed" bridge can be made; or by then you may be able to afford an implant.
> Go for Maryland if feasible, if not then a two-crown bridge.

> --
> Graham Lovis
> England

Why would you use only one element to anker a maryland bridge on? I
would fix it to both elements because of the bigger retentions and it
would not cost much more. Because of the lack of space I would more
likely use to elements, because you can make the preparations a lot
thinner that way with out losing any retetion..

--
|->
----
Dirk Jan Hugen

http://minf.vub.ac.be/~djhugen/dental.html
----



Mon, 04 Oct 1999 03:00:00 GMT
 
 [ 4 post ] 

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