
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