Maryland Bridge: An Interim Prosthesis for Tooth Replacement in Adolescents

Prathyusha, P; Jyoti, Sapna; Kaul, Rupali Borkar; Sethi, Ntasha

doi:10.5005/jp-journals-10005-1097

Cited by 13 publications

(11 citation statements)

References 10 publications

(10 reference statements)

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“…Though resin-bonded fixed partial dentures have poor retention and limited longevity as drawbacks, the availability of advanced self-etch adhesive systems offers these prostheses more longevity [19]. Other common complications are the development of dental caries and debonding [20]; therefore, patient's compliance to instructions on oral hygiene maintenance and periodic recall evaluations are imperative.…”

Section: Discussionmentioning

confidence: 99%

Resin-bonded fixed partial denture as a cost-effective prosthesis for missing maxillary lateral incisor in a cleft lip and palate patient: a case report

Rayavarapu¹,

Sajjan²,

Mantena³

et al. 2022

IJDM

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Literature suggests 66.7% of dental abnormalities among patients with cleft lip and palate (CLP). Besides posing functional difficulties, dental anomalies also raise significant aesthetic concerns among these patients, especially with missing teeth in the anterior region. Among various treatment choices like a removable partial denture, fixed and implant treatments available in the prosthetic rehabilitation of missing teeth in CLP subjects, Maryland bridges offer a conservative and cost-effective alternative in short-span edentulous spaces while carrying the advantages of supragingival marginal preparations and less intensive working times. The availability of advanced self-etch adhesive systems that chemically bond to both the tooth and metal surfaces offer these prostheses more longevity. This case report presents the fabrication of a resin-bonded fixed partial denture in the prosthetic rehabilitation of a missing maxillary lateral incisor in a 23-year-old female patient with CLP who was unwilling for orthodontic care.

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Section: Discussionmentioning

confidence: 99%

Resin-bonded fixed partial denture as a cost-effective prosthesis for missing maxillary lateral incisor in a cleft lip and palate patient: a case report

Rayavarapu¹,

Sajjan²,

Mantena³

et al. 2022

IJDM

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“…The new self-etch universal resin cement systems are valuable tools in ensuring longevity of such restorations that allow them to be in service for the intended period. The three most common complications associated with resin-bonded prosthesis is debonding (21%), tooth discoloration (18%) and caries (7%) [7,8].…”

Section: Discussionmentioning

confidence: 99%

A conservative approach to replace missing teeth in the aesthetic zone with Maryland bridge – A case report

Ahmad¹,

Naim²,

Meshni³

et al. 2017

Dent Oral Craniofac Res

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Restoring the missing central incisors in the mandibular jaw is one of the most difficult esthetic challenges in dentistry. A space in the mandibular anterior region of the dental arch can produce a psychological impact on the young patient. Resin bonded bridges are highly effective treatment option in these situations to restore the oral function and aesthetics and result in high levels of patient satisfaction. Maryland bridges are the type of resin bonded bridge with certain advantages over conventional fixed dental prosthesis such as minimal removal of the tooth structure, minimal potential for pulpal trauma, supra gingival margin preparation and reduced time and cost. Provisional restorations are usually not required. Maryland bridges are cemented to the abutment tooth using electrolytic etching of the metal surface to retain the metal framework. After etching of the metal, the bond is stronger between the tooth surface and the prosthesis. The bridge retention has been enhanced by the development of resin cements which bond chemically to both the tooth surface and the metal alloy. However, there are certain limitations of resin bonded prosthesis such as short clinical crowns, long edentulous spans, restored or damaged abutments, para-functional habits, deep bite and compromised enamel hyperplasia. This case report mentions the advantages, disadvantages, indications, contraindications and a simplified technique to restore the missing mandibular central incisors in a young adult patient with fabrication of Maryland bridge.

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“…Anaesthesia can be avoided in some patients' treatment. RBFPDs also enable vitality test and/or endodontic treatment of the abutments after its insertion [2,3]. Resin bonded fixed partial denture is considered as the replacement of conventional fixed partial denture (FPD) to keep the abutment intact and not prepared into crown.…”

Section: Introductionmentioning

confidence: 99%

Resin Template for Guiding Preparation in Resin Bonded Fixed Partial Denture – A Case Report

Chihargo

Hadi

Tamin

et al. 2020

ADUM

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Resin Bonded Fixed Partial Denture (RBPFD) is a popular treatment for tooth preservation. Mechanical retention is a problem for RBFPD, where debonding is the main cause of failure. RBFPD preparation is minimal invasive. It removes undercut and tooth structure that supports retention so that single insertion guide can be achieved. This preparation was achieved by using surveyor on diagnostic cast, but there was a concern how to copy the surveyed cast to intraoral. Resin template method as a preparation guide was useful to avoid excessive tooth removal. RBFPD design was marked by using pencil on the diagnostic cast. The cast was surveyed to get the preparation designed and prepared by using milling device surveyor and burs. The template was made on the cast. Separator was applied and resin template was built along the margin until the occlusal line angle. The abutment teeth were etched and bonded. Bonding procedure was done on template. The template was placed on the teeth and polimerized. Abutment teeth preparation were done according to the cast with the bur contact simultaneously with the template's margin and finishing line. Resin template has better accuration and adaptation, easier made and efficient, also prevent excessive tooth removal and control the preparation, mechanical retention can be achieved for RBFPD restoration longevity. Resin template is useful because preparation can be transfered from diagnostic cast to intraoral accurately. www.adum.edu.my

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Maryland Bridge: An Interim Prosthesis for Tooth Replacement in Adolescents

Cited by 13 publications

References 10 publications

Resin-bonded fixed partial denture as a cost-effective prosthesis for missing maxillary lateral incisor in a cleft lip and palate patient: a case report

Resin-bonded fixed partial denture as a cost-effective prosthesis for missing maxillary lateral incisor in a cleft lip and palate patient: a case report

A conservative approach to replace missing teeth in the aesthetic zone with Maryland bridge – A case report

Resin Template for Guiding Preparation in Resin Bonded Fixed Partial Denture – A Case Report

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