Maryland Bridge vs. Traditional Bridge: Let’s Bridge the Differences

If you’re missing a tooth, you may already know there are several dental options to restore your smile—such as dental implants, traditional dental bridges, or a Maryland bridge. Each has its advantages and limitations, and choosing the right option depends on your dental health, age, and long-term goals.

One question Drs. Le and Nguyen hear is: What exactly is a Maryland bridge, and how does it compare to a traditional bridge or implant? Let’s break it down.

What Is a Maryland Bridge?

The Maryland bridge was first popularized at the University of Maryland’s dental school, and it remains a conservative treatment option for replacing a single missing tooth.

Instead of shaving down the enamel on neighboring teeth (as with a traditional bridge), a Maryland bridge uses bonded metal or porcelain “wings” on the back of the adjacent teeth to hold the replacement tooth in place.

This technique preserves more of your natural tooth structure while providing an esthetically pleasing result.

Maryland Bridge vs. Traditional Bridge

• Traditional Bridge – Requires reshaping nearby teeth so crowns can anchor the bridge. Provides strong support but is more invasive.
  
• Maryland Bridge – Bonded behind adjacent teeth without shaving them down. Less invasive but offers less stability, especially in chewing areas.
  

When Can a Maryland Bridge Be Used?

Maryland bridges are not suitable for every missing tooth case. Because they don’t provide as much support as other options, they are best used for:

• Front teeth (non-chewing areas)
• Single missing teeth only (not large gaps)
• Patients seeking a temporary or minimally invasive solution
  
  

Who Is a Good Candidate for a Maryland Bridge?

✅ Children or teens with congenitally missing teeth – Often used as an interim solution until the jaw is fully developed and can support dental implants.

✅ Adults with a single missing front tooth – May be considered when implants are not an option.

For most adults, however, dental implants are the preferred long-term solution because they preserve bone health and function like natural teeth.

Maryland Bridges vs. Dental Implants

While Maryland bridges can be a helpful option, here’s why many patients choose dental implants instead:

• Bone Preservation – Implants stimulate the jawbone, preventing bone loss. Bridges (traditional and Maryland) do not, leading to bone resorption over time.
• Neighboring Teeth – Traditional bridges require reshaping nearby teeth. Implants leave them intact.
• Strength & Durability – Implants can handle chewing forces like natural teeth, while Maryland bridges are limited to non-biting areas.
  

Choosing the Right Tooth Replacement

If you are missing a tooth, the best solution depends on your age, health, and long-term goals. At Lakeview Dental in Horizon West & Winter Garden, FL, our team takes a comprehensive approach—evaluating all options including Maryland bridges, traditional bridges, and dental implants—to help you make the best decision for your smile.

✨ Schedule a consultation today and let’s explore whether a Maryland bridge, traditional bridge, or dental implant is the right solution for you.