Can you tell me what is better for my missing tooth… a Maryland Bridge or a Pontic Bridge?

Q. Hello Dr Riten Patel, I was hoping you could shed some light with your expertise on the best treatment to replace my missing front tooth. I know you can have implants or dentures or bridges and I think I am going to go for the bridges because it is a cheaper option than the implant and I cannot afford an implant at the moment. My question is that some people talk about maryland bridges and pontic bridges what is the difference and what is the best one for me? Thanks for taking the time to read this in advance. Kind regards J

A. Dear J
I agree sometimes all the options available can be quite baffling i will try to explain them for you:

A dental Implant – Regarded as the best option as it has the longest prognosis (lifespan) of any dental restoration. Its greatest benefit is that it has no effect or reliance on the neighbouring teeth. However, it takes the longest to complete approx 3-12 months depending on the strength of your own jawbone.It is also generally the most expensive option.

A Maryland Bridge – This is a type of bridge and is the simplest and least invasive. it relies on adhesion (stickyness) a metal wing is attached to the new tooth and this metal is stuck to the back of your adjacent tooth. The advantage is that the adjacent tooth needs only a little tooth removal. The disadadvantages are this metal wing can become unstuck and sometime the adjacent tooth gets a greyish appearance as the metal can sometimes shine through the tooth.

A Convential Bridge – either a tooth either side or just on one side of the missing tooth is prepared and the bridge sits over the whole of your own teeth. This is like having a crown on your tooth with an extra tooth attached to it. It is much more secure than a maryland bridge but your own teeth need more preparation.
I hope this helps and I haven’t confused you even more!!! In terms of cost most good practices now offer finance to spread the cost of your dental treatment and this is normally at 0% interest so may allow you to spread the payment for your new tooth.

Dr Riten Patel The Mulberry 18 Ashley Road, Walton on Thames Surrey, KT12 1HS Web: www.mulberrydental.co.uk Tel: 01932 223 479 View My Profile Dr Patel

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