Is it possible to bond a Maryland Bridge to porcelain crowns? I have two dental implants and the tooth between them needs to be extracted. I’d like to place a Maryland Bridge between them.
Technically, the answer is yes. You can place a Maryland Bridge on porcelain crowns. However, I wouldn’t recommend it. Even under ideal circumstances, a Maryland Bridge has trouble staying in place. It will bond better to tooth enamel than it will to bond to the porcelain you have on your porcelain crowns. Plus, very few dentists know how to bond to porcelain.
In addition to that, it requires grooves to be placed to help them stay in place. For that portion, the dentist is now having to bond to metal in that place which is even harder than bonding to porcelain. This is risky for you and could be a profound waste of money including damaging the porcelain on the adjacent crowns.
It would have been better if the dentist had planned ahead of time. When you have two dental implants and a tooth between them he or she should have anticipated you may at some point lose the tooth in between them. With that in mind, they could have placed the dental implants where the abutments are parallel and use screw-retained dental crowns. Then, when you lose the middle tooth the crowns can be removed and a dental bridge put it its place.
This blog is brought to you by Atlanta Periodontist Dr. David Pumphrey.