Close-Up: Maryland bridges are the old fashion treatment for patients missing front teeth. When done well these bridges were minimally invasive and esthetic. Most of them did not stay bonded to the adjacent teeth that were used for anchorage. Once the bridge became debonded the first time it was an ongoing nightmare for the patient as they would tend to debond at the most inconvenient time. Here, a Maryland Bridge was the final restoration for a 16 year old patient. By age 18 it had de-bonded several times. The family looked to dental implants to provide a permanent solution to the problem.
