Maryland Bridge

A Maryland Bridge is a conservative fiber-reinforced restoration used to replace a single missing tooth while preserving healthy tooth structure. Fiber-Bridge creates a strong, lightweight framework bonded to adjacent teeth, providing an aesthetic and minimally invasive treatment option.

This technique can be used as an emergency solution, a provisional restoration, or in selected cases as a medium-term treatment option.

Indicazioni cliniche

  • Single missing tooth
  • Emergency tooth replacement
  • Delayed implant placement
  • Restauri provvisori
  • Approcci terapeutici conservativi
  • Young patients awaiting definitive treatment

Benefici

  • Minimally invasive technique
  • Preservation of healthy tooth structure
  • Metal-free restoration
  • Excellent aesthetics
  • Intervento alla poltrona
  • Modifiche e ripristini semplici
  • Reduced treatment time

Procedura Step-by-Step

1. Use a tin foil or a similar item to obtain the desired pattern.

Fiber-Bridge Maryland bridge for single tooth replacement

2. Measure the needed length and prepare the fiber according to the desired “frame”.

Fiber-Bridge Maryland bridge for single tooth replacement

3. Prepare the surface in order
to obtain an ideal bonding
of the fibers (i.e. acid etching).

Fiber-Bridge Maryland bridge for single tooth replacement

4. Start covering the Fiber-Bridge structure with a cement or a highly flowable composite resin and use an adhesive if needed.

Fiber-Bridge Maryland bridge for single tooth replacement

5. In a Maryland Bridge the
Fiber-Bridge ribbon must be impregnated and entirely covered with a resin composite and finally
light-cured.

Fiber-Bridge Maryland bridge for single tooth replacement

6. Light-cure and polish to obtain a perfect result and aesthetics.

Fiber-Bridge Maryland bridge for single tooth replacement

Keys to Success ✅

  • Ensure adequate enamel surface for bonding.
  • Always impregnate the Fiber-Bridge ribbon completely before placement.
  •  Never leave fibers exposed to the oral environment.
  •  Cover the ribbon with a sufficient thickness of composite resin.
  •  Avoid sharp bends or twists in the reinforcement structure.
  •  Ensure proper isolation and moisture control throughout the procedure.

Common Mistakes ❌

  • Exposed fibers after finishing.
  • Insufficient composite coverage.
  • Inadequate bonding protocol.
  • Excessive occlusal loading on the pontic.
  • Using the bridge as a long-span restoration.
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Reinforcement Principles
Esplora FIBER-BRIDGE