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Related Experiment Videos

Reverse Maryland bridges: clinical applications.

T E Miller

    Journal of Esthetic Dentistry
    |September 1, 1989
    PubMed
    Summary

    The Maryland Bridge, an etched metal-composite bonded retainer, has evolved over 9-10 years. Modified labial/buccal applications allow reversed contraindications for this fixed partial denture.

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    Area of Science:

    • Restorative Dentistry
    • Prosthodontics
    • Dental Materials

    Background:

    • The Maryland Bridge (etched metal-composite bonded retainer) evolved from the Rochette periodontal splint.
    • It has undergone advancements in metals, framework preparation, and bonding composites over 9-10 years of clinical use.

    Observation:

    • Conventional Maryland bridges require specific clinical and radiographic criteria for use.
    • Modified designs applied from labial or buccal aspects can overcome previous contraindications.

    Findings:

    • This article presents two case reports of Maryland bridges applied from the labial/buccal aspect.
    • These fixed partial dentures have remained clinically successful for over 18 months, with some cases lasting over 6 years.

    Implications:

    • Modified Maryland Bridge designs offer expanded clinical applications.
    • Labial/buccal placement presents a unique approach for previously contraindicated cases, demonstrating long-term success.

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