Replace Maryland Bridge?


Question:
I have a gap in my front teeth tha that is currently filled with a Maryland Bridge. It will need to be replaced after 10 years of wear next month. I am looking at all available options includding veneers, and crowns I have also considered orthodontic braces. I would like someone that has had bridge replacement or someone that moved from bridge to orthodontic braces to let me know why they changed and how the change affected there mouth.
Thanks

Answers:
I always hate ruining good teeth, you can get a implant, it's about the same cost of braces start to finish, and you do not involve other teeth. Or get a new Maryland bridge. Doing a three unit permanent bridge is another option, but it involves the teeth on both sides of the missing tooth. Braces and moving the teeth and then veneers, is years and alot of money. Check to see if you have enough bone mass for a implant, I think that would be the best way to go if possible.
A Maryland Bridge doesn't fill a natural "gap" between teeth. They are used to replace a tooth that is missing. This is a very very old school way of replacing teeth. Apparently you have lost a natural tooth or genetically it didn't form. In any case your best option would be to invest in an implant to replace the missing tooth. This doesn't affect the adjacent teeth. Other than that, a more traditional fixed bridge would be an option. A fixed bridge usually involves at least three teeth, as the adjacent teeth are "anchors" for the missing tooth. (think bridge abutment) However, that depends on the current stability of the adjacent teeth. If they are in poor condition or periodontally involved, then more teeth may be necessary to make the new bridge stable. The last option which is very cheap would be a one tooth flipper. A flipper is a removable prosthesis. Fixed bridges and implants are not removable by you. A veneer isn't an option for a missing tooth. BUT, if the true problem is just a large space or diastema, then porcelain veneers are a good option to close a space without orthodontics. I would consider doing more than one or two teeth though. You don't want your teeth to look like chicklets or rabbitt teeth. At least 6 or 8 veneers would look best. In other words, all of the smile line. (all teeth that show when smiling)


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