How Long Does Maryland Bridge Last? Tips to Extend Its Lifespan

If you’ve been considering ways to replace missing teeth without going the full surgical route, chances are you’ve heard about the Maryland bridge. It’s one of those dental solutions that sounds almost too good to be true: no drilling away healthy teeth, no weeks of healing time, and often much more affordable than other options. But before you commit, you probably want to know one simple thing: how long does a Maryland bridge last?

Good question. Like any dental bridge, it won’t last forever. But with proper care and maintenance, your Maryland bridge can keep you smiling for many years. Let’s walk through what affects its lifespan and how you can get the most out of this clever piece of dental engineering.

What Is a Maryland Bridge?

A Maryland bridge (sometimes called a resin-bonded bridge or adhesive bridge) is a type of dental bridge designed to replace missing teeth, typically in the front teeth area where chewing forces are lighter. Instead of using dental crowns on the adjacent teeth like a traditional bridge, this bridge consists of a porcelain or metal framework with "wings" attached to the back of the neighboring teeth.

The dentist applies dental resin cement to bond these wings in place. Since there’s no major tooth preparation involved, the Maryland dental bridge is a more conservative tooth replacement option. It works well for patients with missing teeth who want a quicker and less invasive solution.

How Does a Dental Bridge Work?

No matter the type of bridge, the goal is simple: to replace missing teeth and restore your smile and function. Dental bridges can last years if they’re chosen carefully and cared for well.

Here’s a quick comparison:

• A traditional dental bridge consists of crowns on the teeth next to the gap. The artificial teeth are attached between these crowns.

• An implant-supported bridge is anchored by dental implants instead of teeth.

• A cantilever bridge is supported on just one side.

• A Maryland bridge uses wings bonded to existing teeth instead of crowns.

Each type of dental bridge has pros and cons. Your dentist will recommend the best option based on your situation.

How Long Does a Maryland Bridge Last?

This is the million-dollar question. The short answer: a Maryland bridge may last anywhere from 5 to 15 years. Some reports even show a survival rate of 15 to 20 years with excellent care, but it’s best to expect about 7 to 10 years on average.

Why such a wide range? Because how long a bridge lasts depends on several factors:

• How well you care for your teeth and gums

• How skilled your dentist is at placing the bridge

• The materials used (porcelain or metal frameworks tend to be more durable)

• Your bite and habits (if you grind your teeth or bite too hard, the bridge may fail sooner)

• Location of the bridge (Maryland bridges on front teeth usually last longer than those on back teeth due to lower biting forces)

Remember, bridges can last, but they don’t last forever. Knowing this upfront will help you plan for future dental care.

Why Maryland Bridge Last Times Vary

Since a Maryland bridge is bonded with resin to the backs of your neighboring teeth, its stability depends on those teeth staying healthy and the bond holding strong. Issues like tooth decay, gum disease, or changes in your bite can all shorten its lifespan.

Also, while the bridge is made from durable materials, the adhesive dental bridge concept means that over time, the resin cement may weaken. Regular dental visits help catch any problems before they cause failure.

How to Make Your Maryland Bridge Last Longer

You can’t guarantee that your Maryland bridge will last forever, but you can take steps to help it last as long as possible.

Practice excellent oral hygiene

Brush twice daily and floss carefully. Floss under and around the bridge to keep plaque away. Using a floss threader helps reach tricky spots.

Protect your bridge

Don’t chew ice, hard candies, or use your teeth as tools. If you grind your teeth, talk to your dentist about a nightguard.

Maintain healthy teeth and gums

Since the Maryland bridge relies on the surrounding teeth and gum health, keeping these tissues strong is key. Good oral hygiene and regular dental checkups will help prevent gum disease or tooth decay that could threaten the supporting teeth.

See your dentist regularly

Visit your dental clinic twice a year (or as recommended) so your dentist can monitor the bridge and supporting teeth. Catching small issues early can prevent bigger problems later.

Address changes promptly

If your bite feels different, or if the bridge appears loose, don’t wait. A quick repair might save your bridge.

Maryland Bridge vs Traditional Bridge vs Implant-Supported Bridge

If you’re still deciding on the best option to replace missing teeth, it helps to compare choices.

• Traditional bridge: A traditional dental bridge consists of crowns on the teeth next to the gap. It’s sturdy and works well for chewing forces, but it requires removal of tooth enamel on the abutment teeth.

• Maryland dental bridge: This is less invasive and preserves natural teeth. It’s great for front teeth but may not hold up as well on back teeth where more force is involved.

• Implant-supported bridge: Dental implants provide excellent long-term support. Implants don’t rely on neighboring teeth, but dental implants take more time and cost more initially.

Your dentist will guide you toward the right treatment option for your case. Sometimes a Maryland bridge also works well as a temporary solution while you wait for dental implants.

When Is a Maryland Bridge the Right Choice?

Patients with missing teeth in a row or a single missing front tooth are ideal candidates for a Maryland dental bridge. It’s especially suitable when the neighboring teeth are healthy and you want to avoid altering them with crowns.

However, if you have significant bite forces or grind your teeth, your dentist might steer you toward a traditional bridge or implant-supported bridge for better durability.

The Process: From Planning to When the Bridge Is Ready

Wondering what to expect? Here’s a simple overview.

First, your dentist will examine your teeth and gums to ensure you’re a good candidate. If everything looks good, they will take dental impressions and send them to the dental laboratory, where your new bridge is custom made.

Meanwhile, the dentist may apply dental etch to prepare the teeth next to the gap for bonding. Once the bridge is ready, they’ll use dental resin cement to attach the wings of the bridge onto the back of your existing teeth.

The process is typically quick and doesn’t require much (if any) removal of tooth enamel.

What Can Shorten the Life of a Maryland Bridge?

Several factors can cause your Maryland bridge to fail early:

• Poor oral hygiene leading to tooth decay around the abutment teeth

• Gum disease weakening the supporting teeth

• Grinding your teeth without protection

• Trauma or accidents affecting the bridge

• Improper placement or weak bonding during initial dental treatment

Also, sometimes the resin used can discolor or the supporting teeth appear darker over time, prompting the need for a new bridge.

Materials Matter

The materials used in your Maryland bridge also play a role in how long it lasts. Porcelain fused to metal frameworks are common and offer a good balance of aesthetics and strength. Pure porcelain looks very natural but may be more brittle.

Your dentist can explain the best material choices based on where the bridge will go and your bite patterns.

Key Takeaways for a Long-Lasting Maryland Bridge

Let’s recap. A Maryland bridge may last anywhere from 5 to 15 years, with some lasting even longer with proper care. The biggest factors in longevity are your oral hygiene, the skill of your dentist, your bite, and protecting the bridge from damage.

Bridges don’t last forever, but with good habits and professional support, you can maximize their lifespan.

Final Thoughts

Choosing a Maryland bridge is a great way to replace missing teeth in certain cases. While it may not be the best choice for back teeth or for people who grind their teeth heavily, it offers a minimally invasive, cost-effective option for many patients.

If you’re curious whether a Maryland bridge might work for you, talk with your family dentist. They’ll help you explore the right type of dental bridge for your needs and explain how to keep your bridge in top shape for years to come.

And remember, whether you choose a Maryland bridge, a traditional dental bridge, or dental implants, keeping your oral health in tip-top shape is the best way to protect your investment and your smile.