Maryland bridge: what to know before you say yes
A Maryland bridge is a conservative option for replacing a missing front tooth that bonds to neighboring teeth. Learn how it works, who it may suit, and key questions to ask your dentist before proceeding.
Medically reviewed by Dr. Jose, DDS — August 31, 2026
What is a Maryland bridge?
A Maryland bridge is a way to replace a missing tooth—usually a front tooth—by bonding a artificial tooth (called a pontic) to the back of your neighboring teeth. The bridge uses a tooth-colored resin cement to attach metal or composite “wings” to the inner surfaces of the teeth on either side of the gap. Because the bonding happens on the back of your teeth, they don’t show and the neighboring teeth stay largely untouched.
Why some dentists suggest it
A Maryland bridge is considered conservative because it removes very little of your natural tooth structure. When you remove less tooth, you preserve more of what you were born with—and that can matter over time. For this reason, some dentists suggest it as a first step if you have a missing front tooth and the neighboring teeth are healthy.
Who it may suit
A Maryland bridge may be a reasonable option if you have a single missing front tooth, your neighboring teeth are strong and healthy, your bite is not unusually forceful, and you’re looking for a less invasive alternative to other restoration methods. Your dentist will examine your specific situation—the position of your teeth, the health of the neighbors, and your bite pattern—to decide whether it’s a good fit.
Important considerations
Bite and chewing forces. Your bite matters a lot. If you tend to clench, grind, or have a powerful bite, the resin bond may weaken or fail over time. During your exam, mention any history of grinding or jaw clenching so your dentist can assess whether a Maryland bridge is durable enough for your situation.
Longevity and failure. The resin bond can come loose—either gradually or suddenly. If it does, you’ll need to return to have it re-bonded or replaced. Ask your dentist what to do if the bridge fails and whether re-bonding is always possible or if you’d eventually need a different solution.
Neighboring tooth health. The teeth supporting the bridge must stay healthy. If decay or gum disease develops on either neighbor, the whole restoration can be compromised. Good daily brushing and flossing around the bridge is essential.
Your x-rays and questions. Ask your dentist to show you your x-rays and explain why a Maryland bridge is the right choice for you. It’s fair to ask about the lifespan they expect, what happens if the bond fails, what it would cost to replace or repair it, and what your options are if you later want to try a different type of restoration.
Other options to discuss
A Maryland bridge is one of several ways to replace a missing tooth. Your dentist may also suggest a traditional bridge, a dental implant, or other options depending on your tooth, your bone, your bite, and your preferences. Each has different trade-offs in terms of cost, longevity, maintenance, and impact on neighboring teeth. Ask your dentist to explain which options apply to you and why they’re recommending one over another.
How MediMouth helps
MediMouth’s network dentists can examine your missing tooth, discuss all your restoration options with you, and help you understand what each choice involves. If you’re considering a Maryland bridge, your dentist will review your bite, the health of your neighboring teeth, and long-term durability so you can make an informed choice. You can also ask for a second opinion from another dentist in the network if you want another perspective before proceeding.
Frequently asked questions
How is a Maryland bridge different from a traditional bridge?
A Maryland bridge (also called a resin-bonded bridge) bonds to the back of your neighboring teeth using a tooth-colored resin. A traditional bridge typically requires those teeth to be trimmed down and covered with crowns. The Maryland approach removes less of your natural tooth structure, which is why some dentists recommend it as a more conservative first option.
Will my bite feel normal right after it's placed?
Your dentist will adjust the bridge so your bite feels even and comfortable. It may feel slightly different at first — that's normal. If your bite feels off after a few days, contact your dentist; small adjustments can usually fix this.
What questions should I ask my dentist about a Maryland bridge?
Ask how long the dentist expects it to last for your specific tooth and bite, what daily care it needs, what happens if the bond fails, whether your dental insurance covers it, and what your options are if you later want to replace it with something else. Also ask to see your x-rays and your dentist's notes on why this option suits your situation.