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You have seen from our previous page how neighbouring teeth are prepared to supporting a bridge. Are there bridges that don't require any tooth preparation? Yes, adhesive bridges (sometimes called Maryland bridges or acid etch bridges) do not require preparation of the adjacent teeth. An adhesive bridge is simply a crown (replacing the missing tooth) with metal wings attached.
To construct an adhesive bridge, we will only need to take an accurate impression of your mouth. The teeth adjacent to the gap are just polished or very slightly trimmed on the internal surface before the impression. One week later, the bridge is ready for cementation. It looks just like the upper right picture. In the mouth, the metal is hardly visible.
![]() ![]() Back in the office, we would first etch and then apply bonding agent to the inner surfaces of the supporting teeth. The metal wings of adhesive bridge are then bonded to the adjacent tooth surfaces with composite resin. So why don't we just do adhesive bridges for everyone? It's easier for the dentist and less traumatic for the patient. The problem is, the wings often do not provide enough support for the bridge. For patients with deep or heavy bites, adhesive bridges simply won't last. Even for bites that are not heavy, adhesive bridges may fall off after a few years when the composite resin bonding it to the supporting teeth deteriorates. If you have more than one tooth to replace, adhesive bridges are probably not a good idea.
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