Getting front tooth pulled and prepped for implant - can I get a Maryland bridge instead of a flipper?
Doctor Answers 7
Temporary options for anterior tooth
Congratulations on making the best, long term choice for replacing your tooth. Unfortunately, there is no ideal method of temporization. Sometimes a temporary crown can be immediately placed on an implant, but not everyone is a candidate for this. Most patients do fine with a well made and properly shaped flipper. The issues with a Maryland bridge are cost, and your restorative dentist having to unbond and rebond the bridge several times through-out your treatment.
Cost is usually why Maryland bridges aren't used temporarily
The Resin-bonded or Maryland Bridge is wonderful but expensive for 6-7 months
we made her two bonded bridges that were worn for a total of 4 years. After bone grafts, one sided needed repeat bone graft, after implant placement.
She was a cheerleader and had senior pictures in High School and college Freshman had total confidence with her smile. Loved the bridges.
The downside was about $6000 in total cost. Comes out to about $1500 / year or about $4.00 a day.
We did discuss skipping the implants but the patients mother insisted only an implant was acceptable.
She now has two implants with ceramic crowns and is thrilled with the new look. Even though she didn't mind flossing under the bridges, she won't miss doing it.
Ira L Shapira DDS, D,ABDSM, D,AAPM, FICCMO
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