Start with what matters to you.
I want a fixed tooth without surgery.
Ask whether the gap and bite suit an adhesive bridge.
The teeth beside my gap are healthy.
Discuss how much enamel would need changing compared with a conventional bridge.
I worry the bridge could fall off.
Ask what affects the bond and what to do if it loosens.
Understanding Resin-Bonded Bridge.
A Resin-Bonded Bridge, sometimes called a Maryland or adhesive bridge, holds a replacement tooth with a wing bonded to a neighbouring tooth. It often needs little tooth preparation, but the bite and supporting enamel must suit the design.
A replacement tooth with a bonded wing.
The False Tooth
The visible replacement is called a pontic. Its shape should allow cleaning at the gum.
The Wing
The supporting wing may be metal or ceramic. Ask whether it could affect the appearance of the supporting tooth.
The Adhesive
Resin cement bonds the wing to suitable tooth enamel. The bite must not overload it.
What Happens During Treatment.
Your dentist confirms the stages and timing for your own treatment plan.
Assess the Gap and Supporting Teeth
The dentist checks the teeth beside the gap and your bite. Discuss a bridge, a denture, an implant or leaving the gap where appropriate.
Prepare and Record
A conventional bridge usually requires shaping supporting teeth for crowns. A resin-bonded bridge attaches with a wing and often needs less preparation. Scans or moulds record the design.
Try and Secure the Bridge
The dentist checks fit, appearance and how you bite before fixing it in place. A temporary solution may be used between visits.
Learn to Clean Underneath
You are shown how to clean beneath the replacement tooth and around the supports. Attend checks and report looseness or pain.
The exact appointments and recovery time depend on your assessment and the treatment agreed with your dentist.
Your Options with This Treatment.
Things to Consider.
The bond may fail or the bridge may chip. Do not try to glue it back yourself. Contact the practice if it feels loose; continued movement can affect the supporting tooth.
Your Resin-Bonded Bridge questions.
Can a wing show through a front tooth?
A metal wing can affect appearance in some teeth. Ask whether this is likely in your case.
Can it replace a back tooth?
Suitability depends on the forces and design; do not assume every gap can use this approach.
Can a loose bridge be rebonded?
Sometimes. The dentist needs to check why it came loose and whether the teeth remain sound.
