Ongoing loose Maryland bridge

J

Jools122

Junior member
Joined
Sep 14, 2017
Messages
4
I had my two top front teeth removed and a Maryland bridge fitted 2 years ago. Since then it has come loose and fallen out 4 times. The last time my dentist cemented it back in and put some composite on the bottom. So now I can feel it has come loose at the top and it feels like it’s the composite that’s keeping it in. My dentist swears it’s an excellent fit and can’t understand why it keeps failing. I’m really careful I don’t bite down on it too. It’s depressing me and I’m thinking maybe a bridge just isn’t for me. Has anyone else had a problem like this? Thanks
 
Enarete

Enarete

Super Moderator
Staff member
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Sep 18, 2017
Messages
3,312
Hi Jools122,

sorry to read about your bridge, it sounds super frustrating to have it fall off so often, particularly on front teeth!
I am not a dentist, but have seen a few people with the same problem. I guess the stability of it is all about where exactly the bridge is and what teeth are replaced with it.
It seems like your opinion is a bit different than the one of your dentist, in which case looking for a second opinion may be a good idea. There are surely other options to replace the teeth, without you having to go back every few months to have it glued back..

All the best wishes
 
Gordon

Gordon

Administrator
Staff member
Verified dentist
Joined
Oct 25, 2005
Messages
7,410
Marylands are tricky to make well. Trouble is they look easy :)

If they fail repeatedly then it's usually a design issue, the metal needs to be thick enough that it doesn't flex under use. The bite also has to be pretty much spot on.
It sounds like you have a single bridge replacing 2 teeth? Crossing the midline? Those tend not to work as well as 2 separate bridges, the 2 ends flex at different rates during chewing and break the bond.

The other issue is if they don't get properly re-prepared before being stuck back on, they need to be sand blasted to remove the cement and give a proper surface for the new cement to stick to.
 
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