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Dentistry/Meryland bridge to restore two lower anteriors

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Question
I have two cases in which lower central anteriors were extracted. Patients do not want to have a removable partial and cannot afford implants. Could you give your opinion about replacing two central incisors with a Maryland bridge, I think this will be lees invasive than preparing the laterals for full crown and have a 4 crown bridge made. Do you have experience with Maryland bridges? and suggestions for preparation techniques?

thanks for you help

Answer
They are usually fine but can fail if the patient has a deep bite, grinds, or has a heavy protrusive.  Restoring that area is tricky, it is hard to make a fixed bridge and get the laterals right as they are so small anyhow. Almost better to extract the laterals unless they are in perfect shape bone wise. If you were to do implants you had better have a damn good surgeon place them or restoring them will be a nightmare. In other words, it is easier to replace 4 lower anteriors with a bridge or implants, with 2 the Maryland should suffice.

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Crystal Baxter DMD< MDS

Expertise

Dental malpractice issues, Prosthodontics. Geraitric dentistry, complications from dental treatment including nerve damage, TMJ, brain abscess, infections, sinus perforations, fatalities.

Experience

30 years of dental practice, 17 years teaching, University of Illinois, and Northwestern University. National lecture series on dental implants and treatment planing, 18 years as dental expert witness in dental leagl issues.

Publications
14 publications, see CV on website.

Education/Credentials
see credentials at www.cbaxterdmd.com Includes, graduate of University of Pittsburgh, DMD, certificate of Prosthodontics, Masters of Dental Science, certificate of Geriatric Dentistry.

Awards and Honors
National lecturer, various TV and radio spots including CNN and interviews by Debra Norville.

Past/Present Clients
National expert witness experience, plaintiff, defense, and personal injury.

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