I got a new Maryland Bridge last October and have had it replaced three times. I need more dental work, but I am afraid that this family dentist will be unable to correct the bridge or complete the other work I need. Is it too late to switch dentists in the middle of my bridgework? – Thank you. Patrick from Freeport, Bahamas

Patrick,

We understand your concerns about your dentist’s inability to provide a stable dental bridge. Problems can occur when a dentist lacks training and experience in cosmetic dentistry. It is wise to switch dentists.

What Is a Maryland Bridge?

A Maryland bridge is a tooth replacement option with replacement teeth suspended between two wing-shaped anchors. A dentist bonds the anchors to the backs of each tooth on either side of the missing one(s).

What Causes a Maryland Bridge to Fail?

When a Maryland bridge fails, possible causes include:

• Flawed design – Inadequate tooth impressions or faulty construction can cause the bridge to fail. Sometimes, the dental lab can re-etch the metal and correct the flaws.
• Poor bonding techniques – If your dentist’s bonding techniques are flawed, the wing-shaped anchors will not adhere to the backs of your teeth.

When you tell your dentist you want to switch to another dentist, they have an ethical obligation to send your dental history and records to your new dentist. Your new dentist may decide to take X-rays to ensure your anchor teeth are stable. If your new dentist recommends treatment other than a dental bridge, such as dental implants, please consider the reasons and decide what is best for your long-term oral health.

How Can You Find a New Dentist?

Look for a dentist with post-graduate training and experience in cosmetic dentistry. The dentist can determine why your Maryland bridge failed repeatedly and whether the bridge is the ideal solution for your missing teeth or whether a dental implant is the best solution for your oral health.

Lowell, Massachusetts, accredited cosmetic dentist Dr. Michael Szarek sponsors this post.