A Maryland bridge is made up of a metal framework with a porcelain tooth attached to the front. The framework is then transformed into a false tooth with one or two metal wings on either side. These metal wings are prepared with a porous surface to accept a bonding agent before being bonded to the back sides of the teeth on either side of the missing tooth. Zirconia, a translucent material that resembles natural teeth, is a non-metallic option. Only a small amount of tooth structure must be removed. The teeth of the abutment are not harmed. They are essentially unaltered. The possibility of pulpal trauma is reduced due to the conservative nature of the preparation. Anesthesia is not always required to prepare the teeth. When compared to a traditional bridge, there is less periodontal irritation.

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