We just completed my daughter’s orthodontics to open up a space where a congenitally missing tooth needs to be filled. The teeth had shifted over the years and there wasn’t going to be enough room, so when we were straightening her teeth we thought it best to plan ahead. We want to eventually get her a dental implant but are looking for a temporary tooth to place in there. My dentist is suggesting a Maryland Bridge because we won’t have to crown the adjacent teeth, like you would with a traditional dental bridge. I like that idea but I want to check out if it is our best idea so I’m writing a couple of other dentists to get their recommendations, including you.
Dear Laura,I’m actually very glad you wrote. First, your choice of a dental implant to place where her tooth is missing is a great one. That will last her a lifetime.
I don’t, however, think you should get a Maryland Bridge for your daughter. While it is true that you won’t have to crown the adjacent teeth, I wouldn’t consider it a temporary replacement option. This is because in order for it to fit properly, your dentist will need to cut notches into her teeth to help keep the wings in place. You can see an example of the type of notch I’m referring to on the left.
Once the bridge is removed, you will need to fill all that in. Anything that permanently changes the structure of the tooth cannot be considered temporary in my opinion.
A Great Temporary Tooth Replacement while Waiting on a Dental ImplantInstead, I am going to recommend you get her a dental flipper. This won’t require any structural changes to her tooth and will allow her to keep the space open until her jaw is developed and ready for the dental implant.
This blog is brought to you by Kalamazoo Dentist Dr. Susan Dennis.