When a tooth is missing, especially if it’s in the front of the mouth, a relatively inexpensive way to replace it is with a Maryland bridge which we show in pictures below. This bridge gets its name from the University of Maryland, where this technique was first developed.
While the Maryland bridge is inexpensive, it has some esthetic problems. One problem that is nearly impossible to overcome is that, because it has a metal framework, it tends to lend a slight gray cast to the teeth it attaches to. While this gray cast isn’t as noticeable in flash photographs where the light tends to be reflected more, it is more noticeable in real life, where the color is more influenced by light transmitted through the tooth. Even so, you can see some of the gray in the “before” pictures below, especially in the close-up.
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This beautiful work was done by Louisiana cosmetic dentist Dr. Mike Malone of Lafayette, Louisiana.
Picture with Maryland Bridge
Dr. Malone did what could be called a “porcelain veneer bridge” for this patient. You can see how beautifully it turned out.
You may be interested in also reading about the ovate pontic technique for making it appear that the false tooth is growing out of the gum.