Cosmetic Dentistry Blog Cosmetic and General Dentistry Questions Answered

May 21, 2016

An update on the Encore Bridge

Filed under: Dental bridges — Tags: , , , — mesasmiles @ 8:25 am

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Dr. Hall,
I can’t find anyone in the Dallas area that knows about an Encore Bridge. Do you know anyone who does this procedure or is it outdated?
Thank you,
Nikki from Dallas

Nikki,
The Encore Bridge was never widely popular. It is very technique sensitive, meaning that many dentists weren’t doing it right, resulting in a weak bridge that might either de-bond or break. Furthermore, it was developed by master dental ceramist Uri Yarovesky of Opus One Laboratories in California, and he has been the only lab doing this procedure, to my knowledge. He may even have a patent on it.

Recently, another aesthetic alternative to the Maryland bridge has developed—the zirconia Maryland Bridge.

Zirconia is an extremely strong ceramic that has excellent optical properties. This is easier to place than an Encore Bridge. Here is a photograph of a zirconia Maryland Bridge, courtesy of Dental Arts Laboratories of Peoria, IL.
A zirconia Maryland Bridge

Some caution is still needed, however. While not as technique sensitive as the Encore Bridge, it is still technique sensitive, and unless a dentist has done several of these successfully, I wouldn’t ask him or her to do one on you. Dentists who haven’t done many tend to think that it can be placed with little or no tooth preparation, but if that is done, there is a strong tendency for the bridge to come loose. An expert cosmetic dentist who does a lot of porcelain bonding work should understand how to do this well. The best approach would probably be to ask a dentist if they have done any of these. If you can’t find an experienced dentist to do this, then I would ask for an understanding up front that if it fails that you will get your money back, or some such guarantee that will be satisfactory to you.

Uri Yarovesky, the inventor of the Encore Bridge, tells me that he has research data showing that the Encore Bridge is stronger than the zirconia Maryland Bridge because it has a greater ability to flex with tooth movement.

– Dr. Hall

Do you have a comment or a question or anything else to add? We’d love to hear from you. Enter your comment below.

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About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

1 Comment »

  1. Hi Dr
    I have to extract tooth number 5 (upper right first premolar). I can’t do an implant. Is a Maryland bridge a good option? Considering the fact that tooth number 6 is a crown and number 4 has a regular filling?
    Thank you
    Edna

    Response by Dr. Hall:
    If the adjacent tooth is a crown, no, I wouldn’t do a Maryland bridge or an Encore bridge. These bridges are for bonding a tooth replacement to intact natural teeth on either side. The dentist would have to prepare the tooth with the crown on it for a rest seat, and in doing so would likely perforate the crown, ruining it. Even if the crown weren’t perforated, the bond to an existing crown is much more difficult than bonding to a natural tooth.
    I don’t know why you can’t do an implant–that’s what I would do. One other option would be to do a conventional bridge, which would involve re-doing the crown on your canine (#6) and also placing a crown on the other premolar (#4). The other option would be to do a flipper partial.

    Comment by Edna — May 30, 2017 @ 3:49 am

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