{"id":2323,"date":"2016-01-21T09:03:23","date_gmt":"2016-01-21T16:03:23","guid":{"rendered":"http:\/\/www.mynewsmile.com\/blog\/?p=2323"},"modified":"2016-08-29T14:22:00","modified_gmt":"2016-08-29T21:22:00","slug":"allergic-to-her-maryland-bridge","status":"publish","type":"post","link":"https:\/\/www.mynewsmile.com\/blog\/allergic-to-her-maryland-bridge\/","title":{"rendered":"Allergic to her Maryland bridge"},"content":{"rendered":"<div id=\"fb-root\"><\/div>\n<p><script>\/\/ <![CDATA[\n(function(d, s, id) {\n  var js, fjs = d.getElementsByTagName(s)[0];\n  if (d.getElementById(id)) return;\n  js = d.createElement(s); js.id = id;\n  js.src = \"\/\/connect.facebook.net\/en_US\/all.js#xfbml=1\";\n  fjs.parentNode.insertBefore(js, fjs);\n}(document, 'script', 'facebook-jssdk'));\n\/\/ ]]><\/script><\/p>\n<table border=\"0\" width=\"100%\" cellpadding=\"5\">\n<tbody>\n<tr>\n<td valign=\"top\" width=\"40%\">\n<div align=\"center\">\n<table style=\"border-collapse: collapse;\" border=\"0\" width=\"350\" cellpadding=\"0\" bgcolor=\"#A9C5A5\">\n<tbody>\n<tr>\n<td align=\"center\"><span style=\"font-family: Arial; font-size: small;\">We thank our advertisers who help fund this site.<\/span><\/td>\n<\/tr>\n<tr>\n<td align=\"center\"><script src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\" async=\"\"><\/script><!-- MyNewSmile sidebar tall --> <ins class=\"adsbygoogle\" style=\"display: inline-block; width: 300px; height: 600px;\" data-ad-client=\"ca-pub-4419877247826466\" data-ad-slot=\"6363395985\"><\/ins><script>\/\/ <![CDATA[\n(adsbygoogle = window.adsbygoogle || []).push({});\n\/\/ ]]><\/script><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/td>\n<td>.<\/p>\n<p>Dr. Hall,<br \/>\nI have recently had #24 [lower central incisor] pulled due to the gum receding. My dentist had a <a href=\"https:\/\/www.mynewsmile.com\/maryland-bridge.htm\" target=\"_blank\">Maryland bridge<\/a> made and I am allergic to it. What other options are there? There is not enough room for an implant. The periodontist suggesting removing #25 and replacing with one tooth but I fear I will look more like a side show attraction than I already do. HELP&#8230; Am searching for answers.<br \/>\n&#8211; Ann from Texas<\/p>\n<p>Ann,<br \/>\nI had to laugh when I heard the suggestion of your periodontist, of taking out the adjacent tooth also and then replacing the two teeth with one large tooth. That sounds so much like a typical dentist and so out of touch with what a patient would want. I agree with you that you could look like a side show. But another option similar to this would be to place one implant supporting two teeth&mdash;that can be done also.<\/p>\n<p>A Maryland bridge consists of a porcelain tooth bonded onto a metal framework. The framework has metal wings which are bonded to the lingual side (inside surfaces) of the two adjacent teeth. In order to bond properly, that metal has to be etched. The etching produces microscopic irregularities in the surface that make the metal bond well to dental bonding resins. And there are two ways to make that metal etchable.<\/p>\n<p>One is to use an alloy that contains 1-2% beryllium. Usually that metal also contains nickel and chromium as primary components, but it doesn&#8217;t have to. The problem with such an alloy is that about 10% of the population will have an <a href=\"https:\/\/www.mynewsmile.com\/dental\/metal-allergy.htm\" target=\"_blank\">allergy or sensitivity to the alloy<\/a>. That allergy could be to any of these three components, or all of them, as all are known to provoke sensitivity reactions in some people. <\/p>\n<p>The other way to create an etchable surface on the metal is to plate the metal with tin. When that is done, a semi-precious alloy can be used&mdash;one that is made of maybe palladium and silver. Such an alloy is hypoallergenic. The alloy itself isn&#8217;t etchable, but the tin plating is. So that is an option for you.<\/p>\n<p>A final option would be to make the bridge out of <a href=\"https:\/\/www.mynewsmile.com\/cosmetic\/zirconia_crowns.htm\" target=\"_blank\">zirconia<\/a>. Zirconia is a metal oxide, a compound of the metal zirconium plus oxygen, and is extremely strong. It is a ceramic and is white and translucent, similar to porcelain. Some people call it &#8220;ceramic steel.&#8221; And it can be etched so that it bonds to dental bonding resin. This, to me, is a better way to go. Not only does it eliminate the sensitivity problem, it is more esthetic since there is no metal to darken the adjacent teeth.<\/p>\n<p>&#8211; Dr. Hall<\/p>\n<p>Do you have a comment? We&#8217;d love to hear from you. Enter your comment below.<\/p>\n<p><iframe loading=\"lazy\" style=\"border: currentColor; width: 450px; height: 80px; overflow: hidden;\" src=\"https:\/\/www.facebook.com\/plugins\/like.php?href=http%3A%2F%2Fwww.mynewsmile.com&amp;layout=standard&amp;show_faces=true&amp;width=450&amp;action=like&amp;colorscheme=light&amp;height=80\" width=\"300\" height=\"150\" frameborder=\"0\" scrolling=\"no\"><\/iframe><\/p>\n<p>Click here to <a href=\"https:\/\/www.mynewsmile.com\/askdr.htm\">ask Dr. Hall<\/a> a question of your own.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>We thank our advertisers who help fund this site. . Dr. Hall, I have recently had #24 [lower central incisor] pulled due to the gum receding. My dentist had a Maryland bridge made and I am allergic to it. What other options are there? There is not enough room for an implant. The periodontist suggesting [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[38],"tags":[689,690,87,360,688,454,523,691],"class_list":{"0":"post-2323","1":"post","2":"type-post","3":"status-publish","4":"format-standard","6":"category-dental-bridges","7":"tag-beryllium","8":"tag-chromium","9":"tag-dental-metal-allergy","10":"tag-maryland-bridge","11":"tag-maryland-bridge-allergy","12":"tag-nickel","13":"tag-zirconia","14":"tag-zirconia-maryland-bridge","15":"entry"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Allergic to her Maryland bridge - Cosmetic Dentistry Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.mynewsmile.com\/blog\/allergic-to-her-maryland-bridge\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Allergic to her Maryland bridge - Cosmetic Dentistry Blog\" \/>\n<meta property=\"og:description\" content=\"We thank our advertisers who help fund this site. . Dr. Hall, I have recently had #24 [lower central incisor] pulled due to the gum receding. My dentist had a Maryland bridge made and I am allergic to it. What other options are there? There is not enough room for an implant. The periodontist suggesting [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.mynewsmile.com\/blog\/allergic-to-her-maryland-bridge\/\" \/>\n<meta property=\"og:site_name\" content=\"Cosmetic Dentistry Blog\" \/>\n<meta property=\"article:published_time\" content=\"2016-01-21T16:03:23+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2016-08-29T21:22:00+00:00\" \/>\n<meta name=\"author\" content=\"David A. Hall\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"David A. Hall\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Allergic to her Maryland bridge - Cosmetic Dentistry Blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.mynewsmile.com\/blog\/allergic-to-her-maryland-bridge\/","og_locale":"en_US","og_type":"article","og_title":"Allergic to her Maryland bridge - Cosmetic Dentistry Blog","og_description":"We thank our advertisers who help fund this site. . Dr. Hall, I have recently had #24 [lower central incisor] pulled due to the gum receding. My dentist had a Maryland bridge made and I am allergic to it. What other options are there? There is not enough room for an implant. 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