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when one or two adjacent teeth are missing a Maryland bridge can be a good choice for replacing it like all bridges the artificial tooth in a Maryland bridge uses the support of neighboring teeth to stay in place but unlike traditional Bridges a Maryland bridge doesnamp;#39;t require extensive reduction of supporting teeth instead we lightly reduce the backs of the neighboring teeth and bond the wings of the bridge securely to this area the wings of a Maryland bridge are made out of metal or resin and the artificial tooth can be made of gold porcelain or porcelain fused to metal itamp;#39;s customade for you in a Dental Laboratory so it may take two or more appointments to complete your bridge on your first visit we numb the area to make you comfortable we may also use a rubber Dam to protect your mouth while we work we remove any Decay and use the handpiece to shape the teeth that will support the bridge then weamp;#39;ll take an impression of your teeth the lab uses the impression