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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 doesnt 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 its custom-made 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 well take an impression of your teeth the lab uses the impression to make a model of y