types of dental bridges

Types of Dental Bridges: Which to Choose and When

Implants haven’t made bridges obsolete. The four main types of dental bridges (traditional, cantilever, Maryland and implant supported) are still faster, often more affordable, and last for decades when the design suits the case. When it doesn’t, the lab sees the results: fractured connectors, Maryland wings debonded on one side, pontics that trap food.

Material choice shapes every bridge. Our porcelain vs zirconia crowns article covers the trade-offs, and zirconia vs E-max explains why E.max bridges have tighter limits. For implant bridges, see our dental implant cost page.

The Types of Dental Bridges at a Glance

Bridge Support Prep Typical use
Traditional Crowns on both sides Full crown preps Most short spans
Cantilever One abutment One crown prep Missing lateral incisor
Maryland Bonded wing Minimal, in enamel Single missing incisor
Implant supported Implants None on teeth Longer spans

Traditional Bridges

When to choose them

Choose a traditional bridge when the abutments need crowns anyway, the span is short, or implants aren’t suitable.

Evaluating abutments

Check periodontal support, crown to root ratio, root form, endodontic status and parallelism.

Materials and connector size

Zirconia

Monolithic 3Y zirconia needs about 9 mm² connectors for three unit posterior bridges, and more for longer spans.

E.max

E.max is limited to three units ending at the second premolar, with connectors of about 12 mm² anterior and 16 mm² posterior.

PFM

PFM remains reliable for long spans because metal is strong in thin sections.

Cantilever Bridges

Best indication

The classic case is a lateral incisor supported from a strong canine.

When to avoid

Avoid posterior cantilevers under heavy forces, where the pontic acts as a lever.

Design tips

Keep the pontic slightly small, out of heavy contact, and make the abutment prep as retentive as possible.

Maryland Bridges

Why they’re the most conservative

A pontic is attached to a thin wing bonded to the neighbouring tooth, with minimal preparation in enamel.

Single wing vs two wings

Single wing designs perform better. With two wings, one often debonds while the other holds, trapping plaque unnoticed.

Prep and bonding

Keep the prep in enamel, add a small rest seat, allow 0.5 to 0.7 mm wing clearance, and for zirconia wings air abrade and use an MDP primer.

Implant Supported Bridges

These replace multiple teeth without preparing natural teeth. Screw retained designs are retrievable and avoid excess cement; cemented designs can look slightly better where an access hole would show.

Pontic Design

Pontic Ridge contact Best for
Modified ridge lap Facial only Most cases
Ovate Shaped socket Aesthetic anterior
Sanitary None Lower posterior
Conical Point contact Narrow ridges

Which Bridge for Which Case

Situation Suggested bridge
Single missing incisor, unrestored neighbours Single wing Maryland
Missing lateral incisor, strong canine Cantilever
Posterior span, restored abutments Traditional zirconia or PFM
Healthy neighbours, good bone Implant bridge

The Design Mistakes Labs See Most

Connector fracture

This is usually from insufficient connector height. Check the space available before choosing a ceramic.

Debonding

Short, overtapered preps and two wing Maryland designs are the usual causes.

Porcelain chipping

Use monolithic zirconia for posterior bridges.

What to Send the Lab

  • Full arch scans or impressions and a bite
  • Abutment and pontic tooth numbers
  • Material or priorities, and pontic design
  • Shade with photos, and stump shade for translucent materials

Frequently Asked Questions

Which types of dental bridges are strongest?

Monolithic 3Y zirconia and PFM traditional bridges.

How long do Maryland bridges last?

Many years when single wing and bonded to enamel.

Can E.max be used for bridges?

Only three unit spans ending at the second premolar.

Is an implant bridge always better?

No. Traditional bridges are faster and suit abutments that need crowns anyway.

Conclusion: Match the Bridge to the Case

Each of the types of dental bridges has a clear place, and choosing the right one is what makes it last. Swift Lab produces zirconia, E.max, PFM, Maryland and implant bridges, typically within 3 to 5 working days, at our dental laboratory in Ras Al Khaimah.