International Journal of Research and Review Vol.7; Issue: 6; June 2020 Website: www.ijrrjournal.com Case Report E-ISSN: 2349-9788; P-ISSN: 2454-2237 International Journal of Research and Review (ijrrjournal.com) 1 Vol.7; Issue: 6; June 2020 Rehabilitation of Patient with Missing Anterior Tooth with Maryland Bridge: A Case Report Pooja Negi 1 , Astha Jaikaria 2 1 MDS, Prosthodontics, Medical Officer (Dental), HPGDC, Shimla (H.P.) 2 MDS, Pedodontics and Preventive Dentistry, HPGDC, Shimla (H.P.) Corresponding Author: Astha Jaikaria ABSTRACT A missing anterior tooth poses an esthetic, functional and rehabilitative problem especially on patients belonging to younger age group. Resin bonded bridges are highly effective treatment option to restore the oral function and aesthetics and result in high levels of patient satisfaction. Maryland bridges are minimally invasive with certain advantages such as minimal removal of the tooth structure, minimal potential for pulpal trauma, supra gingival margin preparation and reduced time and cost. This case report describes the technique for fabrication of Maryland bridge in a patient with single missing upper anterior tooth with a conservative, economical and esthetic treatment result goals. Keywords: Maryland bridge, minimally invasive, resin bonded. INTRODUCTION Restoration of missing maxillary lateral incisor is of utmost significance as the space in the maxillary anterior region causes psychological impact especially on the young patient. The various treatment options available for the replacement of the missing tooth is implant, removable partial denture and fixed partial denture. Removable partial denture can be used as interim prosthesis for initial esthetics as it may cause the bone resorption and flattening of the interdental papillae in long term use. Due to the presence of large pulp chambers and unavailability of sufficient enamel, a more conservative and less invasive resin bonded prosthesis may be an alternative treatment for such conditions in order to replace the missing tooth as well as preserve the remaining alveolar ridge and soft tissue. [1] Developed at the University of Maryland, the Maryland Bridge is a resin bonded or resin retained bridges (RBBs/RRBs) type of fixed dental prostheses that require a minimal amount of tooth preparation restricted to the enamel surface only and are bonded directly to the tooth structure with the help of the resin cement. These restorations primarily depend on the resin cement and provide micro mechanical retention. The principle aim of tooth preparation and framework extension is to reduce stresses at the bonding interface and thereby increase retention and resistance. [2] This clinical report describes a conservative method for replacement of missing upper anterior teeth using Maryland bridge i.e., resin bonded fixed partial prosthesis. CASE REPORT A16 year old female patient reported to the department who was already undergoing orthodontic treatment following surgical repair of cleft palate with the complaint of mobility in the maxillary right lateral incisor due to insufficient bone support as seen in Fig.1. In consultation with the orthodontist, extraction of the tooth (Fig.2) was planned with subsequent replacement with resin bonded fixed partial