An adhesive bridge, sometimes called a resin-bonded bridge or Maryland bridge, is one option to replace a missing front tooth. It is considered a minimally invasive and conservative restoration because, unlike a traditional bridge, it doesn't involve the extensive reduction of tooth enamel. For crown placement on adjacent teeth with an adhesive bridge the prosthetic replacement tooth comes with a thin wing that bonds to the back of an adjacent tooth next to the missing tooth. The bridge framework can be made of metal ceramic or ceramic covering metal and can require multiple appointments to complete the procedure. At the first appointment, your doctor will either take an impression or mold of your teeth or use a special 3D camera to digitally scan the area for a temporary bridge. Next the back of the adjacent tooth may be slightly etched to ensure the bond will be secure. At this point another impression or digital scan is taken to aid in designing your final bridge. In the meantime a temporary bridge may be put in place while your final restoration is being fabricated. At a follow-up appointment the temporary bridge is removed so the final bridge can be tried on and properly fitted. Your doctor will apply a special adhesive to the back of the adjacent tooth as the wing is secured to the backside, and the replacement tooth fills the gap. Next, a special curing light is used to harden and set the adhesive to make the bridge strong and secure. Once completed, your missing tooth will be replaced, and the area will be restored to optimal function and appearance.