Reverse anterior maryland bonded (rambo) bridge for replacing a tooth with extended pontic space: a case report

Single tooth loss in the aesthetic zone owing to trauma is a challenging yet common clinical situation. Loss of adequate bony support, additional requirements for bone grafts or unwillingness to undergo dental implant treatments means treatment options are restricted to the conventional, fixed dental prosthesis with the adjacent teeth used as abutments. An extended pontic area owing to a pre-existing midline diastema contradicts the use of a conventional, minimally invasive resin-bonded fixed dental prosthesis that bonds to the palatal surface of abutment teeth. This technique highlights a novel reverse anterior Maryland bonded (RAMBo) bridge concept that prepares the labial surface of abutment teeth only, with the fabrication of a three-unit, all-ceramic, partial coverage dental prosthesis used in the replacement of a single missing anterior tooth. The RAMBo treatment described here uses adhesive bonding with contemporary veneers and a pontic to replace a missing tooth in an anterior aesthetic zone. CPD/Clinical Relevance: The RAMBo technique offers a minimally invasive and aesthetically favourable solution for single anterior tooth replacement in cases with extended pontic areas.