This question is more than six months old, so the information in the answer may no longer be accurate.
Visitor asks:

Hello,
I have lost my lower first molar. Since I do not want metal restorations in my mouth, my dentist offered me an all-ceramic Maryland bridge for a little over EUR 2,000. Since this seems expensive to me, I would like to know whether such a price is usual. And, of course, whether these bridges are a good choice. I have fillings in the neighbouring teeth, and with this type of bridge substantially less of the adjacent teeth is ground down than with "conventional" bridges. What would be another suitable option? What is the price of a conventional all-ceramic bridge?
I also have another dead tooth in my mouth that I would like to have removed (it has been dead for 20 years), because apparently all dead teeth in the mouth represent a kind of focus of infection. My dentist is also of this opinion and says the tooth should be removed. Do you share this opinion?
I kindly ask for your answer and send you my regards.
Alenka

Dentist Tomaž Rotar answers:

Dear Sir/Madam!

The bridge you describe is certainly one of the options. With a conventional bridge, both neighbouring teeth must be ground down extensively, whereas with an adhesive bridge this can be avoided. Personally, however, I would recommend a dental implant, because I believe that in the first-molar position an adhesive bridge will not meet the requirements for strength and stability. The price of an adhesive Maryland bridge in our practice is EUR 350. 
The accepted doctrine in Slovenia and throughout the European Union does not require removal of appropriately treated dead teeth. Of course, in many cases the criteria for adequate root canal treatment cannot be met, and then we recommend extraction of the tooth.

Have a nice day!
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