This study uses MDP (monocular digital photography) to monitor the dynamic global deflection of a bridge with the PST-TBP (Photographing scale transformation-time baseline parallax) method in which the reference system set near the camera is perpendicular to the photographing direction and does not need parallel to the bridge plane. A SONY350 camera was used to shoot the bridge every two seconds when the excavator was moving on the bridge and produced ten image sequences. Results show that the PST-TBP method is effective in solving the problem of the photographing direction being perpendicular to the bridge plane in monitoring the bridge by MDP. The PST-TBP method can achieve sub-pixel matching accuracy (0.3 pixels). The maximal deflection of the bridge is 55.34 mm which is within the bridge’s allowed value of 75mm. The MDPS (monocular digital photography system) depicts deflection trends of the bridge in real time, which can warn the possible danger of the bridge in time. It provides key information to assess the bridge health on site and to study the dynamic global deformation mechanism of a bridge caused by dynamic vehicle load. MDP is expected to be applied to monitor the dynamic global deflection of a bridge.