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Related Experiment Video

Updated: Aug 15, 2025

Kinematic History of a Salient-recess Junction Explored through a Combined Approach of Field Data and Analog Sandbox Modeling
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Deep margin elevation-Present status and future directions.

Florin Eggmann1,2, Jose M Ayub1, Julián Conejo1

  • 1Department of Preventive and Restorative Sciences, Penn Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Journal of Esthetic and Restorative Dentistry : Official Publication of the American Academy of Esthetic Dentistry ... [Et Al.]
|January 5, 2023
PubMed
Summary
This summary is machine-generated.

Deep margin elevation (DME) is a viable dental restoration technique for subgingival defects, showing no adverse effects on tooth fracture resistance. Further clinical studies are needed to confirm long-term periodontal health outcomes.

Keywords:
cervical margin relocationcomposite resinsdental cariesdental restorationproximal box elevationsubgingival margin

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Area of Science:

  • Restorative Dentistry
  • Periodontology
  • Dental Materials

Background:

  • Deep margin elevation (DME) repositions the cervical margin of teeth with subgingival defects.
  • This technique facilitates isolation, impression, and bonding for restorations.

Purpose of the Study:

  • To review current scientific evidence on Deep Margin Elevation (DME).
  • To explore future research directions for DME.

Main Methods:

  • Systematic review of 38 studies on DME.
  • Analysis of both in vitro and clinical data.

Main Results:

  • DME showed no detrimental effect on fracture resistance in vitro.
  • Clinical studies reported favorable outcomes and compatibility with periodontal health.
  • Conflicting evidence exists on marginal quality; most in vitro studies found no negative impact.

Conclusions:

  • DME is a viable approach for restoring teeth with localized subgingival defects.
  • Further long-term clinical studies are necessary to validate these findings.
  • Meticulous technique and patient hygiene are crucial for successful DME outcomes.