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Is Deep margin elevation a reliable tool for cervical margin relocation? - A comparative review.
T D Geo1, Saurabh Gupta1, Shilpi Gilra Gupta2
1Department of Conservative Dentistry and Endodontics, Government College of Dentistry, 1 Sardar Patel Marg, Opp. M.Y. Hospital, Indore, Madhya Pradesh, 452001, India.
Journal of Oral Biology and Craniofacial Research
|March 14, 2024
Summary
Deep margin elevation (DME) offers a minimally invasive solution for deep subgingival restorations, overcoming limitations of traditional crown lengthening. This technique shows promise for improved functional and biological permanence in challenging dental restorations.
Area of Science:
- Restorative Dentistry
- Periodontology
- Minimally Invasive Dental Procedures
Background:
- Deep subgingival restorations present functional and biological challenges, with traditional crown lengthening having significant limitations.
- Existing alternative techniques often lack adequate clinical success and patient compliance.
- Limited practitioner knowledge exists regarding the efficacy of deep margin elevation (DME).
Purpose of the Study:
- To evaluate the applicability and clinical concepts of deep margin elevation (DME) for deep subgingival caries.
- To compare DME with traditional cervical margin relocation techniques.
- To assess the available clinical parameters and success rates of DME.
Main Methods:
- Literature review evaluating deep margin elevation (DME) techniques and outcomes.
- Comparison of DME with traditional methods like crown lengthening and other alternative approaches.
- Analysis of clinical evidence regarding materials, techniques, and patient compliance for DME.
Main Results:
- Deep margin elevation (DME) is identified as a minimally invasive and successful procedure for managing deep subgingival caries.
- DME demonstrates advantages over traditional crown lengthening by avoiding anatomical complications and reducing patient discomfort.
- Current clinical parameters suggest favorable outcomes for DME, though evidence is still developing.
Conclusions:
- Deep margin elevation (DME) presents a viable and less invasive alternative for managing deep subgingival restorations.
- Further research and dissemination of knowledge are needed to increase practitioner adoption of DME.
- DME holds significant potential for improving the long-term success of restorations with deep cervical margins.
