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Deep margin elevation in restorative dentistry: A scoping review.

Anna Taylor1, Lorna Burns2

  • 1The Treatment Centre, Tinner's Court, Back Quay, Truro, Cornwall TR1 2LL, UK.

Journal of Dentistry
|May 13, 2024
PubMed
Summary
This summary is machine-generated.

Deep margin elevation (DME) improves restorative dentistry by allowing stepwise elevation of deep cavities. This scoping review explores existing evidence on DME techniques, applications, and outcomes.

Keywords:
Deep margin elevationRestorative dentistrySub-gingival margins

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Area of Science:

  • Restorative Dentistry
  • Periodontology

Background:

  • Deep margin elevation (DME) is a restorative technique for managing deep proximal cavities.
  • It aims to create more favorable margins for direct or indirect restorations.
  • The increasing popularity of adhesive dentistry and phasing out of amalgam highlight the need for such techniques.

Purpose of the Study:

  • To conduct a scoping review exploring the known and unknown aspects of DME.
  • To describe the evidence base, including peer-reviewed literature and web-based information.
  • To identify appropriate situations, materials, techniques, outcomes, and risks associated with DME.

Main Methods:

  • A comprehensive scoping review was performed.
  • Included peer-reviewed literature and extensive web searching for grey literature (CPD, training, multimedia).
  • Data extracted focused on evidence extent, DME appropriateness, materials, techniques, outcomes, risks, and comparisons to surgical crown lengthening.

Main Results:

  • A range of published literature and online resources on DME were identified.
  • Most empirical evidence originated from in vitro studies; clinical studies comparing DME to crown lengthening were scarce.
  • Online information included recent, multimedia sources, indicating active practitioner engagement.

Conclusions:

  • Deep margin elevation is a viable technique for motivated patients with good oral hygiene, provided rubber dam isolation is achieved.
  • It should be performed without invasion of the connective tissue space and with adherence to a strict restorative protocol.
  • DME effectively addresses clinical challenges posed by sub-gingival margins in modern restorative dentistry.