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Case Studies01:22

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There are many research methods available to psychologists in their efforts to understand, describe, and explain behavior and the cognitive and biological processes that underlie it.
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Practical Methodology of Cognitive Tasks Within a Navigational Assessment
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Navigating the practical-knowledge gap in deep margin elevation: A step towards a structured case selection - a

Eman H Ismail1, Saba S Ghazal2, Rahaf D Alshehri3

  • 1Department of Clinical Dental Science, College of Dentistry, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.

The Saudi Dental Journal
|May 20, 2024
PubMed
Summary
This summary is machine-generated.

Deep margin elevation (DME) is a popular technique, but lacks clear selection criteria. This review highlights the need for standardized pre- and post-operative guidelines to ensure safe and effective application of DME.

Keywords:
Case reportsClinical informed decisionsDeep margin elevationPeriodontal healthRestorative outcome

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Area of Science:

  • Dentistry
  • Restorative Dentistry
  • Periodontology

Background:

  • Deep margin elevation (DME) is increasingly utilized, yet lacks established case selection criteria.
  • Clinicians face challenges in managing deep cavities and crown preparations, potentially missing conservative treatment opportunities.

Purpose of the Study:

  • To analyze existing case reports and series on DME to identify pre-/post-operative evaluation methods.
  • To propose a pre-operative case selection checklist for the DME technique.

Main Methods:

  • A comprehensive literature search was conducted across multiple electronic databases (PubMed, Cochrane Library, Google Scholar, EBSCO, Scopus) from June 2021 to June 2023.
  • Inclusion criteria focused on case reports/series detailing periodontal and restorative outcomes of DME.
  • A total of 217 articles were identified, with 76 deemed pertinent, and 7 (6 case reports, 1 case series) meeting the final inclusion criteria.

Main Results:

  • The reviewed studies reported favorable outcomes for DME.
  • Significant information gaps were noted due to a lack of adherence to reporting guidelines in the selected studies.
  • Standardized protocols for pre-/post-operative assessment of restorative and periodontal status were absent, with follow-up periods varying widely.

Conclusions:

  • Developing and implementing pre-/post-operative guidelines is crucial for the safe application of DME.
  • Standardized guidelines can improve understanding of DME's suitability and efficacy in future clinical trials.
  • Further research and evidence are needed to support or refute the use of DME as a conservative treatment method.