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Related Concept Videos

Teeth01:15

Teeth

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The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
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The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
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Assessment of the Mouth01:26

Assessment of the Mouth

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A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
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Deep margin elevation in anterior teeth: A clinical report.

Elisa D A Grassi1, Marco M M Gresnigt2

  • 1External Collaborator, Department of Restorative Dentistry and Biomaterials, Center for Dentistry and Oral Hygiene, University Medical Center Groningen, Groningen, the Netherlands; and PhD student, Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (USP), São José dos Campos, Brazil.

The Journal of Prosthetic Dentistry
|March 18, 2025
PubMed
Summary
This summary is machine-generated.

Deep margin elevation (DME) effectively manages subgingival fractures in anterior teeth. This technique improves outcomes for adhesive ceramic restorations by preserving aesthetics and periodontal health.

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Area of Science:

  • Dentistry
  • Restorative Dentistry
  • Periodontology

Background:

  • Subgingival fractures in anterior teeth pose significant challenges for adhesive ceramic restorations.
  • Traditional management can compromise esthetics and periodontal health.
  • Advancements in adhesive materials and minimally invasive techniques offer new solutions.

Purpose of the Study:

  • To outline the systematic application of the deep margin elevation (DME) technique for managing subgingival fractures in anterior teeth.
  • To highlight the benefits of DME in preserving esthetic and functional integrity.
  • To emphasize the importance of DME in maintaining periodontal health and precise adhesive protocols.

Main Methods:

  • The deep margin elevation (DME) technique involves using composite resin to elevate subgingival margins prior to indirect restoration preparation.
  • This method was originally developed for posterior teeth but is adapted here for anterior applications.
  • The protocol emphasizes adherence to established principles of minimally invasive dentistry and advanced adhesive protocols.

Main Results:

  • DME facilitates the restoration of subgingival fractures while maintaining esthetic and functional outcomes.
  • The technique aids in preserving the gingival architecture surrounding anterior teeth.
  • Successful application ensures the integrity of adhesive protocols crucial for long-term restoration success.

Conclusions:

  • Deep margin elevation (DME) is a viable and effective technique for managing subgingival fractures in the anterior region.
  • DME supports minimally invasive dentistry principles, enhancing esthetics and periodontal health.
  • This systematic approach ensures predictable outcomes for adhesive ceramic restorations in challenging fracture scenarios.