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Updated: Jul 4, 2026

Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
Published on: August 22, 2022
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.
Abstract:
Subgingival fractures in the anterior region present challenges for adhesive ceramic restorations. The deep margin elevation (DME) technique, using composite resin to elevate subgingival margins before indirect restoration preparation, has been reported to improve outcomes while maintaining esthetic and functional integrity. Developed for posterior teeth, DME aligns with minimally invasive principles and leverages adhesive material advancements. Its use in anterior teeth preserves gingival architecture, supports periodontal health, and ensures precise adhesive protocols, essential for successful rehabilitation. This report outlines DME's systematic application for managing anterior subgingival fractures.
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