Is Deep margin elevation a reliable tool for cervical margin relocation? – A comparative review

Autor: T.D. Geo, Saurabh Gupta, Shilpi Gilra Gupta, Kuldeep singh Rana
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Oral Biology and Craniofacial Research, Vol 14, Iss 1, Pp 33-38 (2024)
Druh dokumentu: article
ISSN: 2212-4268
DOI: 10.1016/j.jobcr.2023.12.002
Popis: The permanence of deep subgingival restorations are questionable both functionally and biologically. Crown lengthening is one of the traditionally performing procedures to visualize and relocate the deep margins, but the limitations of the invasive surgical procedure are anatomical complications like exposure of root concavities or furcation, violation of biological width, post operative discomfort because of sutures or periodontal packs; and less patient compliance. Other than crown lengthening, researchers tried some other techniques like modified matrix adaptation technique, using retraction cord, making holes in matrix band and flowing resin modified glass ionomer cement (RMGIC) to the root or cervical caries, orthodontic extrusion. But most of these procedures are failed to give adequate clinical success. Deep margin elevation (DME) is one of the minimally invasive and successful procedure performing in deep subgingival caries. But the evidences and knowledge in this technique is limited among practitioners. This review is to evaluate the applicability of DME, the current clinical concepts, techniques and materials for DME; and a comparison with traditionally used various techniques for cervical margin relocation also concluding that currently available various clinical parameters with this technique.
Databáze: Directory of Open Access Journals