TY - JOUR
T1 - Impact of Deep Margin Elevation Procedures Upon Periodontal Parameters
T2 - A Systematic Review
AU - Chun, Eliseo Pablo
AU - de Andrade, Guilherme S.
AU - Grassi, Elisa D.A.
AU - Garaicoa, Jorge
AU - Garaicoa-Pazmino, Carlos
N1 - Publisher Copyright:
© 2022 by Dennis Barber Ltd. All rights reserved.
PY - 2023
Y1 - 2023
N2 - Introduction: Deep margin elevation (DME) is an emerging technique attempting to minimize the need for surgical procedures (i.e., crown lengthening [CL]), deliver indirect restorations in one clinical session and reduce overall treatment time. The present study evaluated the impact of DME upon periodontal measurements based exclusively on human studies. Methods: A literature search was performed by two independent reviewers in several databases including PubMed, EMBASE, and Cochrane Central up to March 2022. This review searched for randomized human trials, cohort (prospective/ retrospective) and/or case series studies using DME, reporting periodontal (i.e. marginal bone levels [MBL], probing depths [PD], bleeding on probing [BoP], recession [REC], clinical attachment level [CAL]), and the type of approach (non-surgical or surgical) with at least >3 months of post-operative outcomes. Results: None of the included studies reported MBL, REC or CAL, and thus, results were limited to PD and BoP. BoP was increased when the distance between restorative margin and alveolar bone was approximately <2mm. Non-surgical and surgical DME approaches led to different outcomes in PD (0.26±0.77mm vs-0.39±0.85mm) and BoP (31.50% vs-22.33%). Conclusions: Limited findings of the present systematic review can be drawn and thus, the impact of DME upon the periodontium remains inconclusive.
AB - Introduction: Deep margin elevation (DME) is an emerging technique attempting to minimize the need for surgical procedures (i.e., crown lengthening [CL]), deliver indirect restorations in one clinical session and reduce overall treatment time. The present study evaluated the impact of DME upon periodontal measurements based exclusively on human studies. Methods: A literature search was performed by two independent reviewers in several databases including PubMed, EMBASE, and Cochrane Central up to March 2022. This review searched for randomized human trials, cohort (prospective/ retrospective) and/or case series studies using DME, reporting periodontal (i.e. marginal bone levels [MBL], probing depths [PD], bleeding on probing [BoP], recession [REC], clinical attachment level [CAL]), and the type of approach (non-surgical or surgical) with at least >3 months of post-operative outcomes. Results: None of the included studies reported MBL, REC or CAL, and thus, results were limited to PD and BoP. BoP was increased when the distance between restorative margin and alveolar bone was approximately <2mm. Non-surgical and surgical DME approaches led to different outcomes in PD (0.26±0.77mm vs-0.39±0.85mm) and BoP (31.50% vs-22.33%). Conclusions: Limited findings of the present systematic review can be drawn and thus, the impact of DME upon the periodontium remains inconclusive.
KW - Composite Resins
KW - Crown Lengthening
KW - Deep Margin Elevation
KW - Gingivectomy
KW - Inflammation
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U2 - 10.1922/EJPRD_2350Chun12
DO - 10.1922/EJPRD_2350Chun12
M3 - Article
C2 - 36446028
AN - SCOPUS:85149187002
SN - 0965-7452
VL - 31
SP - 10
EP - 21
JO - European Journal of Prosthodontics and Restorative Dentistry
JF - European Journal of Prosthodontics and Restorative Dentistry
IS - 1
ER -