Deep margin elevation: a systematic review

Deep margin elevation (DME) is a nonsurgical, alternative technique of dental crown lengthening. Portion of direct restoration placed only at the deep apical part of the cavity to elevate the margin to a more coronal and more adequate position for final cementation of indirect restoration.Materials...

Full description

Saved in:
Bibliographic Details
Main Authors: Z. S. Khabadze, I. V. Bagdasarova, E. S. Shilyaeva, A. P. Kotelnikova, D. A. Nazarova, Yu. A. Bakayev, S. M. Abdulkerimova
Format: Article
Language:Russian
Published: LLC "Endo Press" 2021-10-01
Series:Эндодонтия Today
Subjects:
Online Access:https://www.endodont.ru/jour/article/view/1003
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849244686278983680
author Z. S. Khabadze
I. V. Bagdasarova
E. S. Shilyaeva
A. P. Kotelnikova
D. A. Nazarova
Yu. A. Bakayev
S. M. Abdulkerimova
author_facet Z. S. Khabadze
I. V. Bagdasarova
E. S. Shilyaeva
A. P. Kotelnikova
D. A. Nazarova
Yu. A. Bakayev
S. M. Abdulkerimova
author_sort Z. S. Khabadze
collection DOAJ
description Deep margin elevation (DME) is a nonsurgical, alternative technique of dental crown lengthening. Portion of direct restoration placed only at the deep apical part of the cavity to elevate the margin to a more coronal and more adequate position for final cementation of indirect restoration.Materials and methods. In this systematic review, we were looking for in vitro studies in which deep margin elevation (DME) technique were used. The electronic databases PubMed and EMBASE were used for the search. The search began on July 29, 2021 and ended on August 10, 2021. We have analyzed the materials and methods of each research and entered them in the appropriate tables to give a clearer assessment of the obtained results.Results. Analysis of marginal quality showed the best results when indirect restorations luted to dentin directly and with DME technique with three consecutive layers of resin composite. In groups without DME there were fewer microleakage. DME did not statistically significantly influence the fracture strength.Conclusions. We conducted a systematic review that included 12 in vitro studies. Even though samples without DME showed better results in in vitro studies, the difference between samples with and without DME was not statistically significant. However, in clinical practice, DME facilitates the insertion of indirect restorations. Therefore, further studies and clinical observations are necessary.
format Article
id doaj-art-4dcbf51101b149e896d94c58a1e8bc7c
institution Kabale University
issn 1683-2981
1726-7242
language Russian
publishDate 2021-10-01
publisher LLC "Endo Press"
record_format Article
series Эндодонтия Today
spelling doaj-art-4dcbf51101b149e896d94c58a1e8bc7c2025-08-20T03:59:04ZrusLLC "Endo Press"Эндодонтия Today1683-29811726-72422021-10-0119317518310.36377/1683-2981-2021-19-3-175-183931Deep margin elevation: a systematic reviewZ. S. Khabadze0I. V. Bagdasarova1E. S. Shilyaeva2A. P. Kotelnikova3D. A. Nazarova4Yu. A. Bakayev5S. M. Abdulkerimova6Peoplesl Friendship University of Russia" (RUDN University)Peoplesl Friendship University of Russia" (RUDN University)Peoplesl Friendship University of Russia" (RUDN University)Peoplesl Friendship University of Russia" (RUDN University)Peoplesl Friendship University of Russia" (RUDN University)Peoplesl Friendship University of Russia" (RUDN University)National Medical Research Center of Dentistry and Oral and Maxillofacial SurgeryDeep margin elevation (DME) is a nonsurgical, alternative technique of dental crown lengthening. Portion of direct restoration placed only at the deep apical part of the cavity to elevate the margin to a more coronal and more adequate position for final cementation of indirect restoration.Materials and methods. In this systematic review, we were looking for in vitro studies in which deep margin elevation (DME) technique were used. The electronic databases PubMed and EMBASE were used for the search. The search began on July 29, 2021 and ended on August 10, 2021. We have analyzed the materials and methods of each research and entered them in the appropriate tables to give a clearer assessment of the obtained results.Results. Analysis of marginal quality showed the best results when indirect restorations luted to dentin directly and with DME technique with three consecutive layers of resin composite. In groups without DME there were fewer microleakage. DME did not statistically significantly influence the fracture strength.Conclusions. We conducted a systematic review that included 12 in vitro studies. Even though samples without DME showed better results in in vitro studies, the difference between samples with and without DME was not statistically significant. However, in clinical practice, DME facilitates the insertion of indirect restorations. Therefore, further studies and clinical observations are necessary.https://www.endodont.ru/jour/article/view/1003deep margin elevationproximal box elevationcervical margin relocationonlayinlay
spellingShingle Z. S. Khabadze
I. V. Bagdasarova
E. S. Shilyaeva
A. P. Kotelnikova
D. A. Nazarova
Yu. A. Bakayev
S. M. Abdulkerimova
Deep margin elevation: a systematic review
Эндодонтия Today
deep margin elevation
proximal box elevation
cervical margin relocation
onlay
inlay
title Deep margin elevation: a systematic review
title_full Deep margin elevation: a systematic review
title_fullStr Deep margin elevation: a systematic review
title_full_unstemmed Deep margin elevation: a systematic review
title_short Deep margin elevation: a systematic review
title_sort deep margin elevation a systematic review
topic deep margin elevation
proximal box elevation
cervical margin relocation
onlay
inlay
url https://www.endodont.ru/jour/article/view/1003
work_keys_str_mv AT zskhabadze deepmarginelevationasystematicreview
AT ivbagdasarova deepmarginelevationasystematicreview
AT esshilyaeva deepmarginelevationasystematicreview
AT apkotelnikova deepmarginelevationasystematicreview
AT danazarova deepmarginelevationasystematicreview
AT yuabakayev deepmarginelevationasystematicreview
AT smabdulkerimova deepmarginelevationasystematicreview