Relationship Between Deep Marginal Elevation and Periodontal Parameters: A Systematic Review

Overview

Journal Medicina (Kaunas)

Publisher MDPI

Specialty General Medicine

Date 2023 Nov 25

PMID 38003997

Authors

Mohammed Fareed Felemban

Osama Khattak

Thani Alsharari

Abdulrahman H Alzahrani

Kiran Kumar Ganji

Azhar Iqbal

Affiliations

Soon will be listed here.

Abstract

: This review focuses on reviewing studies from the literature regarding the effects of deep margin elevation on the surrounding periodontium. : A review of the literature was carried out using the following online databases: Embase, The Cochrane Library, MEDLINE-PubMed and Google Scholar. Our search was limited to articles from 2010 to 2023. The search terms consisted of keywords and MeSH terms, which were 'deep margin elevation', 'coronal margin relocation', 'periodontium' and 'periodontal tissues'. The literature was searched thoroughly by two reviewers. Initially, the titles of the articles were extracted. After removing irrelevant and duplicate articles, abstracts were assessed for relevant articles. Finally, the reviewers analyzed full-text articles. A total of twelve articles, including one randomized clinical trial, three systematic reviews, two prospective cohort, three case series, one a clinical study, one pilot study and one a retrospective study, were selected and analyzed. The review suggests potential benefits of Deep Margin Elevation (DME) over surgical crown lengthening due to reduced invasiveness, yet conclusive effects on periodontal tissue remain unclear, warranting further studies on clinical parameters and inflammatory biomarkers.

Citing Articles

Impact of Thermal Aging on Marginal Adaptation in Lithium Disilicate CAD/CAM Crowns with Deep Proximal Box Elevation.

Daghrery A, Jabarti E, Baras B, Mitwalli H, Al Moaleem M, Khojah M Med Sci Monit. 2025; 31:e947191.

PMID: 39895039 PMC: 11804129. DOI: 10.12659/MSM.947191.

Deep margin elevation; Indications and periodontal considerations.

Alizadeh Oskoee P, Dibazar S J Adv Periodontol Implant Dent. 2025; 16(2):91-93.

PMID: 39758271 PMC: 11699262. DOI: 10.34172/japid.2024.024.

Soft Tissue Retraction Maneuver in Cone Beam Computed Tomography Prior to Crown-Lengthening Procedure-A Technical Note.

Adamska P, Stasiak M, Dabrowski W, Pylinska-Dabrowska D, Adamski L, Zedler A J Clin Med. 2024; 13(13).

PMID: 38999234 PMC: 11242734. DOI: 10.3390/jcm13133668.

References

Binalrimal S, Banjar W, Alyousef S, Alawad M, Alawad G . Assessment of knowledge, attitude, and practice regarding Deep Margin Elevation (DME) among dental practitioners in Riyadh, Saudi Arabia. J Family Med Prim Care. 2021; 10(5):1931-1937. PMC: 8208217. DOI: 10.4103/jfmpc.jfmpc_1707_20. View

Ferrari M, Koken S, Grandini S, Ferrari Cagidiaco E, Joda T, Discepoli N . Influence of cervical margin relocation (CMR) on periodontal health: 12-month results of a controlled trial. J Dent. 2017; 69:70-76. DOI: 10.1016/j.jdent.2017.10.008. View

Gupta S, Saxena P, Pant V, Pant A . Release and toxicity of dental resin composite. Toxicol Int. 2013; 19(3):225-34. PMC: 3532765. DOI: 10.4103/0971-6580.103652. View

Frese C, Wolff D, Staehle H . Proximal box elevation with resin composite and the dogma of biological width: clinical R2-technique and critical review. Oper Dent. 2013; 39(1):22-31. DOI: 10.2341/13-052-T. View

Samartzi T, Papalexopoulos D, Ntovas P, Rahiotis C, Blatz M . Deep Margin Elevation: A Literature Review. Dent J (Basel). 2022; 10(3). PMC: 8947734. DOI: 10.3390/dj10030048. View

Vacek J, Gher M, Assad D, Richardson A, Giambarresi L . The dimensions of the human dentogingival junction. Int J Periodontics Restorative Dent. 1994; 14(2):154-65. View

Bresser R, Gerdolle D, van den Heijkant I, Sluiter-Pouwels L, Cune M, Gresnigt M . Up to 12 years clinical evaluation of 197 partial indirect restorations with deep margin elevation in the posterior region. J Dent. 2019; 91:103227. DOI: 10.1016/j.jdent.2019.103227. View

Oppermann R, Gomes S, Cavagni J, Cayana E, Conceicao E . Response to Proximal Restorations Placed Either Subgingivally or Following Crown Lengthening in Patients with No History of Periodontal Disease. Int J Periodontics Restorative Dent. 2015; 36(1):117-24. DOI: 10.11607/prd.2015. View

Nugala B, Kumar B, Sahitya S, Krishna P . Biologic width and its importance in periodontal and restorative dentistry. J Conserv Dent. 2012; 15(1):12-7. PMC: 3284004. DOI: 10.4103/0972-0707.92599. View

10.

Bresser R, Naves L, van der Made S, Cune M, Gresnigt M . Deep margin elevation. A case report study. Int J Esthet Dent. 2023; 18(2):142-160. View

11.

Sirajuddin S, Narasappa K, Gundapaneni V, Chungkham S, Walikar A . Iatrogenic Damage to Periodontium by Restorative Treatment Procedures: An Overview. Open Dent J. 2015; 9:217-22. PMC: 4541299. DOI: 10.2174/1874210601509010217. View

12.

Eggmann F, Ayub J, Conejo J, Blatz M . Deep margin elevation-Present status and future directions. J Esthet Restor Dent. 2023; 35(1):26-47. DOI: 10.1111/jerd.13008. View

13.

Douglas de Oliveira D, Maravilha M, dos Anjos T, Goncalves P, Flecha O, Tavano K . Clinical and Radiographic Evaluation of the Periodontium with Biologic Width Invasion by Overextending Restoration Margins - A Pilot Study. J Int Acad Periodontol. 2016; 17(4):116-22. View

14.

Aldakheel M, Aldosary K, Alnafissah S, Alaamer R, Alqahtani A, Almuhtab N . Deep Margin Elevation: Current Concepts and Clinical Considerations: A Review. Medicina (Kaunas). 2022; 58(10). PMC: 9610387. DOI: 10.3390/medicina58101482. View

15.

Dietschi D, Spreafico R . Evidence-based concepts and procedures for bonded inlays and onlays. Part III. A case series with long-term clinical results and follow-up. Int J Esthet Dent. 2019; 14(2):118-133. View

16.

Mugri M, Sayed M, Nedumgottil B, Bhandi S, Raj A, Testarelli L . Treatment Prognosis of Restored Teeth with Crown Lengthening vs. Deep Margin Elevation: A Systematic Review. Materials (Basel). 2021; 14(21). PMC: 8587366. DOI: 10.3390/ma14216733. View

17.

Bresser R, Cune M, Gresnigt M . [Deep Margin Elevation for adhesive indirect restorations]. Ned Tijdschr Tandheelkd. 2023; 130(2):85-88. DOI: 10.5177/ntvt.2023.02.22097. View

18.

Galler K, Weber M, Korkmaz Y, Widbiller M, Feuerer M . Inflammatory Response Mechanisms of the Dentine-Pulp Complex and the Periapical Tissues. Int J Mol Sci. 2021; 22(3). PMC: 7867227. DOI: 10.3390/ijms22031480. View

19.

Muscholl C, Zamorska N, Schoilew K, Sekundo C, Meller C, Busch C . Retrospective Clinical Evaluation of Subgingival Composite Resin Restorations with Deep-Margin Elevation. J Adhes Dent. 2022; 24():335-344. PMC: 11734308. DOI: 10.3290/j.jad.b3240665. View

20.

Savadi A, Rangarajan V, C Savadi R, Satheesh P . Biologic perspectives in restorative treatment. J Indian Prosthodont Soc. 2012; 11(3):143-8. PMC: 3175237. DOI: 10.1007/s13191-011-0101-x. View