Deep margin elevation: A bibliographic review of fracture adaptation and resistance

Authors

DOI:

https://doi.org/10.33448/rsd-v13i6.45670

Keywords:

Deep margin elevation; Marginal adaptation; Fracture resistance; Subgingival caries; Minimally invasive dentistry.

Abstract

Subgingival carious lesions can be restored with a deep margin elevation, which is performed with a resin composite, and then rehabilitated through a direct or indirect restoration, however, the limitations of this technique are not yet well specified, so as the material that allows adequate marginal adaptation and resistance to fracture. The objective of this article is to carry out a review of the literature that evaluates the appropriate materials to perform a deep margin lift and that allow adequate marginal adaptation, as well as studies that evaluate fracture resistance. Thus, a search was carried out in the scientific bases of PUBMED, SCOPUS, COCHRANE AND DIALNET, for articles in an interval of no more than 5 years, of which 12 were selected and analyzed in this study. The results of the qualitative analysis showed that resin composites modified with short fibers or hybrid nanofilled composites give good long-term results, although more in vivo studies are needed to give greater reliability to the technique.

References

Aldakheel, M., Aldosary, K., Alnafissah, S., Alaamer, R., Alqahtani, A., & Almuhtab, N. (2022). Deep Margin Elevation: Current Concepts and Clinical Considerations: A Review. Medicina, 58(10), 1482. https://doi.org/10.3390/medicina58101482

Almuhaiza, M., Gufran, K., & Hamza, M. O. Bin. (2016). Biological Width: The Periodontal Restorative Interlink: Short Discussion. International Journal of Dental and Medical Specialty, 3(3), 15. https://doi.org/10.5958/2394-4196.2016.00011.X

Bezerra, I. M., Brito, A. C. M., de Sousa, S. A., Santiago, B. M., Cavalcanti, Y. W., & de Almeida, L. de F. D. (2020). Glass ionomer cements compared with composite resin in restoration of noncarious cervical lesions: A systematic review and meta-analysis. Heliyon, 6(5), e03969. https://doi.org/10.1016/j.heliyon.2020.e03969

Bresser, R. A., Gerdolle, D., van den Heijkant, I. A., Sluiter-Pouwels, L. M. A., Cune, M. S., & Gresnigt, M. M. M. (2019). Up to 12 years clinical evaluation of 197 partial indirect restorations with deep margin elevation in the posterior region. Journal of Dentistry, 91, 103227. https://doi.org/10.1016/j.jdent.2019.103227

Bresser, R. A., Naves, L. Z., van der Made, S. A. M., Cune, M. S., & Gresnigt, M. M. M. (2023). Deep margin elevation. The International Journal of Esthetic Dentistry, 18(2), 142–160.

Bresser, R. A., van de Geer, L., Gerdolle, D., Schepke, U., Cune, M. S., & Gresnigt, M. M. M. (2020). Influence of Deep Margin Elevation and preparation design on the fracture strength of indirectly restored molars. Journal of the Mechanical Behavior of Biomedical Materials, 110, 103950. https://doi.org/10.1016/j.jmbbm.2020.103950

Bulbuk O, Bulbuk O, & ROSHKO M. (2021). The Localization Subgingival Margins of Cavity: A New Classification. Preprints , 01(03), 64.

Chuqui Dominguez, J. V., Espinoza Toral, E. F., & Tamariz Ordoñez, P. E. (2022). Odontología mínimamente invasiva en el tratamiento de caries dental: revisión de la literatura. Research, Society and Development, 11(11), e425111133590. https://doi.org/10.33448/rsd-v11i11.33590

Dietschi D, & Spreafico R. (1998). Current Clinical concepts for adhesive cementation of tooth- colored posterior restorations. Pract Periodontics Aesthet Dent , 47(54), 10.

Ferrari, M., Koken, S., Grandini, S., Ferrari Cagidiaco, E., Joda, T., & Discepoli, N. (2018). Influence of cervical margin relocation (CMR) on periodontal health: 12-month results of a controlled trial. Journal of Dentistry, 69, 70–76. https://doi.org/10.1016/j.jdent.2017.10.008

Frese, C., Wolff, D., & Staehle, H. (2014). Proximal Box Elevation With Resin Composite and the Dogma of Biological Width: Clinical R2-Technique and Critical Review. Operative Dentistry, 39(1), 22–31. https://doi.org/10.2341/13-052-T

Gargiulo, A. W., Wentz, F. M., & Orban, B. (1961). Dimensions and Relations of the Dentogingival Junction in Humans. The Journal of Periodontology, 32(3), 261–267. https://doi.org/10.1902/jop.1961.32.3.261

Garoushi, S., Mangoush, E., Vallittu, M., & Lassila, L. (2013). Short Fiber Reinforced Composite: a New Alternative for Direct Onlay Restorations. The Open Dentistry Journal, 7(1), 181–185. https://doi.org/10.2174/1874210601307010181

Garoushi, S., Vallittu, P. K., & Lassila, L. V. J. (2007). Short glass fiber reinforced restorative composite resin with semi-inter penetrating polymer network matrix. Dental Materials, 23(11), 1356–1362. https://doi.org/10.1016/j.dental.2006.11.017

Ghezzi, C., Brambilla, G., Conti, A., Dosoli, R., Ceroni, F., & Ferrantino, L. (2019). Cervical margin relocation: case series and new classification system. The International Journal of Esthetic Dentistry, 14(3), 272–284.

Iaculli, F., Salucci, A., Di Giorgio, G., Luzzi, V., Ierardo, G., Polimeni, A., & Bossù, M. (2021). Bond Strength of Self-Adhesive Flowable Composites and Glass Ionomer Cements to Primary Teeth: A Systematic Review and Meta-Analysis of In Vitro Studies. Materials, 14(21), 6694. https://doi.org/10.3390/ma14216694

Ismail, H. S., Ali, A. I., Mehesen, R. El., Juloski, J., Garcia-Godoy, F., & Mahmoud, S. H. (2022). Deep proximal margin rebuilding with direct esthetic restorations: a systematic review of marginal adaptation and bond strength. Restorative Dentistry & Endodontics, 47(2). https://doi.org/10.5395/rde.2022.47.e15

Ismail, H. S., Morrow, B. R., Ali, A. I., Mehesen, R. El., Garcia-Godoy, F., & Mahmoud, S. H. (2022). Correlation between different methodologies used to evaluate the marginal adaptation of proximal dentin gingival margins elevated using a glass hybrid. Restorative Dentistry & Endodontics, 47(4). https://doi.org/10.5395/rde.2022.47.e36

Ismail, HS., Ali, AI., Mehesen, RE., Garcia-Godoy, F., & Mahmoud, SH. (2022). In vitro marginal and internal adaptation of four different base materials used to elevate proximal dentin gingival margins. Journal of Clinical and Experimental Dentistry, e550–e559. https://doi.org/10.4317/jced.59652

Juloski, J., Köken, S., & Ferrari, M. (2018). Cervical margin relocation in indirect adhesive restorations: A literature review. Journal of Prosthodontic Research, 62(3), 273–280. https://doi.org/10.1016/j.jpor.2017.09.005

Lavanya, D., Buchi, D., Mantena, S. R., K, M. V., Rao, D. B., & Chandrappa, V. (2019). Recent Advances in Dental Composites: An Overview. International Journal of Dental Materials, 01(02), 48–54. https://doi.org/10.37983/IJDM.2019.1202

Magne, P., & Spreafico, R. C. (2012). Deep Margin Elevation: A Paradigm Shift. In THE AMERICAN JOURNAL OF ESTHETIC DENTISTRY.

Mahjoubi, B., Nasri, S., Nouira, Z., Harzallah, B., & Chérif, M. (2023). Conservative Management of Extensively Damaged Endodontically Treated Tooth using Ceramic Endocrown and Deep Margin Elevation: A Clinical Report. Scholars Journal of Medical Case Reports, 11(05), 908–915. https://doi.org/10.36347/sjmcr.2023.v11i05.040

Mohammed, M. R., & Hadi, A. N. (2022). Enhancing the Mechanical Behaviour and Antibacterial Activity of Bioepoxy Using Hybrid Nanoparticles for Dental Applications. International Journal of Biomaterials, 2022, 1–8. https://doi.org/10.1155/2022/2124070

Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., Stewart, L. A., Estarli, M., Barrera, E. S. A., Martínez-Rodríguez, R., Baladia, E., Agüero, S. D., Camacho, S., Buhring, K., Herrero-López, A., Gil-González, D. M., Altman, D. G., Booth, A., … Whitlock, E. (2016). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Revista Espanola de Nutricion Humana y Dietetica, 20(2), 148–160. https://doi.org/10.1186/2046-4053-4-1

Mugri, M. H., Sayed, M. E., Nedumgottil, B. M., Bhandi, S., Raj, A. T., Testarelli, L., Khurshid, Z., Jain, S., & Patil, S. (2021). Treatment Prognosis of Restored Teeth with Crown Lengthening vs. Deep Margin Elevation: A Systematic Review. Materials, 14(21), 6733. https://doi.org/10.3390/ma14216733

Nugala, B., Kumar, B. S., Sahitya, S., & Krishna, P. M. (2012). Biologic width and its importance in periodontal and restorative dentistry. Journal of Conservative Dentistry : JCD, 15(1), 12–17. https://doi.org/10.4103/0972-0707.92599

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. In The BMJ (Vol. 372). BMJ Publishing Group. https://doi.org/10.1136/bmj.n71

Planciunas, L., Puriene, A., & Mackeviciene, G. (2006). Surgical lengthening of the clinical tooth crown. Stomatologija, 8(3), 88–95.

Rajesh KS, Sonal Deepak Ganji, Shashikanth Hegde, & Arun Kumar MS. (2016). Biologic Width Dimensions in Diseased And Healthy Periodontium - A Clinico- Radiographic Study. Indian Journal of Dental Advancements, 08(01). https://doi.org/10.5866/2016.8.10003

Riva, Y. R., & Rahman, S. F. (2019). Dental composite resin: A review. 020011. https://doi.org/10.1063/1.5139331

Robaian, A., Alqahtani, A., Alanazi, K., Alanazi, A., Almalki, M., Aljarad, A., Albaijan, R., Maawadh, A., Sufyan, A., & Mirza, M. B. (2023). Different Designs of Deep Marginal Elevation and Its Influence on Fracture Resistance of Teeth with Monolith Zirconia Full-Contour Crowns. Medicina, 59(4), 661. https://doi.org/10.3390/medicina59040661

Roggendorf, M. J., Krämer, N., Dippold, C., Vosen, V. E., Naumann, M., Jablonski-Momeni, A., & Frankenberger, R. (2012). Effect of proximal box elevation with resin composite on marginal quality of resin composite inlays in vitro. Journal of Dentistry, 40(12), 1068–1073. https://doi.org/10.1016/J.JDENT.2012.08.019

Rosin, M., Froehlich, L., Mazur, N., Bervian, R. K., Santana, S. C., Piana, E. A., Queiroz, K. F. A., Colussi, J. O. M., & Pezzini, R. P. (2022). Resinas compostas: uma revisão de literatura. Research, Society and Development, 11(13), e257111335128. https://doi.org/10.33448/rsd-v11i13.35128

Salah, Z., & Sleibi, A. (2023). Effect of deep margin elevation on fracture resistance of premolars restored with ceramic onlay: In vitro comparative study. Journal of Clinical and Experimental Dentistry, e446–e453. https://doi.org/10.4317/jced.60384

Samartzi, T. K., Papalexopoulos, D., Ntovas, P., Rahiotis, C., & Blatz, M. B. (2022). Deep Margin Elevation: A Literature Review. Dentistry Journal, 10(3), 48. https://doi.org/10.3390/dj10030048

Shah, E. H., Shetty, P., Aggarwal, S., Sawant, S., Shinde, R., & Bhol, R. (2021). Effect of fibre-reinforced composite as a post-obturation restorative material on fracture resistance of endodontically treated teeth: A systematic review. The Saudi Dental Journal, 33(7), 363–369. https://doi.org/10.1016/j.sdentj.2021.07.006

Shobha, K. S., Mahantesha, Seshan, H., Mani, R., & Kranti, K. (2010). Clinical evaluation of the biological width following surgical crown-lengthening procedure: A prospective study. Journal of Indian Society of Periodontology, 14(3), 160–167. https://doi.org/10.4103/0972-124X.75910

Da Silva, D., Ceballos, L., & Fuentes, M. (2021). Influence of the adhesive strategy in the sealing ability of resin composite inlays after deep margin elevation. Journal of Clinical and Experimental Dentistry, e886–e893. https://doi.org/10.4317/jced.58689

Syahrial. (2020). The Complications of Biologic Width in Esthetic Anterior Restorations: A Case Report and Review. Journal of Biomimetics, Biomaterials and Biomedical Engineering, 48, 126–133. https://doi.org/10.4028/www.scientific.net/JBBBE.48.126

Theisen, C. E. R., Amato, J., Krastl, G., Attin, T., Blatz, M. B., Weiger, R., & Eggmann, F. (2023). Quality of CAD-CAM inlays placed on aged resin-based composite restorations used as deep margin elevation: a laboratory study. Clinical Oral Investigations, 27(6), 2691–2703. https://doi.org/10.1007/s00784-022-04841-y

Veneziani, M. (2010). Adhesive restorations in the posterior area with subgingival cervical margins: new classification and differentiated treatment approach. The European Journal of Esthetic Dentistry : Official Journal of the European Academy of Esthetic Dentistry, 5(1), 50–76.

Vertolli, T., Martinsen, B., Hanson, C., Howard, R., Kooistra, S., & Ye, L. (2020). Effect of Deep Margin Elevation on CAD/CAM-Fabricated Ceramic Inlays. Operative Dentistry, 45(6), 608–617. https://doi.org/10.2341/18-315-L

Zavattini, A., Mancini, M., Higginson, J., Foschi, F., Pasquantonio, G., & Mangani, F. (2018). Micro-computed tomography evaluation of microleakage of Class II composite restorations: An in vitro study. European Journal of Dentistry, 12(03), 369–374. https://doi.org/10.4103/ejd.ejd_28_18

Published

07/06/2024

How to Cite

GONZALEZ RODAS, E. E. .; LEMA MOSQUERA, V. R. .; TAMARIZ ORDOÑEZ , P. E. . Deep margin elevation: A bibliographic review of fracture adaptation and resistance. Research, Society and Development, [S. l.], v. 13, n. 6, p. e3313645670, 2024. DOI: 10.33448/rsd-v13i6.45670. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/45670. Acesso em: 17 jul. 2024.

Issue

Section

Health Sciences