Navigating the practical-knowledge gap in deep margin elevation: A step towards a structured case selection – a review

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Saudi Dental Journal Pub Date : 2024-05-01 DOI:10.1016/j.sdentj.2024.02.022
Eman H. Ismail , Saba S. Ghazal , Rahaf D. Alshehri , Hajar N. Albisher , Rana S. Albishri , Abdulrahman A. Balhaddad
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引用次数: 0

Abstract

The deep margin elevation (DME) technique has gained popularity because of numerous supporting case reports. However, some clinicians are cautious regarding using this technique owing to the lack of clear case selection criteria for DME application. This review aimed to analyze case reports and a series of DME cases to determine pre-/post-operative evaluation methods that could be used to suggest a pre-operative case selection checklist for DME. An electronic database search was conducted in June 2021 and updated by June 2023 using selected terms from PubMed, Cochrane Library, Google Scholar, EBSCO, and Scopus. The search was limited to English-language publications and was not restricted to the date. The inclusion criteria were case reports/series addressing periodontal and restorative outcomes of DME. The search identified 217 articles, 76 of which were pertinent. However, only six case reports and one case series satisfied the inclusion criteria. None of the selected studies followed any reporting guidelines, which led to significant information gaps. While the reviewed studies reported favorable outcomes, standardized protocols for evaluating pre-/post-operative restorative and periodontal status were lacking. The post-operative follow-up period varied from 3 months to 6 years. Designing and implementing pre-/post-operative guidelines hold the potential for ensuring the safe application of the DME technique. This may enhance our understanding of the suitability and efficacy of such non-invasive technique in future clinical trials.

Clinical significance

Handling deep cavities and preparing crowns are challenging. However, a lack of understanding of when to perform DME can lead to missed opportunities for conservative treatment, thereby a disservice to the patient. Provision of safe guidelines should be employed by clinicians until further evidence either supports or contradicts this treatment method.

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填补深部边缘抬高术的实践知识空白:向结构化病例选择迈出一步--综述
深缘抬高(DME)技术因大量支持性病例报告而广受欢迎。然而,由于缺乏明确的 DME 应用病例选择标准,一些临床医生对使用该技术持谨慎态度。本综述旨在分析病例报告和一系列DME病例,以确定可用于建议DME术前病例选择清单的术前/术后评估方法。我们于 2021 年 6 月使用 PubMed、Cochrane Library、Google Scholar、EBSCO 和 Scopus 中的选定术语进行了电子数据库检索,并于 2023 年 6 月进行了更新。搜索仅限于英文出版物,且不限日期。纳入标准为涉及牙周病和 DME 修复结果的病例报告/系列文章。搜索发现了 217 篇文章,其中 76 篇是相关的。然而,只有六篇病例报告和一篇系列病例符合纳入标准。所选研究均未遵循任何报告指南,导致信息严重缺失。虽然所审查的研究报告了良好的结果,但缺乏评估术前/术后修复和牙周状况的标准化方案。术后随访时间从 3 个月到 6 年不等。设计和实施术前/术后指南有可能确保 DME 技术的安全应用。临床意义处理深龋和准备牙冠是一项挑战。然而,如果对何时进行 DME 缺乏了解,就会错失保守治疗的机会,从而对患者造成伤害。在进一步的证据支持或否定这种治疗方法之前,临床医生应采用安全的指导原则。
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来源期刊
Saudi Dental Journal
Saudi Dental Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.60
自引率
0.00%
发文量
86
审稿时长
22 weeks
期刊介绍: Saudi Dental Journal is an English language, peer-reviewed scholarly publication in the area of dentistry. Saudi Dental Journal publishes original research and reviews on, but not limited to: • dental disease • clinical trials • dental equipment • new and experimental techniques • epidemiology and oral health • restorative dentistry • periodontology • endodontology • prosthodontics • paediatric dentistry • orthodontics and dental education Saudi Dental Journal is the official publication of the Saudi Dental Society and is published by King Saud University in collaboration with Elsevier and is edited by an international group of eminent researchers.
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