Enhancing subgingival margin restoration: a comprehensive review and meta-analysis of deep margin elevation’s impact on microleakage

Q3 Dentistry Evidence-based dentistry Pub Date : 2024-06-21 DOI:10.1038/s41432-024-01028-0

Pegah Sadeghnezhad, Alireza Sarraf Shirazi, Alireza Borouziniat, Sara Majidinia, Pouria Soltaninezhad, Amir Hossein Nejat

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Abstract

Restorative dentistry faces complex challenges with deep proximal surface destruction, requiring novel approaches like DME (Deep Margin Elevation). In order to achieve the best results while treating severe tooth damage, this study examines the advantages, disadvantages, and possible collaborations of different treatments. This systematic review investigates the efficacy of DME as an adjunctive procedure in restorative dentistry, specifically focusing on its impact on microleakage. The study adheres to PRISMA guidelines and employs the PICOS framework for eligibility criteria. 394 potentially qualifying studies were discovered and thorough literature search was carried out via databases. After applying inclusion criteria, 7 studies were included in the analysis. Articles were selected based on criteria that included indirect restoration and performing DME and were compared with indirect restorations without DME. Composite resin was used for DME. Other materials for DME performing, including GI and composite flow, were systematically reviewed. Data analysis was done by biostat software (α = 0.05). The meta-analysis of selected studies reveals a statistically significant positive effect of DME on reduction of microleakage (p = 0.001). The results of this study underscore the potential of DME in addressing subgingival margin challenges and provide valuable insights for restorative dentistry practices.

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加强龈下边缘修复：关于深层边缘抬高对微渗漏影响的全面回顾和荟萃分析。

介绍：牙科修复面临着近表面深层破坏的复杂挑战，需要像深边缘提升（DME）这样的新方法。为了在治疗严重牙齿损伤的同时达到最佳效果，本研究探讨了不同治疗方法的优缺点和可能的合作方式。目的：本系统性综述调查了 DME 作为牙科修复辅助程序的功效，特别关注其对微渗漏的影响：本研究遵循 PRISMA 指南，并采用 PICOS 框架作为资格标准。发现了 394 项可能符合条件的研究，并通过数据库进行了全面的文献检索。采用纳入标准后，7 项研究被纳入分析。文章的选择标准包括间接修复和进行 DME，并与不进行 DME 的间接修复进行比较。DME 使用复合树脂。对用于 DME 的其他材料（包括 GI 和复合流体）进行了系统审查。数据分析由生物统计软件完成（α = 0.05）：对所选研究进行的荟萃分析表明，DME 对减少微渗漏具有统计学意义上的积极影响（p = 0.001）：本研究结果强调了 DME 在解决龈缘下问题方面的潜力，并为牙科修复实践提供了宝贵的见解。

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来源期刊

Evidence-based dentistry Dentistry-Dentistry (all)

CiteScore

2.50

自引率

0.00%

发文量

期刊介绍： Evidence-Based Dentistry delivers the best available evidence on the latest developments in oral health. We evaluate the evidence and provide guidance concerning the value of the author''s conclusions. We keep dentistry up to date with new approaches, exploring a wide range of the latest developments through an accessible expert commentary. Original papers and relevant publications are condensed into digestible summaries, drawing attention to the current methods and findings. We are a central resource for the most cutting edge and relevant issues concerning the evidence-based approach in dentistry today. Evidence-Based Dentistry is published by Springer Nature on behalf of the British Dental Association.