Evidence map›Paper›PMID 36295642›Full record

ReviewMedicina (Kaunas, Lithuania)2022

Deep Margin Elevation: Current Concepts and Clinical Considerations: A Review.

Majed Aldakheel, Khalid Aldosary, Shatha Alnafissah, Rahaf Alaamer, Anwar Alqahtani, Nora Almuhtab

Abstract readReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Deep Margin Elevation With Various Resin Composites: Effect of Thermomechanical Aging on the Marginal Gap of CAD/CAM Inlays.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Impact of Thermal Aging on Marginal Adaptation in Lithium Disilicate CAD/CAM Crowns with Deep Proximal Box Elevation.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  15. Article
  16. Article
  17. Review
  18. Management of Deep Cervical Margins in Proximal Restorations for Long-term Success.Journal of conservative dentistry and endodontics · 2024
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Majed AldakheelDental Department, King Abdulaziz University Hospital, King Saud University , Riyadh 11323, Saudi Arabia.
Khalid AldosaryDental Department, King Abdulaziz University Hospital, King Saud University , Riyadh 11323, Saudi Arabia.
Shatha AlnafissahBDS, College of Dentistry, Princess Nourah Bint Abdul Rahman University, Riyadh 13414, Saudi Arabia.
Rahaf AlaamerBDS, College of Dentistry, Princess Nourah Bint Abdul Rahman University, Riyadh 13414, Saudi Arabia.
Anwar AlqahtaniBDS, College of Dentistry, Princess Nourah Bint Abdul Rahman University, Riyadh 13414, Saudi Arabia.
Nora AlmuhtabBDS, College of Dentistry, King Saud University, Riyadh 12371, Saudi Arabia.ORCID 0000-0002-8836-6386

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dietschi and Spreafico first proposed deep margin elevation (DME) in 1998 to address the multiple clinical problems associated with sub-gingival margins, where sub-gingival margins will be repositioned coronally using composite resin restorations. Given that dentistry is directing towards conservatism, its use is currently trending. MATERIALS AND

methodsa search was performed through PubMed, Scopus, and Google Scholar search engines to obtain relevant articles with no time restriction.

resultsWith biological width taken into consideration, well-defined and polished sub-gingival restorations are compatible with periodontal health. Marginal integrity in the DME technique seems to be affected by the type of adhesive, restoration, and incremental layering of the restoration. Regarding fracture resistance, DME has no significant effects.

conclusionThe DME technique seems to be a minimally invasive alternative to surgical crown lengthening (SCL) and orthodontic extrusion (OE) with respect to biological width. Well-controlled clinical trials are limited in this field; further long-term follow-up studies emphasizing the periodontal outcomes and prevention of complications are needed.

Indexed as

Composite ResinsGingivaHumansComposite Resinscervical margin relocationdeep margin elevationproximal box elevationsub-gingival margins

Identifiers

PMID36295642
PMCPMC9610387

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.