Impact of Deep Margin Elevation Procedures Upon Periodontal Parameters: A Systematic Review.

IF 1.1 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

European Journal of Prosthodontics and Restorative Dentistry Pub Date : 2023-02-28 DOI:10.1922/EJPRD_2350Chun12

E P Chun, G S de Andrade, E D A Grassi, J Garaicoa, C Garaicoa-Pazmino

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引用次数: 1

Abstract

Introduction: Deep margin elevation (DME) is an emerging technique attempting to minimize the need for surgical procedures (i.e., crown lengthening [CL]), deliver indirect restorations in one clinical session and reduce overall treatment time. The present study evaluated the impact of DME upon periodontal measurements based exclusively on human studies.

Methods: A literature search was performed by two independent reviewers in several databases including PubMed, EMBASE, and Cochrane Central up to March 2022. This review searched for randomized human trials, cohort (prospective/ retrospective) and/or case series studies using DME, reporting periodontal (i.e. marginal bone levels [MBL], probing depths [PD], bleeding on probing [BoP], recession [REC], clinical attachment level [CAL]), and the type of approach (non-surgical or surgical) with at least ⟩3 months of post-operative outcomes.

Results: None of the included studies reported MBL, REC or CAL, and thus, results were limited to PD and BoP. BoP was increased when the distance between restorative margin and alveolar bone was approximately ⟨2mm. Non-surgical and surgical DME approaches led to different outcomes in PD (0.26±0.77mm vs -0.39±0.85mm) and BoP (31.50% vs -22.33%).

Conclusions: Limited findings of the present systematic review can be drawn and thus, the impact of DME upon the periodontium remains inconclusive.

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深缘抬高手术对牙周参数的影响:一项系统综述。

简介:深缘提升(DME)是一种新兴的技术，旨在尽量减少外科手术(即冠延长[CL])的需要，在一次临床治疗中进行间接修复，并缩短整体治疗时间。本研究仅基于人体研究评估二甲醚对牙周测量的影响。方法:由两名独立审稿人在PubMed、EMBASE和Cochrane Central等多个数据库中进行文献检索，截止到2022年3月。本综述检索了随机人体试验，队列(前瞻性/回顾性)和/或使用DME的病例系列研究，报告牙周(即边缘骨水平[MBL]，探探深度[PD]，探探时出血[BoP]，衰退[REC]，临床附着水平[CAL])和入路类型(非手术或手术)，至少有术后3个月的结果。结果:没有纳入的研究报告MBL, REC或CAL，因此，结果仅限于PD和BoP。当修复缘与牙槽骨之间的距离约为⟨2mm时，BoP增加。非手术和手术入路导致PD(0.26±0.77mm vs -0.39±0.85mm)和BoP (31.50% vs -22.33%)的不同结果。结论:本系统综述的有限发现可以得出，因此，二甲醚对牙周组织的影响仍然不确定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Prosthodontics and Restorative Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.30

自引率

7.70%

发文量

期刊介绍： The European Journal of Prosthodontics and Restorative Dentistry is published quarterly and includes clinical and research articles in subjects such as prosthodontics, operative dentistry, implantology, endodontics, periodontics and dental materials.