Effect of Deep Margin Elevation on the Pulpal and Periodontal Health of Teeth: A Systematic Review.

IF 1.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
S Srirama, S Jain, B Arul, K Prabakar, V Natanasabapathy
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引用次数: 0

Abstract

Objective: To systematically evaluate the clinical performance of deep margin elevation (DME) technique in terms of pulpal and periodontal health of teeth.

Methods and materials: An exploratory search was performed in PubMed, Scopus, Embase, Web of Science, and Google Scholar up to September 2023 by two authors independently. This systematic review was performed in accordance with Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Systematic Reviews (PRISMA-SR) and registered with PROSPERO-CRD42022382082. A custom-designed spreadsheet was used to extract the data. The quality of each study was evaluated by means of the Joanna Briggs Institute (JBI) risk of bias (ROB) tool specific for each study design.

Results: A total of 5363 articles was obtained through an electronic database search, the grey literature, and a hand search. 2814 duplicates were removed, and an additional 2535 articles were also removed, as they did not meet the eligibility criteria. Following the screening of titles and abstracts, 16 articles were selected for full text reading, from which 10 articles were included for final qualitative analysis. DME was predominantly done with resin-based composite or glass ionomer cement (GIC). Parameters like periodontal pocket depth and bleeding on probing were within normal limits in all teeth with DME. Only one study checked the histological outcome and concluded that DME had no negative effect on the periodontium. Most of the studies used indirect restoration (composite/lithium disilicate/Emax) over the DME layer. The follow-up period ranged between 6 months and 12 years.

Conclusion: The level of evidence of this review is low, but DME was successful in all teeth, without any deleterious effect on pulp and periodontium.

深缘抬高对牙齿牙髓和牙周健康的影响:系统回顾
目的从牙髓和牙周健康的角度系统评估深边缘提升(DME)技术的临床表现:两位作者独立在PubMed、Scopus、Embase、Web of Science和Google Scholar上进行了探索性搜索,搜索结果截止到2023年9月。本系统性综述根据系统性综述和元分析扩展的首选报告项目(PRISMA-SR)进行,并在 PROSPERO-CRD42022382082 上注册。数据提取采用定制的电子表格。通过乔安娜-布里格斯研究所(JBI)针对每项研究设计的偏倚风险(ROB)工具对每项研究的质量进行评估:通过电子数据库搜索、灰色文献和人工搜索,共获得 5363 篇文章。删除了 2814 篇重复文章,另有 2535 篇文章因不符合资格标准而被删除。在对标题和摘要进行筛选后,选出 16 篇文章进行全文阅读,并从中选出 10 篇文章进行最终定性分析。DME 主要使用树脂基复合材料或玻璃离聚体水泥(GIC)。所有使用 DME 的牙齿的牙周袋深度和探诊出血等参数都在正常范围内。只有一项研究对组织学结果进行了检查,得出的结论是 DME 对牙周没有负面影响。大多数研究在 DME 层上使用间接修复体(复合材料/二硅酸锂/Emax)。随访时间从 6 个月到 12 年不等:本综述的证据水平较低,但 DME 在所有牙齿上都取得了成功,对牙髓和牙周没有任何有害影响。
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来源期刊
Operative dentistry
Operative dentistry 医学-牙科与口腔外科
CiteScore
4.00
自引率
9.10%
发文量
124
审稿时长
6-12 weeks
期刊介绍: Operative Dentistry is a refereed, international journal published bi-monthly and distributed to subscribers in over 50 countries. In 2012, we printed 84 articles (672 pages). Papers were submitted by authors from 45 countries, in the categories of Clinical Research, Laboratory Research, Clinical Techniques/Case Presentations and Invited Papers, as well as Editorials and Abstracts. One of the strong points of our journal is that our current publication time for accepted manuscripts is 4 to 6 months from the date of submission. Clinical Techniques/Case Presentations have a very quick turnaround time, which allows for very rapid publication of clinical based concepts. We also provide color for those papers that would benefit from its use. The journal does not accept any advertising but you will find postings for faculty positions. Additionally, the journal also does not rent, sell or otherwise allow its subscriber list to be used by any other entity
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