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Impact of Deep Margin Elevation Procedures Upon Periodontal Parameters: A Systematic Review.
Chun, E P; de Andrade, G S; Grassi, E D A; Garaicoa, J; Garaicoa-Pazmino, C.
Afiliação
  • Chun EP; Private Practice, São Paulo, São Paulo, Brazil.
  • de Andrade GS; Research Scholar, School of Dentistry, Espiritu Santo University, Samborondon, Ecuador.
  • Grassi EDA; Private Practice, Cascavel, Paraná, Brazil.
  • Garaicoa J; Center of Biological and Health Sciences, School of Dentistry, Western Paraná State University (Unioeste), Cascavel, PR, Brazil.
  • Garaicoa-Pazmino C; Assistant Professor, School of Dentistry, Braz Cubas University Center, Braz Cubas, Mogi das Cruzes, São Paulo, Brazil.
Eur J Prosthodont Restor Dent ; 31(1): 10-21, 2023 Feb 28.
Article em En | MEDLINE | ID: mdl-36446028
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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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estudos Prospectivos Tipo de estudo: Clinical_trials / Systematic_reviews Limite: Humans Idioma: En Revista: Eur J Prosthodont Restor Dent Assunto da revista: ODONTOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estudos Prospectivos Tipo de estudo: Clinical_trials / Systematic_reviews Limite: Humans Idioma: En Revista: Eur J Prosthodont Restor Dent Assunto da revista: ODONTOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido