Deep Margin Elevation:A Conservative Alternative in Restorative Dentistry

Abstract

Deep margin elevation (DME) has also become a less invasive restorative method which offers an alternative procedure
compared to the traditional surgery methods like crown lengthening. DME helps to provide adequate isolation, enhance
adhesive bonding, and predictably place indirect restorations through the relocation of deep subgingival margins coronally with
adhesive restorative material. The procedure preserves the tooth structure, causes minimal damage to periodontal tissue, and
improves the restorative performance with little surgical intervention. Although technique sensitivity and proper case selection
is also of paramount importance, laboratory and clinical research indicate that DME can be used to achieve desirable marginal
adaptation, biomechanical performance, and periodontal stability. As the focus on conservative dentistry is growing, DME is
poised to become an option that is both practical and biologically respectful to use in dealing with difficult subgingival margins.