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Deep Margin Elevation in Endodontically Treated Posterior Teeth
Sponsor: Hacettepe University
Summary
This study aims to evaluate the periodontal response of proximal surfaces with deep margin elevation (DME) in endodontically treated posterior teeth restored with CAD/CAM systems. Deep subgingival margins present clinical challenges in terms of isolation, restoration, and long-term periodontal health. DME is a minimally invasive technique used to relocate subgingival margins coronally to a supragingival level, facilitating adhesive procedures and CAD/CAM restoration placement. However, the periodontal effects of DME remain unclear. In this prospective split-tooth clinical study, proximal surfaces treated with DME will be compared with control surfaces without DME within the same tooth. The primary outcome will be bleeding on probing (BOP), while secondary outcomes will include probing depth and plaque index. Clinical and radiographic evaluations will be performed at baseline and during follow-up. The results of this study are expected to provide clinical evidence regarding the periodontal impact of DME and support clinical decision-making in the restoration of endodontically treated posterior teeth.
Official title: Evaluation of Periodontal Response on Proximal Surfaces With Deep Margin Elevation in CAD/CAM Restorations of Endodontically Treated Posterior Teeth
Key Details
Gender
All
Age Range
18 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
45
Start Date
2026-03-24
Completion Date
2027-04-24
Last Updated
2026-07-02
Healthy Volunteers
No
Interventions
Deep Margin Elevation
Deep margin elevation (DME) is performed by relocating subgingival proximal margins coronally using a high-filled injectable composite resin following adhesive procedures, prior to CAD/CAM restoration placement.
CAD/CAM Restoration Without DME
Restorative treatment is performed without deep margin elevation, where proximal margins remain at supragingival or equigingival levels and are restored using CAD/CAM systems.
Locations (1)
Hacettepe University, Faculty of Dentistry, Department of Restorative Dentistry
Ankara, Turkey (Türkiye)