Derin Marjin Elevasyonu
Özet
Dişler; kırıklar, çatlaklar veya çürükler nedeniyle yapısal olarak bütünlüklerini kaybedebilmektedir. Sağlam dişe göre mekanik olarak zayıflayan bu dişlerin tedavisi rezidüel dokuların durumlarına göre planlanmaktadır. Mine-sement birleşimini (CEJ) aşan subgingival bölgeyle ilişkili defektlerde nem kontrolünün zor olması ve periferal dokularla uyumlu restorasyon yapımı sürekli olarak sorgulanmaktadır. Subgingival marjinleri çeşitli materyaller kullanarak supragingival seviyeye yükseltmek, marjinal bütünlüğü ve bağlanma kuvvetini artırmak için yapılan uygulamalara derin marjin elevasyonu adı verilmektedir.
Anahtar Kelimeler: Adezyon, Derin Marjin Elevasyonu, Diş ve Çevre Dokuların Değerlendirilmesi
Konu Alanı: Tıp -> Tıp (diğer) -> Restoratif Diş Tedavisi
1. Fichera, G., Mazzitelli, C., Picciariello, V., Maravic, T., Josic, U., Mazzoni, A., & Breschi, L. (2024). Structurally compromised teeth. Part I: Clinical considerations and novel classification proposal. Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.], 36(1), 7–19. https://doi.org/10.1111/jerd.13117)
2. Geo, T. D., Gupta, S., Gupta, S. G., & Rana, K. S. (2024). Is Deep margin elevation a reliable tool for cervical margin relocation? - A comparative review. Journal of oral biology and craniofacial research, 14(1), 33–38. https://doi.org/10.1016/j.jobcr.2023.12.002
3. Kielbassa, A. M., & Philipp, F. (2015). Restoring proximal cavities of molars using the proximal box elevation technique: Systematic review and report of a case. Quintessence international (Berlin, Germany : 1985), 46(9), 751–764. https://doi.org/10.3290/j.qi.a34459
4. Dietschi, D., & Spreafico, R. (1998). Current clinical concepts for adhesive cementation of tooth-colored posterior restorations. Practical periodontics and aesthetic dentistry : PPAD, 10(1), 47–56.
5. Magne P and Spreafico RC. (2012) Deep margin elevation: a paradigm shift. Am J Esthet Dent, 2: 86-96.
6. Plotino, G., Abella Sans, F., Duggal, M. S., Grande, N. M., Krastl, G., Nagendrababu, V., & Gambarini, G. (2022). Present status and future directions: Surgical extrusion, intentional replantation and tooth autotransplantation. International endodontic journal, 55 Suppl 3, 827–842. https://doi.org/10.1111/iej.13723
7. Huang, G., Yang, M., Qali, M., Wang, T. J., Li, C., & Chang, Y. C. (2021). Clinical Considerations in Orthodontically Forced Eruption for Restorative Purposes. Journal of clinical medicine, 10(24), 5950. https://doi.org/10.3390/jcm10245950
8. Eggmann, F., Ayub, J. M., Conejo, J., & Blatz, M. B. (2023). Deep margin elevation-Present status and future directions. Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.], 35(1), 26–47. https://doi.org/10.1111/jerd.13008
9. Samartzi, T. K., Papalexopoulos, D., Ntovas, P., Rahiotis, C., & Blatz, M. B. (2022). Deep Margin Elevation: A Literature Review. Dentistry journal, 10(3), 48. https://doi.org/10.3390/dj10030048)
10. Loguercio, A. D., Alessandra, R., Mazzocco, K. C., Dias, A. L., Busato, A. L., Singer, J.daM., & Rosa, P. (2002). Microleakage in class II composite resin restorations: total bonding and open sandwich technique. The journal of adhesive dentistry, 4(2), 137–144.
11. Frese, C., Wolff, D., & Staehle, H. J. (2014). Proximal box elevation with resin composite and the dogma of biological width: clinical R2-technique and critical review. Operative dentistry, 39(1), 22–31. https://doi.org/10.2341/13-052-T
12. Padbury, A., Jr, Eber, R., & Wang, H. L. (2003). Interactions between the gingiva and the margin of restorations. Journal of clinical periodontology, 30(5), 379–385. https://doi.org/10.1034/j.1600-051x.2003.01277.x
13. Köken, S., Juloski, J., & Ferrari, M. (2019). Influence of cervical margin relocation and adhesive system on microleakage of indirect composite restorations. Journal of Osseointegration, 11(1), 21-28.
14. Vertolli, T. J., Martinsen, B. D., Hanson, C. M., Howard, R. S., Kooistra, S., & Ye, L. (2020). Effect of Deep Margin Elevation on CAD/CAM-Fabricated Ceramic Inlays. Operative dentistry, 45(6), 608–617. https://doi.org/10.2341/18-315-L
15. Ilgenstein, I., Zitzmann, N. U., Bühler, J., Wegehaupt, F. J., Attin, T., Weiger, R., & Krastl, G. (2015). Influence of proximal box elevation on the marginal quality and fracture behavior of root-filled molars restored with CAD/CAM ceramic or composite onlays. Clinical oral investigations, 19(5), 1021–1028. https://doi.org/10.1007/s00784-014-1325-z
16. Jotkowitz, A., & Samet, N. (2010). Rethinking ferrule--a new approach to an old dilemma. British dental journal, 209(1), 25–33. https://doi.org/10.1038/sj.bdj.2010.580
17. Lanning, S. K., Waldrop, T. C., Gunsolley, J. C., & Maynard, J. G. (2003). Surgical crown lengthening: evaluation of the biological width. Journal of periodontology, 74(4), 468–474. https://doi.org/10.1902/jop.2003.74.4.468
18. Jepsen, S., Caton, J. G., Albandar, J. M., Bissada, N. F., Bouchard, P., Cortellini, P., Demirel, K., de Sanctis, M., Ercoli, C., Fan, J., Geurs, N. C., Hughes, F. J., Jin, L., Kantarci, A., Lalla, E., Madianos, P. N., Matthews, D., McGuire, M. K., Mills, M. P., Preshaw, P. M., … Yamazaki, K. (2018). Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Journal of periodontology, 89 Suppl 1, S237–S248. https://doi.org/10.1002/JPER.17-0733
19. Novak, M. J., Albather, H. M., & Close, J. M. (2008). Redefining the biologic width in severe, generalized, chronic periodontitis: implications for therapy. Journal of periodontology, 79(10), 1864–1869. https://doi.org/10.1902/jop.2008.080066
20. Ghezzi, C., Brambilla, G., Conti, A., Dosoli, R., Ceroni, F., & Ferrantino, L. (2019). Cervical margin relocation: case series and new classification system. The international journal of esthetic dentistry, 14(3), 272–284.
21. Aldakheel, M., Aldosary, K., Alnafissah, S., Alaamer, R., Alqahtani, A., & Almuhtab, N. (2022). Deep Margin Elevation: Current Concepts and Clinical Considerations: A Review. Medicina (Kaunas, Lithuania), 58(10), 1482. https://doi.org/10.3390/medicina58101482
22. Alhassan, M. A., & Bajunaid, S. O. (2020). Effect of cervical margin relocation technique with composite resin on the marginal integrity of a ceramic onlay: a case report. General dentistry, 68(4), e1–e3.
23. Taylor, A., & Burns, L. (2024). Deep margin elevation in restorative dentistry: A scoping review. Journal of dentistry, 146, 105066. https://doi.org/10.1016/j.jdent.2024.105066
24. Breschi, L., Maravic, T., Cunha, S. R., Comba, A., Cadenaro, M., Tjäderhane, L., Pashley, D. H., Tay, F. R., & Mazzoni, A. (2018). Dentin bonding systems: From dentin collagen structure to bond preservation and clinical applications. Dental materials : official publication of the Academy of Dental Materials, 34(1), 78–96. https://doi.org/10.1016/j.dental.2017.11.005
25. Patil, D., Singbal, K. P., & Kamat, S. (2011). Comparative evaluation of the enamel bond strength of 'etch-and-rinse' and 'all-in-one' bonding agents on cut and uncut enamel surfaces. Journal of conservative dentistry : JCD, 14(2), 147–150. https://doi.org/10.4103/0972-0707.82616
26. Cardoso, M. V., de Almeida Neves, A., Mine, A., Coutinho, E., Van Landuyt, K., De Munck, J., & Van Meerbeek, B. (2011). Current aspects on bonding effectiveness and stability in adhesive dentistry. Australian dental journal, 56 Suppl 1, 31–44. https://doi.org/10.1111/j.1834-7819.2011.01294.x
27. Rocca, G. T., Rizcalla, N., Krejci, I., & Dietschi, D. (2015). Evidence-based concepts and procedures for bonded inlays and onlays. Part II. Guidelines for cavity preparation and restoration fabrication. The international journal of esthetic dentistry, 10(3), 392–413.
28. Juloski, J., KÖken, S., & Ferrari, M. (2020). No correlation between two methodological approaches applied to evaluate cervical margin relocation. Dental materials journal, 39(4), 624–632. https://doi.org/10.4012/dmj.2018-410
29. Da Silva, D., Ceballos, L., & Fuentes, M. V. (2021). Influence of the adhesive strategy in the sealing ability of resin composite inlays after deep margin elevation. Journal of clinical and experimental dentistry, 13(9), e886–e893. https://doi.org/10.4317/jced.58689
30. Betancourt, D. E., Baldion, P. A., & Castellanos, J. E. (2019). Resin-Dentin Bonding Interface: Mechanisms of Degradation and Strategies for Stabilization of the Hybrid Layer. International journal of biomaterials, 2019, 5268342. https://doi.org/10.1155/2019/5268342
31. Jokstad A. (2016). Secondary caries and microleakage. Dental materials : official publication of the Academy of Dental Materials, 32(1), 11–25. https://doi.org/10.1016/j.dental.2015.09.006
32. Fornaini, C., Lagori, G., Merigo, E., Rocca, J. P., Chiusano, M., & Cucinotta, A. (2015). 405 nm diode laser, halogen lamp and LED device comparison in dental composites cure: an "in vitro" experimental trial. Laser therapy, 24(4), 265–274. https://doi.org/10.5978/islsm.15-OR-16
33. Dietschi, D., & Spreafico, R. (2015). Evidence-based concepts and procedures for bonded inlays and onlays. Part I. Historical perspectives and clinical rationale for a biosubstitutive approach. The international journal of esthetic dentistry, 10(2), 210–227.
34. Dablanca-Blanco, A. B., Blanco-Carrión, J., Martín-Biedma, B., Varela-Patiño, P., Bello-Castro, A., & Castelo-Baz, P. (2017). Management of large class II lesions in molars: how to restore and when to perform surgical crown lengthening?. Restorative dentistry & endodontics, 42(3), 240–252. https://doi.org/10.5395/rde.2017.42.3.240
35. Ntovas, P., Doukoudakis, S., Tzoutzas, J., & Lagouvardos, P. (2017). Evidence provided for the use of oscillating instruments in restorative dentistry: A systematic review. European journal of dentistry, 11(2), 268–273. https://doi.org/10.4103/ejd.ejd_232_16
36. Zavattini, A., Mancini, M., Higginson, J., Foschi, F., Pasquantonio, G., & Mangani, F. (2018). Micro-computed tomography evaluation of microleakage of Class II composite restorations: An in vitro study. European journal of dentistry, 12(3), 369–374. https://doi.org/10.4103/ejd.ejd_28_18
37. Şenol, A. A., Karabulut Gençer, B., Tarçın, B., Kahramanoğlu, E., & Yılmaz Atalı, P. (2023). Microleakage and Marginal Integrity of Ormocer/Methacrylate-Based Bulk-Fill Resin Restorations in MOD Cavities: SEM and Stereomicroscopic Evaluation. Polymers, 15(7), 1716. https://doi.org/10.3390/polym15071716
38. Elbishari, H., Elsubeihi, E. S., Alkhoujah, T., & Elsubeihi, H. E. (2021). Substantial in-vitro and emerging clinical evidence supporting immediate dentin sealing. The Japanese dental science review, 57, 101–110. https://doi.org/10.1016/j.jdsr.2021.05.004
39. Qanungo, A., Aras, M. A., Chitre, V., Mysore, A., Amin, B., & Daswani, S. R. (2016). Immediate dentin sealing for indirect bonded restorations. Journal of prosthodontic research, 60(4), 240–249. https://doi.org/10.1016/j.jpor.2016.04.001
40. Magne P and Belser U. Biomimetic restorative dentistry. Global Institute for Dental Education, 2006.
41. Hardan, L., Devoto, W., Bourgi, R., Cuevas-Suárez, C. E., Lukomska-Szymanska, M., Fernández-Barrera, M. Á., Cornejo-Ríos, E., Monteiro, P., Zarow, M., Jakubowicz, N., Mancino, D., Haikel, Y., & Kharouf, N. (2022). Immediate Dentin Sealing for Adhesive Cementation of Indirect Restorations: A Systematic Review and Meta-Analysis. Gels (Basel, Switzerland), 8(3), 175. https://doi.org/10.3390/gels8030175
42. Agrawal, A., Nehal, R., Gala, K., & Sachdev, S. S. (2025). Immediate Dentin Sealing: Advancing Bonding Efficacy and Clinical Success. Cureus, 17(1), e78102. https://doi.org/10.7759/cureus.78102