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Deep Margin Elevation

Why aren’t all dentists performing deep margin elevations with composite? It might be because you’re listening to old research. “Violating the biologic width” was disproven in 2014. Gingival tissue doesn't have an adverse reaction to the material, it has an adverse reaction to the biofilm under a retention crown or poorly bonded restoration. If you have experienced failures with glass ionomers, use composite instead. In 2019, 12-year clinical evaluations showed the success of composite, a material that better mimics a natural tooth compared to brittle glass ionomers. Understanding how to perform deep margin elevations is an essential tool for dentists wanting to save more teeth. Article referenced in this episode: -Dietschi D, Spreafico R. Current clinical concepts for adhesive cementation of tooth-colored posterior restorations. Pract Periodont Aesthet Dent 1998;10(1):47-5, -Dietschi D, Et al. In vitro evaluation of marginal and internal adaptation after occlusal stressing of indirect class II composite restorations with different resinous bases. Ea J Oral Sci. 2003(111):73-80 -Magne P, Spreafico R. Deep margin elevation: a paradigm shift. Am J Esth Dent. 2012(2)86-96. -2014 proximal box elevation with resin composite and the dogma of biological width clinical r2-techinique and critical review -Bresser RA, Et al. Up to 12 years clinical evaluation of 197 partial indirect restorations with deep margin elevation in the posterior region. J Dent. 2019. -Dietschi, Spreafico. Adhesive Metal-Free Restorations. Quintessence Books; 1997. Continue Learning: 📺 What is C-Factor?    • What is C-Factor?   📖 Deep Margin Elevation and Biologic Width: https://www.allemancenter.com/blog/de... 🦷 Learn more about Dr. Alleman's work and training programs at allemancenter.com. Upcoming training programs: January 30-31: SLA Workshop February 2: Biomimetic Mastership Online starts February 25-28: Biomimetic Mastership In-Person April 24-25: SLA Workshop Learn more and register at allemancenter.com/events Instagram @david.alleman.dds @davey_alleman_dmd @allemancenter.com _______________ New to the Alleman Center? Start here -    • Finding a Better Way to Fix Teeth   📖 Learn more about biomimetic dentistry on our blog - https://www.allemancenter.com/blog 🎙️ Listen to the Six Lessons Approach Podcast to learn more about biomimetic dentistry, the history of adhesive dentistry and Dr. David Alleman's work -    • Six Lessons Approach Podcast by Dr. David ...   📸 Follow us on Instagram - Biomimetic dentistry tips and news -   / allemancenter   Dental literature -   / david.alleman.dds   Biomimetic dentistry cases -   / davey_alleman_dmd   🦷 View upcoming training programs - https://www.allemancenter.com/events _______________ About the Alleman Center: The Alleman Center of Biomimetic Dentistry is home to Dr. David Alleman’s Six Lessons Approach, a system of treatment protocols based on the most current scientific literature. As a team, we are dedicated to helping doctors achieve greater satisfaction in their work through predictable outcomes with every treatment step tied back to science.