Status:

RECRUITING

Impact of DME on Pulpal and Periodontal Health at Varying Gingival Seat Level

Lead Sponsor:

Postgraduate Institute of Dental Sciences Rohtak

Conditions:

Deep Margin Elevation

Pulpal and Periodontal Health

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The classical idea was to keep the biologic width untouched in order to maintain periodontal health but the newer case reports have given a new dimension to this concept, stating that a limited extens...

Detailed Description

Rationale: Deep margin Elevation is a technique used in restorative dentistry which helps in dealing with deep Subgingival margins. The placement of gingival seat in relation to crestal bone significa...

Eligibility Criteria

Inclusion

  • Patients at least 18 years of age at the time of treatment.
  • Permanent Posterior teeth exhibiting proximal caries lesion extending subgingivally below the cemento-enamel junction (CEJ). The axial extent of the caries should not be more than 75% of the dentin thickness.
  • Sound tooth structure of atleast 1mm should be present from the alveolar crest to the base of the cavity/ gingival seat after cavity preparation.
  • The tooth should either be asymptomatic or have reversible pulpitis as determined by history and pulp sensibility testing. There should be no history of spontaneous or lingering pain
  • Periodontally sound tooth
  • Full mouth plaque score (FMPS): ≤ 15% and Full mouth bleeding score (FMBS): ≤15%

Exclusion

  • Presence of bone disease (metabolic, endocrine, infectious, tumoral, developmental pathologies)
  • Pregnant or lactating and history of smoking or alcohol abuse
  • Anti inflammatory drug consumption within past 3 days
  • Uncontrolled or poorly controlled diabetes
  • Unstable Life threatening conditions or requiring antibiotic prophylaxis.
  • Presence of detectable plaque and Bleeding on probing on the tooth to be treated
  • Thin gingival biotype, Periodontitis and Gingival recession
  • Class II cavities with gingival margin above the CEJ
  • Previously restored teeth
  • Absence of adjacent tooth or antagonist or Crown in adjacent tooth.
  • H/o Bruxism, Xerostomia
  • Requiring gingivectomy
  • Isolation with rubber dam not possible

Key Trial Info

Start Date :

May 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2027

Estimated Enrollment :

81 Patients enrolled

Trial Details

Trial ID

NCT07169305

Start Date

May 1 2025

End Date

May 1 2027

Last Update

September 11 2025

Active Locations (1)

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1

PGIDS

Rohtak, Haryana, India, 124001