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

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 extension into STA can be used as an alternative for invasive procedures like SCL. The periodontal tissues can still tolerate subgingival margin placement in biologic width when restorations are free of overhangs which are real culprit for providing room for plaque retention and further inflammation. There are no sufficient clinical studies with good sample size to prove the significance of this concept. Hence, we are performing a Non Randomized Controlled trial by placing gingival margins at various levels above the alveolar crest and restoring it with composite and further evaluate the periodontal tissue health, pulpal health, restoration quality and significance of DME.

NCT Number	NCT07169305
Lead Sponsor	Postgraduate Institute of Dental Sciences Rohtak
Conditions	Deep Margin Elevation, Pulpal and Periodontal Health
Enrollment	81 participants
Start Date	2025-05-01
Primary Completion	2026-05-01 (estimated)
Study Completion	2027-05-01 (estimated)
Updated on ClinicalTrials.gov	2025-09-11