Elevate to Restore: Modern Margin Management

Deep Margin Elevation (DME) has gained recognition as a conservative alternative to traditional approaches such as surgical crown lengthening and orthodontic extrusion for the management of subgingival margins. Despite its increasing clinical adoption, there remains a shortage of well-structured, clinically focused literature that cohesively integrates biological considerations, material science, and operative protocols.DME represents a major advancement in restorative dentistry by offering a minimally invasive approach to managing deep cervical lesions. Advancements in adhesive dentistry have enabled clinicians to elevate deep margins coronally using composite materials, thereby improving visibility, isolation, and bonding conditions without surgical intervention. This approach supports the principles of biomimetic and minimally invasive dentistry by preserving both hard and soft tissues.The book provides a detailed and clinically oriented overview of DME, including its scientific basis, indications, and applications in both direct and indirect restorations. It emphasizes systematic clinical protocols, appropriate material selection, restoration design.