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CASE REPORT
Cervical margin relocation in indirect posterior adhesive restorations – a case report
 
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Department of Dentistry, Sahloul Hospital, Tunisia
 
 
Submission date: 2025-12-09
 
 
Final revision date: 2026-02-08
 
 
Acceptance date: 2026-03-19
 
 
Publication date: 2026-03-19
 
 
Corresponding author
Ibtissem Grira   

Department of Dentistry, Sahloul Hospital, Sousse, Tunisia
 
 
Prosthodontics 2026;76(1):83-88
 
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ABSTRACT
Cervical margin relocation (CMR), also known as deep margin elevation, is a minimally invasive restorative technique used to reposition subgingival margins to a supragingival level. Subgingival margins, extending below the cemento-enamel junction (CEJ) present significant biological risk including violating the biological width, potentially causing inflammation, attachment loss and periodontal deterioration. CMR provides a conservative alternative to conventional management (surgical crown lengthening and orthodontic extrusion) lengthening for managing deep subgingival margins while maintaining tissue preservation and restorative predictability, improving accessibility and bonding reliability. Despite its growing clinical adoption and alignment with minimally invasive principles, concerns persist regarding bonding predictability on dentine or cementum substrates and the long-term stability of the adhesive interface. This case report illustrates the clinical protocol of CMR performed prior to indirect ceramic restoration on an endodontically treated posterior tooth. A step-by-step description and literature-based discussion highlight its advantages, material choices and limitations in relation to biological width preservation and periodontal health.
eISSN:2391-601X
ISSN:0033-1783
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