Crown margins

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D rodeo

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Anyone cement a crown on a composite buildup margin( no root canal or post and core)? Anyone tract their failure rate?

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Deep margin elevation: A paradigm shift by Pascal Magne is a good start.

I don't think there are enough cases with current bonding techniques to develop a robust study yet. Time will tell. I think it is a viable option for a compromised tooth. So far I have not had any failures.
 
Not sure if there are real good clinical studies on that. There is a controversy of thought in that area and I understand the reason why coming from a biomaterials background of 5 years. When you placed a margin on composite or any adhesive bonded restoration, it is difficult to have proper and ideal isolation subgingivally. Therefore, you are bound to have some microleakage and eventually bacteria and saliva seeping underneath your composites. If that happens, you lose your composite and your crown. Whereas, you can use RMGI with recurrent release of fluoride to help prevent some of that recurrent decay underneath crowns. Also, crowns are theoretically to have better marginal adaptation with minimum cement gap.
 
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