This review aimed to characterize the effect of direct restorative material types and adhesive protocols on marginal adaptation and the bond strength of the interface between the material and the proximal dentin/cementum. An electronic search of 3 databases (the National Library of Medicine [MEDLINE/PubMed], Scopus, and ScienceDirect) was conducted. Studies were included if they evaluated marginal adaptation or bond strength tests for proximal restorations under the cementoenamel junction. Only 16 studies met the inclusion criteria and were included in this review. These studies presented a high degree of heterogeneity in terms of the materials used and the methodologies and evaluation criteria of each test; therefore, only a descriptive analysis could be conducted. The included studies were individually evaluated for the risk of bias following predetermined criteria. To summarize the results of the included studies, the type of restorative material affected the test results, whereas the use of different adhesive protocols had an insignificant effect on the results. It could be concluded that various categories of resin-based composites could be a suitable choice for clinicians to elevate proximal dentin/cementum margins, rather than the open sandwich technique with resin-modified glass ionomers. Despite challenges in bonding to proximal dentin/cementum margins, different adhesive protocols provided comparable outcomes.

Citations

Citations to this article as recorded by  

• An In Vitro Evaluation of Novel Bioactive Liner's Effect on Marginal Adaptation of Class II Composite Restorations: A Scanning Electron Microscope Analysis
  Girija S Sajjan, Naveena Ponnada, Praveen Dalavai, Madhu Varma Kanumuri, Venkata Karteek Varma Penmatsa, B V Sindhuja
  World Journal of Dentistry.2025; 15(9): 749.     CrossRef
• Effect of Cervical Margin Relocation With Different Injectable Restorative Materials on Fracture Resistance of Molars Received MOD CAD/CAM Onlay Restorations
  Basema N. Roshdy, Radwa I. Eltoukhy, Ashraf I. Ali, Salah Hasab Mahmoud
  Journal of Esthetic and Restorative Dentistry.2025;[Epub]     CrossRef
• Short dentin etching with universal adhesives: effect on bond strength and gingival margin adaptation
  Hoda Saleh Ismail, Hanan Ahmed Nabil Soliman
  BMC Oral Health.2025;[Epub]     CrossRef
• Awareness and Practice of Deep Margin Elevation among Dental Practitioners in India: A Cross-Sectional Survey
  Mythri Padaru, Preethesh Shetty, Namith Rai, Raksha Bhat
  Pesquisa Brasileira em Odontopediatria e Clínica Integrada.2025;[Epub]     CrossRef
• Effect of different restorative systems and aging on marginal adaptation of resin composites to deep proximal margins
  Hoda S. Ismail, Ashraf I. Ali
  Journal of Esthetic and Restorative Dentistry.2024; 36(2): 346.     CrossRef
• Management of subgingival proximal defects
  Jagruti Mutalikdesai, K. C. Dhaniba, Supriya Choudhary, Promila Verma, Rhythm Bains
  Asian Journal of Oral Health and Allied Sciences.2024; 14: 15.     CrossRef
• Effect of Deep Margin Elevation on the Pulpal and Periodontal Health of Teeth: A Systematic Review
  S Srirama, S Jain, B Arul, K Prabakar, V Natanasabapathy
  Operative Dentistry.2024; 49(4): 388.     CrossRef
• Alternative Direct Restorative Materials for Dental Amalgam: A Concise Review Based on an FDI Policy Statement
  Gottfried Schmalz, Falk Schwendicke, Reinhard Hickel, Jeffrey A. Platt
  International Dental Journal.2024; 74(4): 661.     CrossRef
• Comparison of the stress distribution in base materials and thicknesses in composite resin restorations
  Min-Kwan Jung, Mi-Jeong Jeon, Jae-Hoon Kim, Sung-Ae Son, Jeong-Kil Park, Deog-Gyu Seo
  Heliyon.2024; 10(3): e25040.     CrossRef
• Influence of curing mode and aging on the bonding performance of universal adhesives in coronal and root dentin
  Hoda Saleh Ismail, Ashraf Ibrahim Ali, Mohamed Elshirbeny Elawsya
  BMC Oral Health.2024;[Epub]     CrossRef
• CLINICAL ASSESSMENT OF THE EFFECTIVENESS OF ESTHETIC RESTORATION OF ANTERIOR TEETH
  Lyudmila Tatintsyan, Minas Poghosyan, Armen Shaginyan, Hovhannes Gevorgyan, Biayna Hoveyan, Tatevik Margaryan, Arsen Kupelyan
  BULLETIN OF STOMATOLOGY AND MAXILLOFACIAL SURGERY.2023; : 16.     CrossRef
• Deep margin elevation—Present status and future directions
  Florin Eggmann, Jose M. Ayub, Julián Conejo, Markus B. Blatz
  Journal of Esthetic and Restorative Dentistry.2023; 35(1): 26.     CrossRef