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

Inclusion Criteria:

* Patients at least 18 years of age at the time of treatment.

  * Permanent Posterior teeth exhibiting proximal caries lesion extending subgingivally below the cemento-enamel junction (CEJ). The axial extent of the caries should not be more than 75% of the dentin thickness.
  * Sound tooth structure of atleast 1mm should be present from the alveolar crest to the base of the cavity/ gingival seat after cavity preparation.
  * The tooth should either be asymptomatic or have reversible pulpitis as determined by history and pulp sensibility testing. There should be no history of spontaneous or lingering pain
  * Periodontally sound tooth
  * Full mouth plaque score (FMPS): ≤ 15% and Full mouth bleeding score (FMBS): ≤15%

Exclusion Criteria:

* Presence of bone disease (metabolic, endocrine, infectious, tumoral, developmental pathologies)

  * Pregnant or lactating and history of smoking or alcohol abuse
  * Anti inflammatory drug consumption within past 3 days
  * Uncontrolled or poorly controlled diabetes
  * Unstable Life threatening conditions or requiring antibiotic prophylaxis.
  * Presence of detectable plaque and Bleeding on probing on the tooth to be treated
  * Thin gingival biotype, Periodontitis and Gingival recession
  * Class II cavities with gingival margin above the CEJ
  * Previously restored teeth
  * Absence of adjacent tooth or antagonist or Crown in adjacent tooth.
  * H/o Bruxism, Xerostomia
  * Requiring gingivectomy
  * Isolation with rubber dam not possible