DME teaching survey

This survey* aims to explore your experiences, and your views on, the teaching of deep margin elevation(DME).

We are particularly interested in your opinion around procedures and management of deep sub-gingival or sub-cementoenamel junction margins. We value your opinion on this topic, even if you do not carry out or teach these procedures yourself. This survey is a collaboration between The European Federation of Conservative Dentistry (EFCD) and The Association of Dental Education in Europe (ADEE). The data will be used to guide teaching policy and to generate published consensus.

*It should take around 10-15 minutes to complete and it will be conducted anonymously and has received ethical approval from Newcastle University (ref: 62917/2023).

General adhesive restoration of deep sub-gingival margin questions

Indicate your confidence levels when dealing with deep sub-gingival or sub-CEJ margins when placing direct or indirect restorations

ranging from not confident to very confident

	1	2	3	4	5
The technique used	The technique used - 1	The technique used - 2	The technique used - 3	The technique used - 4	The technique used - 5
Ability to obtain a predictable outcome	Ability to obtain a predictable outcome - 1	Ability to obtain a predictable outcome - 2	Ability to obtain a predictable outcome - 3	Ability to obtain a predictable outcome - 4	Ability to obtain a predictable outcome - 5
Ability to teach students	Ability to teach students - 1	Ability to teach students - 2	Ability to teach students - 3	Ability to teach students - 4	Ability to teach students - 5

Indicate below if you feel any of the following are current barriers to teaching DME at your institution *

select all that apply

Knowledge of the supervisors

Technical skill of the supervisors

Knowledge of the students

Technical skill of the students

Time to supervise students during these procedures, whilst supporting other students

Access to materials or equipment

Access to suitable cases

Fear of patient complaints

This skill is not within the remit of undergraduate education

Would you value a risk-based assessment tool that would consider clinical, operator and patient-based variables - and produce a summary that would help convey treatment risk and appropriate treatment options for both clinicians and patients? *

Yes

Vignette clinical case section

Assume the patient is fit and well with an otherwise stable dentition and all teeth are periodontally sound. Assume all teeth are vital unless indicated ‘RF’, which means the teeth are root filled, with normal apical tissues.

For each of the 19 vignettes we need to know:

What would be your first-choice treatment option for these teeth if you were teaching on a postgraduate or specialist clinic, assuming no financial limitations and a compliant patient who is happy to take your advice? *

	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19
Direct restoration *	Direct restoration - 1	Direct restoration - 2	Direct restoration - 3	Direct restoration - 4	Direct restoration - 5	Direct restoration - 6	Direct restoration - 7	Direct restoration - 8	Direct restoration - 9	Direct restoration - 10	Direct restoration - 11	Direct restoration - 12	Direct restoration - 13	Direct restoration - 14	Direct restoration - 15	Direct restoration - 16	Direct restoration - 17	Direct restoration - 18	Direct restoration - 19
Indirect restoration *	Indirect restoration - 1	Indirect restoration - 2	Indirect restoration - 3	Indirect restoration - 4	Indirect restoration - 5	Indirect restoration - 6	Indirect restoration - 7	Indirect restoration - 8	Indirect restoration - 9	Indirect restoration - 10	Indirect restoration - 11	Indirect restoration - 12	Indirect restoration - 13	Indirect restoration - 14	Indirect restoration - 15	Indirect restoration - 16	Indirect restoration - 17	Indirect restoration - 18	Indirect restoration - 19
Temporary restoration only *	Temporary restoration only - 1	Temporary restoration only - 2	Temporary restoration only - 3	Temporary restoration only - 4	Temporary restoration only - 5	Temporary restoration only - 6	Temporary restoration only - 7	Temporary restoration only - 8	Temporary restoration only - 9	Temporary restoration only - 10	Temporary restoration only - 11	Temporary restoration only - 12	Temporary restoration only - 13	Temporary restoration only - 14	Temporary restoration only - 15	Temporary restoration only - 16	Temporary restoration only - 17	Temporary restoration only - 18	Temporary restoration only - 19
Extraction *	Extraction - 1	Extraction - 2	Extraction - 3	Extraction - 4	Extraction - 5	Extraction - 6	Extraction - 7	Extraction - 8	Extraction - 9	Extraction - 10	Extraction - 11	Extraction - 12	Extraction - 13	Extraction - 14	Extraction - 15	Extraction - 16	Extraction - 17	Extraction - 18	Extraction - 19

What would be your first-choice treatment option for these teeth if you were teaching on an undergraduate clinic, assuming no financial limitations and a compliant patient who is happy to take your advice? *

	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19
Direct restoration *	Direct restoration - 1	Direct restoration - 2	Direct restoration - 3	Direct restoration - 4	Direct restoration - 5	Direct restoration - 6	Direct restoration - 7	Direct restoration - 8	Direct restoration - 9	Direct restoration - 10	Direct restoration - 11	Direct restoration - 12	Direct restoration - 13	Direct restoration - 14	Direct restoration - 15	Direct restoration - 16	Direct restoration - 17	Direct restoration - 18	Direct restoration - 19
Indirect restoration *	Indirect restoration - 1	Indirect restoration - 2	Indirect restoration - 3	Indirect restoration - 4	Indirect restoration - 5	Indirect restoration - 6	Indirect restoration - 7	Indirect restoration - 8	Indirect restoration - 9	Indirect restoration - 10	Indirect restoration - 11	Indirect restoration - 12	Indirect restoration - 13	Indirect restoration - 14	Indirect restoration - 15	Indirect restoration - 16	Indirect restoration - 17	Indirect restoration - 18	Indirect restoration - 19
Temporary restoration only *	Temporary restoration only - 1	Temporary restoration only - 2	Temporary restoration only - 3	Temporary restoration only - 4	Temporary restoration only - 5	Temporary restoration only - 6	Temporary restoration only - 7	Temporary restoration only - 8	Temporary restoration only - 9	Temporary restoration only - 10	Temporary restoration only - 11	Temporary restoration only - 12	Temporary restoration only - 13	Temporary restoration only - 14	Temporary restoration only - 15	Temporary restoration only - 16	Temporary restoration only - 17	Temporary restoration only - 18	Temporary restoration only - 19
Extraction *	Extraction - 1	Extraction - 2	Extraction - 3	Extraction - 4	Extraction - 5	Extraction - 6	Extraction - 7	Extraction - 8	Extraction - 9	Extraction - 10	Extraction - 11	Extraction - 12	Extraction - 13	Extraction - 14	Extraction - 15	Extraction - 16	Extraction - 17	Extraction - 18	Extraction - 19

For the cases that you would definitively restore (direct or indirect) please state if you would implement either DME or formal crown lengthening *

	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19
DME	DME - 1	DME - 2	DME - 3	DME - 4	DME - 5	DME - 6	DME - 7	DME - 8	DME - 9	DME - 10	DME - 11	DME - 12	DME - 13	DME - 14	DME - 15	DME - 16	DME - 17	DME - 18	DME - 19
Gingivectomy	Gingivectomy - 1	Gingivectomy - 2	Gingivectomy - 3	Gingivectomy - 4	Gingivectomy - 5	Gingivectomy - 6	Gingivectomy - 7	Gingivectomy - 8	Gingivectomy - 9	Gingivectomy - 10	Gingivectomy - 11	Gingivectomy - 12	Gingivectomy - 13	Gingivectomy - 14	Gingivectomy - 15	Gingivectomy - 16	Gingivectomy - 17	Gingivectomy - 18	Gingivectomy - 19
Formal Crown Lengthening	Formal Crown Lengthening - 1	Formal Crown Lengthening - 2	Formal Crown Lengthening - 3	Formal Crown Lengthening - 4	Formal Crown Lengthening - 5	Formal Crown Lengthening - 6	Formal Crown Lengthening - 7	Formal Crown Lengthening - 8	Formal Crown Lengthening - 9	Formal Crown Lengthening - 10	Formal Crown Lengthening - 11	Formal Crown Lengthening - 12	Formal Crown Lengthening - 13	Formal Crown Lengthening - 14	Formal Crown Lengthening - 15	Formal Crown Lengthening - 16	Formal Crown Lengthening - 17	Formal Crown Lengthening - 18	Formal Crown Lengthening - 19

Please feel free to add any further comments relating to DME that has influenced your responses above

DME teaching survey

This survey* aims to explore your experiences, and your views on, the teaching of deep margin elevation(DME).

The principle

Teaching practice

General adhesive restoration of deep sub-gingival margin questions

Vignette clinical case section

For each of the 19 vignettes we need to know:

DME teaching survey

This survey* aims to explore your experiences, and your views on, the teaching of deep margin elevation(DME).

The principle

Teaching practice

General adhesive restoration of deep sub-gingival margin questions

Vignette clinical case section

For each of the 19 vignettes we need to know:

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