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…