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Use of Ionized Monocalcium Phosphate and Enameline Derivatives to Reduce Dentin Hypersensitivity After Periondontal Therapy 使用电离磷酸单钙和搪瓷衍生物减少牙周治疗后牙本质过敏
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-03-25 DOI: 10.15517/ijds.2022.50559
V. Martínez-Aguilar, D. C. Peniche-Palma, B. A. Carrillo-Ávila, E. A. Sauri-Esquivel, F. J. Aguilar-Pérez, J. R. Herrera-Atoche
This study aimed to evaluate the effectiveness of using an ionized monocalcium phosphate and enamelin derivatives (IMP+ED) based mouthwash for the treatment of dentin hypersensitivity (DH) after scaling and root planing (SRP). 47 patients who reported DH after SRP treatment were included in this prospective cohort study. The Schiff Cold Air Sensitivity Scale (SCASS) was applied to classify their degree of pain in mild, moderate or intense at two times: after SRP (T0), and after one month of using a IMP+ED-based mouthwash (T1). The McNemar-Bowker test was used to compare the correlated proportions between both times (p<0.05). After the SRP therapy (T0), all the sample members reported pain distributed in the following manner: 12.8% were mild, 27.6% moderate, and 59.6% intense. At one month since treatment and with the use of the IMP+ED-based mouthwash (T1), the distribution of pain levels changed to 83% mild, 12.8% moderate, and 4.3% intense, this change was statistically significant (p<0.001). IMP+ED-based mouthwash produces a positive effect in reducing painful responses caused by exposure of the dentin tubules to the oral environment after SRP therapy.
本研究旨在评估以离子化磷酸单钙和搪瓷素衍生物(IMP+ED)为基础的漱口水对牙本质过敏(DH)的治疗效果。这项前瞻性队列研究纳入了47例在SRP治疗后报告DH的患者。采用希夫冷空气敏感性量表(SCASS)分别在SRP (T0)和使用IMP+ ed漱口水1个月(T1)后两次将患者的疼痛程度分为轻度、中度或重度。采用McNemar-Bowker检验比较两者的相关比例(p<0.05)。在SRP治疗(T0)后,所有样本成员报告的疼痛分布如下:12.8%为轻度,27.6%为中度,59.6%为强烈。在治疗1个月后,使用IMP+ ed漱口水(T1),疼痛水平分布变化为轻度83%,中度12.8%,强烈4.3%,这一变化具有统计学意义(p<0.001)。基于IMP+ ed的漱口水在减少SRP治疗后牙本质小管暴露于口腔环境引起的疼痛反应方面具有积极作用。
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引用次数: 0
Changes in Somatosensory Perception Induced by Trigeminal Injury After Maxillofacial Surgical Procedures 颌面外科手术后三叉神经损伤引起的体感觉知觉变化
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-03-22 DOI: 10.15517/ijds.2022.50505
Mariana Irais Luna Velazquez, Claudia Daniela Montes Ángeles, I. O. Pérez-Martínez
Evidence has been reported that shows that somatosensory perception can be altered by a trigeminal injury resulting from maxillofacial surgical procedures. However, the surgical procedures that most frequently cause trigeminal lesions and the risk factors are unknown. In the same way, there is little information on what has been determined in preclinical models of trigeminal injury. This article integrates relevant information on trigeminal injury from both clinical findings and primary basic science studies. This review shows that the age and complexity of surgical procedures are essential to induce orofacial sensory alterations.
有证据表明,躯体感觉知觉可以改变由颌面外科手术造成的三叉神经损伤。然而,最常引起三叉神经病变的外科手术及其危险因素尚不清楚。同样,关于三叉神经损伤的临床前模型所确定的信息也很少。本文整合了三叉神经损伤的相关信息,包括临床发现和初级基础科学研究。这篇综述表明,年龄和外科手术的复杂性是诱导口面部感觉改变的必要条件。
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引用次数: 1
Bruxism an Issue Between the Myths and Facts 磨牙症:神话与事实之间的问题
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-03-22 DOI: 10.15517/ijds.2022.50506
Andrés R. Cervantes-Chavarría, Robert Utsman Abarca, A. Herrero Babiloni
Is our goal in this paper to discuss the current concepts about bruxism, a topic that has been a matter of discussion on the dental field for many years. Recent International efforts have been made to challenge bruxism old definitions; this has derivate to a consensus and an actual new concept that defines bruxism as a behavior instead of a disorder. As a behavior, it is explained in this review how it can have negative health consequences, can be innocuous and how new research support that bruxism can even be a protective factor.  Different etiological factors are reviewed in this paper as well the influence of external and internal mechanism related to medications, emotional stress, systemic factors, and potential pharmacological pathways. Moreover, it is briefly summarized the role of oral appliances on sleep bruxism. Finally, clinical considerations and recommendation for the dental professional regarding sings that should be notice during the exam are part of this overview.
本文的目的是讨论磨牙症的当前概念,这是一个在牙科领域讨论多年的话题。最近国际社会努力挑战磨牙症的旧定义;这已经衍生出一个共识和一个实际的新概念,将磨牙症定义为一种行为而不是一种障碍。作为一种行为,在这篇综述中解释了它是如何对健康产生负面影响的,是无害的,以及新的研究是如何支持磨牙症甚至是一个保护因素的。本文综述了不同的病因,以及与药物、情绪应激、全身因素和潜在药理途径相关的内外部机制的影响。并简要总结口腔用具在睡眠磨牙症中的作用。最后,临床考虑和建议牙科专业人员在检查期间应注意的问题是本概述的一部分。
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引用次数: 0
Evaluation of Customized Peripheral Sealing Device Acceptance for Surgical/Medical Masks Among Dental Professionals during Early COVID-19 Pandemic COVID-19大流行早期牙科专业人员对外科/医用口罩定制外围密封装置接受度的评估
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-03-16 DOI: 10.15517/ijds.2022.50444
G. Roque-Torres, Jessica Kim, E. Costa, U. Oyoyo
A 3-dimensional (3D) printed custom-frame can improve the peripheral seal of readily available surgical/medical masks. This study aimed to assess the acceptance of a 3D-printed custom-frame with the American Society for Testing and Materials (ASTM) surgical/medical masks and the use of a face shield. A total of 206 subjects from a dental school participated, who answered a multiple-choice questionnaire. Participants received an invitation through the institutional email of the school via Qualtrics platform. 3D printed custom-frames were fabricated for each participant. According to their response, participants were divided into 4 groups: mask only (M), mask and frame (MF), mask and face shield (MFS), and all 3 personal protective equipment (MFFS). Data was analyzed in absolute and relative frequency. The acceptance of a 3D-printed custom-frame in the group MFFS varied between “poor”/’’very poor” (44.7%). It allowed “good” performance of routine procedures (40.3%), but “poor” visual quality (48.1%). Musculoskeletal tolerance and ease to perform movements were adequate. There was no interference in olfactory sensitivity (44.7%) or in the ability to breathe (34.5%). Finally, it showed "moderate pain" (48.1%) on the ear and "no pain" (38.9%) on the head. The 3D-printed custom-frame adapted to ASTM surgical/medical face masks showed reasonable tolerance.  Side effects of ear pain ranging in degrees were noted. Further research is indicated to evaluate safety, comfort, compliance, side effects, and occupational hazards of long-term use of enhanced PPE recommendations.Avoiding the recurrent outbreaks of COVID-19, the use of PPE by the public is necessary. Improper PPE use is a major source of concern for human and environmental health. Preventing such activities can be done by following steps involved in PPE disposals or by getting a new way to re-use such as improving peripherical sealing. Our work highlights that a custom-frame can improve protection, without adverse effects.
三维(3D)打印定制框架可以改善现成的外科/医用口罩的外围密封。本研究旨在评估美国材料测试协会(ASTM)对3d打印定制框架的接受程度,以及手术/医用口罩和面罩的使用。来自一所牙科学校的206名受试者参与了这项研究,他们回答了一份选择题问卷。参与者通过Qualtrics平台通过学校的机构邮件收到邀请。为每位参与者制作了3D打印定制框架。根据参与者的反应,将他们分为4组:只戴口罩(M)、口罩加框架(MF)、口罩加面罩(MFS)和全部3种个人防护装备(MFFS)。数据以绝对频率和相对频率进行分析。在MFFS组中,3d打印定制框架的接受度在“差”和“非常差”(44.7%)之间变化。它允许“良好”的常规程序性能(40.3%),但“差”的视觉质量(48.1%)。肌肉骨骼的耐受性和易于进行运动是足够的。嗅觉灵敏度(44.7%)和呼吸能力(34.5%)均未受干扰。最后,耳朵“中度疼痛”(48.1%),头部“无痛”(38.9%)。适应ASTM外科/医用口罩的3d打印定制框架显示出合理的公差。注意到不同程度耳痛的副作用。建议进一步研究以评估长期使用增强型PPE建议的安全性、舒适性、依从性、副作用和职业危害。为避免COVID-19再次暴发,公众有必要使用个人防护装备。个人防护装备使用不当是人类和环境健康的一个主要关切来源。预防此类活动可通过以下步骤进行:个人防护用品处置或采用新的重复使用方法,如改善外围密封。我们的工作强调,定制框架可以提高保护,没有不利影响。
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引用次数: 0
Immunoexpression of ALDH1A1, FGFR2, CD44 and Caspase-3 in Oral Squamous Cell Carcinoma and Leukoplakia: A Pilot Study ALDH1A1、FGFR2、CD44和Caspase-3在口腔鳞状细胞癌和白斑中的免疫表达:一项初步研究
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-03-08 DOI: 10.15517/ijds.2022.50369
Yadira V. Boza Oreamuno, Jessie F. Reyes-Carmona
Current research highlighted the importance to recognize feasible biomarkers for early diagnoses and treatment in oral cancer. Our study analyzed the expression and spatial distribution of ALDH1A1, FGFR2, caspase-3, and CD44 in Oral Squamous Cell Carcinoma (OSCC) and leukoplakia with and without oral mucosal dysplasia. Paraffin-embedded samples of OSCC (n=5), leukoplakia with (n=5) and without (n=5) dysplasia obtained by incisional biopsies were processed using conventional histochemical techniques. Immunohistochemistry was performed using antibodies against ALDH1A1, FGFR2, caspase-3, and CD44. Images of the immunohistochemically stained tissue sections were analyzed according to the intensity of the immunostaining of each marker and classified in Scores. The Kruskal-Wallis test was performed (p≤0.05). Our results demonstrated a statically difference in the expression of all immunomarkers between OSCC and leukoplakia without dysplasia, being more significant in FGFR2 and ALDH1A1. Within the limitations of this study, our data showed that all biomarkers were overexpressed in OSCC and leukoplakia with oral mucosa dysplasia, suggesting that the presence of dysplasia is a significant clinic-pathologic predictor for malignant transformation.
目前的研究强调了识别可行的生物标志物对口腔癌早期诊断和治疗的重要性。本研究分析了ALDH1A1、FGFR2、caspase-3和CD44在伴有和不伴有口腔黏膜发育不良的口腔鳞状细胞癌(OSCC)和白斑中的表达和空间分布。使用常规组织化学技术处理切口活检获得的OSCC (n=5)、伴(n=5)和不伴(n=5)异常增生的白斑(n=5)石蜡包埋样本。使用针对ALDH1A1、FGFR2、caspase-3和CD44的抗体进行免疫组化。对免疫组化染色后的组织切片图像进行分析,根据各标记物免疫染色的强度进行评分。采用Kruskal-Wallis检验(p≤0.05)。我们的研究结果表明,在OSCC和无异常增生的白斑之间,所有免疫标志物的表达存在静态差异,在FGFR2和ALDH1A1中更为显著。在本研究的局限性内,我们的数据显示,所有生物标志物在OSCC和口腔黏膜发育不良的白斑中都过表达,表明发育不良是恶性转化的重要临床病理预测指标。
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引用次数: 0
Exfoliative Cheilitis More than an Aesthetic Problem: Case Report 剥脱性唇腭裂不仅仅是一个美学问题:病例报告
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-02-04 DOI: 10.15517/ijds.2022.50022
Yadira V. Boza-Oreamuno, Andrés Mena-Lizano
Exfoliative cheilitis (EC) is a rare and chronic inflammatory condition. It is characterized by a continuous peeling of the vermilion of the lips and abnormal production of keratin scales. Treatment is difficult due to its chronic nature and it is often refractory. The objective of this article is to describe the management of EC and its impact on quality of life through two clinical cases. Two patients with EC are reported: one 21 years old with allergic rhinitis and gastric reflux, the other 18 years old, with a history of anxiety symptoms, without medication or psychiatric control. They had chronic scaly and crusty areas on both lip vermilions.  In one of the patients, a biopsy was prescribed and he was treated with antifungals and topical vitamin E. Both patients were prescribed hydration, balanced diet, the application of moisturizing lip balm with sunscreen and modification of parafunctional habits, behavioral aid.  The treatment healed the condition and eased their daily life and improved personal perception. Nibbling and lip licking favor dryness and superinfection in patients with EC; for its part, hydration, topical vitamin E and behavioral aid, improved this condition.
剥脱性唇炎是一种罕见的慢性炎症。它的特点是嘴唇的朱红色持续剥落和角蛋白鳞片的异常产生。治疗是困难的,由于其慢性性质,它往往是难治性的。本文的目的是通过两个临床病例来描述EC的管理及其对生活质量的影响。本文报道2例EC患者:1例21岁,伴有过敏性鼻炎和胃反流,另1例18岁,有焦虑症状史,没有药物治疗或精神控制。他们的两颊红唇上都有慢性鳞片和硬壳区。其中一名患者接受了活组织检查,并接受了抗真菌药物和局部维生素e的治疗。两名患者都接受了补水、均衡饮食、涂抹保湿润唇膏和防晒霜的治疗,并改变了辅助功能习惯和行为辅助。治疗治愈了病情,缓解了他们的日常生活,提高了个人感知能力。啃咬和舔唇有利于EC患者的干燥和重复感染;而补水、局部维生素E和行为辅助则能改善这种情况。
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引用次数: 1
Patient Satisfaction Regarding Biosecurity Protocols in the Face of COVID-19, Faculty of Dentistry, University of Costa Rica 面对COVID-19,患者对生物安全协议的满意度,哥斯达黎加大学牙科学院
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-01-31 DOI: 10.15517/ijds.2022.49933
Natalia Gutiérrez-Marín
Biosecurity protocols are particularly important in dental practice. The aim of this research was to determine the level of patient satisfaction regarding biosecurity protocols used in the School of Dentistry of the University of Costa Rica, to avoid COVID-19 infections during dental care. A survey was sent by email to all patients who received dental consultations at the School of Dentistry between April and September 2021. They were asked about sociodemographic variables (sex, age range, approved educational level, and place of origin), as well as whether they considered safe the protocols used during the dental consultation to avoid COVID-19 infections. Descriptive statistics were performed proving the absolute and relative frequency of the socio-demographic variables and the satisfaction of patients with the protocols used. A Chi-square test was used to determine if there was a difference in patient satisfaction with biosecurity protocols to avoid COVID-19 infections during dental care and sociodemographic variables. 95.9% of the respondents considered the biosafety protocols used to be safe and there was no statistically significant difference between patient satisfaction with the protocols and sociodemographic variables. A large majority of patients who come to the UCR School of Dentistry are satisfied with the biosecurity protocols used to avoid COVID-19 infections during dental care.
生物安全协议在牙科实践中尤为重要。本研究的目的是确定哥斯达黎加大学牙科学院使用的生物安全方案的患者满意度,以避免在牙科护理期间感染COVID-19。一项调查通过电子邮件发送给2021年4月至9月期间在牙科学院接受牙科咨询的所有患者。他们被问及社会人口学变量(性别、年龄范围、认可的教育水平和原籍地),以及他们是否认为牙科咨询期间使用的方案安全,以避免COVID-19感染。描述性统计证明了社会人口变量的绝对频率和相对频率以及患者对所使用方案的满意度。采用卡方检验来确定患者对牙科护理期间避免COVID-19感染的生物安全方案的满意度和社会人口变量是否存在差异。95.9%的应答者认为使用的生物安全方案是安全的,患者对方案的满意度与社会人口学变量之间没有统计学上的显著差异。来到UCR牙科学院的绝大多数患者都对牙科护理期间用于避免COVID-19感染的生物安全协议感到满意。
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引用次数: 1
Effectiveness of the Therapeutic Laser in the Syndrome of Dysfunction of the Temporomandibular Joint of Arthrogenic Origin 激光治疗关节源性颞下颌关节功能障碍综合征的疗效观察
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-01-26 DOI: 10.15517/ijds.2022.49856
Josué Castillo-Madrigal, A. Pozos-Guillen, A. Gordillo-Moscoso
Temporomandibular joint dysfunction syndrome (TMD), is a collective term characterized by symptoms involving chewing muscles, temporomandibular joint and orofacial structures. The efficacy of low intensity laser (LLLT) Gallium arsenide, in combination with a non-steroidal anti-inflammatory drug (NSAID) was evaluated. The main objective was to evaluate the maximum mouth opening without pain (ABM), arthralgia in the joint capsule through visual analog scale (VAS), laterality, protrusion, joint noises and count of tablets ingested per group. A controlled clinical trial (double-blind-randomized) was carried out in 30 subjects, who presented DTM of arthrogenic etiology; 5 applications of LLLT were made with wavelength of 810 nm, output optical power of 100-200 mw, emission PW=Pulsed (1-10,000Hz), dose of 10 jouls-cm², time of 1.44 minutes in mouth closed and with the mouth half open. One more follow-up appointment per month. There were two groups: experimental and control group, where different variables were analyzed (ABM, laterality, protrusion, VAS and sociodemographic). In the control group, a supposed LT application (not active) was made, for later comparison. Pain-free ABM was assessed in all appointments in addition to the other clinical parameters. Repeated measures analysis was performed with mixed models. Thirty patients were included of which 28 finished the treatment, two of them were lost during follow-up. The groups were similar in all their baseline variables. There were no statistically significant differences when applying the final multiple regression analysis, in the ABM, or in any other of the clinical parameters analyzed. LT was not effective in treating arthrogenic DTM.
颞下颌关节功能障碍综合征(Temporomandibular joint dysfunction syndrome, TMD)是一个以咀嚼肌、颞下颌关节和口面结构等症状为特征的总称。评价低强度激光(LLLT)砷化镓联合非甾体抗炎药(NSAID)治疗的疗效。主要目的是通过视觉模拟量表(VAS)、关节侧度、关节突出度、关节噪声和每组口服片剂数评估无疼痛最大开口(ABM)、关节囊关节痛。对30例关节源性DTM患者进行对照临床试验(双盲随机);在波长810 nm,输出光功率100-200 mw,发射功率PW=脉冲(1-10,000Hz),剂量为10焦耳-cm²,闭口和半开口时间为1.44 min的条件下进行了5次应用。每月再进行一次随访。分为实验组和对照组,分别对ABM、侧边性、突出性、VAS和社会人口学等变量进行分析。在对照组中,进行了假定的LT应用(非活动),以便稍后进行比较。除其他临床参数外,所有预约均评估无痛ABM。采用混合模型进行重复测量分析。纳入30例患者,其中28例完成治疗,2例在随访中失联。两组在所有基线变量上都是相似的。当应用最终的多元回归分析时,在ABM或任何其他临床参数分析中,没有统计学上的显著差异。LT对关节源性DTM无效。
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引用次数: 0
Hypodontia in Children: Importance and Risk Factors 儿童下颌缺损:重要性和危险因素
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-01-25 DOI: 10.15517/ijds.2022.49849
Lucy A. Atanacio, Winny A. Reyes
.
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引用次数: 0
The Effect of Curing Modes and Times of Third-Generation Led LCU on the Mechanical Properties of Nanocomposites 第三代Led LCU固化方式和固化次数对纳米复合材料力学性能的影响
IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2022-01-24 DOI: 10.15517/ijds.2022.49836
B. Oglakci, Rümeysa Hatice Enginler Özlen, Metehan Demirkol, Z. C. Özduman, B. O. Kucukyildirim, E. Eliguzeloglu Dalkilic
This study evaluates the effect of curing modes and times on the mechanical properties of nanocomposites. Two nanocomposite resins were investigated: supra-nanohybrid (Estelite Posterior Quick; EP) and nanohybrid (Solare X; SX). They were polymerized with a light-emitting diode light-curing units (LED LCU, Valo) as follows: standard mode for 20s (ST20), high power mode for 12s (HP12), high power mode for 20s (HP20), extra power mode for 6s (XP6), and extra power mode for 20s (XP20). For Vickers microhardness (HV), disc-shaped specimens were fabricated (n=10). For the three-point bending test, bar-shaped specimens were fabricated (n=10). Flexural strength and resilience modulus were calculated. The fractured surfaces and specimen surfaces of composites were observed using scanning electron microscopy. The data were analyzed with repeated measures ANOVA, two-way variance, and Bonferroni tests (p<0.05). On the top and bottom surfaces of the EP nanocomposite resin, ST20 and HP12 revealed statistically higher HV than with XP6. Moreover, HP20 and XP20 had statistically higher HV than HP12 and XP6. For the SX nanocomposite resin, HP20 had statistically higher HV than HP12. For EP and SX, there were no significant differences in flexural strength and resilience modulus regarding the curing modes and times. Furthermore, SX demonstrated lower mechanical properties than EP. Scanning electron microscopy indicated that both nanocomposites had similar surface appearances. However, with all curing modes and times, SX exhibited layered fractures and more crack formations than EP. Different curing modes and times could influence the microhardness of nanocomposites.
研究了固化方式和固化时间对纳米复合材料力学性能的影响。研究了两种纳米复合树脂:超纳米复合树脂(Estelite Posterior Quick;EP)和纳米混合材料(Solare X;SX)。用发光二极管光固化单元(LED LCU, Valo)将其聚合为:20s的标准模式(ST20)、12s的高功率模式(HP12)、20s的高功率模式(HP20)、6s的额外功率模式(XP6)、20s的额外功率模式(XP20)。对于维氏显微硬度(HV),制作盘状试样(n=10)。三点弯曲试验采用杆形试件制作(n=10)。计算抗弯强度和回弹模量。用扫描电镜观察了复合材料的断裂面和试样表面。采用重复测量方差分析、双向方差分析和Bonferroni检验(p<0.05)对资料进行分析。在EP纳米复合树脂的上下表面,ST20和HP12的HV值均高于XP6。HP20、XP20的HV值高于HP12、XP6。对于SX纳米复合树脂,HP20的HV值明显高于HP12。EP和SX的抗弯强度和回弹模量不受养护方式和养护次数的影响。此外,SX的力学性能低于EP。扫描电镜显示两种纳米复合材料具有相似的表面形貌。然而,在所有的固化模式和时间下,SX都呈现出层状裂缝,裂缝形成比EP更多。不同的固化方式和固化时间会影响纳米复合材料的显微硬度。
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引用次数: 0
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Odovtos - International Journal of Dental Sciences
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