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Management of Type III palatogingival groove in permanent maxillary lateral incisor with intentional replantation 上颌恒侧切牙III型腭龈沟有意再植的处理
Pub Date : 2022-07-01 DOI: 10.4103/jorr.jorr_25_21
Aaliya Rehman, Huma Iftekhar, R. Tewari, S. Mishra
A palatogingival groove (PGG) is a developmental deformity that may cause a severe periodontal breakdown or combined endodontic and periodontal defect. In the present case, a 24-year-old patient reported a complaint of pain in the upper left front tooth region for 3 months. Clinical and radiological examination revealed a PGG in the permanent maxillary left lateral incisor. Cone-beam computed tomography showed multiple shallow grooves on the root surface and a deep palatal groove extending to the apex. Interdisciplinary management comprising endodontic therapy and intentional replantation was formulated. After endodontic procedure, tooth #22 was gently extracted. The shallow grooves were removed by odontoplasty. A Class II cavity was made in the deep palatal groove and was connected with the root-end preparation. The cavity was sealed with biodentin up to the cementoenamel junction and the coronal portion was sealed with light-cured glass-ionomer cement. The tooth was replanted in socket and splinted for 7 days. Follow-up visits revealed the functional status of tooth and complete bony healing. Tooth discoloration was successfully managed with intracoronal bleaching with sodium perborate. A 12-month radiographic follow-up revealed no evidence of root resorption or ankylosis.
腭龈沟(PGG)是一种发育畸形,可导致严重的牙周破裂或牙髓和牙周缺损。在本病例中,一名24岁的患者自诉左上门牙区域疼痛3个月。临床及影像学检查显示上颌固定左侧切牙有PGG。锥束计算机断层扫描显示根表面有多个浅沟,腭深沟延伸至顶端。制定了包括牙髓治疗和有意再植在内的跨学科管理。根管治疗后,22号牙被轻轻拔出。用牙成形术去除浅沟。在腭深沟中制作II类空腔,并与根端预备相连接。在牙髓-牙釉质连接处用生物牙髓素密封,冠状部分用光固化玻璃离子水门汀密封。将牙移植到牙槽内并固定7天。随访显示牙齿功能状况良好,骨愈合完全。用过硼酸钠进行冠内漂白,成功地处理了牙齿变色。12个月的影像学随访未发现牙根吸收或强直的证据。
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引用次数: 0
Ultra fast papanicolaou stain versus conventional papanicolaou stain in oral cytology smears: A comparative study 口腔细胞学涂片中快速巴氏染色与常规巴氏染色的比较研究
Pub Date : 2022-07-01 DOI: 10.4103/jorr.jorr_70_21
K. Rani, Paremala Konda, N. V. N. Shyam, G. Kumar, Vaishali Narayen, Y. Reshma
Background: Exfoliative cytology is the technique of microscopic examination of shed or desquamated cells from the epithelial surface of mucous membrane. Papanicolaou stain (PAP) is the common stain used for these cytological smears. Conventional PAP (cPAP) stain has undergone many modifications, of these ultrafast PAP (UFPAP) is a popular stain used as it shortens the staining time and quality. UFPAP was discovered as a fusion of Romanowsky and PAP. Aim and Objectives: To evaluate and estimate the quality of UFPAP and c PAP stains in oral cytology smears of normal mucosa (NM), oral squamous cell carcinoma (OSCC), and oral potentially malignant disorders (OPMDs). Materials and Methods: 50 samples/smears were collected from outpatients from the Government Dental College and Hospital, Hyderabad. Samples include 10 cases of NM, 20 cases each of OPMDs (leukoplakia) and OSCC. Two cytological smears of representative areas were obtained and each smear is stained by the cPAP and UFPAP stains, respectively. Results and Observation: The quality index is obtained for the comparison of UFPAP and cPAP stains by using four parameters like - nuclear details, over all staining, background staining, and cell morphology. QI for all parameters of UFPAP staining was good compared to cPAP and percentage of UFPAP for NM, OPMDs and OSCC was 92.7%, 88.1%, 66.3% respectively. Conclusion: The study concludes that UFPAP staining is used for diagnosis in a regular oral cytology smears to offer immediate diagnosis of OPMDs and OSCCs.
背景:剥脱细胞学是对粘膜上皮表面脱落或脱落的细胞进行显微镜检查的技术。巴氏染色(PAP)是这些细胞学涂片常用的染色方法。传统的PAP (cPAP)染色方法经过了许多改进,其中超快PAP (UFPAP)染色方法因其缩短了染色时间和质量而成为一种常用的染色方法。UFPAP被发现是Romanowsky和PAP的融合。目的:评价和评估upap和c PAP染色在口腔正常粘膜(NM)、口腔鳞状细胞癌(OSCC)和口腔潜在恶性疾病(OPMDs)口腔细胞学涂片中的质量。材料和方法:从海德拉巴政府牙科学院和医院的门诊患者中收集50份样本/涂片。其中NM 10例,opmd(白斑)和OSCC各20例。获得两张具有代表性的细胞学涂片,每张涂片分别用cPAP和UFPAP染色。结果与观察:通过核细节、总体染色、背景染色、细胞形态等4个参数,得出了UFPAP与cPAP染色比较的质量指标。与cPAP相比,UFPAP染色的所有参数的QI都很好,在NM、opmd和OSCC中,UFPAP的比例分别为92.7%、88.1%和66.3%。结论:upap染色可用于常规口腔细胞学涂片的诊断,可对opmd和OSCCs进行即时诊断。
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引用次数: 0
Adverse drug reactions and potential risk factors to Covishield vaccine: A cross-sectional study among dentists of different tertiary care centers Covishield疫苗的药物不良反应和潜在危险因素:不同三级保健中心牙医的横断面研究
Pub Date : 2022-07-01 DOI: 10.4103/jorr.jorr_62_21
Kopal Sharma, Kanu Neemawat, Amit Sharma
Background: This study aims to study the predictors and the pattern of adverse drug reactions to Covishield vaccine which is being used in the mass vaccination program of the Government of India. Methods: This cross-sectional questionnaire-based study was conducted among the dentists working as faculty in four different tertiary care centers in Jaipur city. A prevalidated questionnaire was circulated through E-mail/social media groups to all the participants. Results: A total of 574 participants fulfilled the questionnaire platform; however, six had been excluded from the study due to incompletely filled questionnaires. The remaining 568 were enrolled for the final analysis. About 296 (52.11%) were male and 272 (47.89%) were female. About 52.8% were in the age group of 31–49 years. About 87.32% of the enrolled participants had received both doses of Covishield. Most common postvaccination symptoms were fever (n = 145), local pain at injection site (n = 123), tenderness at injection site (n = 117), and fatigue (n = 91). Female gender, presence of comorbid diseases, and past coronavirus disease-19 infection were statistically significant risk factors for having adverse reactions post vaccination, P = 0.02, 0.043, and 0.0002, respectively. Conclusions: The data suggest that Covishield is well tolerated in the Indian population. Fever, local pain, tenderness at injection site, and fatigue are few commonly reported side effects. All the side effects were mild to moderate in terms of severity.
背景:本研究旨在研究印度政府大规模疫苗接种计划中使用的Covishield疫苗的药物不良反应的预测因素和模式。方法:采用横断面问卷调查的方法,对斋浦尔市四所三级保健中心的牙医进行调查。通过电子邮件/社交媒体组向所有参与者分发了一份预先验证的问卷。结果:共有574名参与者完成了问卷平台;然而,由于问卷填写不完整,有6人被排除在研究之外。剩余的568人被纳入最终分析。男性296例(52.11%),女性272例(47.89%)。31 ~ 49岁年龄组占52.8%。约87.32%的参与者接受了两剂Covishield。最常见的接种后症状为发热(145例)、注射部位局部疼痛(123例)、注射部位压痛(117例)和疲劳(91例)。女性、存在合并症、既往感染冠状病毒covid -19是疫苗接种后不良反应发生的危险因素,P值分别为0.02、0.043、0.0002。结论:数据表明柯维护在印度人群中耐受性良好。发热、局部疼痛、注射部位压痛和疲劳是少数常见的副作用。所有的副作用在严重程度上都是轻微到中度的。
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引用次数: 0
Application of artificial intelligence in the diagnosis and survival prediction of patients with oral cancer: A systematic review 人工智能在口腔癌症患者诊断和生存预测中的应用:系统综述
Pub Date : 2022-07-01 DOI: 10.4103/jorr.jorr_65_21
S. Sandra, A. Raghavan, P. Madan Kumar
Oral cancer constitutes around 2.1% and it is the sixth-most common malignancy worldwide and the third-most common type of malignancy in India. The purpose of this systematic review is to find the prediction of survival rate among oral cancer patients using artificial intelligence (AI) and its forms like machine learning. Suitable articles were identified by searching PubMed, Trip database, Cochrane, and Google Scholar host databases. The search was done with the help of PIO analysis where the population stands for oral cancer patients, the intervention given here were AI and its subsets and the outcome were diagnosis and survival prediction of oral cancer. The screening of the titles and abstracts was done, and only those articles that fulfilled the eligibility criteria were selected. The search resulted in 451 articles, of which only six articles that fulfilled the criteria were included. The studies showed that AI models were able to predict the 5-year survival rate among oral cancer patients. The accuracy of the decision tree classifier, logistic regression, and boosted decision tree models were 76%, 60%, and 88.7%, respectively. Modern age diagnosed people tend to have a longer survival rate than those diagnosed in the past. The limitation was that these studies were created using retrospective cohorts, but for validation, they must be compared with prospective cohorts. These studies are important for identification and survival prediction, which will contribute to future advancements, change in the treatment plan, and reduce health-care problems.
口腔癌约占2.1%,是全球第六大常见恶性肿瘤,印度第三大常见恶性肿瘤。本系统综述的目的是利用人工智能(AI)及其机器学习等形式预测口腔癌患者的生存率。通过检索PubMed、Trip数据库、Cochrane和谷歌Scholar主机数据库确定合适的文章。这项研究是在口腔癌患者群体的PIO分析的帮助下完成的,这里给出的干预是人工智能及其子集,结果是口腔癌的诊断和生存预测。对标题和摘要进行筛选,只选择符合资格标准的文章。检索结果为451篇文章,其中只有6篇符合标准。研究表明,人工智能模型能够预测口腔癌患者的5年生存率。决策树分类器、逻辑回归和增强决策树模型的准确率分别为76%、60%和88.7%。现代确诊的患者往往比过去确诊的患者生存率更长。局限性在于这些研究是使用回顾性队列创建的,但为了验证,必须将它们与前瞻性队列进行比较。这些研究对于鉴别和生存预测具有重要意义,这将有助于未来的进步,改变治疗计划,减少卫生保健问题。
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引用次数: 0
Knowledge, attitude, and practice/awareness on the impact of mobile phone radiations on the oral cavity among mobile phone users: A cross-sectional study 移动电话使用者关于移动电话辐射对口腔影响的知识、态度和实践/意识:一项横断面研究
Pub Date : 2022-07-01 DOI: 10.4103/jorr.jorr_77_21
M. Revanth, S. Aparna, P. Madankumar
Background: The usage of mobile phones has increased drastically in recent years. Their use without any knowledge of their adverse effects is quite unsafe. Studies on cancers due to electromagnetic radiation from mobile phones are available but there is a need to research on the harmful effects of mobile phones on general and oral health among the rampant mobile phone users. Aim: The aim of the study is to evaluate the knowledge, attitude, and practice or awareness regarding mobile phone radiation and its impact on the oral cavity among the individuals using mobile phones. Materials and Methods: The present study was a self-administered structured questionnaire study which was filled by 259 participants between the age group of 18–33 years through online forms. Results: The study resulted that 50% of the participants did not have knowledge on deleterious effects of mobile phone radiation on the oral cavity and have experienced oral problems such as dry mouth (39.4%) and hypersalivation (41.7%) after prolonged talk time and 54.1% of the participants were aware on the impact of mobile phone radiation on health status. Conclusion: The results showed that most of the participants were aware of the potential risks arising from the use of mobile phones on general health but lacking the knowledge on oral health.
背景:近年来,手机的使用急剧增加。在不知道其副作用的情况下使用它们是非常不安全的。目前已有关于移动电话电磁辐射导致癌症的研究,但有必要研究移动电话对大量移动电话用户的全身和口腔健康的有害影响。目的:本研究的目的是评估手机使用者对手机辐射及其对口腔影响的知识、态度、行为或意识。材料与方法:本研究采用自填式结构化问卷研究,共有259名年龄在18-33岁之间的参与者通过在线表格填写问卷。结果:研究结果显示,50%的参与者不知道手机辐射对口腔的有害影响,并且在长时间通话后出现口干(39.4%)和唾液分泌过多(41.7%)等口腔问题,54.1%的参与者知道手机辐射对健康状况的影响。结论:调查结果显示,大多数调查对象了解手机使用对一般健康的潜在风险,但缺乏口腔健康知识。
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引用次数: 0
Ravaged mandibular ramus: Two rare case presentations of unicystic ameloblastoma with a view on management 下颌支撕裂:两例罕见的单囊性成釉细胞瘤病例及其治疗
Pub Date : 2022-07-01 DOI: 10.4103/jorr.jorr_43_21
J. Mathew, S. Akhil, Jubin Thomas, Fousiya Ali
Unicystic ameloblastoma (UA) is a rare, slow-growing, persistent, locally invasive, and cystic variant of ameloblastoma. This article presents two different variants of UA. The first case was a rare presentation of UA in an 11-year-old patient involving the impacted second molar, which is otherwise usually associated with an impacted mandibular third molar. It was diagnosed with UA-luminal type and treated by a piezoelectric ultrasonic device with minimal trauma to soft tissue. The second one was associated with impacted mandibular third molar extending the entire ramus of mandible till the coronoid which was diagnosed with UA-mural type and treated by cystic enucleation with platelet-rich fibrin graft. Recurrence was not observed during a 6-month follow-up. The aim of this case presentation was to give an insight into the destructive nature of UA and its diagnosis and management to maxillofacial surgeons as well as dental practitioners.
单囊性成釉细胞瘤(UA)是一种罕见的、生长缓慢、持续性、局部侵袭性和囊性的成釉细胞癌变体。本文介绍了UA的两种不同变体。第一例是一名11岁患者罕见的UA,涉及阻生的第二磨牙,通常与阻生的下颌第三磨牙有关。它被诊断为UA管腔型,并通过压电超声装置进行治疗,对软组织的损伤最小。第二个病例与阻生下颌第三磨牙相关,该磨牙延伸至整个下颌支直至冠状突,诊断为UA附壁型,并用富含血小板的纤维蛋白移植物进行囊性摘除治疗。在6个月的随访中未观察到复发。本病例介绍的目的是让颌面外科医生和牙科医生深入了解UA的破坏性及其诊断和管理。
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引用次数: 0
Fabrication of hollow denture technique for highly resorbed ridges for geriatric cases-A literature review 老年人高吸收嵴中空义齿制作技术的文献综述
Pub Date : 2022-07-01 DOI: 10.4103/jorr.jorr_3_22
Deepa Balu, A. Chidembaranathan, M. Balasubramaniam
The purpose of the review was to validate the different methods used for the fabrication of hollow denture that gives the better retention and stability in highly resorbed conditions. This study includes various literatures that provide different techniques involved during for fabrication process of hollow denture and also incorporation of the various different materials such as salt, sugar crystals, chocolate syrup, soap, and latest advances including the three-dimensional (3D) resins that are used as the spacer material in the fabrication of these dentures. The results show that all these different techniques using the different spacer material possess the similar results of 25% reduction in weight of the dental prosthesis. There are increased retention, stability, and comfort in condition of highly resorbed conditions with increased interocclusal distance that also prevents the muscle atrophy and fatigue in elderly individuals.
综述的目的是验证用于制造中空义齿的不同方法,这些方法在高度吸收的条件下具有更好的固位和稳定性。本研究包括各种文献,这些文献提供了空心义齿制造过程中涉及的不同技术,并结合了各种不同的材料,如盐、糖晶体、巧克力糖浆、肥皂,以及最新进展,包括在这些义齿制造中用作间隔材料的三维(3D)树脂。结果表明,使用不同间隔材料的所有这些不同技术都具有相似的结果,即假牙的重量减少了25%。在高度吸收的条件下,随着咬合间距离的增加,保持力、稳定性和舒适性都会增加,这也可以防止老年人的肌肉萎缩和疲劳。
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引用次数: 0
Estimation of the inflammatory burden and its impact after treatment in periodontally affected pre- and postmenopausal women 估计受牙周病影响的绝经前和绝经后妇女的炎症负担及其治疗后的影响
Pub Date : 2022-07-01 DOI: 10.4103/jorr.jorr_19_22
J. Prasanna, Sumadhura Chinta
Context: Menopause, when menstruation ceases, is seen with an overall increase in body response to inflammation. Gingiva is no such exception. Gingival inflammation which leads to periodontitis is a condition, which is severe inflammatory in nature, affecting the tissues surrounding the teeth. If not treated in time apparently tooth loss might take place. Pre- and postmenopausal conditions, more or less are critical for inflammatory changes. Aims: In this study, among both conditions which one was oppressive and which reciprocated more to scaling was examined. Settings and Design: This study was a cross-sectional interventional study. Materials and Methods: Sixty female subjects aged between 40 and 50 years with periodontitis were recruited. These were meticulously examined by a gynecologist and equated into two groups of 30 patients each, Group I – premenopausal and Group II – postmenopausal women. Plaque index, periodontal index (PDI), and sulcular bleeding index were compared at baseline and 3 months after scaling. Statistical Analysis Used: IBM Statistical Package for the Social Sciences (SPSS) version 21 software was used. An independent sample t-test was applied for percentage decrement and intergroup comparison and paired t-test for intergroup comparisons. Results: Reduction was significant in all the above parameters in both the groups noted on intragroup comparison from baseline to 3 months (P < 0.001). However, the intergroup showed no significance except PDI at baseline. Conclusions: There was a remarkable effect of scaling on inflammatory conditions such as menopause and periodontitis. In the premenopausal stage only, if women undergo periodontal therapy, it can prevent future aggressive inflammatory changes in the postmenopausal stage.
背景:更年期,当月经停止时,身体对炎症的反应总体上增加。Gingiva也不例外。导致牙周炎的牙龈炎症是一种严重的炎症性疾病,影响牙齿周围的组织。如果不及时治疗,显然可能会发生牙齿脱落。绝经前和绝经后的情况或多或少对炎症变化至关重要。目的:在这项研究中,研究了两种情况中哪一种是压迫性的,哪一种对缩放的反应更大。设置和设计:本研究是一项横断面介入性研究。材料和方法:60名年龄在40至50岁之间患有牙周炎的女性受试者被招募。妇科医生对其进行了仔细检查,并将其分为两组,每组30名患者,第一组为绝经前妇女,第二组为绝经后妇女。在基线和洁治后3个月比较牙菌斑指数、牙周指数(PDI)和沟出血指数。使用的统计分析:使用IBM社会科学统计软件包(SPSS)21版软件。百分比递减率和组间比较采用独立样本t检验,组间比较则采用配对t检验。结果:从基线到3个月,两组的上述所有参数在组内比较中均显著降低(P<0.001)。然而,除了基线时的PDI外,组间没有显示出任何意义。结论:洁治对更年期、牙周炎等炎症性疾病有显著疗效。仅在绝经前阶段,如果女性接受牙周治疗,可以预防绝经后阶段未来的侵袭性炎症变化。
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引用次数: 0
Nonfluoride remineralizing agent for caries prevention in children: A systematic review and meta-analysis 预防儿童龋齿的无氟再矿化剂:系统综述和荟萃分析
Pub Date : 2022-01-01 DOI: 10.4103/jorr.jorr_41_20
S. Gunasekaran, S. Sakthivel, P. Nainan, B. Shanthala
Background: The recent outburst of nonfluoride remineralizing agents suggests that it may serve as alternative and as an adjunct for fluoride in preventing, arresting, or even reversing dental caries. Aim: This study aims to assess the caries prevention potential of a variety of nonfluoride agents in children, with an efficient and extended literature database search. Materials and Methods: Electronic (MEDLINE, PubMed, and The Cochrane Library) and manual searches were conducted for relevant studies published till March 2020. Randomized control trials (RCTs) that investigated the effect of nonfluoride remineralizing agents such as casein phosphopeptide-amorphous calcium phosphate (ACP), ACP, arginine, probiotic, xylitol, chlorhexidine, and nanoparticles in remineralization and prevention of dental caries were assessed. Results: Twelve studies met the criteria. There were 2653 patients in the test group and 2596 in the control group. Participants using nonfluoride agents were more likely to experience a reduction in dental caries compared to control ([standardized mean difference {SMD}] −0.55 [−1.06, 0.04], 95% confidence interval [CI], I2 = 98%), but there was substantial heterogeneity (98%) across studies. Moreover, an overall statistically insignificant benefit of Non-fluoride agent was detected (SMD −0.55 [−1.06, 0.04], 95% CI, I2 = 98% P < 0.00001). Conclusion: High-quality RCTs on the preventive effect of nonfluoride agents in children are still important to make a conclusive recommendation.
背景:最近非氟化物再矿化剂的爆发表明它可以作为氟化物的替代品和辅助剂来预防、抑制甚至逆转龋齿。目的:本研究旨在通过高效、扩展的文献数据库检索,评估多种非氟化物药物对儿童龋齿的预防潜力。材料和方法:对截至2020年3月发表的相关研究进行了电子(MEDLINE、PubMed和Cochrane图书馆)和人工检索。随机对照试验(RCTs)研究了酪蛋白磷酸肽-无定形磷酸钙(ACP)、ACP、精氨酸、益生菌、木糖醇、氯己定和纳米颗粒等非氟化物再矿化剂对龋齿再矿化和预防的影响。结果:12项研究符合标准。试验组2653例,对照组2596例。与对照组相比,使用非氟化物药物的参与者更有可能减少龋齿([标准化平均差{SMD}] - 0.55[- 1.06, 0.04], 95%可信区间[CI], I2 = 98%),但各研究之间存在很大的异质性(98%)。此外,无氟化物剂的总体获益无统计学意义(SMD为- 0.55 [- 1.06,0.04],95% CI, I2 = 98% P < 0.00001)。结论:高质量的随机对照试验对儿童非氟化物药物的预防作用仍有重要意义。
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引用次数: 1
Pediatric dentistry post coronavirus disease 2019: Changing treatment paradigms in the pandemic setting 2019冠状病毒病后的儿科牙科:在疫情背景下改变治疗模式
Pub Date : 2022-01-01 DOI: 10.4103/jorr.jorr_55_20
M. Dempsy Chengappa, Atul Bali, R. Kaul, Rishu Koul
Coronavirus disease 2019 (COVID-19) pandemic has had a great impact on the practice of dentistry. Dental setups are potential focal points for cross-infection, and utmost care must be taken to reduce the risk of infection to, from, or among dentists, paradental staff, and patients. A specific concern for children is the uncertainty of their infection status; a clinical history may not be as suggestive of the infection as it is in adults. This makes pediatric dentists more prone to getting infected by the disease. The present review is aimed to provide an overview of potential dental emergencies in pediatric dental practice and a summary of the available treatment strategies that can be utilized by pediatric dentists with an aim to minimize aerosol generation to reduce chances of transmission during and after COVID-19 pandemic.
2019冠状病毒病(新冠肺炎)大流行对牙科实践产生了巨大影响。牙科机构是交叉感染的潜在焦点,必须尽最大努力降低感染牙医、诊所工作人员和患者的风险。儿童特别关注的是他们感染状况的不确定性;临床病史可能不像成年人那样提示感染。这使得儿科牙医更容易感染这种疾病。本综述旨在概述儿科牙科实践中潜在的牙科紧急情况,并总结儿科牙医可采用的治疗策略,以最大限度地减少气溶胶的产生,从而减少新冠肺炎大流行期间和之后的传播机会。
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引用次数: 0
期刊
Journal of Oral Research and Review
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