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LASERS: A Boon in Prosthodontics LASERS:口腔修复学的繁荣
Pub Date : 2020-04-05 DOI: 10.37191/mapsci-2582-3736-2(4)-047
Sikri A
the era of technological advancements, one of the most significant innovation is the “LASER”. An acronym “LASER” stands for “Light Amplification by Stimulated Emission of Radiation.” Earlier, the term LASER was pronounced as “MASER” i.e. “Microwave Amplification by Stimulated Emission of Radiation.” LASER is a monochromatic and coherent light that is produced by the release of more photons which triggers a chain reaction. The laser compartment consists of six major components, which are important to understand for the production of light. LASERs have also been an integral part of dental sciences and helped to provide standard care particularly in the field of Prosthodontics
在这个科技进步的时代,最显著的创新之一就是“激光”。缩写“LASER”代表“受激辐射的光放大”。早些时候,激光一词被发音为“MASER”,即“受激辐射的微波放大”。激光是一种单色的相干光,它是由释放更多的光子引发连锁反应而产生的。激光室由六个主要部件组成,这对于理解光的产生很重要。激光也一直是牙科科学的一个组成部分,并帮助提供标准的护理,特别是在口腔修复领域
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引用次数: 0
Evaluation of Implant Overdenture Retention with Two Different Attachments at 23mm Standard Inter-Implant Distance 两种不同附着体在23mm标准种植间距下种植覆盖义齿固位的评价
Pub Date : 2020-03-03 DOI: 10.37191/mapsci-2582-3736-2(2)-026
R. Emera
Purpose: Evaluation of implant overdenture retention at 23mm standard inter-implant distance using OT Equator and locator attachments.Materials and methods: Twelve completely edentulous patients were selected for this study. For all patients, conventional complete dentures were constructed. Mandibular dentures were replicated into stereolithographic implant placement guide using CBCT. Every participant received 2-implants in the anterior mandibular area with inter-implant distance of 23 mm. After the osseointegration period, the mandibular conventional dentures were converted into implant retained overdentures attached with Locator attachment for (group I) (six patients) and OT Equator attachments for (group II) (six patients). Retention was evaluated for conventional mandibular complete dentures (T0), 3-months (T3) and, 6-months (T6) after overdenture insertion using digital force-meter.Results: Results revealed that there was a statistically significant difference between the study groups representing mean retention force (P<0.05) except at T0 (baseline evaluation with conventional dentures) with higher mean values for group I (Locator attachment) than group II (OT Equator attachment).Conclusion: Regarding the limitations of this study:-Inter-implant distance of 23 mm for 2-implant overdentures could be considered a reliable modality for edentulous mandible.-Locator attachment may be preferable than OT Equator attachment regarding 2-implant overdenture retention at 23 mm inter-implant distance.
目的:评价OT赤道和定位器附着体在23mm标准种植间距下种植覆盖义齿固位的效果。材料与方法:选择12例全牙无牙患者作为研究对象。所有患者均采用常规全口义齿。采用CBCT将下颌义齿复制成立体光刻种植体放置指南。每个参与者在下颌前区种植2个种植体,种植体间距为23 mm。在骨整合期结束后,将下颌常规义齿转化为Locator附着体组(1组)和OT赤道附着体组(2组)。采用数字力计对常规下颌全口义齿(T0)、3个月(T3)和6个月(T6)的固位率进行评估。结果:结果显示各组间平均固位力差异有统计学意义(P<0.05),除了T0(常规义齿基线评估),I组(Locator附着体)的平均值高于II组(OT Equator附着体)。结论:考虑到本研究的局限性:对于2种植体覆盖义齿,种植间距离为23mm可以被认为是一种可靠的无牙下颌骨修复方式。-定位器附着体可能比OT赤道附着体更适合2种植体覆盖义齿在23mm种植间的固位。
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引用次数: 1
Identification of Carotid Artery Calcifications on Digital Panoramic Radiograph in a Group of South Indian population: A Retrospective Study 在一组南印度人群的数字全景x线片上识别颈动脉钙化:一项回顾性研究
Pub Date : 2020-01-16 DOI: 10.37191/mapsci-2582-3736-1(1)-020
V. Reddy
Background: Stroke had been the leading cause of death in industrialized countries, following cardiovascular disease and cancer. Aim and Objective: The present study aims to evaluate the fact that dental practitioners as health care providers ought to play their part in the early detection of patients at risk of having a cerebrovascular stroke.Materials and Methods: Initial study design consisted of 1000 panoramic radiographs (PRs), which were taken for patients visiting the department of Oral Medicine and Radiology. Two examiners reviewed all the radiographs. Sixty-one patients were found to have suspected carotid artery calcifications. Out of them, only 43 patients were subjected to Doppler ultrasound for confirmation of the carotid artery calcifications (CAC's).Results: Out of the 61 patients suspected of having carotid calcifications, 30 were male (49.2%) and 31 were female (50.8%) P value=0.844.Patients with age group between 51-61 had higher incidence of calcifications on orthopanograph (OPG). Mean age of the patients with calcifications on OPG was 56.67±SD of 10.15(p =0.004). Of the final 43 subjects, only 11 patients were confirmed to have positive carotid calcifications in Doppler ultrasonography study. Out of 11 patients, only 9 patients had atherosclerotic plaques that were not hemodynamically important and 2 patients had less than 50% carotid artery stenosis. Based on the Kappa value of 0.397, the level of agreement would be moderate with p value <0.001.Conclusion: Our study suggests that panoramic radiography can be a significant measure for detecting stroke prone patient. The role of Dental practitioners can be extended further, and overcome certain obstacles before panoramic radiography can be implemented as a new screening method for patients at risk of having a stroke.
背景:在工业化国家,中风是继心血管疾病和癌症之后的第一大死亡原因。目的和目的:本研究旨在评估牙科医生作为卫生保健提供者应该在脑血管中风风险患者的早期发现中发挥作用的事实。材料与方法:最初的研究设计包括1000张全景x线片(pr),这些x线片是在口腔医学和放射科就诊的患者拍摄的。两名检查人员检查了所有的x光片。61例患者疑似颈动脉钙化。其中只有43例患者接受了多普勒超声检查以确认颈动脉钙化(CAC)。结果:61例疑似颈动脉钙化患者中,男性30例(49.2%),女性31例(50.8%),P值=0.844。年龄在51 ~ 61岁之间的患者在矫形片(OPG)上钙化发生率较高。OPG钙化患者的平均年龄为56.67±SD = 10.15(p =0.004)。在最后的43例受试者中,只有11例患者在多普勒超声检查中证实颈动脉钙化阳性。在11例患者中,只有9例患者有不影响血流动力学的动脉粥样硬化斑块,2例患者颈动脉狭窄小于50%。Kappa值为0.397,一致程度为中等,p值<0.001。结论:全景式x线摄影可作为检测脑卒中易发患者的重要手段。牙科医生的作用可以进一步扩大,并克服某些障碍,全景x线摄影可以作为一种新的筛查方法,用于有中风风险的患者。
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引用次数: 1
Effects of a Dental Gel Over 6 Months on Periodontal Health in Subjects with Stage II and III (Mild and Moderate) Periodontitis. 超过6个月的牙科凝胶对II期和III期(轻度和中度)牙周炎患者牙周健康的影响。
Pub Date : 2019-12-01 Epub Date: 2019-11-18 DOI: 10.37191/Mapsci-2582-3736-1(3)-019
Kairong Lin, Thair Takesh, June Hee Lee, Dominique Nhi Duong, Audrey Hoang Nguyen, Ryan Kwan Cheung, Brian L Nguyen, Petra Wilder-Smith, Charles M Cobb

Objective: Overall aim of this prospective, randomized, positive controlled, double-blind in vivo study was to identify the effects of a test dental gel containing 2.6% edathamil with an added carrier and permeability enhancer vs. a positive control dentifrice on periodontal health measures in patients with Stage II and III periodontitis.

Methods: In this prospective double-blinded, randomized study, 33 subjects were randomly assigned in a 1:1 ratio to brushing their teeth with either the test gel (LivFresh®, Livionex Dental Gel, Los Gatos, CA 95030) or the positive control toothpaste (Crest ProHealth®, P&G, Cincinnati, OH 45202).Full-mouth gingival index, modified sulcus bleeding index, and periodontal pocket probing depths were recorded for all teeth at baseline, and on days 90 and 180.Subjects brushed with the study material twice a day.

Results: The test dental gel reduced gingival inflammation and bleeding, as well as periodontal pocket probing depths significantly more than a control dentifrice.

Conclusions: In this pilot study in subjects with Stage II and III periodontitis, a test dental gel was found to improve gingival inflammation and bleeding, as well as periodontal pocket depths significantly better than a control dentifrice.

目的:这项前瞻性、随机、阳性对照、双盲体内研究的总体目的是确定一种含有2.6%艾他米尔并添加载体和渗透性增强剂的试验牙凝胶与一种阳性对照牙凝胶对II期和III期牙周炎患者牙周健康指标的影响。方法:在这项前瞻性双盲随机研究中,33名受试者按1:1的比例随机分配,使用测试凝胶(LivFresh®,Livionex牙科凝胶,Los Gatos, CA 95030)或阳性对照牙膏(Crest ProHealth®,P&G, Cincinnati, OH 45202)刷牙。在基线、第90天和180天记录所有牙齿的全口牙龈指数、改良沟出血指数和牙周袋探探深度。受试者每天刷两次研究材料。结果:试验牙凝胶减少牙龈炎症和出血,以及牙周袋探探深度明显超过对照牙凝胶。结论:在这项针对II期和III期牙周炎患者的初步研究中,发现一种试验牙凝胶可以改善牙龈炎症和出血,并显著优于对照牙周袋深度。
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引用次数: 2
HBOT Application at Cases of Gingival Inflammation HBOT在牙龈炎症中的应用
Pub Date : 2019-11-04 DOI: 10.37191/mapsci-2582-3736-1(3)-017
Ilma Robo
The treatment of periodontal diseases, mainly of their origin, with the most common clinical manifestation in form of gingival inflammation, is manifold and powerful, including: mechanical therapy, antibiotic, antiseptic and various approaches to treatment, which are recommended to be used within a short period of time. New therapeutic approaches have been proven as alternative treatment to conventional therapy, or in combination with conventional therapies, to reduce the number of periodontopathic pathogens in gingival sulcus. HBOT has a detrimental effect on periodontal microorganisms, as well as beneficial effects on the healing of periodontal tissue, increasing oxygen pressure in gingival pockets. Our study is aimed at reviewing the current published literature on hyperbaric oxygen therapy and focuses on role of HBOT as a therapeutic measure for the individual with periodontal disease in general and for the impact on the recovery of gingival inflammation.HBOT and periodontal treatment together, reduce up to 99% of the gram-negative anaerobic load of subgingival flora. HBOT, significantly reduces subgingival anaerobic flora. Clinical effects in 2-year follow-up of treated patients are sensitive. Reduction of gingival hemorrhage indexes, depth of peritoneum, plaque index, occurs in cases of combination of HBOT and detraction. Reduced load persists up to 2 months after therapy. The significant increase in connective tissue removal starts at the end of 2nd week, to achieve the maximum in week 3-6 of application. HBOT used for re-implantation, stimulates the healing of periodontal membrane, pulp, prevents root resorption, healing of periodontal lining tissues. HBOT, significantly reduces the hemorrhage index with 1.2 value difference, 0.7mm probe depth, reduces gingival fluid by 2. HGH exposure is increased by gingival blood flow, with a difference of 2 in measured value. The therapeutic effects of HBOT in the value of the evaluation index can be saved up to 1-year post treatment.
牙周病的治疗方法是多种多样的,其主要原因是牙周病,临床表现最常见的形式是牙龈炎症。牙周病的治疗方法是多方面和强有力的,包括:机械治疗、抗生素、防腐剂和各种治疗方法,建议在短时间内使用。新的治疗方法已被证明是常规治疗的替代治疗方法,或与常规治疗相结合,以减少牙龈沟中牙周病病原体的数量。HBOT对牙周微生物有不利的影响,但对牙周组织的愈合有有益的影响,增加了牙龈袋内的氧压。我们的研究旨在回顾目前已发表的关于高压氧治疗的文献,并着重于HBOT作为一般牙周病患者的治疗措施以及对牙龈炎症恢复的影响。HBOT和牙周治疗一起,减少高达99%的牙龈下菌群的革兰氏阴性厌氧负荷。HBOT,显著减少龈下厌氧菌群。治疗后2年随访临床疗效敏感。HBOT联合引流可降低牙龈出血指数、腹膜深度、菌斑指数。治疗后2个月仍可减轻负荷。结缔组织去除率在第2周结束时开始显著增加,在使用第3-6周达到最大值。HBOT用于再种植,刺激牙周膜、牙髓愈合,防止牙根吸收,修复牙周内膜组织。HBOT,显著降低出血指数1.2值差,探头深度0.7mm,减少牙龈液2。牙龈血流增加生长激素暴露,测量值相差2。HBOT的疗效评价指标值可保存至治疗后1年。
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引用次数: 4
The Link between Fingerprints, Genetics & Chronic Periodontitis: A Dermatoglyphic Study 指纹、遗传学与慢性牙周炎之间的联系:一项皮肤纹学研究
Pub Date : 2019-10-18 DOI: 10.37191/mapsci-2582-3736-1(3)-016
S. Karthikeyan
Background: Several methods have been employed for diagnosing inflammatory conditions including biomarkers, enzymes and various other clinical parameters. Dermatoglyphics is one such field which has gained entry in Forensic Medicine, Forensic Odontology and in General Medicine for diagnosing chronic inflammatory conditions. Periodontitis is a chronic inflammatory condition associated with destruction of periodontal tissues. This study aimed to assess the relationship between the fingerprint patterns and chronic periodontitis Methods: A total of 60 patients, belonging to both healthy and chronic periodontitis subjects were assessed by a commercially available fingerprint scanner. All the fingerprint images were assessed for the fingerprint pattern and the ridge count manually. The results were tabulated as percentage frequency distribution for the type of fingerprint pattern. The ridge count is shown as mean ± SD. Unpaired t test was applied to test for statistical significance.Results: The frequency distribution showed equal percentage of Radial Loop type of fingerprint pattern in subjects of both Health and Chronic Periodontitis. Statistical analysis showed Plain Whorl type of fingerprint pattern more significant in subjects having Chronic PeriodontitisConclusion: It was concluded that there might be a relationship between type of fingerprint pattern to the chances of a person having Chronic Periodontitis.
背景:有几种方法被用于诊断炎症,包括生物标志物、酶和各种其他临床参数。皮肤印记学就是这样一个领域,它已经进入法医学、法医学牙科学和普通医学,用于诊断慢性炎症。牙周炎是一种与牙周组织破坏有关的慢性炎症。方法:采用市面上可买到的指纹扫描仪对60例健康和慢性牙周炎患者的指纹图谱进行评估。所有的指纹图像都是人工评估指纹图案和脊数。结果以指纹图谱类型的百分比频率分布表示。脊数以mean±SD表示。采用非配对t检验进行统计学显著性检验。结果:在健康和慢性牙周炎患者中,径向环型指纹的频率分布比例相等。结论:指纹纹型与慢性牙周炎的发病几率可能存在一定的关系。
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引用次数: 1
An Unexpected Complication after Use of Pedicled Buccal Fat Pad for Closure of Oroantral Fistulae: Emphysema 带蒂颊脂肪垫封堵口胃窦瘘的意外并发症:肺气肿
Pub Date : 2019-10-18 DOI: 10.37191/mapsci-2582-3736-1(3)-015
Revnak Metin
Oro-antral communication (OAC) may develop as a complication of dental extraction, trauma, infection or neoplasm. Buccal fat pad (BFP) has been increasingly used for the closure of OAC. However, some complications can be seen for pedicled buccal fad pad flap (PBFPF), such as infection, limitation in mouth opening, hematoma, and swelling. Nevertheless, there are no previousreports of subcutaneous emphysema after PBFPF. In this paper; a complication developed in the early period after use of PBFPF for closure of OAF was illustrated with special emphasis showing the strength of BFP against tension forces.
口腔-窦间通讯(OAC)可能发展为拔牙、创伤、感染或肿瘤的并发症。颊脂垫(BFP)已越来越多地用于OAC的闭合。然而,带蒂颊掌垫皮瓣(PBFPF)也会出现一些并发症,如感染、开口受限、血肿和肿胀。然而,目前尚无PBFPF术后皮下气肿的报告。在本文中;说明了使用PBFPF闭合OAF后早期出现的并发症,特别强调了BFP对抗张力的强度。
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引用次数: 2
Evaluation of Marginal Fit of Two Types of Glass Ceramics (In Vitro Study) 两种玻璃陶瓷的边际拟合评价(体外研究)
Pub Date : 2019-08-20 DOI: 10.37191/mapsci-2582-3736-1(3)-014
Youssef Y. Ashour
Background: Veneered all-ceramic restorations are associated with a high incidence of chipping and veneer delamination from the inner core. Monolithic all-ceramic crowns facilitate the fabrication process and minimize residual stresses between core and veneer. A new material,zirconia-reinforced lithium silicate(ZRL), Celtra Duo was recently introduced for fabrication of monolithic anterior crowns to overcome the aesthetic drawbacks of traditional zirconia and also to improve the strength of the lithium disilicate.Aim of the study: To examine the marginal fit of CAD/CAM: zirconia reinforced lithium disilicatand to evaluate it with Lithium silicate glass-ceramic crowns. Materials and methods: Thirty monolithic ceramic specimens will be fabricated and divided into THREE main groups; Group I: CAD/CAM ZLS Celtra Duo milled and polished, Group II CAD /CAM ZLS Celtra Duo milled and glazed & Group III: CAD/CAM Lithium silicate glass-ceramic (e.max CAD). For evaluation of the marginal fit 30 ceramic crown specimens ten specimens from each material(N=10), subgroups Ia, IIa, IIIa will be fabricated according to the manufacturers’ instructions and thermocycled to simulate one year clinical service. Marginal fit will be measured for the same specimens by using CBCT (Ia, IIa, IIIa). For evolution of marginal fit 30 ceramic crowns will be fabricated, ten crowns from each material (N=10), subgroups Ia, IIa, IIIa. Results: Will be arrangeand statistically analyzed.
背景:贴面全陶瓷修复体与高发生率的切屑和贴面从内核剥离有关。整体全陶瓷冠简化了制造过程,并最大限度地减少了芯和贴面之间的残余应力。一种新的材料,氧化锆增强硅酸锂(ZRL), Celtra Duo最近被引入制造整体前冠,以克服传统氧化锆的美学缺陷,并提高二硅酸锂的强度。研究目的:考察氧化锆增强二硅酸锂CAD/CAM的边缘配合度,并用硅酸锂玻璃陶瓷冠对其进行评价。材料和方法:将制作30个整体陶瓷样品,并分为三个主要组;第一组:CAD/CAM ZLS Celtra Duo铣削和抛光;第二组CAD/CAM ZLS Celtra Duo铣削和抛光;第三组:CAD/CAM硅酸锂玻璃陶瓷(e.max CAD)。为了评估瓷冠的边缘配合度,将根据制造商的说明制作Ia, IIa, IIIa亚组,每种材料10个样品(N=10),并进行热循环以模拟一年的临床服务。将使用CBCT (Ia, IIa, IIIa)测量相同标本的边际拟合。为了边际配合的演化,将制作30个陶瓷冠,每种材料10个(N=10),亚群Ia, IIa, IIIa。结果:进行整理和统计分析。
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引用次数: 2
Ankyglossia among Population of North India-A Prevalence Pilot Study 北印度人群的踝关节炎患病率初步研究
Pub Date : 2019-07-30 DOI: 10.37191/mapsci-2582-3736-1(2)-012
N. Thakur
Background: Lingual Frenulum connects the base of the tongue to the floor of the mouth. Tongue-Tie (Ankyglossia) is a congenital anomaly characterized by short lingual frenulum which restricts the mobility of tongue tip. Material and Methods: This study was done to determine the prevalence of ankyglossia among the population of North India. 500 subjects of both sexes aged between 18-70 years formed the sample size. Results: The results were obtained after classification of ankyglossia by Kotlow by measuring the length of free tongue and by measuring the length of lingual frenulum (indirect method) as suggested by Ruffoli et al. Inadequate tongue mobility was seen only in subjects with lingual frenulum<0.5mm.Conclusion: It should be stated that despite the reduced length the short lingual frenum is not always inelastic or fibrotic. It may allow a normal lingual mobility hence not necessitating a reduction intervention and also the effects of ankyglossia can be mitigated by the elasticity of the floor of the mouth and help the lingual mobility.
背景:舌系带连接舌底和口腔底。舌系带畸形是一种先天性畸形,其特征是舌系带短,限制了舌尖的活动。材料和方法:本研究旨在确定北印度人口中锁骨粘连的患病率。样本量为500名年龄在18-70岁之间的男女。结果:根据Ruffoli等人的建议,采用koflow测量游离舌长度和测量舌系带长度(间接法)对咬合进行分类。舌系带<0.5mm者舌活动能力不足。结论:应该指出,尽管短舌系带长度减少,但并不总是无弹性或纤维化。它可以允许正常的舌活动,因此不需要复位干预,而且咬紧带的影响可以通过口腔底部的弹性来减轻,并有助于舌活动。
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引用次数: 1
Seven-Year Follow-Up of Screening for Hypertension and Diabetes at a Dental Clinic 某牙科诊所高血压及糖尿病筛查的7年随访
Pub Date : 2019-07-30 DOI: 10.37191/mapsci-2582-3736-1(2)-011
G. Friman
Objective: To describe the distribution of risk, diagnosis and pharmacological treatments for diabetes and hypertension after seven years among patients provided with opportunistic medical screening in a dental setting.Material and Methods: The initial screening’s 170 participants were asked to take part in a seven-year follow-up study. Data were collected through self-reported information in a written health declaration. Outcome measures: • Number of study participants who had passed away • Prescription of antidiabetics or antihypertensives• Changes in weight and height to calculate body mass index (BMI)Results: The follow-up study consisted of 151 participants. Twenty had passed away. The risk needs for medicating with antihypertensive drugs after seven years for those not receiving pharmacological treatment at the initial screening was 3.7 times greater (p=0.025 CI 1.2-11.3) for participants with a diastolic blood pressure (BP) ≥ 90 mm Hg (85 for diabetics) than for the others. The risk was 3.9 times greater (p=0.020 CI 1.2-12.6) for those with a systolic BP of 140-159 mm Hg and 54.2 times greater (p<0.0001 CI 9.8-300.3) for those with a systolic BP ≥ 160 mm Hg than for those with a systolic BP 140 mm Hg. There were no changes in BMI.Conclusion: At least one in ten cases of incorrect medication or undiagnosed hypertension may be identifiable through opportunistic medical screening
目的:描述在牙科机构提供机会性医学筛查的患者7年后糖尿病和高血压的风险分布、诊断和药物治疗。材料和方法:最初筛选的170名参与者被要求参加一项为期7年的随访研究。数据是通过书面健康声明中自我报告的信息收集的。结果测量:•研究参与者的死亡人数•抗糖尿病或抗高血压药物的处方•体重和身高的变化计算体重指数(BMI)结果:随访研究包括151名参与者。20人去世了。对于舒张压(BP)≥90 mm Hg(糖尿病患者为85)的参与者,7年后未接受药物治疗的抗高血压药物风险需求是其他参与者的3.7倍(p=0.025 CI 1.2-11.3)。收缩压为140-159 mm Hg的患者的风险是收缩压为140 mm Hg的患者的3.9倍(p=0.020 CI 1.2-12.6),收缩压≥160 mm Hg的患者的风险是收缩压为140 mm Hg的患者的54.2倍(p<0.0001 CI 9.8-300.3)。BMI没有变化。结论:至少十分之一的不正确用药或未确诊的高血压病例可通过机会性医学筛查发现
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引用次数: 1
期刊
Journal of dentistry and oral sciences
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