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Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Injectable Filler | Research

In Vitro evaluation of the effects of whitening toothpastes on the color and surface roughness of different composite resin materials

Authors: Gulben Colak, Gunseli Katirci

Published in: BMC Oral Health | Issue 1/2023

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Abstract

Background

The aim of this study was to evaluate the effects of traditional and whitening toothpastes on the color and surface roughness of different composite resin materials.

Methods

Eighty disc-shaped samples were prepared for each of the following composite resins: nano-hybrid (Filtek Ultimate Universal; 3 M/ESPE, Saint Paul, USA), micro-hybrid (Charisma Smart; Kulzer, Hanau, Germany) and supra-nano-filled (Omnichroma; Tokuyama, Tokyo, Japan). Each composite-resin sample was randomly divided into the following four subgroups (n = 20 per group): Group 1, control; Group 2, traditional toothpaste (Colgate Total 12; Colgate Palmolive, New York, USA); Group 3, peroxide-based toothpaste (Colgate Optic White; Colgate-Palmolive, New York, USA); and Group 4, blue covarine-based toothpaste (Meridol Gentle White; CP-GABA, Hamburg, Germany). The samples for the toothpaste subgroups were immersed in a coffee solution for 10 min and washed twice a day before each brushing cycle. The specimens were brushed for 30 days. Color analyses were performed using a spectrophotometer (SpectroShade Micro, MHT, Italy). Surface roughness analyses were conducted using a profilometer (Surftest SJ-210 Mitutoyo, Tokyo, Japon). The color and surface roughness analyses were performed at baseline and 1, 7 and 30 days after each treatment. Furthermore, surface topography analysis was performed using Scanning Electron Microscopy (FEG 250-FeiQuanta, the Netherlands). The data were analysed with a three-way robust ANOVA and Bonferroni post-hoc correction (p < 0.05).

Results

The smallest color change was observed for the micro-hybrid composite resin, and the greatest color change was observed for the nano-hybrid composite resin. Based on the tested composite resin samples, the greatest color change was obtained after using blue covarine–based toothpaste, while the smallest color change was observed after using peroxide-based toothpaste. Moreover, the supra-nano-filled composite resin samples exhibited the lowest roughness values (robust ANOVA test, p < 0.001). There was no statistically significant difference between the mean values of roughness for the composite, group and time interaction (p = 0.937).

Conclusion

Charisma Smart composite resin exhibited significantly lower staining than all the other composite resins tested after using all toothpastes included in the study. Further laboratory and clinical studies are needed to fully understand the long-term effectiveness of whitening toothpaste on composite resin materials.
Literature
1.
go back to reference Roselino RML, Chinelatti AM, Alandia-Román CC, Pires-de-Souza PCF. Effect of brushing time and dentifrice abrasiveness on color change and surface roughness of resin composites. Braz Dent J. 2015;26:507–13.PubMed Roselino RML, Chinelatti AM, Alandia-Román CC, Pires-de-Souza PCF. Effect of brushing time and dentifrice abrasiveness on color change and surface roughness of resin composites. Braz Dent J. 2015;26:507–13.PubMed
2.
go back to reference Amaral CM, Rodrigues JA, Erhardt MC, Araujo MW, Marchi GM, Heymann HO, Pimenta LA. Effect of whitening dentifrices on the superficial roughness of esthetic restorative materials. J Esthet Restor Dent. 2006;18:102–8.PubMed Amaral CM, Rodrigues JA, Erhardt MC, Araujo MW, Marchi GM, Heymann HO, Pimenta LA. Effect of whitening dentifrices on the superficial roughness of esthetic restorative materials. J Esthet Restor Dent. 2006;18:102–8.PubMed
3.
go back to reference Tomás MBD, Pecci-Lloret PM, Guerrero-Gironés J. Effectiveness and abrasiveness of activated charcoal as a whitening agent: a systematic review of in vitro studies. Annals of Anatomy - Anatomischer Anzeiger. 2023;245:151998.PubMed Tomás MBD, Pecci-Lloret PM, Guerrero-Gironés J. Effectiveness and abrasiveness of activated charcoal as a whitening agent: a systematic review of in vitro studies. Annals of Anatomy - Anatomischer Anzeiger. 2023;245:151998.PubMed
4.
go back to reference Ghajari MF, Shamsaei M, Basandeh K, Galouyak MS. Abrasiveness and whitening effect of charcoal-containing whitening toothpastes in permanent teeth. Dent Res J. 2021;18–51. Ghajari MF, Shamsaei M, Basandeh K, Galouyak MS. Abrasiveness and whitening effect of charcoal-containing whitening toothpastes in permanent teeth. Dent Res J. 2021;18–51.
5.
go back to reference Viana ÍEL, Weiss GS, Sakae LO, Niemeyer SH, Borges AB, Scaramucci T. Activated charcoal toothpastes do not increase erosive tooth wear. J Dent. 2021;109:103677.PubMed Viana ÍEL, Weiss GS, Sakae LO, Niemeyer SH, Borges AB, Scaramucci T. Activated charcoal toothpastes do not increase erosive tooth wear. J Dent. 2021;109:103677.PubMed
6.
go back to reference Casado BGS, Moraes SLD, Souza GFM, Guerra CMF, Souto-Maior JR, Lemos CAA, Vasconcelos BCE, Pellizzer EP. Efficacy of dental bleaching with whitening dentifrices: a systematic review. Int J Dent. 2018;7868531. Casado BGS, Moraes SLD, Souza GFM, Guerra CMF, Souto-Maior JR, Lemos CAA, Vasconcelos BCE, Pellizzer EP. Efficacy of dental bleaching with whitening dentifrices: a systematic review. Int J Dent. 2018;7868531.
7.
go back to reference Joiner A. Whitening toothpastes: a review of the literature. J Dent. 2010;38:e17–e24.PubMed Joiner A. Whitening toothpastes: a review of the literature. J Dent. 2010;38:e17–e24.PubMed
8.
go back to reference Neme AL, Frazier KB, Roeder LB, Debner TL. Effect of prophylactic polishing protocols on the surface roughness of esthetic restorative materials. Oper Dent. 2002;27:50–8.PubMed Neme AL, Frazier KB, Roeder LB, Debner TL. Effect of prophylactic polishing protocols on the surface roughness of esthetic restorative materials. Oper Dent. 2002;27:50–8.PubMed
9.
go back to reference Heintze SD, Forjanic M. Roughness of different dental materials before and after simulated toothbrushing in vitro. Oper Dent. 2005;30:617–26.PubMed Heintze SD, Forjanic M. Roughness of different dental materials before and after simulated toothbrushing in vitro. Oper Dent. 2005;30:617–26.PubMed
10.
go back to reference Van Loveren C, Duckwort RM. Anti-calculus and whitening toothpastes. Monogr Oral Sci. 2013;23:61–74.PubMed Van Loveren C, Duckwort RM. Anti-calculus and whitening toothpastes. Monogr Oral Sci. 2013;23:61–74.PubMed
11.
go back to reference Collins LZ, Naeeni M, Platten SM. Instant tooth whitening from a silica toothpaste containing blue covarine. J Dent. 2008;36:21–5. Collins LZ, Naeeni M, Platten SM. Instant tooth whitening from a silica toothpaste containing blue covarine. J Dent. 2008;36:21–5.
12.
go back to reference Joiner A, Philpotts CJ, Alonso C, Ashcroft AT, Sygrove NJ. A novel optical approach to achieving tooth whitening. J Dent. 2008;36:8–14. Joiner A, Philpotts CJ, Alonso C, Ashcroft AT, Sygrove NJ. A novel optical approach to achieving tooth whitening. J Dent. 2008;36:8–14.
13.
go back to reference Vaz PTV, Jubilato PD, Oliveira MRM, Bortolatto FJ, Floros CM, Dantas RAA, Oliveira Junior BO. Whitening toothpaste containing activated charcoal, blue covarine, hydrogen peroxide or microbeads: which one is the most effective? J Appl Oral Sci. 2019;27:1–8. Vaz PTV, Jubilato PD, Oliveira MRM, Bortolatto FJ, Floros CM, Dantas RAA, Oliveira Junior BO. Whitening toothpaste containing activated charcoal, blue covarine, hydrogen peroxide or microbeads: which one is the most effective? J Appl Oral Sci. 2019;27:1–8.
14.
go back to reference Rodrigues SC, Dala Nora B, Mallmann A, May GL, Jacques BL. Repolishing resin composites after bleaching treatments: Effects on color stability and smoothness. Oper Dent. 2019;44(1):54–64.PubMed Rodrigues SC, Dala Nora B, Mallmann A, May GL, Jacques BL. Repolishing resin composites after bleaching treatments: Effects on color stability and smoothness. Oper Dent. 2019;44(1):54–64.PubMed
15.
go back to reference Roopa KB, Basappa N, Prabhakar RA, Raju SO, Gagandeep L. Effect of whitening dentifrice on micro hardness, colour stability and surface roughness of aesthetic restorative materials. J Clin Diagn Res. 2016;10:ZC06–11.PubMedPubMedCentral Roopa KB, Basappa N, Prabhakar RA, Raju SO, Gagandeep L. Effect of whitening dentifrice on micro hardness, colour stability and surface roughness of aesthetic restorative materials. J Clin Diagn Res. 2016;10:ZC06–11.PubMedPubMedCentral
16.
go back to reference Roselino L, Tonani R, Sbardelotto C, Alves A, Arruda C, Tirapelli C, Pires-de-Souza F. Color stability and surface roughness of composite resins submitted to brushing with bleaching toothpastes: an in situ study. J Esthet Restor Dent. 2019;31:486–92. Roselino L, Tonani R, Sbardelotto C, Alves A, Arruda C, Tirapelli C, Pires-de-Souza F. Color stability and surface roughness of composite resins submitted to brushing with bleaching toothpastes: an in situ study. J Esthet Restor Dent. 2019;31:486–92.
17.
go back to reference Schroder T, Silva BP, Basso RG, Franco CM, Maske TT, Cenci SM. Factors affecting the color stability and staining of esthetic restorations. Odontology. 2019;107:507–12. Schroder T, Silva BP, Basso RG, Franco CM, Maske TT, Cenci SM. Factors affecting the color stability and staining of esthetic restorations. Odontology. 2019;107:507–12.
18.
go back to reference Silva MT, Dantas BCD, Franco TT, Franco TL, Huhtala LRFM. Surface degradation of composite resins under staining and brushing challenges. J Dent Sci. 2019;14:87–92. Silva MT, Dantas BCD, Franco TT, Franco TL, Huhtala LRFM. Surface degradation of composite resins under staining and brushing challenges. J Dent Sci. 2019;14:87–92.
19.
go back to reference Rohym S, Tawfeek MH, Kamh R. Effect of coffee on color stability and surface roughness of newly introduced single shade resin composite materials. BMC Oral Health. 2023;23:1–13. Rohym S, Tawfeek MH, Kamh R. Effect of coffee on color stability and surface roughness of newly introduced single shade resin composite materials. BMC Oral Health. 2023;23:1–13.
20.
go back to reference Koç Vural U, Bagdatli Z, Yilmaz EA, Yalçın Çakır F, Altundaşar E, Gurgan S. Effects of charcoal-based whitening toothpastes on human enamel in terms of color, surface roughness, and microhardness: an in vitro study. Clin Oral Investig. 2021;25(10):5977–85.PubMed Koç Vural U, Bagdatli Z, Yilmaz EA, Yalçın Çakır F, Altundaşar E, Gurgan S. Effects of charcoal-based whitening toothpastes on human enamel in terms of color, surface roughness, and microhardness: an in vitro study. Clin Oral Investig. 2021;25(10):5977–85.PubMed
21.
go back to reference Bezgin T, Özer L, Tulga Öz F, Özkan P. Effect of toothbrushing on color changes of esthetic restorative materials. J Esthet Restor Dent. 2015;27(Suppl 1):65–S73. Bezgin T, Özer L, Tulga Öz F, Özkan P. Effect of toothbrushing on color changes of esthetic restorative materials. J Esthet Restor Dent. 2015;27(Suppl 1):65–S73.
22.
go back to reference Reinhardt WJ, Balbierz MM, Schultz MC, Simetich B, Beatty WM. Effect of tooth-whitening procedures on stained composite resins. Oper Dent. 2019;44(1):65–75.PubMed Reinhardt WJ, Balbierz MM, Schultz MC, Simetich B, Beatty WM. Effect of tooth-whitening procedures on stained composite resins. Oper Dent. 2019;44(1):65–75.PubMed
23.
go back to reference Sharma G, Wu W, Dalal EN. The CIEDE2000 color-difference formula: implementation notes, supplementary test data, and mathematical observations. Color Res Appl. 2005;30:21–30. Sharma G, Wu W, Dalal EN. The CIEDE2000 color-difference formula: implementation notes, supplementary test data, and mathematical observations. Color Res Appl. 2005;30:21–30.
24.
go back to reference Yap AU, Yap SH, Teo CK, Ng JJ. Finishing/polishing of composite and compomer restoratives: effectiveness of one-step systems. Oper Dent. 2004;29:275–9.PubMed Yap AU, Yap SH, Teo CK, Ng JJ. Finishing/polishing of composite and compomer restoratives: effectiveness of one-step systems. Oper Dent. 2004;29:275–9.PubMed
25.
go back to reference Jones C, Billington R, Pearson G. The in vivo perception of roughness of restorations. Br Dent J. 2004;196:42–5.PubMed Jones C, Billington R, Pearson G. The in vivo perception of roughness of restorations. Br Dent J. 2004;196:42–5.PubMed
26.
go back to reference Paolone G, Formiga S, De Palma F, Abbruzzese L, Chirico L, Scolavino S, Goracci C, Cantatore G, Vichi A. Color stability of resin-based composites: staining procedures with liquids-A narrative review. J Esthet Restor Dent. 2022;34(6):865–87.PubMed Paolone G, Formiga S, De Palma F, Abbruzzese L, Chirico L, Scolavino S, Goracci C, Cantatore G, Vichi A. Color stability of resin-based composites: staining procedures with liquids-A narrative review. J Esthet Restor Dent. 2022;34(6):865–87.PubMed
27.
go back to reference Ayad NM. Susceptibility of restorative materials to staining by common beverages: an in vitro study. Eur J Esthet Dent. 2007;2:236–47.PubMed Ayad NM. Susceptibility of restorative materials to staining by common beverages: an in vitro study. Eur J Esthet Dent. 2007;2:236–47.PubMed
28.
go back to reference Mehrgan S, Kermanshah H, Omrani RL, Ahmadi E, Rafeie N. Comparison the effect of charcoal-containing, hydrogen peroxide-containing, and abrasive whitening toothpastes on color stability of a resin composite: an in vitro study. BMC Oral Health. 2021;19:594. Mehrgan S, Kermanshah H, Omrani RL, Ahmadi E, Rafeie N. Comparison the effect of charcoal-containing, hydrogen peroxide-containing, and abrasive whitening toothpastes on color stability of a resin composite: an in vitro study. BMC Oral Health. 2021;19:594.
29.
go back to reference Hussain SK, Al-Abbasi SW, Refaat MM, Hussain AM. The effect of staining and bleaching on the color of two different types of composite restoration. J Clin Exp Dent. 2021;13:e1233.PubMedPubMedCentral Hussain SK, Al-Abbasi SW, Refaat MM, Hussain AM. The effect of staining and bleaching on the color of two different types of composite restoration. J Clin Exp Dent. 2021;13:e1233.PubMedPubMedCentral
30.
go back to reference Paul S, Peter A, Pietrobon N, Hämmerle CH. Visual and spectrophotometric shade analysis of human teeth. J Dent Res. 2002;81:578–82.PubMed Paul S, Peter A, Pietrobon N, Hämmerle CH. Visual and spectrophotometric shade analysis of human teeth. J Dent Res. 2002;81:578–82.PubMed
31.
go back to reference ElAziz RHA, Gadallah LK, Saleh RS. Evaluation of charcoal and sea salt lemon-based whitening toothpastes on color change and surface roughness of stained teeth. J Contemp Dent Pract. 2022;23(2):169–75.PubMed ElAziz RHA, Gadallah LK, Saleh RS. Evaluation of charcoal and sea salt lemon-based whitening toothpastes on color change and surface roughness of stained teeth. J Contemp Dent Pract. 2022;23(2):169–75.PubMed
32.
go back to reference Mozzaquatro LR, Rodrigues CS, Kaizer MR, Lago M, Mallmann A, Jacques LB. The effect of brushing and aging on the staining and smoothness of resin composites. J Esthet Restor Dent. 2006;22:211–22. Mozzaquatro LR, Rodrigues CS, Kaizer MR, Lago M, Mallmann A, Jacques LB. The effect of brushing and aging on the staining and smoothness of resin composites. J Esthet Restor Dent. 2006;22:211–22.
33.
go back to reference Nasim I, Neelakantan P, Sujeer R, Subbarao CV. Color stability of microfilled, microhybrid and nanocomposite resins – an in vitro study. J Dent. 2010;38(Suppl 2):137–42. Nasim I, Neelakantan P, Sujeer R, Subbarao CV. Color stability of microfilled, microhybrid and nanocomposite resins – an in vitro study. J Dent. 2010;38(Suppl 2):137–42.
34.
go back to reference Choi MS, Lee YK, Lim BS, Yang HC. Changes in surface characteristics of dental resin composites after polishing. J Mater Sci. 2005;16:347–53. Choi MS, Lee YK, Lim BS, Yang HC. Changes in surface characteristics of dental resin composites after polishing. J Mater Sci. 2005;16:347–53.
35.
go back to reference Lee YK, Powers JM. Color changes of resin composites in the reflectance and transmittance modes. Dent Mater. 2007;23:259–64.PubMed Lee YK, Powers JM. Color changes of resin composites in the reflectance and transmittance modes. Dent Mater. 2007;23:259–64.PubMed
36.
go back to reference Ertaş E, Güler U, Yücel AC, Köprülü H, Güler E. Color stability of resin composites after immersion in different drinks. Dent Mater J. 2006;25:371–6.PubMed Ertaş E, Güler U, Yücel AC, Köprülü H, Güler E. Color stability of resin composites after immersion in different drinks. Dent Mater J. 2006;25:371–6.PubMed
37.
go back to reference Roselino LM, Cruvinel DR, Chinelatti MA, Pires-de-Souza FC. Effect of brushing and accelerated ageing on color stability and surface roughness of composites. J Dent. 2013;41:54–61. Roselino LM, Cruvinel DR, Chinelatti MA, Pires-de-Souza FC. Effect of brushing and accelerated ageing on color stability and surface roughness of composites. J Dent. 2013;41:54–61.
38.
go back to reference Silva MT, Sales SLLA, Pucci RC, Borges BA, Torres GRC. The combined effect of food-simulating solutions, brushing, and staining on color stability of composite resins. Acta Biomater Odontol Scand. 2017;3:1–7.PubMedPubMedCentral Silva MT, Sales SLLA, Pucci RC, Borges BA, Torres GRC. The combined effect of food-simulating solutions, brushing, and staining on color stability of composite resins. Acta Biomater Odontol Scand. 2017;3:1–7.PubMedPubMedCentral
39.
go back to reference Scholl JA, Koh AL, Dionne JA. Quantum plasmon resonances of individual metallic nanoparticles. Nature. 2012;483:421–7.PubMed Scholl JA, Koh AL, Dionne JA. Quantum plasmon resonances of individual metallic nanoparticles. Nature. 2012;483:421–7.PubMed
40.
go back to reference Soliman YA, Mahmoud EM, Gepreel MH, Aff RR. The ability of coffee to stain nanohybrid composite resins. Alexa Dent J. 2021;46:91–5. Soliman YA, Mahmoud EM, Gepreel MH, Aff RR. The ability of coffee to stain nanohybrid composite resins. Alexa Dent J. 2021;46:91–5.
41.
go back to reference Reddy PS, Tejaswi SLK, Shetty S, Annapoorna MB, Pujari CS, Thippeswamy MH. Effects of commonly consumed beverages on surface roughness and color stability of the nano, micro hybrid and hybrid composite resins: an in vitro study. J Contemp Dent Pract. 2013;14(4):718–23.PubMed Reddy PS, Tejaswi SLK, Shetty S, Annapoorna MB, Pujari CS, Thippeswamy MH. Effects of commonly consumed beverages on surface roughness and color stability of the nano, micro hybrid and hybrid composite resins: an in vitro study. J Contemp Dent Pract. 2013;14(4):718–23.PubMed
42.
go back to reference Aydın N, Topçu FT, Karaoğlanoğlu S, Oktay EA, Erdemir U. Effect of finishing and polishing systems on the surface roughness and color change of composite resins. J Clin Exp Dent. 2021;13(5):e446–454.PubMedPubMedCentral Aydın N, Topçu FT, Karaoğlanoğlu S, Oktay EA, Erdemir U. Effect of finishing and polishing systems on the surface roughness and color change of composite resins. J Clin Exp Dent. 2021;13(5):e446–454.PubMedPubMedCentral
43.
go back to reference Oliveira GU, Mondelli RFL, Rodrigues MC, Franco EB, Ishikiriama SK, Wang L. Impact of filler size and distribution on roughness and wear of composite resin after simulated toothbrushing. J Appl Oral Sci. 2012;20(5):510–6.PubMedPubMedCentral Oliveira GU, Mondelli RFL, Rodrigues MC, Franco EB, Ishikiriama SK, Wang L. Impact of filler size and distribution on roughness and wear of composite resin after simulated toothbrushing. J Appl Oral Sci. 2012;20(5):510–6.PubMedPubMedCentral
44.
go back to reference Pires-de-Souza FDP, Garcia LDR, Roselino LDR, Naves LZ. Color stability of silorane-based composites submitted to accelerated artificial ageing-an in situ study. J Dent. 2011;39(Suppl1):18–24. Pires-de-Souza FDP, Garcia LDR, Roselino LDR, Naves LZ. Color stability of silorane-based composites submitted to accelerated artificial ageing-an in situ study. J Dent. 2011;39(Suppl1):18–24.
45.
go back to reference Yılmaz C, Kanık Ö. Investigation of surface roughness values of various restorative materials after brushing with blue covarine containing whitening toothpaste by two different methods: AFM and profilometer. Microsc Res Tech. 2022;85(2):521–32.PubMed Yılmaz C, Kanık Ö. Investigation of surface roughness values of various restorative materials after brushing with blue covarine containing whitening toothpaste by two different methods: AFM and profilometer. Microsc Res Tech. 2022;85(2):521–32.PubMed
46.
go back to reference Bagheri R, Burrow MF, Tyas M. Influence of food-simulating solutions and surface finish on susceptibility to staining of aesthetic restorative materials. J Dent. 2005;33(5):389–98.PubMed Bagheri R, Burrow MF, Tyas M. Influence of food-simulating solutions and surface finish on susceptibility to staining of aesthetic restorative materials. J Dent. 2005;33(5):389–98.PubMed
47.
go back to reference Patil A, Muliya VS, Pentapati KC, Kamath S. Effect of green, tulsi, and areca teas on the color stability of two composite resin materials – an in vitro spectrophotometric analysis. Clin Cosmet Investig Dent. 2020;12:423–8.PubMedPubMedCentral Patil A, Muliya VS, Pentapati KC, Kamath S. Effect of green, tulsi, and areca teas on the color stability of two composite resin materials – an in vitro spectrophotometric analysis. Clin Cosmet Investig Dent. 2020;12:423–8.PubMedPubMedCentral
48.
go back to reference Kangwankai K, Sani S, Panpisut P. Monomer conversion, dimensional stability, strength, modulus, surface apatite precipitation and wear of novel, reactive calcium phosphate and polylysine-containing dental composites. PLoS ONE. 2017;12(11):e0187757.PubMedPubMedCentral Kangwankai K, Sani S, Panpisut P. Monomer conversion, dimensional stability, strength, modulus, surface apatite precipitation and wear of novel, reactive calcium phosphate and polylysine-containing dental composites. PLoS ONE. 2017;12(11):e0187757.PubMedPubMedCentral
49.
go back to reference Bilmez YZ, Şeker O, Köse HD, Aslan GB. Evaluation of liquid sorption and color stability of dental composites after exposure to common lactation teas. Int Dent Res. 2021;11(Suppl 1):228–33. Bilmez YZ, Şeker O, Köse HD, Aslan GB. Evaluation of liquid sorption and color stability of dental composites after exposure to common lactation teas. Int Dent Res. 2021;11(Suppl 1):228–33.
Metadata
Title
In Vitro evaluation of the effects of whitening toothpastes on the color and surface roughness of different composite resin materials
Authors
Gulben Colak
Gunseli Katirci
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-03277-4

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