Skip to main content
Top
Published in: BMC Oral Health 1/2023

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

Surface hardness and flexural strength of dual-cured bulk-fill restorative materials after solvent storage

Authors: Bashayer Alzahrani, Abdulrahman Alshabib, Wedad Awliya

Published in: BMC Oral Health | Issue 1/2023

Login to get access

Abstract

Background

This study aimed to evaluate the surface hardness (VHN) and biaxial flexural strength (BFS) of dual-cured bulk-fill restorative materials after solvent storage.

Methods

Two dual-cured bulk-fill composites (Surefil One® and Activa™ Bioactive), a light-cured bulk-fill composite (Filtek One Bulk-Fill) and a resin-modified glass ionomer (Fuji II LC) were investigated. Surefil One and Activa were used in the dual-cure mode, all materials were handled according to manufacturer’s instructions. For VHN determination, 12 specimens were prepared from each material and measured after 1 h (baseline), 1 d, 7 d and 30 d of storage in either water or 75% ethanol–water. For BFS test, 120 specimens were prepared (n = 30/material) and stored in water for either 1, 7 or 30 d before testing. Repeated measures MANOVA, two-way and one-way ANOVA followed by the Tukey post hoc test (p ≤ 0.05) were used to analyze the data.

Results

Filtek One had the highest VHN, while Activa had the lowest. All materials exhibited a significant increase in VHN after 1d of storage in water, except for Surefil One. After 30 d of storage, VHN increased significantly in water except for Activa, while ethanol storage caused a significant time-dependent reduction in all tested materials (p ≤ 0.05). Filtek One showed the highest BFS values (p ≤ 0.05). All the materials, except for Fuji II LC, exhibited no significant differences between 1 and 30 d BFS measurements (p > 0.05).

Conclusions

Dual-cured materials had significantly lower VHN and BFS compared to the light-cured bulk-fill material. The low results of Activa VHN and Surefil One BFS, indicate that these materials should not be recommended in posterior stress-bearing areas.
Literature
1.
go back to reference Demarco FF, Corrêa MB, Cenci MS, Moraes RR, Opdam NJM. Longevity of posterior composite restorations: not only a matter of materials. Dent Mater. 2012;28:87–101.PubMedCrossRef Demarco FF, Corrêa MB, Cenci MS, Moraes RR, Opdam NJM. Longevity of posterior composite restorations: not only a matter of materials. Dent Mater. 2012;28:87–101.PubMedCrossRef
2.
go back to reference Sunbul HA, Silikas N, Watts DC. Surface and bulk properties of dental resin - composites after solvent storage. Dent Mater. 2016;32:987–97.PubMedCrossRef Sunbul HA, Silikas N, Watts DC. Surface and bulk properties of dental resin - composites after solvent storage. Dent Mater. 2016;32:987–97.PubMedCrossRef
3.
go back to reference de Brito OFF, de Oliveira ILM, Monteiro GQM. Hydrolytic and biological degradation of bulk-fill and self-adhering resin composites. Oper Dent. 2019;44:E223–33.PubMedCrossRef de Brito OFF, de Oliveira ILM, Monteiro GQM. Hydrolytic and biological degradation of bulk-fill and self-adhering resin composites. Oper Dent. 2019;44:E223–33.PubMedCrossRef
4.
go back to reference Delaviz Y, Finer Y, Santerre JP. Biodegradation of resin composites and adhesives by oral bacteria and saliva : a rationale for new material designs that consider the clinical environment and treatment challenges. Dent Mater. 2014;30:16–32.PubMedCrossRef Delaviz Y, Finer Y, Santerre JP. Biodegradation of resin composites and adhesives by oral bacteria and saliva : a rationale for new material designs that consider the clinical environment and treatment challenges. Dent Mater. 2014;30:16–32.PubMedCrossRef
5.
go back to reference Alshabib A, Silikas N, Watts DC. Hardness and fracture toughness of resin-composite materials with and without fibers. Dent Mater. 2019;35:1194–203.PubMedCrossRef Alshabib A, Silikas N, Watts DC. Hardness and fracture toughness of resin-composite materials with and without fibers. Dent Mater. 2019;35:1194–203.PubMedCrossRef
6.
go back to reference Aminoroaya A, Neisiany RE, Khorasani SN, Panahi P, Das O, Madry H, et al. A review of dental composites: challenges, chemistry aspects, filler influences, and future insights. Compos B Eng. 2021;216:108852.CrossRef Aminoroaya A, Neisiany RE, Khorasani SN, Panahi P, Das O, Madry H, et al. A review of dental composites: challenges, chemistry aspects, filler influences, and future insights. Compos B Eng. 2021;216:108852.CrossRef
7.
go back to reference Petronijevic Sarcev B, Balos S, Markovic D, Sarcev I, Vukcevic M, Zlatanovic Labus D, et al. Effect of the degree of conversion on mechanical properties and monomer elution from self-, dual- and light-cured core composites. Materials (Basel). 2021;14:1–14.CrossRef Petronijevic Sarcev B, Balos S, Markovic D, Sarcev I, Vukcevic M, Zlatanovic Labus D, et al. Effect of the degree of conversion on mechanical properties and monomer elution from self-, dual- and light-cured core composites. Materials (Basel). 2021;14:1–14.CrossRef
8.
go back to reference dos Santos RL, de Sampaio GA, de Carvalho FG, Pithon MM, Guênes GM, Alves PM. Influence of degree of conversion on the biocompatibility of different composites in vivo. J Adhes Dent. 2014;16:15–20.PubMed dos Santos RL, de Sampaio GA, de Carvalho FG, Pithon MM, Guênes GM, Alves PM. Influence of degree of conversion on the biocompatibility of different composites in vivo. J Adhes Dent. 2014;16:15–20.PubMed
9.
go back to reference Gomesde Araújo-Neto V, Sebold M, Fernandesde Castro E, Feitosa VP, Giannini M. Evaluation of physico-mechanical properties and filler particles characterization of conventional, bulk-fill, and bioactive resin-based composites. J Mech Behav Biomed Mater. 2021;115:104288.CrossRef Gomesde Araújo-Neto V, Sebold M, Fernandesde Castro E, Feitosa VP, Giannini M. Evaluation of physico-mechanical properties and filler particles characterization of conventional, bulk-fill, and bioactive resin-based composites. J Mech Behav Biomed Mater. 2021;115:104288.CrossRef
10.
go back to reference Szalewski L, Wójcik D, Sofińska-Chmiel W, Kuśmierz M, Różyło-Kalinowska I. How the duration and mode of photopolymerization affect the mechanical properties of a dental composite resin. Materials (Basel, Switzerland). 2023;16:113.CrossRef Szalewski L, Wójcik D, Sofińska-Chmiel W, Kuśmierz M, Różyło-Kalinowska I. How the duration and mode of photopolymerization affect the mechanical properties of a dental composite resin. Materials (Basel, Switzerland). 2023;16:113.CrossRef
11.
go back to reference Ata M, Cebe F, Fatih M, Rıza A, Fatih O, Ozturk B. Elution of monomer from different bulk fill dental composite resins. Dent Mater. 2015;3:141–9. Ata M, Cebe F, Fatih M, Rıza A, Fatih O, Ozturk B. Elution of monomer from different bulk fill dental composite resins. Dent Mater. 2015;3:141–9.
12.
go back to reference Vandewangwalker JP, Casey JA, Lincoln TA, Vandewalle KS. Properties of dual-cure, bulk-fill composite resin restorative materials. Gen Dent. 2016;64:68–73. Vandewangwalker JP, Casey JA, Lincoln TA, Vandewalle KS. Properties of dual-cure, bulk-fill composite resin restorative materials. Gen Dent. 2016;64:68–73.
14.
go back to reference Francois P, Fouquet V, Attal JP, Dursun E. Commercially available fluoride-releasing restorative materials: a review and a proposal for classification. Materials (Basel, Switzerland). 2020;13:2313.PubMedCrossRef Francois P, Fouquet V, Attal JP, Dursun E. Commercially available fluoride-releasing restorative materials: a review and a proposal for classification. Materials (Basel, Switzerland). 2020;13:2313.PubMedCrossRef
15.
16.
go back to reference Alshabib A, Alshehri A, Jurado CA, Alrahlah A, Almazrou A, Albuhayri M, et al. Mechanical stability of self-adhesive/ion-releasing resin composites. Coatings. 2023;13:201.CrossRef Alshabib A, Alshehri A, Jurado CA, Alrahlah A, Almazrou A, Albuhayri M, et al. Mechanical stability of self-adhesive/ion-releasing resin composites. Coatings. 2023;13:201.CrossRef
17.
go back to reference Ilie N, Hilton TJ, Heintze SD, Hickel R, Watts DC, Silikas N, et al. Academy of dental materials guidance—resin composites: part I—mechanical properties. Dent Mater. 2017;33:880–94.PubMedCrossRef Ilie N, Hilton TJ, Heintze SD, Hickel R, Watts DC, Silikas N, et al. Academy of dental materials guidance—resin composites: part I—mechanical properties. Dent Mater. 2017;33:880–94.PubMedCrossRef
18.
go back to reference Bouschlicher M, Rueggeberg F, Wilson B. Correlation of bottom-to-top surface microhardness and conversion ratios for a variety of resin composite compositions. Oper Dent. 2004;29:698–704.PubMed Bouschlicher M, Rueggeberg F, Wilson B. Correlation of bottom-to-top surface microhardness and conversion ratios for a variety of resin composite compositions. Oper Dent. 2004;29:698–704.PubMed
19.
go back to reference Wang R, Wang Y. Depth-dependence of degree of conversion and microhardness for dual-cure and light-cure composites. Oper Dent. 2019;45:396–406.CrossRef Wang R, Wang Y. Depth-dependence of degree of conversion and microhardness for dual-cure and light-cure composites. Oper Dent. 2019;45:396–406.CrossRef
20.
go back to reference Li J, Li H, Fok ASL, Watts DC. Multiple correlations of material parameters of light-cured dental composites. Dent Mater. 2009;25:829–36.PubMedCrossRef Li J, Li H, Fok ASL, Watts DC. Multiple correlations of material parameters of light-cured dental composites. Dent Mater. 2009;25:829–36.PubMedCrossRef
21.
go back to reference Tsujimoto A, Barkmeier WW, Fischer NG, Nojiri K, Nagura Y, Takamizawa T, et al. Wear of resin composites: current insights into underlying mechanisms, evaluation methods and influential factors. Jpn Dent Sci Rev. 2018;54:76–87.PubMedCrossRef Tsujimoto A, Barkmeier WW, Fischer NG, Nojiri K, Nagura Y, Takamizawa T, et al. Wear of resin composites: current insights into underlying mechanisms, evaluation methods and influential factors. Jpn Dent Sci Rev. 2018;54:76–87.PubMedCrossRef
22.
go back to reference Gerasimidou O. Wear of contemporary dental composite resin restorations : a literature review. Restor Dent Endod. 2021;46(2):1–13. Gerasimidou O. Wear of contemporary dental composite resin restorations : a literature review. Restor Dent Endod. 2021;46(2):1–13.
23.
go back to reference El-Safty S, Akhtar R, Silikas N, Watts DC. Nanomechanical properties of dental resin-composites. Dent Mater. 2012;28:1292–300.PubMedCrossRef El-Safty S, Akhtar R, Silikas N, Watts DC. Nanomechanical properties of dental resin-composites. Dent Mater. 2012;28:1292–300.PubMedCrossRef
24.
go back to reference Kim KH, Ong JL, Okuno O. The effect of filler loading and morphology on the mechanical properties of contemporary composites. J Prosthet Dent. 2002;87:642–9.PubMedCrossRef Kim KH, Ong JL, Okuno O. The effect of filler loading and morphology on the mechanical properties of contemporary composites. J Prosthet Dent. 2002;87:642–9.PubMedCrossRef
25.
go back to reference Shah PK, Stansbury JW. Role of filler and functional group conversion in the evolution of properties in polymeric dental restoratives. Dent Mater. 2014;30:586–93.PubMedPubMedCentralCrossRef Shah PK, Stansbury JW. Role of filler and functional group conversion in the evolution of properties in polymeric dental restoratives. Dent Mater. 2014;30:586–93.PubMedPubMedCentralCrossRef
26.
go back to reference Randolph LD, Palin WM, Leloup G, Leprince JG. Filler characteristics of modern dental resin composites and their influence on physico-mechanical properties. Dent Mater. 2016;32:1586–99.PubMedCrossRef Randolph LD, Palin WM, Leloup G, Leprince JG. Filler characteristics of modern dental resin composites and their influence on physico-mechanical properties. Dent Mater. 2016;32:1586–99.PubMedCrossRef
27.
go back to reference Garoushi S, Vallittu PK, Lassila L. Characterization of fluoride releasing restorative dental materials. Dent Mater J. 2018;37:293–300.PubMedCrossRef Garoushi S, Vallittu PK, Lassila L. Characterization of fluoride releasing restorative dental materials. Dent Mater J. 2018;37:293–300.PubMedCrossRef
28.
go back to reference Yao C, Ahmed MH, Zhang F, Mercelis B, Van Landuyt KL, Huang C, et al. Structural/chemical characterization and bond strength of a new self-adhesive bulk-fill restorative. J Adhes Dent. 2020;22:85–97.PubMed Yao C, Ahmed MH, Zhang F, Mercelis B, Van Landuyt KL, Huang C, et al. Structural/chemical characterization and bond strength of a new self-adhesive bulk-fill restorative. J Adhes Dent. 2020;22:85–97.PubMed
29.
go back to reference Sabbagh J, Ryelandt L, Bachérius L, Biebuyck JJ, Vreven J, Lambrechts P, Leloup G. Characterization of the inorganic fraction of resin composites. J Oral Rehabil. 2004;31:1090–101.PubMedCrossRef Sabbagh J, Ryelandt L, Bachérius L, Biebuyck JJ, Vreven J, Lambrechts P, Leloup G. Characterization of the inorganic fraction of resin composites. J Oral Rehabil. 2004;31:1090–101.PubMedCrossRef
30.
go back to reference Alrahlah A. Diametral tensile strength, flexural strength, and surface microhardness of bioactive bulk fill restorative. J Contemp Dent Pract. 2018;19:13–9.PubMedCrossRef Alrahlah A. Diametral tensile strength, flexural strength, and surface microhardness of bioactive bulk fill restorative. J Contemp Dent Pract. 2018;19:13–9.PubMedCrossRef
31.
go back to reference de Mendonça BC, Soto-Montero JR, de Castro EF, Pecorari VGA, Rueggeberg FA, Giannini M. Flexural strength and microhardness of bulk-fill restorative materials. J Esthet Restor Dent. 2021;33:628–35.PubMedCrossRef de Mendonça BC, Soto-Montero JR, de Castro EF, Pecorari VGA, Rueggeberg FA, Giannini M. Flexural strength and microhardness of bulk-fill restorative materials. J Esthet Restor Dent. 2021;33:628–35.PubMedCrossRef
32.
go back to reference Yli-Urpo H, Lassila LVJ, Närhi T, Vallittu PK. Compressive strength and surface characterization of glass ionomer cements modified by particles of bioactive glass. Dent Mater. 2005;21:201–9.PubMedCrossRef Yli-Urpo H, Lassila LVJ, Närhi T, Vallittu PK. Compressive strength and surface characterization of glass ionomer cements modified by particles of bioactive glass. Dent Mater. 2005;21:201–9.PubMedCrossRef
33.
go back to reference Makanjuola J, Deb S. Chemically activated glass-ionomer cements as bioactive materials in dentistry: a review. Prosthesis. 2023;5(1):327–45.CrossRef Makanjuola J, Deb S. Chemically activated glass-ionomer cements as bioactive materials in dentistry: a review. Prosthesis. 2023;5(1):327–45.CrossRef
34.
go back to reference Daabash R, Alshabib A, Alqahtani MQ, Price RB, Silikas N, Alshaafi MM. Ion releasing direct restorative materials: key mechanical properties and wear. Dent Mater. 2022;38:1866–77.PubMedCrossRef Daabash R, Alshabib A, Alqahtani MQ, Price RB, Silikas N, Alshaafi MM. Ion releasing direct restorative materials: key mechanical properties and wear. Dent Mater. 2022;38:1866–77.PubMedCrossRef
35.
go back to reference Alshali RZ, Salim NA, Satterthwaite JD, Silikas N. Post-irradiation hardness development, chemical softening, and thermal stability of bulk-fill and conventional resin-composites. J Dent. 2015;43:209–18.PubMedCrossRef Alshali RZ, Salim NA, Satterthwaite JD, Silikas N. Post-irradiation hardness development, chemical softening, and thermal stability of bulk-fill and conventional resin-composites. J Dent. 2015;43:209–18.PubMedCrossRef
36.
go back to reference Par M, Spanovic N, Bjelovucic R, Marovic D, Schmalz G, Gamulin O, et al. Long-term water sorption and solubility of experimental bioactive composites based on amorphous calcium phosphate and bioactive glass. Dent Mater J. 2019;38:555–64.PubMedCrossRef Par M, Spanovic N, Bjelovucic R, Marovic D, Schmalz G, Gamulin O, et al. Long-term water sorption and solubility of experimental bioactive composites based on amorphous calcium phosphate and bioactive glass. Dent Mater J. 2019;38:555–64.PubMedCrossRef
37.
go back to reference Yun J, Burrow MF, Matinlinna JP, Wang Y, Tsoi JKH. A narrative review of bioactive glass-loaded dental resin composites. J Funct Biomater. 2022;13:208.PubMedPubMedCentralCrossRef Yun J, Burrow MF, Matinlinna JP, Wang Y, Tsoi JKH. A narrative review of bioactive glass-loaded dental resin composites. J Funct Biomater. 2022;13:208.PubMedPubMedCentralCrossRef
38.
go back to reference Kanchanavasita W, Anstice HM, Pearson GJ. Long-term surface micro-hardness of resin-modified glass ionomers. J Dent. 1998;26:707–12.PubMedCrossRef Kanchanavasita W, Anstice HM, Pearson GJ. Long-term surface micro-hardness of resin-modified glass ionomers. J Dent. 1998;26:707–12.PubMedCrossRef
39.
go back to reference Sideridou ID, Karabela MM. Sorption of water, ethanol or ethanol / water solutions by light-cured dental dimethacrylate resins. Dent Mater. 2011;27:1003–10.PubMedCrossRef Sideridou ID, Karabela MM. Sorption of water, ethanol or ethanol / water solutions by light-cured dental dimethacrylate resins. Dent Mater. 2011;27:1003–10.PubMedCrossRef
40.
go back to reference Ilie N, Stawarczyk B. Evaluation of modern bioactive restoratives for bulk-fill placement. J Dent. 2016;49:46–53.PubMedCrossRef Ilie N, Stawarczyk B. Evaluation of modern bioactive restoratives for bulk-fill placement. J Dent. 2016;49:46–53.PubMedCrossRef
41.
go back to reference Leprince JG, Palin WM, Vanacker J, Sabbagh J, Devaux J, Leloup G. Physico-mechanical characteristics of commercially available bulk-fill composites. J Dent. 2014;42:993–1000.PubMedCrossRef Leprince JG, Palin WM, Vanacker J, Sabbagh J, Devaux J, Leloup G. Physico-mechanical characteristics of commercially available bulk-fill composites. J Dent. 2014;42:993–1000.PubMedCrossRef
42.
go back to reference Felipe L, Schneider J, Moraes RR, Cavalcante LM, Sinhoreti AC. Cross-link density evaluation through softening tests : effect of ethanol concentration. Dent Mater. 2007;4:199–203. Felipe L, Schneider J, Moraes RR, Cavalcante LM, Sinhoreti AC. Cross-link density evaluation through softening tests : effect of ethanol concentration. Dent Mater. 2007;4:199–203.
43.
go back to reference Ferracane JL, Berge HX, Condon JR. In vitro aging of dental composites in water: effect of degree of conversion, filler volume, and filler/matrix coupling. J Biomed Mater Res. 1998;42:465–72.PubMedCrossRef Ferracane JL, Berge HX, Condon JR. In vitro aging of dental composites in water: effect of degree of conversion, filler volume, and filler/matrix coupling. J Biomed Mater Res. 1998;42:465–72.PubMedCrossRef
44.
go back to reference Marovic D, Par M, Macan M, Klari N. Aging-dependent changes in mechanical properties of the new generation of bulk-fill composites. Materials (Basel, Switzerland). 2022;15:902.PubMedCrossRef Marovic D, Par M, Macan M, Klari N. Aging-dependent changes in mechanical properties of the new generation of bulk-fill composites. Materials (Basel, Switzerland). 2022;15:902.PubMedCrossRef
45.
go back to reference Tanimoto Y, Kitagawa T, Aida M, Nishiyama N. Experimental and computational approach for evaluating the mechanical characteristics of dental composite resins with various filler sizes. Acta Biomater. 2006;2:633–9.PubMedCrossRef Tanimoto Y, Kitagawa T, Aida M, Nishiyama N. Experimental and computational approach for evaluating the mechanical characteristics of dental composite resins with various filler sizes. Acta Biomater. 2006;2:633–9.PubMedCrossRef
47.
go back to reference Söderholm KJ, Zigan M, Ragan M, Fischlschweiger W, Bergman M. Hydrolytic degradation of dental composites. J Dent Res. 1984;63:1248–54.PubMedCrossRef Söderholm KJ, Zigan M, Ragan M, Fischlschweiger W, Bergman M. Hydrolytic degradation of dental composites. J Dent Res. 1984;63:1248–54.PubMedCrossRef
48.
go back to reference François P, Remadi A, Le Goff S, Abdel-Gawad S, Attal JP, Dursun E. Flexural properties and dentin adhesion in recently developed self-adhesive bulk-fill materials. J Oral Sci. 2021;63:139–44.PubMedCrossRef François P, Remadi A, Le Goff S, Abdel-Gawad S, Attal JP, Dursun E. Flexural properties and dentin adhesion in recently developed self-adhesive bulk-fill materials. J Oral Sci. 2021;63:139–44.PubMedCrossRef
49.
go back to reference Pameijer CH, Garcia-Godoy F, Morrow BR, Jefferies SR. Flexural strength and flexural fatigue properties of resin-modified glass ionomers. J Clin Dent. 2015;26:23–7.PubMed Pameijer CH, Garcia-Godoy F, Morrow BR, Jefferies SR. Flexural strength and flexural fatigue properties of resin-modified glass ionomers. J Clin Dent. 2015;26:23–7.PubMed
50.
go back to reference Floyd CJE, Dickens SH. Network structure of Bis-GMA- and UDMA-based resin systems. Dent Mater. 2006;22:1143–9.PubMedCrossRef Floyd CJE, Dickens SH. Network structure of Bis-GMA- and UDMA-based resin systems. Dent Mater. 2006;22:1143–9.PubMedCrossRef
51.
go back to reference Ruengrungsom C, Burrow MF, Parashos P, Palamara JEA. Comprehensive characterisation of flexural mechanical properties and a new classification for porosity of 11 contemporary ion-leaching dental restorative materials. J Mech Behav Biomed Mater. 2021;121:104615.PubMedCrossRef Ruengrungsom C, Burrow MF, Parashos P, Palamara JEA. Comprehensive characterisation of flexural mechanical properties and a new classification for porosity of 11 contemporary ion-leaching dental restorative materials. J Mech Behav Biomed Mater. 2021;121:104615.PubMedCrossRef
52.
go back to reference Eweis AH, Yap AU, Yahya NA. Comparison of flexural properties of bulk-fill restorative/flowable composites and their conventional counterparts. Oper Dent. 2020;45:41–51.PubMedCrossRef Eweis AH, Yap AU, Yahya NA. Comparison of flexural properties of bulk-fill restorative/flowable composites and their conventional counterparts. Oper Dent. 2020;45:41–51.PubMedCrossRef
53.
go back to reference Mitra SB, Kedrowski BL. Long-term mechanical properties of glass ionomers. Dent Mater. 1994;10:78–82.PubMedCrossRef Mitra SB, Kedrowski BL. Long-term mechanical properties of glass ionomers. Dent Mater. 1994;10:78–82.PubMedCrossRef
54.
go back to reference Ichim I, Li Q, Loughran J, Swain MV, Kieser J. Restoration of non-carious cervical lesions Part I. modelling of restorative fracture. Dent Mater. 2007;3:1553–61.CrossRef Ichim I, Li Q, Loughran J, Swain MV, Kieser J. Restoration of non-carious cervical lesions Part I. modelling of restorative fracture. Dent Mater. 2007;3:1553–61.CrossRef
Metadata
Title
Surface hardness and flexural strength of dual-cured bulk-fill restorative materials after solvent storage
Authors
Bashayer Alzahrani
Abdulrahman Alshabib
Wedad Awliya
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/s12903-023-03047-2

Other articles of this Issue 1/2023

BMC Oral Health 1/2023 Go to the issue