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Mateos-Moreno MV, Salgado-Peralvo ÁO, Garcillán-Izquierdo MR, Vivas-Mefle CA, Dorado-Jara L, Mateos-Moreno B. [Melatonin gummies or sugar gummies?]. Rev Esp Salud Publica 2024; 98:e1-e5. [PMID: 38353457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Accepted: 12/22/2023] [Indexed: 02/16/2024] Open
Affiliation(s)
- María-Victoria Mateos-Moreno
- Unidad de Odontología Preventiva y Comunitaria; Departamento de Especialidades Clínicas Odontológicas; Facultad de Odontología; Universidad Complutense de Madrid. Madrid. España
| | - Ángel-Orión Salgado-Peralvo
- Unidad de Odontología Preventiva y Comunitaria; Departamento de Especialidades Clínicas Odontológicas; Facultad de Odontología; Universidad Complutense de Madrid. Madrid. España
| | - María-Rosario Garcillán-Izquierdo
- Unidad de Odontología Preventiva y Comunitaria; Departamento de Especialidades Clínicas Odontológicas; Facultad de Odontología; Universidad Complutense de Madrid. Madrid. España
| | | | - Lorenzo Dorado-Jara
- Departamento de Patología y Terapéutica Dental I; Facultad de Odontología; Universidad Católica San Antonio de Murcia. Murcia. España
| | - Bibiana Mateos-Moreno
- Departamento de Dermatología, Estomatología, Radiología y Medicina Física; Facultad de Odontología; Universidad de Murcia. Murcia. España
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Salgado-Peralvo ÁO, Kewalramani N, Madruga-González D, Garcia-Sanchez A, Barbi-Actis J, Pérez-Sayáns M. Coronectomy of lower third molars in intimate relation to the inferior alveolar nerve: A report of two cases. J Clin Exp Dent 2024; 16:e223-e228. [PMID: 38496802 PMCID: PMC10943674 DOI: 10.4317/jced.60335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Accepted: 12/18/2023] [Indexed: 03/19/2024] Open
Abstract
Damage to the inferior alveolar nerve (IAN) secondary to the extraction of the lower third molar (LTM) is a relatively frequent complication (0.35-8.40%) that can cause temporary or permanent nerve damage. Coronectomy has been proposed as an alternative, which consists of sectioning the coronary portion of the LTM, and deliberately leaving the radicular portion with the pulp intact. Two clinical cases are presented in this article, in which root migration (0-0.3 mm) and a change of angulation (+2º to +9°) occurred. None of the cases developed complications during the follow-up period (12 months). Therefore, coronectomy is a procedure to be considered in selected cases as an alternative to conventional exodontia of the LTM to avoid possible damage to the IAN. Key words:Case report, third molar, mandibular third molar, coronectomy, mandibular nerve, mandibular nerve injuries, root migration.
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Affiliation(s)
- Ángel-Orión Salgado-Peralvo
- ORCID: 0000-0002-6534-2816. DDS, MSc, MPH, PhD. Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Spain
| | - Naresh Kewalramani
- ORCID: 0000-0002-8174-0937. DDS, MSc. Department of Nursery and Stomatology, Faculty of Dentistry, Rey Juan Carlos University, Spain
| | - David Madruga-González
- ORCID: 0000-0002-5162-2841. DDS, MSc. Department of Nursery and Stomatology, Faculty of Dentistry, Rey Juan Carlos University, Spain
| | - Alvaro Garcia-Sanchez
- ORCID: 0000-0003-1235-9400. DDS, MSc. Department of Oral Health and Diagnostic Sciences, School of Dental Medicine, University of Connecticut Health, USA
| | - Javier Barbi-Actis
- DDS, MSc. Department of Surgery and Medical-Surgical Specialties, Faculty of Dentistry, University of Santiago de Compostela, Spain
| | - Mario Pérez-Sayáns
- ORCID: 0000-0003-2196-9868. DDS, MSc, PhD, PhD. Oral Medicine, Oral Surgery and Implantology Unit (MedOralRes), Faculty of Medicine and Dentistry, University of Santiago de Compostela 15782, Spain. Instituto de Investigación Sanitaria de Santiago (IDIS), ORALRES Group, Santiago de Compostela, Spain
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3
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Monsalve-Guil L, Velasco-Ortega E, Moreno-Muñoz J, Núñez-Márquez E, Rondón-Romero JL, Ortiz-García I, Nicolás-Silvente A, López-López J, Salgado-Peralvo ÁO, Jiménez-Guerra Á. Clinical study with sandblasted dental implants: a 17-year retrospective follow up. Br J Oral Maxillofac Surg 2024; 62:191-196. [PMID: 38278652 DOI: 10.1016/j.bjoms.2023.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 09/01/2023] [Accepted: 12/05/2023] [Indexed: 01/28/2024]
Abstract
Sandblasting is a standard procedure used for treating dental implant (DI) surfaces to enhance the osseointegration with known clinical success. This clinical study aimed to evaluate the long-term clinical outcomes of DIs with external hexagon connections and a surface sandblasted with calcium phosphate. Two hundred and seventy-five Mg-osseous™ (Mozo-Grau™) screw DIs were placed in 86 patients using a two-stage surgical technique and conventional loading protocol (at three months). Dental implants and prosthetic clinical findings were evaluated during a 17-year follow up. Four DIs were lost during the healing period, and 108 prostheses were placed over the 271 DIs left: 58 unitary implant-supported prosthesis (ISP), 31 partially ISP, 14 full-arch ISP, and five overdentures. Fourteen DIs were lost during the follow-up period. Clinical results indicated a DI survival rate of 93.50%. A total of 11.80% of DIs showed peri-implantitis as the primary biological complication. The mean (SD) marginal bone loss was 1.78 (0.40) mm, ranging from 0.90 to 2.80 mm. The most frequent complication was mechanical prosthodontic complications (24.40%). Sandblasted surface DIs inserted in both maxillary and mandibular areas produce favourable long-term (17-year follow up) outcomes and stable tissue conditions when a delayed loading protocol is followed.
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Affiliation(s)
- Loreto Monsalve-Guil
- Department of Comprehensive Dentistry for Adults and Gerodontology. Master's Degree in Implant Dentistry. Faculty of Dentistry. University of Seville, Spain
| | - Eugenio Velasco-Ortega
- Department of Comprehensive Dentistry for Adults and Gerodontology. Master's Degree in Implant Dentistry. Faculty of Dentistry. University of Seville, Spain
| | - Jesús Moreno-Muñoz
- Department of Comprehensive Dentistry for Adults and Gerodontology. Master's Degree in Implant Dentistry. Faculty of Dentistry. University of Seville, Spain
| | - Enrique Núñez-Márquez
- Department of Comprehensive Dentistry for Adults and Gerodontology. Master's Degree in Implant Dentistry. Faculty of Dentistry. University of Seville, Spain
| | - José-Luis Rondón-Romero
- Department of Comprehensive Dentistry for Adults and Gerodontology. Master's Degree in Implant Dentistry. Faculty of Dentistry. University of Seville, Spain
| | - Iván Ortiz-García
- Department of Comprehensive Dentistry for Adults and Gerodontology. Master's Degree in Implant Dentistry. Faculty of Dentistry. University of Seville, Spain
| | - Ana Nicolás-Silvente
- Department of Restorative Dentistry. Masteŕs Degree in Mucogingival, Periodontal and Implant Surgery. School of Dentistry, University of Murcia, Spain
| | - José López-López
- Department of Oral Medicine. Director of Masteŕs Degree in Oral Medicine, Oral Surgery and Oral Implantology. Faculty of Dentistry. Service of the Medical-Surgical Area of Dentistry Hospital, University of Barcelona, Spain
| | | | - Álvaro Jiménez-Guerra
- Department of Comprehensive Dentistry for Adults and Gerodontology. Master's Degree in Implant Dentistry. Faculty of Dentistry. University of Seville, Spain
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Mateos-Moreno MV, Salgado-Peralvo ÁO, Kewalramani N, García-Sánchez Á, Garcillán-Izquierdo MR, Mateos-Moreno B, Dorado-Jara L, Berzal-Pérez M, Vivas-Mefle CA. [Modified CAMBRA questionnaire as a method for population-based caries risk screening without exploratory methods: a cross-sectional observational pilot study]. Rev Esp Salud Publica 2023; 97:e202312112. [PMID: 38126529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Accepted: 11/20/2023] [Indexed: 12/23/2023] Open
Abstract
OBJECTIVE Caries Management by Risk Assessment (CAMBRA) is a questionnaire used to diagnose the patient's overall caries risk. This study aimed to present a self-assessment questionnaire based on CAMBRA which, unlike the original, is completed by parents/caregivers, without the need for a dental examination, allowing a presumptive diagnosis to be established in children under seven years of age excluded from the oral health programme of the National Health System to establish individualised recommendations for caries risk and their early inclusion in preventive programmes of the Madrid Health Service (Madrid, Spain). METHODS A cross-sectional observational study was carried out following STROBE guidelines using for the first time a self-assessment questionnaire based on CAMBRA in a population of children aged from three to six years from a nursery school in Madrid (Spain). The results were analysed using descriptive statistics and Fisher's exact statistic was used to study the relationship between qualitative variables. RESULTS The questionnaire was answered by the parents of 120 children (response rate=53.1%), of whom 40.8% presented a low a priori caries risk, 42.5% a moderate risk and 16.7% a high caries risk. CONCLUSIONS The present study allow the identification of patients at risk of presenting and/or developing caries. However, future studies should evaluate its sensitivity and specificity by comparing it with a confirmatory diagnosis after a dental examination. Nevertheless, the modified CAMBRA questionnaire could be a useful tool for population screening, facilitating the access of the population at risk of caries and risk of exclusion to preventive and community plans.
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Affiliation(s)
- María-Victoria Mateos-Moreno
- Unidad de Odontología Preventiva y Comunitaria; Departamento de Especialidades Clínicas Odontológicas; Facultad de Odontología; Universidad Complutense de Madrid. Madrid. España
| | - Ángel-Orión Salgado-Peralvo
- Unidad de Odontología Preventiva y Comunitaria; Departamento de Especialidades Clínicas Odontológicas; Facultad de Odontología; Universidad Complutense de Madrid. Madrid. España
| | - Naresh Kewalramani
- Departamento de Enfermería y Estomatología; Facultad de Odontología; Universidad Rey Juan Carlos. Madrid. España
| | - Álvaro García-Sánchez
- Department of Oral Health and Diagnostic Sciences; School of Dental Medicine; University of Connecticut Health. Farmington. EE.UU
| | - María-Rosario Garcillán-Izquierdo
- Unidad de Odontología Preventiva y Comunitaria; Departamento de Especialidades Clínicas Odontológicas; Facultad de Odontología; Universidad Complutense de Madrid. Madrid. España
| | - Bibiana Mateos-Moreno
- Departamento de Dermatología, Estomatología, Radiología y Medicina Física; Facultad de Odontología; Universidad de Murcia. Murcia. España
| | - Lorenzo Dorado-Jara
- Departamento de Patología y Terapéutica Dental I; Facultad de Odontología; Universidad Católica San Antonio. Murcia. España
| | - Mónica Berzal-Pérez
- Centro de Salud General Ricardos; Servicio Madrileño de Salud. Madrid. España
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Salgado-Peralvo ÁO, Kewalramani N, Pérez-Jardón A, Pato-Mourelo J, Castro-Calderón A, Arriba-Fuente L, Pérez-Sayáns M. Understanding Solid-Based Platelet-Rich Fibrin Matrices in Oral and Maxillofacial Surgery: An Integrative Review of the Critical Protocol Factors and Their Influence on the Final Product. Medicina (Kaunas) 2023; 59:1903. [PMID: 38003952 PMCID: PMC10673335 DOI: 10.3390/medicina59111903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Revised: 10/20/2023] [Accepted: 10/25/2023] [Indexed: 11/26/2023]
Abstract
Platelet-rich fibrin (PRF) is a second-generation platelet concentrate whose use in clinical practice has been widely disseminated. This has led to the development of several commercial protocols, creating great confusion as to the terminology and implications of each of them. This integrative review aims to identify the critical factors of each of the phases of the solid-based PRF matrix protocol and their possible influence on their macro- and microscopic characteristics. An electronic search of the MEDLINE database (via PubMed), Web of Science, Scopus, LILACS, and OpenGrey was carried out. The search was temporarily restricted from 2001 to 2022. After searching, 43 studies were included that met the established criteria. There were numerous factors to consider in the PRF protocol, such as the material of the blood collection tubes, the duration of phlebotomy, the parameters related to blood centrifugation, the time from centrifugation to dehydration of the fibrin clots and their dehydration into membranes, as well as the time to clinical use. These factors influenced the macro- and microscopic characteristics of the PRF and its physical properties, so knowledge of these factors allows for the production of optimised PRF by combining the protocols and materials.
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Affiliation(s)
- Ángel-Orión Salgado-Peralvo
- Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain; (A.C.-C.); (L.A.-F.)
| | - Naresh Kewalramani
- Department of Nursery and Stomatology, Rey Juan Carlos University, 28922 Madrid, Spain;
| | - Alba Pérez-Jardón
- Oral Medicine, Oral Surgery and Implantology Unit (MedOralRes), Faculty of Medicine and Dentistry, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain; (A.P.-J.); (J.P.-M.)
| | - Jesús Pato-Mourelo
- Oral Medicine, Oral Surgery and Implantology Unit (MedOralRes), Faculty of Medicine and Dentistry, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain; (A.P.-J.); (J.P.-M.)
| | - Adriana Castro-Calderón
- Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain; (A.C.-C.); (L.A.-F.)
| | - Lorenzo Arriba-Fuente
- Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain; (A.C.-C.); (L.A.-F.)
| | - Mario Pérez-Sayáns
- Oral Medicine, Oral Surgery and Implantology Unit (MedOralRes), Faculty of Medicine and Dentistry, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain; (A.P.-J.); (J.P.-M.)
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Salgado-Peralvo ÁO, Fernández-Cerero D, Garcia-Sanchez A, Kewalramani N, Velasco-Ortega E, Jiménez-Guerra Á, Ortiz-García I, Moreno-Muñoz J, Núñez-Márquez E, López-López J, Monsalve-Guil L. State of the Oral Implantology Practice in Spain during the COVID-19 Pandemic: A Cross-Sectional Survey. Int J Environ Res Public Health 2023; 20:1743. [PMID: 36767124 PMCID: PMC9914189 DOI: 10.3390/ijerph20031743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 01/14/2023] [Accepted: 01/16/2023] [Indexed: 06/18/2023]
Abstract
At the beginning of the COVID-19 pandemic, strict measures of confinement and social distancing were taken. Dentists were considered essential personnel and their activity was restricted to emergency treatment. The present observational study aims to determine the situation of oral implantology practice in Spain during the initial period of the COVID-19 pandemic. This is a cross-sectional observational study based on the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines. An electronic survey consisting of three blocks of questions was sent to all members of the Spanish Society of Implants. The data were analyzed using descriptive analysis. A total of 237 participants (14.3%) responded to the questionnaire. The majority of participants (60.8%) only attended emergencies during the first 9 months of the pandemic. Despite this, 77.2% reported having performed dental implant surgeries and 75.5% indicated that they performed non-essential treatments. The activity was fully recovered by 64.1% of the surveyed dentists. The majority of dentists (90.7%) considered that sufficient/adequate preventive measures were carried out at their workplace, which possibly contributed to the fact that 49.3% were not afraid of becoming infected. This concern was significantly and directly proportionally associated with the age of the surveyed dentists. The oral implant practice was affected to a greater extent during the first 9 months of the pandemic, especially in urban areas, with a greater impact on the workload of professionals with less specialised training in oral implantology.
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Affiliation(s)
- Ángel-Orión Salgado-Peralvo
- Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain
| | - Daniel Fernández-Cerero
- Department of Stomatology, Faculty of Dentistry, University of Seville, 41009 Seville, Spain
| | - Alvaro Garcia-Sanchez
- Department of Oral Health and Diagnostic Sciences, School of Dental Medicine, University of Connecticut Health, Farmington, CT 06030, USA
| | - Naresh Kewalramani
- Department of Nursery and Stomatology, Faculty of Dentistry, Rey Juan Carlos University, 28922 Madrid, Spain
| | - Eugenio Velasco-Ortega
- Department of Stomatology, Faculty of Dentistry, University of Seville, 41009 Seville, Spain
| | - Álvaro Jiménez-Guerra
- Department of Stomatology, Faculty of Dentistry, University of Seville, 41009 Seville, Spain
| | - Iván Ortiz-García
- Department of Stomatology, Faculty of Dentistry, University of Seville, 41009 Seville, Spain
| | - Jesús Moreno-Muñoz
- Department of Stomatology, Faculty of Dentistry, University of Seville, 41009 Seville, Spain
| | - Enrique Núñez-Márquez
- Department of Stomatology, Faculty of Dentistry, University of Seville, 41009 Seville, Spain
| | - José López-López
- Department of Odontostomatology, Faculty of Dentistry, University of Barcelona, 08907 Barcelona, Spain
| | - Loreto Monsalve-Guil
- Department of Stomatology, Faculty of Dentistry, University of Seville, 41009 Seville, Spain
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Salgado-Peralvo ÁO, Garcia-Sanchez A, Kewalramani N, Romandini M, Velasco-Ortega E. Preventive Antibiotic Therapy in Sinus Elevation Procedures: A Systematic Review. Int J Oral Maxillofac Implants 2023; 38:19-28. [PMID: 37099582 DOI: 10.11607/jomi.9930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023] Open
Abstract
Purpose: To study whether the use of preventive antibiotic therapy reduces the sinus graft infection and/or dental implant failure rates in maxillary sinus elevation surgeries (primary outcome), and to identify the associated best protocol (secondary outcome). Materials and Methods: The MEDLINE (via PubMed), Web of Science, Scopus, LILACS, and OpenGrey databases were searched between December 2006 and December 2021. Prospective and retrospective comparative clinical studies with at least 50 patients and published in English were included. Animal studies, systematic reviews and meta-analyses, narrative literature reviews, books, case reports, letters to the editor, and commentaries were excluded. Assessment of the identified studies, data extraction, and risk of bias were performed independently by two reviewers. Authors were contacted if required. Collected data were reported by descriptive methods. Results: A total of 12 studies fulfilled the inclusion criteria. The only retrospective study comparing the use of antibiotics vs no use of them showed no statistically significant differences for implant failure; however, no data were reported for sinus infection rates. The only randomized clinical trial comparing different courses of antibiotics (only the day of surgery vs 7 additional postoperative days) reported no statistically significant differences between groups in terms of sinus infection rate. Conclusion: Not enough evidence is available to support either the use or nonuse of preventive antibiotic therapy for sinus elevation surgeries or to support the superiority of any protocol over others.
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Rodríguez-Pena K, Salgado-Peralvo ÁO, Kewalramani N, Suárez-Quintanilla JA, Suárez-Quintanilla JM. Selective serotonin reuptake inhibitors as a risk factor for dental implant failure: a retrospective clinical study. Br J Oral Maxillofac Surg 2022; 60:1347-1352. [PMID: 36411146 DOI: 10.1016/j.bjoms.2022.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Accepted: 09/23/2022] [Indexed: 12/31/2022]
Abstract
The trend in recent decades in Europe and the United States points to an exponential increase in the consumption of antidepressant drugs and, in particular, selective serotonin reuptake inhibitors (SSRIs). This retrospective study aimed to investigate whether there is an association between SSRI intake and dental implant (DI) failure or survival and, secondarily, to investigate the influence of other systemic and local factors. This retrospective cohort study was done in accordance with the the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines for observational studies. A total of 170 patients received 573 DIs between 2014 and 2020.The reported DI failure rate was 6.11% (n = 35 DIs). Of these 18.31% failed in patients treated with SSRIs while 4.38% failed in patients who were not prescribed SSRIs (p < 0.001). Specifically, use of these drugs was associated with a hazard ratio rate of DI failure that was 4.53 times higher (95% CI: 1.93 to 10.61), and in the multivariate analysis, a 3.70 times higher adjusted risk was found. A lower DI survival rate at 90 months' follow up was also observed in these patients compared with those not taking them (84.30% vs 96%, respectively; p = 0.00014). With the limitations of the present study it can be affirmed that there is a relation between the intake of SSRIs and DI failure, as well as a lower survival rate in these patients.
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Affiliation(s)
- Karen Rodríguez-Pena
- Department of Surgery and Medical-Surgical Specialties, Faculty of Dentistry, University of Santiago de Compostela, Spain
| | | | - Naresh Kewalramani
- Department of Nursery and Stomatology, Faculty of Dentistry, Rey Juan Carlos University, Madrid, Spain
| | | | - José-María Suárez-Quintanilla
- Department of Surgery and Medical-Surgical Specialties, Faculty of Dentistry, University of Santiago de Compostela, Spain
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