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Article ; Online: Zirconia implant abutments: a review.

Gomes, Ana-Luísa / Montero, Javier

Medicina oral, patologia oral y cirugia bucal

2011 Volume 16, Issue 1, Page(s) e50–5

Abstract: ... in this technological advance, a review is imposed on ceramic abutments, specifically on zirconia. We made a search ... precision fit in the implant-abutment interface, zirconia abutments strength and, finally ... long term success of zirconia abutments on implants, given that in the literature there are no ...

Abstract	Objectives: An increasing aesthetic demand within developed populations conducted to the fabrication of metal-free restorations and to a wide use of ceramic materials, due to its excellent characteristics of biocompatibility and aesthetics. With the incessant increase of commercial labels involved in this technological advance, a review is imposed on ceramic abutments, specifically on zirconia. We made a search of articles of peer-reviewed Journals in PubMed/Medline, crossing the terms "Dental Abutments", "Dental Porcelain" and "Zirconia". The review was divided by subtopics: zirconia physical and mechanical properties, precision fit in the implant-abutment interface, zirconia abutments strength and, finally, bacterial adherence and tissues response. Several studies demonstrate that zirconia abutments offer good results at all the levels but relevant issues need further studies and evaluation. One of the most important is the clinical long term success of zirconia abutments on implants, given that in the literature there are no sufficient in vivo studies that prove it.
MeSH term(s)	Dental Abutments ; Dental Materials ; Dental Prosthesis Design ; Humans ; Zirconium
Chemical Substances	Dental Materials ; Zirconium (C6V6S92N3C) ; zirconium oxide (S38N85C5G0)
Language	English
Publishing date	2011-01-01
Publishing country	Spain
Document type	Journal Article ; Review
ZDB-ID	2171573-7
ISSN	1698-6946 ; 1698-4447
ISSN (online)	1698-6946
ISSN	1698-4447
DOI	10.4317/medoral.16.e50
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Zs.A 5809: Show issues

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Article ; Online: Mechanical resistance of zirconium implant abutments: a review of the literature.

Velázquez-Cayón, R / Vaquero-Aguilar, C / Torres-Lagares, D / Jiménez-Melendo, M / Gutiérrez-Pérez, J-L

Medicina oral, patologia oral y cirugia bucal

2012 Volume 17, Issue 2, Page(s) e246–50

Abstract: ... zirconium has been used in different types of implants, including prosthetic abutments. The aim ... abutments show favourable clinical behaviour for the rehabilitation of single implants in the anterior area ... through 2010) of in vitro trials of dynamic and static loading of zirconium abutments found in the databases ...

Abstract	The increase of aesthetic demands, together with the successful outcome of current implants, has renewed interest in the search for new materials with enough mechanical properties and better aesthetic qualities than the materials customarily used in implanto-prosthetic rehabilitation. Among these materials, zirconium has been used in different types of implants, including prosthetic abutments. The aim of the present review is to analyse current scientific evidence supporting the use of this material for the above mentioned purposes. We carried out the review of the literature published in the last ten years (2000 through 2010) of in vitro trials of dynamic and static loading of zirconium abutments found in the databases of Medline and Cochrane using the key words zirconium abutment, fracture resistance, fracture strength, cyclic loading. Although we have found a wide variability of values among the different studies, abutments show favourable clinical behaviour for the rehabilitation of single implants in the anterior area. Such variability may be explained by the difficulty to simulate daily mastication under in vitro conditions. The clinical evidence, as found in our study, does not recommend the use of implanto-prosthetic zirconium abutments in the molar area.
MeSH term(s)	Dental Abutments ; Dental Materials ; Dental Stress Analysis ; Humans ; Materials Testing ; Zirconium
Chemical Substances	Dental Materials ; Zirconium (C6V6S92N3C)
Language	English
Publishing date	2012-03-01
Publishing country	Spain
Document type	Journal Article ; Review
ZDB-ID	2171573-7
ISSN	1698-6946 ; 1698-4447
ISSN (online)	1698-6946
ISSN	1698-4447
DOI	10.4317/medoral.17462
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Article: Relation of CAD/CAM zirconia dental implant abutments with periodontal health and final aesthetic aspects; A systematic review.

Davoudi, Amin / Salimian, Kimia / Tabesh, Mahtab / Attar, Bijan-Movahedian / Golrokhian, Mohammad / Bigdelou, Meysam

Journal of clinical and experimental dentistry

2023 Volume 15, Issue 1, Page(s) e64–e70

Abstract: ... This systematic review aimed to compare CAD/CAM zirconia (Zr) implant abutments with other available abutments ... in terms of peri-implant health and aesthetics.: Material and methods: Five electronic databases (PubMed ... abutments reporting on the outcomes of interest including interproximal papilla stability (PS), papilla ...

Abstract	Background: Using dental implants to replacing missing teeth and satisfy both functional and aesthetic needs is one of the mainstream dental treatments. New approaches including computer-aided design and computer-assisted manufacture (CAD/CAM) have been introduced to improve these elements. This systematic review aimed to compare CAD/CAM zirconia (Zr) implant abutments with other available abutments in terms of peri-implant health and aesthetics. Material and methods: Five electronic databases (PubMed, Web of Science, Scopus, ProQuest, and Embase) were scoured for clinical studies evaluating Zr abutments reporting on the outcomes of interest including interproximal papilla stability (PS), papilla recession (REC), pink and white esthetic score (PES, WES), marginal bone level (MBL), color, and soft tissue contour. A hand searches in English language journals until September 2020 complemented the search. Two tools of Joanna Briggs Institute and Jaded Score calculation were used for the risk of bias assessment. No quantitative synthesis of the data was done due to high heterogeneity. Results: A total of six studies from the 412 ones obtained from the search were included. The study designs were either prospective cohort (n=3) or randomized clinical trial (n=3). Papilla fill, WES, PES, and the distance from the bone crest of adjacent teeth to the contact point (CPB) and inter-tooth-implant distance (ITD) was not significantly different between Zr CAD/CAM and Zr stock abutments. However, soft tissue stability and REC index were better in Zr CAD/CAM abutments. Conclusions: Higher soft tissue stability can be achieved for Zr compared to titanium abutments with either stock or CAD/CAM abutments.
Language	English
Publishing date	2023-01-01
Publishing country	Spain
Document type	Journal Article ; Review
ZDB-ID	2586647-3
ISSN	1989-5488
ISSN	1989-5488
DOI	10.4317/jced.59878
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Article ; Online: Mechanical behavior of titanium and zirconia abutments at the implant-abutment interface: A systematic review.

de Holanda Cavalcanti Pereira, Anne Karoline / de Oliveira Limirio, João Pedro Justino / Cavalcanti do Egito Vasconcelos, Belmiro / Pellizzer, Eduardo Piza / Dantas de Moraes, Sandra Lúcia

The Journal of prosthetic dentistry

2022 Volume 131, Issue 3, Page(s) 420–426

Abstract: Statement of problem: Zirconia has become popular for dental implant abutments in the esthetic ... PICO) question was "Do zirconia abutments cause greater wear at the implant-abutment interface ... zirconia and 86 titanium abutments. In terms of wear on the implant connection surface, zirconia abutments ...

Abstract	Statement of problem: Zirconia has become popular for dental implant abutments in the esthetic zone but can damage the implant connection interface. Studies have been conducted to compare zirconia abutments with conventional titanium abutments; however, a consensus or systematic review is lacking. Purpose: The purpose of this systematic review was to evaluate the performance of abutments made of zirconia and titanium in relation to wear and misfit at the implant-abutment interface. Material and methods: Electronic databases (PubMed/MEDLINE, Embase, Web of Science) were independently searched by 2 researchers for relevant studies published up to June 2021. The population, intervention, comparison, outcome (PICO) question was "Do zirconia abutments cause greater wear at the implant-abutment interface than titanium abutments under occlusal forces?" Eligible studies included in vitro studies that evaluated changes in the surface of external and/or internal connections and single and/or multiple, screwed and/or cemented prostheses rehabilitated with titanium and zirconia abutments submitted to mechanical cycling. Results: Nine studies were included for qualitative analysis. A total of 172 specimens were analyzed, 86 zirconia and 86 titanium abutments. In terms of wear on the implant connection surface, zirconia abutments caused more severe wear, more scratches, and more rounding of the hexagonal angles at the implant connection interface than titanium abutments. In terms of misfit at the connection interface, zirconia abutments showed greater misfit than titanium abutments. Conclusions: Zirconia abutments produce more wear at the titanium implant connection interface, titanium abutments showed better fit to the implant connection interface, and the fit can be influenced by the abutment manufacturing method.
MeSH term(s)	Dental Materials ; Dental Implants ; Titanium ; Dental Implant-Abutment Design ; Materials Testing ; Dental Abutments ; Esthetics, Dental ; Zirconium
Chemical Substances	Dental Materials ; Dental Implants ; zirconium oxide (S38N85C5G0) ; Titanium (D1JT611TNE) ; Zirconium (C6V6S92N3C)
Language	English
Publishing date	2022-03-12
Publishing country	United States
Document type	Systematic Review ; Journal Article ; Review
ZDB-ID	218157-5
ISSN	1097-6841 ; 0022-3913
ISSN (online)	1097-6841
ISSN	0022-3913
DOI	10.1016/j.prosdent.2022.01.006
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Fracture of Zirconia Abutments in Implant Treatments: A Systematic Review.

Gou, Min / Chen, Helin / Fu, Min / Wang, Hang

Implant dentistry

2019 Volume 28, Issue 4, Page(s) 378–387

Abstract: ... related to the fracture of zirconia abutments in implant treatments.: Material and methods: Medline ... reported for internal connection with metal component (2-piece) zirconia abutments compared with external ... and internal full-zirconia connection (one-piece) zirconia abutments. Overpreparation and overload ...

Abstract	Purpose: The purpose of this systematic review was to identify and summarize clinical studies related to the fracture of zirconia abutments in implant treatments. Material and methods: Medline, Embase, and Cochrane library searches were performed and complemented by manual searches from database inception to February 11, 2018, for title and abstract analysis. Results: Initially, 645 articles were obtained through database searches. Fifty-three articles were selected for full-text analysis, and 15 studies met the inclusion criteria. The selected studies were analyzed regarding fracture rate, abutment-implant connection, time point of fracture, location of critical crack, causes, managements, and preventive measures with respect to zirconia abutment fracture. Conclusions: Lower fracture rates were reported for internal connection with metal component (2-piece) zirconia abutments compared with external and internal full-zirconia connection (one-piece) zirconia abutments. Overpreparation and overload should be avoided in case of zirconia abutments.
MeSH term(s)	Dental Abutments ; Dental Implant-Abutment Design ; Dental Restoration Failure ; Materials Testing ; Zirconium
Chemical Substances	Zirconium (C6V6S92N3C) ; zirconium oxide (S38N85C5G0)
Language	English
Publishing date	2019-10-30
Publishing country	United States
Document type	Journal Article ; Systematic Review
ZDB-ID	1144907-x
ISSN	1538-2982 ; 1056-6163
ISSN (online)	1538-2982
ISSN	1056-6163
DOI	10.1097/ID.0000000000000900
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 3646: Show issues

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Article: Comparison of the Clinical Outcomes of Titanium and Zirconia Implant Abutments: A Systematic Review of Systematic Reviews.

Halim, Felita Clarissa / Pesce, Paolo / De Angelis, Nicola / Benedicenti, Stefano / Menini, Maria

Journal of clinical medicine

2022 Volume 11, Issue 17

Abstract: ... to systematically analyze the existing literature comparing clinical outcomes of titanium and zirconia implant abutments ... that titanium abutments have a better mechanical resistance than zirconia ones. Plaque accumulation is reported ... Background: Dental implants are widely used and in order to answer to esthetic demands, zirconia ...

Abstract	Background: Dental implants are widely used and in order to answer to esthetic demands, zirconia has been introduced as an abutment material as an alternative to titanium. Several studies have been published on this topic, but the results have been often inconsistent. The objective of the present study is to systematically analyze the existing literature comparing clinical outcomes of titanium and zirconia implant abutments. The study was designed as a systematic review of systematic reviews. Methods: This systematic review is in accordance with the Transparent Reporting of Systematic Reviews and Meta-analyses. A MEDLINE/PubMed, Cochrane Database of Systematic Reviews and SCOPUS literature search was performed up to and including June 2021. Data were extracted independently by two reviewers and tAMSTAR2 was used to assess the quality of the systematic reviews. Results: The electronic search identified 1146 papers, and 175 duplicates were removed. After manual screening, 954 studies were excluded and the final analysis was conducted on 11 papers. Both mechanical and esthetic outcomes and biological complications were analyzed. Conclusions: It can be concluded that titanium abutments have a better mechanical resistance than zirconia ones. Plaque accumulation is reported to be slightly higher on titanium but without any significant inflammatory process. The esthetic outcomes seem to be more related to the thickness (>3 mm) of the soft tissues than to the abutment material.
Language	English
Publishing date	2022-08-28
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm11175052
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: An insight performance of zirconia implant abutment: A systematic review and meta-analysis of randomized controlled clinical trial.

Thakare, Vrushali / Chaware, Sachin / Kakatkar, Vinay / Darekar, Abhishek

Indian journal of dental research : official publication of Indian Society for Dental Research

2023 Volume 34, Issue 1, Page(s) 80–86

Abstract: To determine the clinical performance of zirconia abutment (ZA) by comparing with a titanium ... abutment (TA) and sub-mucosal-modified zirconia abutment. A systematic search was conducted to retrieve ... zirconia abutment and titanium abutment, and part II included RCTs of zirconia abutment with sub-mucosal ...

Abstract	To determine the clinical performance of zirconia abutment (ZA) by comparing with a titanium abutment (TA) and sub-mucosal-modified zirconia abutment. A systematic search was conducted to retrieve eligible randomised controlled trials (RCTs) from Medline, Cochrane Library, SCOPUS, Embase, Web of Science, and Google Scholar. A search was further divided in two parts. Part I comprises eligible RCTs between zirconia abutment and titanium abutment, and part II included RCTs of zirconia abutment with sub-mucosal modified, pink-veneered glass ceramic versus non-veneered zirconia abutment. Esthetic, biological, and abutment survival was a primary outcome, and technical complications were included as an additional outcome. Fifteen eligible RCTs (Part I: N = 9 and Part II: N = 6) were evaluated, and a total of 362 abutments in 364 subjects were analysed for outcome variables. A sub-group meta-analysis reported no significant difference for Esthetic outcome. However, the overall mean (p =0.03) was higher for zirconia group in those of thin gingival phenotype. Spectrophotometric evaluation of peri-implant mucosal Esthetic does not show any significant difference. Similarly, pink-veneered versus non-veneered group reported no significant difference for thin (<2 mm) and thick (>2 mm) mucosal attachment. Biological outcome does not show any significant difference for comparable groups in both parts. There is marginally lower abutment survival for internally connected zirconia abutment (ZA: 95.4% TA: 100%). Zirconia abutment exhibited excellent Esthetic compared to titanium abutment in those of thin gingival phenotype. Sub-mucosa veneering of zirconia abutment with pink glass ceramic does not show any favourable Esthetic outcome compared to the non-veneered surface.
MeSH term(s)	Titanium ; Dental Abutments ; Esthetics, Dental ; Tooth ; Zirconium ; Crowns ; Randomized Controlled Trials as Topic
Chemical Substances	zirconium oxide (S38N85C5G0) ; Titanium (D1JT611TNE) ; Zirconium (C6V6S92N3C)
Language	English
Publishing date	2023-07-07
Publishing country	India
Document type	Meta-Analysis ; Systematic Review ; Journal Article
ZDB-ID	1354886-4
ISSN	1998-3603 ; 0970-9290
ISSN (online)	1998-3603
ISSN	0970-9290
DOI	10.4103/ijdr.ijdr_465_22
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Zs.A 4581: Show issues

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Article ; Online: Bonding Durability Between Zirconia and Different Types of Tooth or Implant Abutments-A Systematic Review. Part II: Outcomes of Clinical Studies.

Alammar, Amirah / Att, Wael

The International journal of prosthodontics

2022 Volume 35, Issue 4, Page(s) 512–529

Abstract: ... of zirconia restorations bonded to different types of tooth or implant abutments and to provide practical ... the clinical outcomes of certain types of zirconia restorations on most types of tooth or implant abutment ... abutments, zirconia restorations, and designs. The relatively limited number of identified studies and ...

Abstract	Purpose: To systematically review all clinical studies focusing on the clinical outcomes of zirconia restorations bonded to different types of tooth or implant abutments and to provide practical clinical guidelines. Materials and methods: A search was performed for English-language articles in dental journals published up to September 2020 using a combination of free-text words and MeSH terms. Studies were identified for review according to certain inclusion and exclusion criteria. Results: A total of 2,856 studies were identified, and 24 studies were finally included. The included studies featured different types of surface pretreatment methods, primers, resin cements, tooth and implant abutments, zirconia restorations, and designs. The relatively limited number of identified studies and the heterogeneity of the extracted data did not allow for meta-analysis. Conclusion: Airborne-particle abrasion (APA) and tribochemical silica (TBS) APA surface pretreatment methods yielded positive clinical outcomes on zirconia/resin bonding to all types of tooth surfaces identified. Chemically activating the APA and the TBS APA zirconia surfaces with an MDP monomer-based primer, along with an MDP monomer or phosphoric ester monomer-based resin cement, seems to be a durable bonding protocol for all types of tooth surfaces identified. Skipping the surface pretreatment method step in the bonding protocol did not affect the clinical outcomes of certain types of zirconia restorations on most types of tooth or implant abutment surfaces identified. Type of resin cement seems to be a less influential factor.
MeSH term(s)	Dental Bonding ; Dental Implants ; Esters ; Humans ; Materials Testing ; Resin Cements ; Silicon Dioxide ; Zirconium
Chemical Substances	Dental Implants ; Esters ; Resin Cements ; Silicon Dioxide (7631-86-9) ; Zirconium (C6V6S92N3C) ; zirconium oxide (S38N85C5G0)
Language	English
Publishing date	2022-09-28
Publishing country	United States
Document type	Journal Article ; Systematic Review
ZDB-ID	645046-5
ISSN	1942-4426 ; 0893-2174
ISSN (online)	1942-4426
ISSN	0893-2174
DOI	10.11607/ijp.6871
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Zs.A 2430: Show issues

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Article ; Online: Evaluation of marginal bone level, technical and biological complications between screw-retained and cement-retained all-ceramic implant-supported crowns on zirconia abutment: A systematic review and meta-analysis.

Potdukhe, Shruti S / Iyer, Janani M / Nadgere, Jyoti B

Journal of Indian Prosthodontic Society

2024 Volume 24, Issue 1, Page(s) 25–35

Abstract: ... between screw-retained and cemented all-ceramic implant-supported crowns fabricated on zirconia abutment ... crowns fabricated on zirconia abutment at different follow-up periods.: Materials and methods ... technical and biological complications between screw-retained and cemented all-ceramic implant-supported ...

Abstract	Purpose: The purpose of this study was to evaluate the difference in marginal bone level, technical and biological complications between screw-retained and cemented all-ceramic implant-supported crowns fabricated on zirconia abutment at different follow-up periods. Materials and methods: Independent search was conducted in Cochrane Library, EBSCO, and PubMed/PubMed Central/MEDLINE databases and the Google Scholar search engine for prospective studies and randomized controlled trials published between January 2014 and June 2023 evaluating the marginal bone level, technical and biological complications between screw-retained and cemented all-ceramic implant-supported crowns fabricated on zirconia abutment. Meta-analysis was conducted to assess the quantitative data on the marginal bone level and biological complications. Results: A total of eight studies were included for qualitative synthesis and six studies for quantitative synthesis. For marginal bone level, no statistically significant difference was observed (P = 0.83 and P = 0.69, respectively) during the follow-up period of 3 years and 5 years. For probing depth, the cemented group showed more amount of probing depth than the screw-retained group at a follow-up period of 3 years (P < 0.05) whereas no statistically significant difference was observed at a follow-up period of 5 years (P = 0.73). For bleeding on probing, the cemented group showed more probing depth than the screw-retained group at a follow-up period of 5 years (P = 0.10). Conclusion: The evidence suggests that the screw-retained group showed no statistically significant difference in marginal bone level, comparatively fewer biological complications, and relatively higher technical complications than the cemented group at different follow-up periods.
MeSH term(s)	Prospective Studies ; Dental Implants ; Dental Cements ; Glass Ionomer Cements ; Bone Cements ; Bone Screws ; Ceramics ; Crowns ; Zirconium
Chemical Substances	zirconium oxide (S38N85C5G0) ; Dental Implants ; Dental Cements ; Glass Ionomer Cements ; Bone Cements ; Zirconium (C6V6S92N3C)
Language	English
Publishing date	2024-01-24
Publishing country	India
Document type	Meta-Analysis ; Systematic Review ; Journal Article
ISSN	1998-4057
ISSN (online)	1998-4057
DOI	10.4103/jips.jips_524_23
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Article ; Online: Bonding durability between zirconia and different types of tooth or implant abutments-a systematic review. Part I: outcomes of in vitro studies.

Alammar, Amirah / Att, Wael

The International journal of prosthodontics

2021 Volume 34, Issue 5, Page(s) 650–669

Abstract: ... bonding protocols applied to zirconia restorations with different types of tooth or implant abutments ... a positive influence on zirconia resin bonding to most types of tooth and implant abutments identified ... different types of surface pretreatment methods, primers, resin cements, tooth and implant abutments ...

Abstract	Purpose: To systematically review all in vitro studies focusing on the durability of different bonding protocols applied to zirconia restorations with different types of tooth or implant abutments. Materials and methods: English-language articles published in dental journals up to March 2020 were searched using a combination of free text words and MeSH terms, as follows: zirconia; Y-TZP; zirconium; zirconia restoration; enamel; dentin; titanium abutment; titanium base; ceramic abutment; dental core; ceramic or metal post and core; composite build-up; bonding; adhesive cement; resin cement; adhesion; cementation; test; material testing; laboratory; and in vitro. Studies were identified for review based on certain inclusion and exclusion criteria. Results: A total of 3,339 titles were identified. After a successive filtering process, a final total of 28 studies were included. The included studies featured different types of surface pretreatment methods, primers, resin cements, tooth and implant abutments, laboratory test outcomes, and designs. The relatively limited number of the identified studies and the heterogeneity of the extracted data did not allow for meta-analysis. Conclusions: Zirconia surface pretreatment is an essential step in the bonding protocol. Airborne-particle abrasion surface pretreatment had a positive influence on zirconia resin bonding to most types of tooth and implant abutments identified. Chemically activating the treated zirconia surfaces with an MDP monomer-based primer, along with an MDP monomer or phosphate ester monomer-based resin cement, seems to be a durable bonding protocol. Type of resin cement seems to be a less influential factor.
MeSH term(s)	Research Design ; Zirconium
Chemical Substances	Zirconium (C6V6S92N3C) ; zirconium oxide (S38N85C5G0)
Language	English
Publishing date	2021-02-12
Publishing country	United States
Document type	Journal Article ; Systematic Review
ZDB-ID	645046-5
ISSN	1942-4426 ; 0893-2174
ISSN (online)	1942-4426
ISSN	0893-2174
DOI	10.11607/ijp.6870
Database	MEDical Literature Analysis and Retrieval System OnLINE

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