{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T14:41:39Z","timestamp":1793198499621,"version":"4.5.0"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100009367","name":"Mansoura University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100009367","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Clin Oral Invest"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>To assess the influence of six-month water storage on the fracture resistance of molars receiving mesio-occluso-distal (MOD) nanoceramic CAD\/CAM onlay restorations after cervical marginal elevation (CME) with different injectable restorative materials.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Materials and methods<\/jats:title>\n            <jats:p>Two hundred ten sound mandibular molars received standardized MOD onlay preparations with cervical margins extending 2\u00a0mm apical to the cementoenamel junction (CEJ). Molars were randomly assigned into five groups (<jats:italic>n<\/jats:italic>\u2009=\u200942) according to the restorative materials used for CME: No-CME Group, control; CME-HVGI Group, highly viscous glass ionomer; CME-ICR Group, injectable composite resin; CME-RMGI Group, resin-modified glass ionomer; CME-BAIR Group, bioactive ionic resin. Immediate dentin sealing was performed on each molar before receiving nanoceramic-resin CAD\/CAM onlay restoration. Each group was subdivided into two subgroups (<jats:italic>n<\/jats:italic>\u2009=\u200921) based on whether they underwent six months of water storage. All specimens were subjected to clinical simulation via thermo-mechanical loading, fracture resistance testing, and failure mode analysis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>No statistically significant difference in fracture resistance was observed when comparing the tested CME groups to the control group after six months of water storage. Regarding failure mode, irreparable failure was significantly dominant, with no significant difference among all groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Six-month water storage had no adverse effect on the fracture resistance of teeth receiving nanoceramic onlay restorations, regardless of the type of cervical margin elevating material used.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Clinical relevance<\/jats:title>\n            <jats:p>The smoothly handled injectable restorative materials used for CME of molars with nanoceramic-resin CAD\/CAM onlay restorations could endure humid conditions, exhibiting acceptable performance under compressive loading.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00784-025-06509-9","type":"journal-article","created":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T01:54:07Z","timestamp":1755482047000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Fracture resistance of molars receiving nanoceramic-resin CAD\/CAM onlays after cervical marginal elevation with different injectable restorative materials: effect of six-month water storage"],"prefix":"10.1007","volume":"29","author":[{"given":"Basema Nader","family":"Roshdy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Radwa Ibrahim","family":"Eltoukhy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashraf Ibrahim","family":"Ali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salah Hasab","family":"Mahmoud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,8,18]]},"reference":[{"key":"6509_CR1","doi-asserted-by":"publisher","first-page":"751","DOI":"10.3290\/j.qi.a34459","volume":"46","author":"AM Kielbassa","year":"2015","unstructured":"Kielbassa AM, Philipp F (2015) Restoring proximal cavities of molars using the proximal box elevation technique: systematic review and report of a case. Quintessence Int 46:751\u2013764. https:\/\/doi.org\/10.3290\/j.qi.a34459","journal-title":"Quintessence Int"},{"key":"6509_CR2","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1111\/jerd.13016","volume":"35","author":"EA Bonfante","year":"2023","unstructured":"Bonfante EA, Calamita M, Bergamo ETP (2023) Indirect restorative systems-a narrative review. J Esthet Restor Dent 35:84\u2013104. https:\/\/doi.org\/10.1111\/jerd.13016","journal-title":"J Esthet Restor Dent"},{"key":"6509_CR3","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17207582","author":"N Bustamante-Hernandez","year":"2020","unstructured":"Bustamante-Hernandez N, Montiel-Company JM, Bellot-Arcis C, Manes-Ferrer JF, Sola-Ruiz MF, Agustin-Panadero R, Fernandez-Estevan L (2020) Clinical behavior of ceramic, hybrid and composite onlays. A systematic review and meta-analysis. Int J Environ Res Public Health. https:\/\/doi.org\/10.3390\/ijerph17207582","journal-title":"Int J Environ Res Public Health"},{"key":"6509_CR4","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1016\/S0022-3913(09)60206-7","volume":"103","author":"W Jiang","year":"2010","unstructured":"Jiang W, Bo H, Yongchun G, LongXing N (2010) Stress distribution in molars restored with inlays or onlays with or without endodontic treatment: a three-dimensional finite element analysis. J Prosthet Dent 103:6\u201312. https:\/\/doi.org\/10.1016\/S0022-3913(09)60206-7","journal-title":"J Prosthet Dent"},{"key":"6509_CR5","doi-asserted-by":"publisher","DOI":"10.3390\/jfb14080431","author":"I Rexhepi","year":"2023","unstructured":"Rexhepi I, Santilli M, D\u2019Addazio G, Tafuri G, Manciocchi E, Caputi S, Sinjari B (2023) Clinical applications and mechanical properties of CAD-CAM materials in restorative and prosthetic dentistry: a systematic review. J Funct Biomater. https:\/\/doi.org\/10.3390\/jfb14080431","journal-title":"J Funct Biomater"},{"key":"6509_CR6","doi-asserted-by":"publisher","unstructured":"Skorulska A, Piszko P, Rybak Z, Szymonowicz M, Dobrzynski M (2021) Review on polymer, ceramic and composite materials for CAD\/CAM indirect restorations in Dentistry-Application, mechanical characteristics and comparison. Mater (Basel) 14. https:\/\/doi.org\/10.3390\/ma14071592","DOI":"10.3390\/ma14071592"},{"key":"6509_CR7","first-page":"530","volume":"44","author":"MB Blatz","year":"2023","unstructured":"Blatz MB, Eggmann F (2023) Deep margin elevation: next-level adhesive dentistry to avoid surgical crown lengthening. Compend Contin Educ Dent 44:530\u2013531","journal-title":"Compend Contin Educ Dent"},{"key":"6509_CR8","first-page":"172","volume":"12","author":"S Browet","year":"2017","unstructured":"Browet S, Gerdolle D (2017) Precision and security in restorative dentistry: the synergy of isolation and magnification. Int J Esthet Dent 12:172\u2013185","journal-title":"Int J Esthet Dent"},{"key":"6509_CR9","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1016\/j.jobcr.2023.12.002","volume":"14","author":"TD Geo","year":"2024","unstructured":"Geo TD, Gupta S, Gupta SG, Rana KS (2024) Is deep margin elevation a reliable tool for cervical margin relocation? A comparative review. J Oral Biol Craniofac Res 14:33\u201338. https:\/\/doi.org\/10.1016\/j.jobcr.2023.12.002","journal-title":"J Oral Biol Craniofac Res"},{"key":"6509_CR10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2024.105066","volume":"146","author":"A Taylor","year":"2024","unstructured":"Taylor A, Burns L (2024) Deep margin elevation in restorative dentistry: a scoping review. J Dent 146:105066. https:\/\/doi.org\/10.1016\/j.jdent.2024.105066","journal-title":"J Dent"},{"key":"6509_CR11","doi-asserted-by":"publisher","first-page":"4847","DOI":"10.1007\/s00784-022-04452-7","volume":"26","author":"ACM Andrade","year":"2022","unstructured":"Andrade ACM, Trennepohl AA, Moecke SE, Borges AB, Torres CRG (2022) Viscosity modulation of resin composites versus hand application on internal adaptation of restorations. Clin Oral Investig 26:4847\u20134856. https:\/\/doi.org\/10.1007\/s00784-022-04452-7","journal-title":"Clin Oral Investig"},{"key":"6509_CR12","doi-asserted-by":"publisher","unstructured":"Ludovichetti FS, Lucchi P, Zambon G, Pezzato L, Bertolini R, Zerman N, Stellini E, Mazzoleni S (2022) Depth of cure, hardness, roughness and filler dimension of Bulk-Fill flowable, conventional flowable and High-Strength universal injectable composites: an in vitro study. Nanomaterials (Basel) 12. https:\/\/doi.org\/10.3390\/nano12121951","DOI":"10.3390\/nano12121951"},{"key":"6509_CR13","doi-asserted-by":"publisher","DOI":"10.3390\/polym14194182","author":"EC Vouvoudi","year":"2022","unstructured":"Vouvoudi EC (2022) Overviews on the progress of flowable dental polymeric composites: their composition, polymerization process, flowability and radiopacity aspects. Polymers. https:\/\/doi.org\/10.3390\/polym14194182","journal-title":"Polymers"},{"key":"6509_CR14","doi-asserted-by":"publisher","first-page":"e94","DOI":"10.1016\/j.dental.2021.10.005","volume":"38","author":"A Baldi","year":"2022","unstructured":"Baldi A, Scattina A, Ferrero G, Comba A, Alovisi M, Pasqualini D, Peroni L, Muggeo M, Germanetti F, Scotti N (2022) Highly-filled flowable composite in deep margin elevation: FEA study obtained from a MicroCT real model. Dent Mater 38:e94\u2013e107. https:\/\/doi.org\/10.1016\/j.dental.2021.10.005","journal-title":"Dent Mater"},{"key":"6509_CR15","doi-asserted-by":"publisher","first-page":"1365","DOI":"10.1016\/j.dental.2020.08.006","volume":"36","author":"KD Jandt","year":"2020","unstructured":"Jandt KD, Watts DC (2020) Nanotechnology in dentistry: present and future perspectives on dental nanomaterials. Dent Mater 36:1365\u20131378. https:\/\/doi.org\/10.1016\/j.dental.2020.08.006","journal-title":"Dent Mater"},{"key":"6509_CR16","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1111\/jerd.12066","volume":"26","author":"S Jefferies","year":"2014","unstructured":"Jefferies S (2014) Bioactive and biomimetic restorative materials: a comprehensive review. Part II. J Esthet Restor Dent 26:27\u201339. https:\/\/doi.org\/10.1111\/jerd.12066","journal-title":"J Esthet Restor Dent"},{"key":"6509_CR17","doi-asserted-by":"publisher","DOI":"10.3390\/jfb7030016","author":"SK Sidhu","year":"2016","unstructured":"Sidhu SK, Nicholson JW (2016) A review of glass-ionomer cements for clinical dentistry. J Funct Biomater. https:\/\/doi.org\/10.3390\/jfb7030016","journal-title":"J Funct Biomater"},{"key":"6509_CR18","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1016\/j.identj.2022.11.012","volume":"73","author":"G Schmalz","year":"2023","unstructured":"Schmalz G, Hickel R, Price RB, Platt JA (2023) Bioactivity of dental restorative materials: FDI policy statement. Int Dent J 73:21\u201327. https:\/\/doi.org\/10.1016\/j.identj.2022.11.012","journal-title":"Int Dent J"},{"key":"6509_CR19","doi-asserted-by":"publisher","first-page":"433","DOI":"10.2341\/18-111-L","volume":"44","author":"M de Kuijper","year":"2019","unstructured":"de Kuijper M, Gresnigt M, van den Houten M, Haumahu D, Schepke U, Cune MS (2019) Fracture strength of various types of large direct composite and indirect glass ceramic restorations. Oper Dent 44:433\u2013442. https:\/\/doi.org\/10.2341\/18-111-L","journal-title":"Oper Dent"},{"key":"6509_CR20","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8111932","author":"A Amesti-Garaizabal","year":"2019","unstructured":"Amesti-Garaizabal A, Agustin-Panadero R, Verdejo-Sola B, Fons-Font A, Fernandez-Estevan L, Montiel-Company J, Sola-Ruiz MF (2019) Fracture resistance of partial indirect restorations made with CAD\/CAM technology. A systematic review and meta-analysis. J Clin Med. https:\/\/doi.org\/10.3390\/jcm8111932","journal-title":"J Clin Med"},{"key":"6509_CR21","doi-asserted-by":"publisher","first-page":"1522","DOI":"10.1111\/jerd.13414","volume":"37","author":"BN Roshdy","year":"2025","unstructured":"Roshdy BN, Eltoukhy RI, Ali AI, Mahmoud SH (2025) Effect of cervical margin relocation with different injectable restorative materials on fracture resistance of molars received MOD CAD\/CAM onlay restorations. J Esthet Restor Dent 37:1522\u20131529. https:\/\/doi.org\/10.1111\/jerd.13414","journal-title":"J Esthet Restor Dent"},{"key":"6509_CR22","doi-asserted-by":"publisher","first-page":"e324","DOI":"10.1016\/j.dental.2014.08.374","volume":"30","author":"MA Zankuli","year":"2014","unstructured":"Zankuli MA, Devlin H, Silikas N (2014) Water sorption and solubility of core build-up materials. Dent Mater 30:e324\u2013e329. https:\/\/doi.org\/10.1016\/j.dental.2014.08.374","journal-title":"Dent Mater"},{"key":"6509_CR23","doi-asserted-by":"publisher","first-page":"196","DOI":"10.15171\/joddd.2018.030","volume":"12","author":"A Rathi","year":"2018","unstructured":"Rathi A, Chowdhry P, Kaushik M, Reddy P, Roshni, Mehra N (2018) Effect of different periodontal ligament simulating materials on the incidence of dentinal cracks during root Canal Preparation. J Dent Res Dent Clin Dent Prospects 12:196\u2013200. https:\/\/doi.org\/10.15171\/joddd.2018.030","journal-title":"J Dent Res Dent Clin Dent Prospects"},{"key":"6509_CR24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmbbm.2020.103950","volume":"110","author":"RA Bresser","year":"2020","unstructured":"Bresser RA, van de Geer L, Gerdolle D, Schepke U, Cune MS, Gresnigt MMM (2020) Influence of deep margin elevation and preparation design on the fracture strength of indirectly restored molars. J Mech Behav Biomed Mater 110:103950. https:\/\/doi.org\/10.1016\/j.jmbbm.2020.103950","journal-title":"J Mech Behav Biomed Mater"},{"key":"6509_CR25","first-page":"392","volume":"10","author":"GT Rocca","year":"2015","unstructured":"Rocca GT, Rizcalla N, Krejci I, Dietschi D (2015) Evidence-based concepts and procedures for bonded inlays and onlays. Part II. Guidelines for cavity preparation and restoration fabrication. Int J Esthet Dent 10:392\u2013413","journal-title":"Int J Esthet Dent"},{"key":"6509_CR26","doi-asserted-by":"crossref","unstructured":"Hooi P, Addison O, Fleming, GJJJod (2013) Testing rate and cementation seating load effects on resin-strengthening of a dental porcelain analogue. 41:514\u2013520","DOI":"10.1016\/j.jdent.2013.03.002"},{"key":"6509_CR27","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1111\/jopr.12376","volume":"25","author":"N Nawafleh","year":"2016","unstructured":"Nawafleh N, Hatamleh M, Elshiyab S, Mack F (2016) Lithium disilicate restorations fatigue testing parameters: a systematic review. J Prosthodont 25:116\u2013126. https:\/\/doi.org\/10.1111\/jopr.12376","journal-title":"J Prosthodont"},{"key":"6509_CR28","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1016\/j.jmbbm.2013.09.013","volume":"29","author":"AL Morresi","year":"2014","unstructured":"Morresi AL, D\u2019Amario M, Capogreco M, Gatto R, Marzo G, D\u2019Arcangelo C, Monaco A (2014) Thermal cycling for restorative materials: does a standardized protocol exist in laboratory testing? A literature review. J Mech Behav Biomed Mater 29:295\u2013308. https:\/\/doi.org\/10.1016\/j.jmbbm.2013.09.013","journal-title":"J Mech Behav Biomed Mater"},{"key":"6509_CR29","first-page":"210","volume":"10","author":"D Dietschi","year":"2015","unstructured":"Dietschi D, Spreafico R (2015) Evidence-based concepts and procedures for bonded inlays and onlays. Part I. Historical perspectives and clinical rationale for a biosubstitutive approach. Int J Esthet Dent 10:210\u2013227","journal-title":"Int J Esthet Dent"},{"key":"6509_CR30","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1590\/S1806-83242005000100003","volume":"19","author":"CJ Soares","year":"2005","unstructured":"Soares CJ, Pizi ECG, Fonseca RB, Martins LRMJBor (2005) Influence of root embedment material and periodontal ligament simulation on fracture resistance tests. Braz Oral Res 19:11\u201316","journal-title":"Braz Oral Res"},{"key":"6509_CR31","first-page":"281","volume":"35","author":"CJ Soares","year":"2004","unstructured":"Soares CJ, Martins LR, Pfeifer JM, Giannini M (2004) Fracture resistance of teeth restored with indirect-composite and ceramic inlay systems. Quintessence Int 35:281\u2013286","journal-title":"Quintessence Int"},{"key":"6509_CR32","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1186\/s12903-025-05951-1","volume":"25","author":"RA Wafaie","year":"2025","unstructured":"Wafaie RA, Ahmed B, Mahmoud SH (2025) Fracture resistance of molars with class II MOD cavities restored with bulk-fill, no-cap flowable bulk-fill, and conventional resin composite restorative systems after 6-months water storage. BMC Oral Health 25:741. https:\/\/doi.org\/10.1186\/s12903-025-05951-1","journal-title":"BMC Oral Health"},{"key":"6509_CR33","first-page":"17","volume":"17","author":"E Kucukyilmaz","year":"2016","unstructured":"Kucukyilmaz E, Savas S (2016) Evaluation of shear bond strength, penetration ability, microleakage and remineralisation capacity of glass ionomer-based fissure sealants. Eur J Paediatr Dent 17:17\u201323","journal-title":"Eur J Paediatr Dent"},{"key":"6509_CR34","doi-asserted-by":"publisher","first-page":"e844","DOI":"10.4317\/jced.56381","volume":"12","author":"N Aydin","year":"2020","unstructured":"Aydin N, Karaoglanoglu S, Aybala-Oktay E, Cetinkaya S, Erdem O (2020) Investigation of water sorption and aluminum releases from high viscosity and resin modified glass ionomer. J Clin Exp Dent 12:e844\u2013e851. https:\/\/doi.org\/10.4317\/jced.56381","journal-title":"J Clin Exp Dent"},{"key":"6509_CR35","doi-asserted-by":"publisher","first-page":"471","DOI":"10.3109\/00016357.2011.639307","volume":"70","author":"CC Bonifacio","year":"2012","unstructured":"Bonifacio CC, Werner A, Kleverlaan CJ (2012) Coating glass-ionomer cements with a nanofilled resin. Acta Odontol Scand 70:471\u2013477. https:\/\/doi.org\/10.3109\/00016357.2011.639307","journal-title":"Acta Odontol Scand"},{"key":"6509_CR36","doi-asserted-by":"publisher","first-page":"318","DOI":"10.15644\/asc53\/4\/2","volume":"53","author":"V Brzovic Rajic","year":"2019","unstructured":"Brzovic Rajic V, Ivanisevic Malcic A, Bilge Kutuk Z, Gurgan S, Jukic S, Miletic I (2019) Compressive strength of new glass ionomer cement technology based restorative materials after thermocycling and cyclic loading. Acta Stomatol Croat 53:318\u2013325. https:\/\/doi.org\/10.15644\/asc53\/4\/2","journal-title":"Acta Stomatol Croat"},{"key":"6509_CR37","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2024.105031","volume":"146","author":"X Bai","year":"2024","unstructured":"Bai X, Chen Y, Zhou T, Pow EHN, Tsoi JKH (2024) The chemical and optical stability evaluation of injectable restorative materials under wet challenge. J Dent 146:105031. https:\/\/doi.org\/10.1016\/j.jdent.2024.105031","journal-title":"J Dent"},{"key":"6509_CR38","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2024.105025","volume":"146","author":"Y Chen","year":"2024","unstructured":"Chen Y, Bai X, Xu M, Zhou T, Loh YM, Wang C, Pow EHN, Tsoi JKH (2024) The mechanical, wear, antibacterial properties and biocompatibility of injectable restorative materials under wet challenge. J Dent 146:105025. https:\/\/doi.org\/10.1016\/j.jdent.2024.105025","journal-title":"J Dent"},{"key":"6509_CR39","doi-asserted-by":"publisher","first-page":"80","DOI":"10.4103\/0972-0707.66716","volume":"13","author":"V Arora","year":"2010","unstructured":"Arora V, Kundabala M, Parolia A, Thomas MS, Pai V (2010) Comparison of the shear bond strength of RMGIC to a resin composite using different adhesive systems: an in vitro study. J Conserv Dent 13:80\u201383. https:\/\/doi.org\/10.4103\/0972-0707.66716","journal-title":"J Conserv Dent"},{"key":"6509_CR40","doi-asserted-by":"publisher","first-page":"52","DOI":"10.2341\/18-098-L","volume":"45","author":"TD Grubbs","year":"2020","unstructured":"Grubbs TD, Vargas M, Kolker J, Teixeira EC (2020) Efficacy of direct restorative materials in proximal box elevation on the margin quality and fracture resistance of molars restored with CAD\/CAM onlays. Oper Dent 45:52\u201361. https:\/\/doi.org\/10.2341\/18-098-L","journal-title":"Oper Dent"}],"container-title":["Clinical Oral Investigations"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00784-025-06509-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00784-025-06509-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00784-025-06509-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T23:04:21Z","timestamp":1758063861000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00784-025-06509-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,18]]},"references-count":40,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2025,9]]}},"alternative-id":["6509"],"URL":"https:\/\/doi.org\/10.1007\/s00784-025-06509-9","relation":{},"ISSN":["1436-3771"],"issn-type":[{"value":"1436-3771","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,18]]},"assertion":[{"value":"28 June 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 August 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 August 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The current study was reviewed and approved by the Dental Research Ethics Committee, Mansoura University (ethical approval number M10060721). The procedures used in this study adhere to the tenets of the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"415"}}