Combination of Coronally Advanced Flap and Platelet Rich Fibrin in The Treatment Of Millers Class I & II Gingival Recessions: A Systematic Review
Combination of Coronally Advanced Flap and Platelet Rich Fibrin
DOI:
https://doi.org/10.70284/njirm.v8i3.1262Keywords:
Coronally advanced flap, Platelet Rich Fibrin, Gingival recessionAbstract
Gingival recession is defined as the displacement of soft tissue margin apical to cement–enamel junction with exposure of root surface. In the last decade, because of the ever increasing esthetic demands from patients, surgical techniques have been further developed to obtain complete root coverage associated with a perfect integration of the grafted tissue with the adjacent soft tissues. Choukroun’s platelet rich fibrin (PRF) is a fibrin matrix in which platelet cytokines and cells are trapped which are released after a certain time, and that can serve as a resorbable membrane. PRF production protocol attempts to accumulate platelets and released cytokines in a fibrin clot. This review aims to highlight the outcomes of various studies performed using the combination of coronally advanced flap and platelet rich fibrin in the treatment of Millers Class I and II gingival recession. [Kith J NJIRM 2017; 8(3):135-144]
References
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2. Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc. 2003;134:220–225.
3. Sangnes G, Gjermo P. Prevalence of oral soft and hard tissue lesions related to mechanical tooth cleaning procedures.Community Dent Oral Epidemiol 1976: 4: 77–83.
4. 4.Rajapakse PS, McCracken GI, Gwynnett E, Steen ND, Guentsch A, Heasman PA. Does tooth brushing influence the development and progression of non-inflammatory gingival recession? A systematic review. J Clin Periodontol 2007: 34: 1046–1061.
5. Cairo F, Pagliaro U, Nieri M. Treatment of gingival recession with coronally advanced flap procedures: a systematic review. J Clin Periodontol 2008: 35: 136–162.
6. Clauser C, Nieri M, Franceschi D, Pagliaro U, Pini Prato GP. Evidence-based mucogingival therapy.
Part 2: Ordinary and individual patient data meta-analyses of surgical treatment of recession using complete root coverage as the outcome variable. J Periodontol 2003: 74: 741–756.
7. Miller PD. Root coverage using a free soft tissue autograft following citric acid application. III. A successful and predictable procedure in areas of deep-wide recession. Int J Periodontics Restorative Dent 1985: 5: 15–37.
8. Roccuzzo M, Bunino M, Needleman I, Sanz M. Periodontal plastic surgery for treatment of localized gingival recessions: a systematic review. J Clin Periodontol 2002: 29: 178–194.
9. Chambrone L, Sukekava F, Arau´jo MG, Pustiglioni FE, Chambrone LA, Lima LA. Root-coverage procedures for the treatment of localized recession-type defects: a Cochrane systematic review. J Periodontol 2010: 81: 452–478.
10. Oates TW, Robinson M, Gunsolley JC. Surgical therapies for the treatment of gingival recession. A systematic review. Ann Periodontol 2003: 8: 303–320.
11. Caffesse RG, Alspach SR, Morrison EC, Burgett FG. Lateral sliding flaps with and without citric acid. Int J Periodontics Restorative Dent 1987: 7: 42–57.
12. Wennstro¨m JL, Zucchelli G. Increased gingival dimensions. A significant factor for successful outcome of root coverage procedures? A 2-year prospective clinical study. J Clin Periodontol 1996: 23: 770–777.
13. Zucchelli G, Clauser C, De Sanctis M, Calandriello M. Mucogingival versus guided tissue regeneration procedures in the treatment of deep recession type defects. J Periodontol 1998: 69: 138–145.
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19. Pini Prato GP, Baldi C, Pagliaro U, Nieri M, Saletta D, Rotundo R, Cortellini P. Coronally advanced flap procedure for root coverage. Treatment of root surface: root planing versus polishing. J Periodontol 1999: 70: 1064–1076.
20. Santamaria MP, da Silva Feitosa D, Nociti FH Jr, Casati MZ, Sallum AW, Sallum EA. Cervical restoration and the amount of soft tissue coverage achieved by coronally advanced flap: a 2-year follow-up randomized-controlled clinical trial. J Clin Periodontol 2009: 36: 434–441.
21. Baldi C, Pini Prato GP, Pagliaro U, Nieri M, Saletta D, Muzzi L, Cortellini P. Coronally advanced flap procedure for root coverage. Is flap thickness a relevant predictor to achieve root coverage? A 19-case series. J Periodontol 1999: 70: 1077–1084.
22. Francetti L, Del Fabbro M, Calace S, Testori T, Weinstein RL. Microsurgical treatment of gingival recession: a controlled clinical study. Int J Periodontics Restorative Dent 2005: 25: 181–188.
23. Zucchelli G, De Sanctis M. Treatment of multiple recession- type defects in patients with esthetic demands. J Periodontol 2000: 71: 1506–1514.
24. Pini Prato G, Pagliaro U, Baldi C, Nieri M, Saletta D, Cairo F, Cortellini P. Coronally advanced flap procedure for root coverage. Flap with tension versus flap without tension: a randomized controlled clinical study. J Periodontol 2000: 71: 188–201.
25. Pini Prato GP, Baldi C, Nieri M, Franceschi D, Cortellini P, Clauser C, Rotundo R, Muzzi L. Coronally advanced flap: the post-surgical position of the gingival margin is an important factor for achieving complete root coverage. J Periodontol 2005: 76: 713–722.
26. 26.Allen EP, Miller PD. Coronal positioning of existing gingiva: short term results in the treatment of shallow marginal tissue recession. J Periodontol 1989: 60: 316–319.
27. Pini Prato G, Tinti C, Vincenzi G, Magnani C, Cortellini P, Clauser C. Guided tissue regeneration versus mucogingival surgery in the treatment of
human buccal gingival recession. J Periodontol 1992: 63: 919–928.
28. Zucchelli G, Mele M, Mazzotti C, Marzadori M, Montebugnoli L, De Sanctis M. Coronally advanced flap with and without vertical releasing incisions for the treatment of multiple gingival recessions: a comparative controlled randomized clinical trial. J Periodontol 2009: 80: 1083–1094.
29. Ross R, Glomset J, Kariya B, Harker L. A platelet-dependent serum factor that stimulates the proliferation of arterial smooth muscle cells in vitro. Proc Natl Acad Sci Usa 1974; 71: 1207-10
30. Gassling V, Douglas T, Warnke YA, Wiltfang J, Becker ST. Platelet-rich fibrin membranes as scaffolds for periosteal tissue engineering. Clin Oral Impl 2010; 21: 543-549.
31. Dohan DM, Choukroun J, Diss A, Dohan SL, Dohan AJ, Mouhyi J, Gogly B. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part I: technological concepts and evolution. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101: e37-44.
32. Mosesson MW. Fibrinogen and fibrin structure and functions. J Thrombosis Haemostasis 2005; 3: 1894-1904.
33. Anitua E, Sánchez M, Nurden AT, Nurden P, Orive G, AndÃa I. New insights into and novel applications for platelet-rich fibrin therapies. Trends Biotechnol 2006; 24: 227-34.
34. Aroca S, Keglevich T, Barbieri B, Gera I, Etienne D. Clinical evaluation of a modified coronally advanced flap alone or in combination with a platelet-rich fibrin membrane for the treatment of adjacent multiple gingival recessions: a 6-month study. J Periodontol 2009; 80: 244-52.
35. Corso MD. Choukroun’s platelet rich fibrin membranes in periodontology surgery: understanding the bacterial or believing in the magic of growth factors? J Periodontol 2009; 80: 1694- 1697;
36. Dohn Ehrenfest DM, Diss A, Odin G, Dogioli P, Hippolyte MP, Charrier J. In vitro seefects of Choukroun’s PRF (platelet-rich fibrin) on human gingival fibroblasts, dermal prekeratinocytes, preadispocytes, and maxillofacial osteoblasts in primary cultures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108: 341-352.
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41. Dohan DM, Choukroun J, Diss A, Dohan SL, Dohan AJ, Mouhyi J, Gogly B. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part III: leucocyte activation: a new feature for platelet concentrates? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101: e51-5.
42. Clark RA. Fibrin and wound healing. Ann NY Acad Sci 2001; 936: 355-67.
43. Collen A, Koolwijk P, Kroon M, van Hinsbergh VW. Angiogenesis 1998:2:153-65.
44. van Hinsberg VW ,Collen A, Koolwijk P. Role of fibrin matrix in angiogenesis .Ann NY Acad Sci 2001; 936: 426-37.
45. Choukroun J, Adda F, Schoeffler C, Vervelle A. Une opportunité en paro-implantologie: le PRF. Implantodontie 2001; 42: 55- 62.
46. Sunitha Raja V, Munirathnam Naidu E. Platelet-rich fibrin: evolution of a second-generation platelet concentrate. Indian J Dent Res 2008; 19: 42-6.
47. Toffler M, Toscano N, Holtzclaw D, Corso MD, Dohan Ehrenfest DM. Introducing Choukroun’s platelet rich fibrin (PRF) to the reconstructive surgery milieu. The Journal of Implant & Advanced Clinical Dentistry 2009; 1: 21-30.
48. Eby BW. Platelet-rich plasma: Harvesting with a single-spin centrifuge. J Oral Implantology 2002; 28: 297-301.
49. Kiuru J, Viinikka L, Myllyla G, Pesonen K, Perheentupa J. Cytoskeleton-dependent release of human platelet epidermal growth factor. Life Sci. 1991;49:1997–2003.
50. Maloney JP, Silliman CC, Ambruso DR, Wang J, Tuder RM, Voelkel NF. In vitro release of vascular endothelial growth factor during platelet
aggregation. Am J Physiol. 1998;275: H1054–H1061.
51. Weibrich G, Kleis WK, Hafner G, Hitzler WE. Growth factor levels in platelet-rich plasma and correlations wit’h donor age, sex, and platelet count. J Craniomaxillofac Surg. 2002;30:97–102.
52. Okuda K, Kawase T, Momose M, Murata M, Saito Y, Suzuki H et al. Platelet-rich plasma contains high levels of plateletderived growth factor and transforming growth factor-b and modulates the proliferation of periodontally related cells in vitro. J Periodontol. 2003;74:849–857.
53. Padma R, Shilpa A, Kumar PA, Nagasri M, Kumar C, Sreedhar A. A split mouth randomized controlled study to evaluate the adjunctive effect of platelet-rich fibrin to coronally advanced flap in Miller’s class-I and II recession defects. J Indian Soc Periodontol. 2013;17:631–636.
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55. Aroca S, Keglevich T, Barbieri B, Gera I, Etienne D. Clinical evaluation of a modified coronally advanced flap alone or in combination with a platelet-rich fibrin membrane for the treatment of adjacent multiple gingival recessions: a 6- month study. J Periodontol. 2009;80:244–252.
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2. Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc. 2003;134:220–225.
3. Sangnes G, Gjermo P. Prevalence of oral soft and hard tissue lesions related to mechanical tooth cleaning procedures.Community Dent Oral Epidemiol 1976: 4: 77–83.
4. 4.Rajapakse PS, McCracken GI, Gwynnett E, Steen ND, Guentsch A, Heasman PA. Does tooth brushing influence the development and progression of non-inflammatory gingival recession? A systematic review. J Clin Periodontol 2007: 34: 1046–1061.
5. Cairo F, Pagliaro U, Nieri M. Treatment of gingival recession with coronally advanced flap procedures: a systematic review. J Clin Periodontol 2008: 35: 136–162.
6. Clauser C, Nieri M, Franceschi D, Pagliaro U, Pini Prato GP. Evidence-based mucogingival therapy.
Part 2: Ordinary and individual patient data meta-analyses of surgical treatment of recession using complete root coverage as the outcome variable. J Periodontol 2003: 74: 741–756.
7. Miller PD. Root coverage using a free soft tissue autograft following citric acid application. III. A successful and predictable procedure in areas of deep-wide recession. Int J Periodontics Restorative Dent 1985: 5: 15–37.
8. Roccuzzo M, Bunino M, Needleman I, Sanz M. Periodontal plastic surgery for treatment of localized gingival recessions: a systematic review. J Clin Periodontol 2002: 29: 178–194.
9. Chambrone L, Sukekava F, Arau´jo MG, Pustiglioni FE, Chambrone LA, Lima LA. Root-coverage procedures for the treatment of localized recession-type defects: a Cochrane systematic review. J Periodontol 2010: 81: 452–478.
10. Oates TW, Robinson M, Gunsolley JC. Surgical therapies for the treatment of gingival recession. A systematic review. Ann Periodontol 2003: 8: 303–320.
11. Caffesse RG, Alspach SR, Morrison EC, Burgett FG. Lateral sliding flaps with and without citric acid. Int J Periodontics Restorative Dent 1987: 7: 42–57.
12. Wennstro¨m JL, Zucchelli G. Increased gingival dimensions. A significant factor for successful outcome of root coverage procedures? A 2-year prospective clinical study. J Clin Periodontol 1996: 23: 770–777.
13. Zucchelli G, Clauser C, De Sanctis M, Calandriello M. Mucogingival versus guided tissue regeneration procedures in the treatment of deep recession type defects. J Periodontol 1998: 69: 138–145.
14. Maurer S, Hayes C, Leone C. Width of keratinized tissue after gingivoplasty of healed subepithelial connective tissue grafts. J Periodontol 2000: 71: 1729–1736.
15. Aroca S, Keglevich T, Nikolidakis D, Gera I, Nagy K, Azzi R, Etienne D. Treatment of class III multiple gingival recessions: a randomized-clinical trial. J Clin Periodontol 2010: 37: 88–97.
16. Haghighati F, Mousavi M, Moslemi N, Kebria MM, Golestan B.Acomparative study of two root-coverage techniques with regard to interdental papilla dimension as a prognostic factor. Int J Periodontics Restorative Dent 2009: 29: 179–189.
17. Zucchelli G, Cesari C, Amore C, Montebugnoli L, De Sanctis M. Laterally moved, coronally advanced flap: a modified surgical approach for isolatedrecession-type defects. J Periodontol 2004: 75: 1734–1741.
18. Zucchelli G, Mounssif I, Stefanini M, Mele M, Montebugnoli L, Sforza NM. Hand and ultrasonic instrumentation in combination with root-coverage surgery: a comparative controlled randomized clinical trial. J Periodontol 2009: 80: 577–585.
19. Pini Prato GP, Baldi C, Pagliaro U, Nieri M, Saletta D, Rotundo R, Cortellini P. Coronally advanced flap procedure for root coverage. Treatment of root surface: root planing versus polishing. J Periodontol 1999: 70: 1064–1076.
20. Santamaria MP, da Silva Feitosa D, Nociti FH Jr, Casati MZ, Sallum AW, Sallum EA. Cervical restoration and the amount of soft tissue coverage achieved by coronally advanced flap: a 2-year follow-up randomized-controlled clinical trial. J Clin Periodontol 2009: 36: 434–441.
21. Baldi C, Pini Prato GP, Pagliaro U, Nieri M, Saletta D, Muzzi L, Cortellini P. Coronally advanced flap procedure for root coverage. Is flap thickness a relevant predictor to achieve root coverage? A 19-case series. J Periodontol 1999: 70: 1077–1084.
22. Francetti L, Del Fabbro M, Calace S, Testori T, Weinstein RL. Microsurgical treatment of gingival recession: a controlled clinical study. Int J Periodontics Restorative Dent 2005: 25: 181–188.
23. Zucchelli G, De Sanctis M. Treatment of multiple recession- type defects in patients with esthetic demands. J Periodontol 2000: 71: 1506–1514.
24. Pini Prato G, Pagliaro U, Baldi C, Nieri M, Saletta D, Cairo F, Cortellini P. Coronally advanced flap procedure for root coverage. Flap with tension versus flap without tension: a randomized controlled clinical study. J Periodontol 2000: 71: 188–201.
25. Pini Prato GP, Baldi C, Nieri M, Franceschi D, Cortellini P, Clauser C, Rotundo R, Muzzi L. Coronally advanced flap: the post-surgical position of the gingival margin is an important factor for achieving complete root coverage. J Periodontol 2005: 76: 713–722.
26. 26.Allen EP, Miller PD. Coronal positioning of existing gingiva: short term results in the treatment of shallow marginal tissue recession. J Periodontol 1989: 60: 316–319.
27. Pini Prato G, Tinti C, Vincenzi G, Magnani C, Cortellini P, Clauser C. Guided tissue regeneration versus mucogingival surgery in the treatment of
human buccal gingival recession. J Periodontol 1992: 63: 919–928.
28. Zucchelli G, Mele M, Mazzotti C, Marzadori M, Montebugnoli L, De Sanctis M. Coronally advanced flap with and without vertical releasing incisions for the treatment of multiple gingival recessions: a comparative controlled randomized clinical trial. J Periodontol 2009: 80: 1083–1094.
29. Ross R, Glomset J, Kariya B, Harker L. A platelet-dependent serum factor that stimulates the proliferation of arterial smooth muscle cells in vitro. Proc Natl Acad Sci Usa 1974; 71: 1207-10
30. Gassling V, Douglas T, Warnke YA, Wiltfang J, Becker ST. Platelet-rich fibrin membranes as scaffolds for periosteal tissue engineering. Clin Oral Impl 2010; 21: 543-549.
31. Dohan DM, Choukroun J, Diss A, Dohan SL, Dohan AJ, Mouhyi J, Gogly B. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part I: technological concepts and evolution. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101: e37-44.
32. Mosesson MW. Fibrinogen and fibrin structure and functions. J Thrombosis Haemostasis 2005; 3: 1894-1904.
33. Anitua E, Sánchez M, Nurden AT, Nurden P, Orive G, AndÃa I. New insights into and novel applications for platelet-rich fibrin therapies. Trends Biotechnol 2006; 24: 227-34.
34. Aroca S, Keglevich T, Barbieri B, Gera I, Etienne D. Clinical evaluation of a modified coronally advanced flap alone or in combination with a platelet-rich fibrin membrane for the treatment of adjacent multiple gingival recessions: a 6-month study. J Periodontol 2009; 80: 244-52.
35. Corso MD. Choukroun’s platelet rich fibrin membranes in periodontology surgery: understanding the bacterial or believing in the magic of growth factors? J Periodontol 2009; 80: 1694- 1697;
36. Dohn Ehrenfest DM, Diss A, Odin G, Dogioli P, Hippolyte MP, Charrier J. In vitro seefects of Choukroun’s PRF (platelet-rich fibrin) on human gingival fibroblasts, dermal prekeratinocytes, preadispocytes, and maxillofacial osteoblasts in primary cultures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108: 341-352.
37. Dohn D, Donsimoni J-M, Navarro G, Gaultier F. Platelet concentrates. Part I: Techonologies. Implantodontie 2003; 12: 5-16.38. Choukroun J, Diss A, Simonpieri A, Giard MO, Schoeffler C, Dohn SL, Dohn AJJ, Mouhyi J, Dohn DM. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part IV: Clinical effects on tissue healing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101:E56-60.
39. Dohan DM, Choukroun J, Diss A, Dohan SL, Dohan AJ, Mouhyi J, Gogly B. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part II: platelet-related biologic features.Oral Surg Oral Radiol Endod 2006: 101 :e45-50
40. Su CY, Kuo YP, Tseng YH, Su CH, Burnouf T. In vitro release of growth factors from platelet-rich fibrin (PRF): a proposal to optimize the clinical applications of PRF. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108: 56-61.
41. Dohan DM, Choukroun J, Diss A, Dohan SL, Dohan AJ, Mouhyi J, Gogly B. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part III: leucocyte activation: a new feature for platelet concentrates? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101: e51-5.
42. Clark RA. Fibrin and wound healing. Ann NY Acad Sci 2001; 936: 355-67.
43. Collen A, Koolwijk P, Kroon M, van Hinsbergh VW. Angiogenesis 1998:2:153-65.
44. van Hinsberg VW ,Collen A, Koolwijk P. Role of fibrin matrix in angiogenesis .Ann NY Acad Sci 2001; 936: 426-37.
45. Choukroun J, Adda F, Schoeffler C, Vervelle A. Une opportunité en paro-implantologie: le PRF. Implantodontie 2001; 42: 55- 62.
46. Sunitha Raja V, Munirathnam Naidu E. Platelet-rich fibrin: evolution of a second-generation platelet concentrate. Indian J Dent Res 2008; 19: 42-6.
47. Toffler M, Toscano N, Holtzclaw D, Corso MD, Dohan Ehrenfest DM. Introducing Choukroun’s platelet rich fibrin (PRF) to the reconstructive surgery milieu. The Journal of Implant & Advanced Clinical Dentistry 2009; 1: 21-30.
48. Eby BW. Platelet-rich plasma: Harvesting with a single-spin centrifuge. J Oral Implantology 2002; 28: 297-301.
49. Kiuru J, Viinikka L, Myllyla G, Pesonen K, Perheentupa J. Cytoskeleton-dependent release of human platelet epidermal growth factor. Life Sci. 1991;49:1997–2003.
50. Maloney JP, Silliman CC, Ambruso DR, Wang J, Tuder RM, Voelkel NF. In vitro release of vascular endothelial growth factor during platelet
aggregation. Am J Physiol. 1998;275: H1054–H1061.
51. Weibrich G, Kleis WK, Hafner G, Hitzler WE. Growth factor levels in platelet-rich plasma and correlations wit’h donor age, sex, and platelet count. J Craniomaxillofac Surg. 2002;30:97–102.
52. Okuda K, Kawase T, Momose M, Murata M, Saito Y, Suzuki H et al. Platelet-rich plasma contains high levels of plateletderived growth factor and transforming growth factor-b and modulates the proliferation of periodontally related cells in vitro. J Periodontol. 2003;74:849–857.
53. Padma R, Shilpa A, Kumar PA, Nagasri M, Kumar C, Sreedhar A. A split mouth randomized controlled study to evaluate the adjunctive effect of platelet-rich fibrin to coronally advanced flap in Miller’s class-I and II recession defects. J Indian Soc Periodontol. 2013;17:631–636.
54. Jovici_c B, Lazi_c Z, Nedi_c M, Matijevi_c S, Gostovi_c-Spadijer A. Therapeutic efficacy of connective tissue autotransplants with periosteum and platelet rich plasma in the management of gingival recession. Vojnosanit Pregl. 2013;70:664–669.
55. Aroca S, Keglevich T, Barbieri B, Gera I, Etienne D. Clinical evaluation of a modified coronally advanced flap alone or in combination with a platelet-rich fibrin membrane for the treatment of adjacent multiple gingival recessions: a 6- month study. J Periodontol. 2009;80:244–252.
56. Pradeep AR, Sharma A. Autologous platelet rich fibrin in the treatment of mandibular degree II furcation defects: a randomized clinical trial. J Periodontol. 2011;82:1396–1403.
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Published
2018-02-04
How to Cite
Jose, K. P., Rajan, P., & Malagi, S. (2018). Combination of Coronally Advanced Flap and Platelet Rich Fibrin in The Treatment Of Millers Class I & II Gingival Recessions: A Systematic Review: Combination of Coronally Advanced Flap and Platelet Rich Fibrin. National Journal of Integrated Research in Medicine, 8(3), 135–144. https://doi.org/10.70284/njirm.v8i3.1262
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Review Article
