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Article History

Received: 25 May 2025

Accepted: 11 August 2025

First Online: 1 September 2025

Declarations

:

: Ethical approval for this study was provided by the Biomedical Research Ethics Committee of the Faculty of Dentistry, Damascus University (Approval ID: DN-150525-H27). The trial was retrospectively registered at the ISRCTN registry (ISRCTN19155058) on 29/05/2025. All participants signed written informed consent before enrollment. This study was conducted in accordance with the ethical principles of the Declaration of Helsinki.

: Not applicable.

: The authors declare no competing interests.

: The authors declare that there is no conflict of interest related to the publication of this study.