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Furthermore, the major drawback of surgical therapy for peri-implant disease seems to be that healing usually leads to marked gingival recession compromising the esthetic and functional result of the restoration (Schwarz et al. 2015); therefore, this type of treatment should be considered only in cases where non-surgical therapy was not effective.
These disparities can be explained by the fact that the aesthetic and functional result of a protocol can only really be evaluated in adulthood, when the child's growth is complete.
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However, Kumbaraci et al. [24] showed that the radiological and functional results of the volar plate group were better than those of the external fixator group.
Therefore, the aim of this systematic review was to evaluate the clinical and functional results of patients with distal fibular fractures treated with intramedullary devices.
Nevertheless, the clinical and functional results of prostheses have shown, during the last decades, a significant improvement that has gradually pushed their performances beyond their previous limits.
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