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These effects can be seen across multiple titanium surface topographies (machined, acid-etched, sandblasted, and nano-surfaces) [16, 51, 55, 88, 94, 95]

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Mean reductions were 8.7%, 17.1%, 22.8%, and 24.2% for the 1, 4, 8, and 12 mg groups respectively, versus only 2.1% in the placebo arm

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Andersson LE, Shcherbina L, Al-Majdoub M, Vishnu N, Arroyo CB, Aste Carrara J, Wollheim CB, Fex M, Mulder H, Wierup N, Spgel P

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These changes often initiate upwardly spiraling levels of oxidative damage and dysregulation of redox-based cellular communication systems

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