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Management of Class I and Class II Amalgam Restorations with Localized Defects: Five-Year Results.

Int J Dent · 2013 · PMC3569918 · PMID 23431302

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showed a trendno p-value reported
After an initial improvement in all treatment groups, all groups showed a trend to downgrade during the observation period in all parameters, except in secondary caries.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.