Barely Significant
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A comparative assessment of clinical parameters, sialic acid, and glycosaminoglycans levels in periodontitis patients with and without dental fluorosis: A clinical and biochemical study.

J Indian Soc Periodontol · 2020 · PMC7307471 · PMID 32773974

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a decreasing trendno p-value reported
As the degree of fluorosis increased, periodontitis also increased when gingivitis showed a decreasing trend.[ 14 ] Vandana and Reddy in 2007 reported that as the degree of fluorosis increased, severity of gingivitis reduced and periodontitis increased.[ 15 ] The estimation and comparison of biomarkers like SA and CS were done for the first time in FG and periodontitis patients.

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highly significantno p-value reported
Similarly, the GCF CS showed highly significant levels in fluorosis periodontitis (48.08 ± 18.13) group than the NFP group (26.95 ± 8.69).

also in 132,142 other papers

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.