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Changes in the global burden of untreated dental caries from 1990 to 2019: A systematic analysis for the Global Burden of Disease study.

Heliyon · 2022 · PMC9526157 · PMID 36193522

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a decreasing trendno p-value reported
During 1990–2019, the EAPC of ASIR in 27 countries and regions showed a stable trend, while ASPR and ASYR showed a decreasing trend, such as in Brazil, Japan, and Canada.

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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.