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Where neurological involvement is suspected, IM hydroxocobalamin must be started urgently without waiting for blood test results to prevent irreversible nerve damage
Protein oxidation causes odd protein structure and function, involving enzyme inactivation and distublance of cell signal transduction, straightly influencing the activity of fibroblasts and osteoblasts (Sharifi-Rad et al., 2020), ( Moreover, DNA damage activates stress response mechanisms within cells, possibly causing apoptosis or mutation, further compromising the health of gingival tissues ( 2.3.3 Depletion of antioxidant systems During the prolonged progression of chronic periodontitis, oxidative stress persists, causing depletion and imbalance of antioxidant systems (Shang et al., 2023)
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