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Br J Dermatol (2014) 171(1):15561

Factors such as polymerization shrinkage of composite resin materials, mechanical stress, and adhesive degradation can lead to microgaps forming between the restoration and the tooth structure (Schwendicke et al., 2021)

After that initial period, it is common to continue injections monthly, though less frequent intervals might be OK if cobalamin blood levels are supportive