Ethics approval and consent to participate
Before beginning the study, ethical approval was obtained from the Research Ethics Committee of the Faculty of Dentistry, Alexandria University, Egypt (#IRB NO:0312 − 10/2021) and registered at the National Institutes of Health (No. NCT05538559) on (14/09/2022). Informed consent from the parents and/or legal guardians and the children’s consent to participate in the study were obtained. This study was conducted and reported according to the CONSORT guidelines and in accordance with the Declaration of Helsinki.