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These were accompanied by an enhanced immune response with upregulation of additional inflammatory-related genes and increased cytokine secretion. Thus, the homeostasis-like relationship was disrupted. Such profound knowledge of the host-microbe interaction at the peri-implant site may provide the basis to improve strategies for prevention and therapy of peri-implant diseases. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.Hybrid materials with hierarchical nan