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Diagnostic tests were done, in addition they were positive for anti-Leptospira antibodies, IgM and IgG; and spirochetes were seen on dark field microscopy and verified by Polymerase Chain Reaction (PCR). Doxycycline and platelet apheresis transfusion were utilized as therapy, which resulted in an extremely slow recovery. Resin-modified glass-ionomer cement (GC Fuji Plus) and two resin cements (Multilink Automix and Variolink II) were utilized. A total of 45 specimens, 15 specimens