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Periapical surgery flap design

Flap design in periapical surgery should be adequate for the planned surgical procedure, offering good access to the zone surrounding the affected apexes without altering the soft-tissue circulation. A fullthickness flap including mucosa, submucosal connective tissue and periosteum should be raised. A description is provided of the most frequently used types of flaps in periapical surgery: 1 Principles of Flap Design• Local flap 1.outlined by a surgical incision 2.carries its own blood supply 3.allows surgical access to underlying tissues 4.can be replaced in the original position 5.can be maintained with sutures and is expected to heal  Used in oral surgical, periodontic, and endodontic procedures to gain access. 10

Introduction to periapical surgery. The different flap designs used in periapic oral surgery are shown along with the advantages and disadvantages of each.. The basic incision for exodontia is a sulcular incision that is sufficiently extended to allow access to the surgical site, while avoiding excess tension that can tear the flap. properly designed surgical flap is wider at its base to ensure adequate blood supply to the margins of the incisions

PRINCIPLES OF FLAP DESIGN • Local flap 1. outlined by a surgical incision 2. carries its own blood supply 3. allows surgical access to underlying tissues 4. can be replaced in the original position 5. can be maintained with sutures and is expected to heal Used in oral surgical, periodontic, and endodontic procedures to gain access Apical surgery is often a last resort, and is used to surgically preserve a tooth with a recurrent lesion of endodontic origin when conventional re-treatment is neither indicated nor clinically or financially feasible. Incision type and flap design are important factors to consider when outlining th

Flap design in periapical surgery should be adequate for the planned surgical procedure, offering good access to the zone surrounding the affected apexes without altering the soft-tissue circulation. The flap should be a firm continuous incision and not cross an underlying bony defect. If a vertical incision is needed, it should be in the. Generally, flap designs for dento-alveolar surgery must be of adequate size to permit maximal access with minimal trauma to the tissues and surgical area. They should be wider than the underlying bony defect. 2 For most oral surgical procedures, a 15 blade is utilised to create the wide-based incision Rules For Flap Design- The base is wider than the free margin.- Incision must not be placed over any bony defect.- Incisions that traverse a bony eminence should be avoided.- Sharp points at the corners of the flap should be avoided

Dr. Corcoran uses a full muco-periosteal flap (triangular type) in the surgery of maxillary left central incisor. Orig. air date: MAY 4 77This is part of the.. Flap design for surgical endodontics. Vreeland DL, Tidwell E. PMID: 6959060 [PubMed - indexed for MEDLINE] MeSH Terms. Evaluation Studies as Topic; Humans; Methods; Periapical Diseases/surgery* Surgical Flaps

When cor- rect preoperative diagnostic and surgical techniques are used, serious negative sequelae are rarely en- countered. Three simple steps used during presurgi- cal diagnosis, flap design, and surgery are presented to increase the practitioner's confidence and safety while performing mandibular periapical surgery Healing of soft tissue after different types of flap designs used in periapical surgery Wadhwani KK* and Garg A** ABSTRACT Healing following apical surgeries depend t a large extent on the soft tissue flap design. Different flap designs have been advocated and used, depending on the location and size of the peri-radicular lesion

Surgical skills: Besides all the obvious, like basic principles of flap design and tissue handling, the following should be done during apical surgery: 1. Periapical granuloma/cyst should be removed. 2. Must resect the root (s), best completed at a 3mm level from the apex. 3 1. J Endod. 1984 Jan;10(1):17-25. A comparative study of the wound healing of three types of flap design used in periapical surgery. Kramper BJ, Kaminski EJ, Osetek EM, Heuer MA

[PDF] Flap design: New perspectives in periapical surgery

  1. Periapical surgery is commonly performed in Oral & Maxillofical surgical practice. A proper surgical plan is important for the selection of flap design, adequate exposure of field, ease in surgery & finally good clouser resulting in good healing. A variety of flaps have been employed for access & i
  2. In oral surgery, flap design is dependent on local ana- tomical features that should be evaluated when planning the surgical procedure. In endodontic surgery many flap types were described to..
  3. When apical surgery is planned, in particular in the anterior maxilla (esthetic zone), the patient must be informed about the potential consequences related to a specific incision and flap design. The author has a preference of using the so-called papilla-base incision, and in the esthetic zone, the submarginal incision

apical surgery (2). The surgical treatment of an endodontic lesion has been divided into many clinical stages by different investigators (3, 4). Three of these stages during which the risk of mental nerve damage may be decreased are the preoperative diagnosis, flap design, and flap retraction The two-sided flap is a '3 cornered flap' that is essentially an envelope flap with a relieving incision either anterior or posterior. It is used in cases of surgical extraction that require reflection of the flap to enhance access to the surgical site in an apical direction Flap design. Two main flap designs used in endodontic surgery are full and limited mucoperiosteal flaps. Full mucoperiosteal flaps involve an intrasulcular horizontal incision with reflection of the marginal and interdental gingival tissue. They can be two- or three-sided or envelope-shaped Flap Design in Periapical Surgery 19 48 h and 7 days after the operative procedures included the suture materials in place. Measurements were made from the composite marker on tooth #25 to the height of the alveolar bone adjacent to it, to determine if any bony changes had.

Periodontal Flap Surgery - SlideShar

Flap design. According to the classic literature, the most commonly used mucoperiosteal flaps for apical access in the posterior part of the mandible are the envelope flap and the triangular flap with an obvious mesial releasing incision. The releasing incision preserves the distal vascular branches from the buccal artery free healing following periapical surgery. In addition, inflammatory changes persist for longer time in the intrasulcular and submarginal (Luebke-Ochsenbein) incision than in experemintal incision. So it was concluded that the new flap design could provide an alternative Abstract. The function of flap is to raise the soft tissue overlying the surgical site to give the best possible view to the operator and sufficient exposure of the area to be operated on with minimal postoperative complications.The objective of this study is to evaluate a new flap design for exposure of periapical lesion, also to compare it with other common flaps used in periapical surgery. The periapical surgery was performed using both the pre surgical model and the surgical template (Figure 1o-1p). The presurgical model helped in understanding the extent of the pathology. The template served in designing the extension of the flap around the lesion [4,5] To understand the indications for periapical surgery. To become familiar with the flap designs for periapical surgery. To become familiar with the principles of root-end resection, root-end cavity preparation, and root-end filling. To understand the advancements of periapical surgery. To understand the success rates in periapical surgery

Flap design in periapical surgery should be adequate for the planned surgical procedure, offering good access to the zone surrounding the affected apexes without altering the soft-tissue circulation. A fullthickness flap including mucosa, submucosal connective tissue and periosteum should be raised We've gathered our favorite ideas for Pdf Flap Design New Perspectives In Periapical Surgery, Explore our list of popular images of Pdf Flap Design New Perspectives In Periapical Surgery and Download Every beautiful wallpaper is high resolution and free to use. Download for free from a curated selection of Pdf Flap Design New Perspectives In Periapical Surgery for your mobile and desktop screens Flap Design Homan Zandi 2004. Free Gingiva Attached Gingiva Mucogingival Junction Alveolar Mucosa • The number of teeth involved in the surgery • The length and shape of the roots involved - Periapical Sugery Postrerior areas Homan Zandi. Intrasulcular Flap (Rectangular) • Indication

Flap Design on oral surgery Flap Design on dentistry. ochsenbein-luebke flap indication: prosthetic crown present; periapical surgery: anterior region and longer root; wide band of attached gingiva ; Advantage: ease in incision and reflection; enhanced visibility and acces When it comes to surgery and implant placement, treatment planning is the key to success. This means that the surgeon must have a specific plan for the flap design. The flap design depends on the area where the implant is to be placed. Is the implant to be placed in a posterior area or in an esthetic zone Indications for endodontic surgery include: 7 periapical endodontic surgery are anaesthesia, flap design, incision 1. and reflection of a full thickness flap, gaining access to the root apex, Where peri-radicular disease persists in an endodontically treated tooth, and retreatment is unsuccessful or unfeasible

Endodontic Surgery: Flap Design - YouTub

Flap Elevation: Retraction of the Gingiva or tissue to gain access to the periradicaular area is required. A localized flap design should be given to access the periradicular bone region of the tooth to be treated. A Vertical incision should be given apical to the junction of horizontal and vertical incision and elevate the flap The periapical surgery consists on the surgical extraction of the lesion that is at the end of the tooth root, next to the section of the end of the root (about 3mm). Usually is accompanied by a small preparation of the end of the cut off root and the sealing off it with an amalgam or special cement

The samples taken from the dogs sacrificed at Flap Design in Periapical Surgery 19 48 h and 7 days after the operative procedures included the suture materials in place. Measurements were made from the composite marker on tooth #25 to the height of the alveolar bone adjacent to it, to determine if any bony changes had occurred in the region of Flap designs in periapical surgery were clinically evaluated in relation to postoperative disfigured scar formation. Fifty nine systemically healthy patients who need endodontic periapical surgery were operated by means of two types of flap designs, i.e., semilunar and Luebke-Ochsenbein, followed by the continuous locking suture technique using. A comparative study of the wound healing of three types of flap design used in periapical surgery. A comparative study of the wound healing of three types of flap design used in periapical surgery J Endod. 1984 Jan;10(1):17-25. doi: 10.1016/S0099-2399(84)80248-4. Authors B J Kramper,. appropriate flap design(3). All flaps have distinct indications, advantages and disadvantages, but the experience and the choice of the surgeon according to the situation play a major role in determining the final outcome of the procedure(4). Key words endodontic lesion, Surgical endodontic , Periapical surgery. Abstrac During surgical endodontics the cortical bone is exposed by incising, elevating, and reflecting a full‐thickness tissue flap. Certain basic principles must be considered before deciding on the type of incision and flap design

the flap is more difficult to replace and to suture; also, gingival recession can develop if the flap is not reapproximated well, exposing crown margins or cervical root surfaces. 9. Periapical exposure Periapical exposure must be achievedafter full thickness flap elevation by using a sterile round surgical burr 3. The incision is 6 to 8 mm away from the bony defect created by surgery. 4. Gently handle the flap's edges 5. Do not place the flap under tension 6. Do not cross bony prominences, ex: canine eminence Principles of Flap Design B. Flap Dehiscence Principles of Flap Design C. Flap Tearing • Envelope flaps - to periapical surgery. The use of dental radiographs should, of course, be in accordance with national reg- Surgical flap design is variable and depends on a number of factors, including: • access to and size of the periradicular lesion The raised flap must be protected from damage an

Two basic flap designs, those with and those without vertical releasing incisions: • Envelope Flap: A flap that is released in a linear fashion at the gingival margin but has no vertical releasing incision(s). • Pedicle Flap: If two vertical releasing incisions are included in the flap design Simultaneous Root Canal Treatment and Apical Surgery Anatomic Considerations Poor Crown and Root Ratio Medical (Systemic) Complications Surgical Procedure Flap Design Semilunar Incision Submarginal Incision Full Mucoperiosteal Incision Anesthesia Incision and Reflection Periapical Exposure Curettage Root End Resectio

We've gathered our favorite ideas for Flap Design New Perspectives In Periapical Surgery Dt, Explore our list of popular images of Flap Design New Perspectives In Periapical Surgery Dt and Download Every beautiful wallpaper is high resolution and free to use. Download for free from a curated selection of Flap Design New Perspectives In Periapical Surgery Dt for your mobile and desktop screens Al-Rafidain Dental Journal (2008-04-01) . The Effect of Flap Design on Wound Healing after Periapical Surgery: A Comparative Study

PERIAPICAL SURGERY Assignment Help & Homework Help - PERIAPICAL SURGERY Periapical (i.e., periradicular) surgery includes resection of a portion of the root that contains undebrided or unobturated (or both) The following eleven steps, with modifications as appropriate, make up the typical approach: (1) flap design, (2) incision and. Success in surgical endodontics depends upon the correct selection of case, proper endodontic procedure, obturation and proper surgical endodontic procedure. 1 The initiation of surgery should be based purely on the selection of flap design, considering exposure of field, ease in surgery, assistance and finally good closure resulting in good. The incision and flap design is one of the important steps in periapical surgery. Each type of incision is associated with complications like wound dehiscence, gingival recession and scarring. These complications must be anticipated and incorporated into pre-surgical planning [ 1 ]

Flap Design for Minor Oral Surger

  1. Keywords: apical surgery ,flap design, papilla base incision, scarring ,papilla healing. INTRODUCTION The ultimate goal in periapical surgical is the eradication of periapical pathosis using properly designed flaps for the purpose of preserving the periodontal condition of the surrounding area.
  2. Flap design in periapical surgery should be adequate for the planned surgical procedure, offering good access to the zone surrounding the affected apex without altering the circulation in either the mobilized or nonmobilized soft tissue. It depends upon the location and extent of the apical lesion, the periodontal condition of the.
  3. Apical surgery is often a last resort, and is used to surgically preserve a tooth with a recurrent lesion of endodontic origin when conventional re-treatment is neither indicated nor clinically or financially feasible. Incision type and flap design are important factors to consider when outlining.
  4. Next, Ruddle and Lisette discuss the importance of intentionally defining a culture in your practice, as highlighted in the March 2021 issue of Dentaltown, and they subsequently discuss how to accomplish this. Then, Ruddle is back at the board for Surgery 101, this segment focusing on flap design
  5. Adjunctive Surgery Pathogenesis Of Pulp and Periapical Lesions Topics To Be Covered •Pathogenesis Of Pulp and Periapical Lesions •Success Rate of Root Canal Treatment •Etiology of Non-healing Initial Endodontic Treatment Periradicular Surgery •Local Anesthesia •Flap Design and Elevatio
  6. Comparative Study Between Two Flaps—Trapezoidal flap (TZF) and Ocshenbein-Leubke Flap (OLF) in Periapical Surgeries. Download. Related Papers. Scarring of gingiva and alveolar mucosa following apical surgery: visual assessment after one year. By Thomas Von Arx. Complications in Endodontic Surgery

Lubow (1984)- Endodontic flap design: Analysis and recommendations for current usage. (Papilla Based Incsion) The horizontal component of this flap is directed at and along a straight line drawn across the most apical extent of the facial gingival scallop The apically positioned flap is a commonly used surgical approach to achieve pocket elimination. This technique is important for maintaining an adequate zone of keratinized tissue, as opposed to the gingivectomy technique, where soft tissue is resected. Dr. Adam Bear discusses the advantages this procedure has for surgical crown-lengthening procedures C. Instrument obliterates apical third of the canal D. Instrument is in middle # In periapical surgery, which of the following flap designs limit access to the operative site and often heals with scar formation: A. Envelope B. Rectangular C. Semilunar D. Triangular # RCT treated roots with well filled post and core, has a periapical radiolucency Kramper B J, Kaminski E J, Osetek E M, Heuer M A. A comparative study of the wound healing of three types of flap design used in periapical surgery. J Endod 1984; 10: 17-25. 12

Apical surgery is often a last resort, and is used to surgically preserve a tooth with a recurrent lesion of endodontic origin when conventional re-treatment is neither indicated nor clinically or financially feasible. Incision type and flap design are important factors to consider when outlining the surgical area: the first must ensure optimal. periapical surgery will be done followed by placement of mixture of iPRF and type 1 collagen granules Active Comparator: Periapical surgery without any guided tissue regeneration Patients with through and through periapical lesion will undergo periapical surgery and flap closure done At its core, periapical surgery treatment is the removal of a periapical lesion by resecting the apical portion of the root followed by disinfection and sealing of the apical portion of the remaining root canal 3. Yet, before any of this can be done, access to the apex must be made through creation of a well-designed gingival flap

Incision techniques and flap designs for apical surgery in

  1. Flap design According to the classic literature, the most commonly used mucoperiosteal flaps for apical access in the posterior part of the mandible are the envelope flap and the triangular flap with an obvious mesial releasing incision. The releasing incision preserves the distal vascular branches from the buccal artery. Considerin
  2. flap, para marginal flap, and comma shaped flap. The most common postoperative complaints including pain, trismus, swelling and wound dehiscence that influence the patient's quality of life in the week following surgery. Intraoral suture and flap techniques affect these postoperative complications [6]
  3. A comparative study of the wound healing of three types of flap design used in periapical surgery. 1984 In this study, conducted under non-pathologic conditions, the submarginal incision demonstrated better results than the semilunar or intrasulcular incisions, except in the area of scar formation
  4. Three-dimensional (3D) technology has gained wide acceptance in dentistry. It has been used for treatment planning and surgical guidance. This case report presented a novel treatment approach to remove cortical bone and root-end during periapical surgery with the help of Cone-Beam Computed Tomography (CBCT), Computer Aided Design (CAD) and three-dimensional (3D) printing technology
  5. ation and magnification. Complex clinical cases. Periapical surgery has been used for a long time in patients with periapical disorders. The massive introduction of dental implants in dental practice has not displaced apical.
  6. CE: 1.5Course Description: Advanced endodontic surgery requires in addition to proper retrograde root canal treatment also perfect soft tissue management. During this lecture both innovative aspects of state-of-the-art flap-designs and completely new types of incisions for specific clinical situations will be presented and discussed
  7. Periapical surgery (PAS) is commonly performed to remove a portion of the root with undebrided canal space or to seal the canal apically when a complete seal cannot be accomplished with nonsurgical root canal treatment through an orthograde approach. The typical sequence of procedures in PAS is as follows: flap design, incision and.

# When designing a flap for a periodontal surgery, which of the following findings is most influential? A. Probing depth B. Frenum attachment level C. Vestibular depth D. Quantity of attached gingiva E. Presence of intrabony defec Kramper BJ, Kaminski EJ, Osetek EM, Heuer MA (1984) A comparative study of the wound healing of three types of flap design used in periapical surgery J Endod 10:17-25 Lutz A, Schlegel M (2000) Die Wurzelspitzenresektion - verschiedene Techniken der Schnittführung Quintessenz 51: 453-45 عنوان کنگره / همایش: soft tissue management and flap design in periapical surgery , مقدونیه اوهرید , سومین کنگره جراحی فک و صورت بالکان , اطلاعات کلی مقاله . نویسنده ثبت کننده مقاله. A modified flap design introduced the ability to transfer adjacent tissue of the cutaneous upper lip to reconstruct the apical triangle subunit. CONCLUSION . This flap modification is a simple and efficient method of repairing peri-alar defects that restores the apical subunit, preserving facial symmetry Flap and incision design in implant surgery: clinical and anatomical study. Download. Surg Radiol Anat (2009) 31:301-306 DOI 10.1007/s00276-008-0431-5 A N A T O M I C B A S E S O F M ED I C A L , R A D I O L O G I C A L A N D S U R G I C A L T E C H N I Q U E S Flap and incision design in implant surgery: clinical and anatomical study Ramazan.

Flap Techniques in Dentoalveolar Surgery IntechOpe

The main objective of periodontal flap surgical procedures is to allow access for the cleaning of the roots of teeth and the removal of the periodontal pocket lining, as well as to treat the irregularities of the alveolar bone, so that when gingiva is repositioned around the teeth, it will allow for the reduction of pockets, infections, and. FLAP DESIGN In surgical exodontia, a full-thickness mucoperiosteal flap is the type of flap used to facilitate the removal of the desired tooth or root fragment. Reasons for reflecting the flap are to 1. Allow for complete visualization of the operative field 2. Prevent unnecessary trauma to the adjacent soft tissue when removing bone or teeth 3. Provide an adequate working area that allows. Flap Design for Minor Oral Surgery 1. Flap Design for Minor Oral Surgery Presenter: R1 鄭瑋之 Instructor: VS 陳靜容醫師 2012/2/2

Flap Design in Dento-alveolar Surgery Geeky Medic

There are a host of other factors that affect visibility such as hemeostasis, appropriate flap design to exposure the surgical site, etc. Perhaps in another future blog post I will tackle those issues, but for now let us move on to the second category of this blog which is the skill and comfort of the operator. 2. This is the more subjective or. Abstract. The planning and design of any incision in the esthetic zone should be carried out based on biologic principles and with careful consideration of the desired esthetic outcome. Different incision and flap designs have been identified for implant and implant-related surgeries in the esthetic zone. Those include; flapless, vestibular. The flap design differs depending on the integrity of the bone over the roots, the amount and nature of the attached gingival tissue, the anatomy of the jaw and the absence or presence of fixed dental appliances. Basically, there are two flap designs: triangular (one releasing incision) and rectangular (two releasing incisions) A comparative study of the wound healing of three types of flap design used in periapical surgery. Kramper BJ, Kaminski EJ, Osetek EM, Heuer MA. Journal of Endodontics, 01 Jan 1984, 10(1): 17-25 DOI: 10.1016/s0099-2399(84)80248-4 PMID: 6586957 . Share this article Share with. The design for the flap should also facilitate wound closure once the surgical task is complete. Most flaps are created to aid in the removal of teeth, especially erupted teeth, either when simple elevation and luxation fails to mobilize the tooth, or when the crown fractures and there is nothing to which the forceps can be applied

Endodontic surgery - SlideShar

Periapical Surgery: Muco-Periosteal Flap - YouTub

The apicoectomy flap design has been introduced and extensively used by endodontists to gain access to the apical aspect of the tooth root for surgical api-coectomy.33,34 The flap design calls for a semilunar inci-sion34 that usually remains in the mucosa, although it may extend into the apical edge of the masticator One of the most important tenets of flap surgery is achieving a tension-free closure. To minimize tension on a mucoperiosteal flap, a release of the periosteum can be done either via blunt or sharp dissection, apical to the mucogingival line. The periosteum is a translucent membrane that is best identified at the most apical portion of a. Besides all the obvious, like basic principles of flap design and tissue handling, the following should be done during apical surgery: 1. Periapical granuloma/cyst should be removed. 2. Must resect the root(s), best completed at a 3mm level from the apex. 3

Flap design for surgical endodontics

Apicoectomy | Pocket DentistryFlap Design for Minor Oral Surgery

Avoiding the mental foramen during periapical surgery

Apical Surgery - To Do or Not To D

In the dental specialty of endodontics, periradicular surgery is surgery to the external root surface. Examples of periradicular surgery include apicoectomy, root resection, repair of root perforation or resorption defects, removal of broken fragments of the tooth or a filling material, and exploratory surgery to look for root fractures.. Symptoms may be due to infection in the periradicular. Unit 2: Flap design and suturing techniques for apical surgery. Unit 3: Bioactive sealers for orthograde & retrograde filling. Unit 4: Hands-on Surgical training on apicectomy (Root-end surgery) Shihab Romee Objectives: The aim of this study is to evaluate the intensity of post-surgical pain and swelling experienced by patients who had undergone lower third molar and periapical surgery {(L3MS),(PAS)}, and also to investigate the impact of age and gender on the same parameters. . Methods: The study involved 86 patients; some of whom underwent L3MS (n=46), while the others had PAS (n=40), all.

A comparative study of the wound healing of three types of

Surgical endodontics has reported success rates of 44-95%. Limited evidence shows short term surgical is favourable but non-surgical retreatment has a more favourable long term outcome. In this guideline, the combined procedure of, root-end resection, apical curettage and root-end filling is described 2.2. Periapical Surgery. During periapical surgery, the operating site was anesthetized with 2% lignocaine containing 1 : 100,000 adrenaline. The Luebke-Oschenbein flap was designed, and once the flap was raised, there was a buccal bone resorption which presented as a small hole measuring Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review. J Endod. 2006 Jul;32(7):601-23. Kramper BJ, Kaminski EJ, Osetek EM, Heuer MA. A comparative study of the wound healing of three types of flap design used in periapical surgery. J Endod. 1984 Jan;10(1):17-25. Lindeboom JA, Frenken JW, Kroon FH, van den Akker HP Speaker: Leandro A P. Pereira, D.D.S., M.S., Ph.D |Since the introduction of new technical concepts such as the use of magnification-associated ultrasound and new calcium silicate-based hydraulic materials in apical surgery in the 1990s, the success rate of the now-called Apical MICROsurgery has increased significantly

Apical surgery: A review of current techniques and outcome

Flap design: New perspectives in periapical surger

  1. Pdf Flap Design New Perspectives In Periapical Surgery
  2. dental: Flap Design on oral surger
  3. Principles of flap design in dental implantology - ITI Blo

Apicoectomy - Definition, Indications, Contraindications

  1. Periapicial Surgery - Sila
  2. Types of flap design in oral surgery - flaps in oral surger
  3. Flap Design and Disfigured Scar Formation in Periapical
  4. Soft tissue management: flap design, incision, tissue
  5. Flap Design For Minor Oral Surgery [od4p8d2m8rnp
  6. Flap Design New Perspectives In Periapical Surgery Dt
(PDF) THE RESTORATION OF ANATOMY OF THE MARGINALDiagnosis and Management of A Maxillary Periapical CystArmamentarium for basic oral surgeryPerio flaps
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