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surgical periodontal therapy slideshare

surgical periodontal therapy slideshare

Many are downloadable. These pockets can gather plaque and need treatment. Periodontal diseases are infections in the structures around the teeth. In some cases, it could be non-surgical or surgical. In addition, the surgical modality of therapy resulted in more attachment loss than the non-surgical approach when used in sites with initially shallow pockets. Penmetsa Subadhra Gautami, Alluri Venkata Ramaraju, Madiraju GunaShekhar, Adjunctive use of tetracycline fibers with nonsurgical periodontal therapy in an adult with Down syndrome: a case report, Special Care in Dentistry, 10.1111/j.1754-4505.2012.00237.x, 32, 2, (61-65), (2012). 1983;10:148–156. Treatment is done using local anesthetic and treatment time is only one to two hours. Optimal dose and duration of amoxicillin-plus-metronidazole as an adjunct to non-surgical periodontal therapy: A systematic review and meta-analysis of randomized, placebo-controlled trials J Clin Periodontol. perio surgery treatment procedure O SlideShare utiliza cookies para otimizar a funcionalidade e o desempenho do site, assim como para apresentar publicidade mais relevante aos nossos usuários. 1) (5). Objectives of the Surgical Phase 1. You can change your ad preferences anytime. Other more subtle systemic and environmental issues ma… Upcoming SlideShare. If you continue browsing the site, you agree to the use of cookies on this website. 2. View Phase 1 Periodontal Therapy PPTs online, safely and virus-free! SUCCESSFUL TREATMENTS FOR ADVANCED PERIODONTAL DISEASE periodontal regeneration linkedin slideshare May 31st, 2020 - periodontal regeneration 1 periodontal regeneration presented by prableen arora mds student 2 terminology acc to glossary of periodontal terms a graft is any tissue or an used for implantation or … REGENERATIVE PERIODONTAL THERAPY LINKEDIN SLIDESHARE. Get ideas for your own presentations. Analyze laboratory tests : fasting blood glucose and casual glucose. Non surgical periodontal therapy by Dr. Abhishek Gaur Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. undergoing periodontal therapy. Background: The aim of this systematic review is to evaluate the long term (≥ 2 years) effect of four surgical and non-surgical therapies in treating periodontal disease. Periodontal surgery 1. See our Privacy Policy and User Agreement for details. The first step of periodontal therapy is always cause-related therapy, aimed at obtaining patient compliance, reduction of oral bacterial loads, and control of gingival infection. If you continue browsing the site, you agree to the use of cookies on this website. Although mechanical non-surgical and surgical therapy continues to dominate other treatment approaches in the treatment of periodontal disease, its inability to completely eliminate periodontal pathogens from the soft tissues and hard tissue surfaces and within other niches in the oral cavity may cause recolonization of these pathogens leading to reinfection [1, 2]. If you continue browsing the site, you agree to the use of cookies on this website. Barkann et al. During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria before securing the tissue into place. INTRODUCTION Periodontal treatment includes; Systemic evaluation of the patient’s health A cause-related therapeutic phase with, in some cases A corrective phase involving periodontal surgical procedures Maintenance phase The 3rd World Workshop of the American Academy of Periodontology (1989) renamed this treatment phase “SUPPORTIVE PERIODONTAL THERAPY”(SPT) Comprehensive Periodontics for the Dental Hygienist, Chapters 9, 12; 2 Learning Objectives. During this phase, procedures are undertaken to reduce the effects of disease. 1982 Jul;9(4):323-36. doi: 10.1111/j.1600-051x.1982.tb02099.x. The effectiveness of periodontal therapy is predicated on success in completely eliminating calculus, plaque, and diseased cementum from the tooth surface. Wound healing The healing of wounds in nonoral sites has been studied in great detail (Fig. Recent advances in new wavelengths, delivery units, and power maximums have refocused the use of lasers on both the soft and/or hard tissues (Table 65-1). Consult the patient’s physician. 39. 1. Minor adjustments ca… 1975;2:67–79. Upcoming SlideShare. Periodontal instruments, surgery 1. Crossref. A periodontal pocket reduction procedure has been recommended because you have pockets that are too deep to clean with daily at-home oral hygiene and a professional care routine. • Identify the techniques and applications for nonsurgical periodontal therapy procedures. This chapter focuses on the issues relating to the relative effectiveness of non-surgical vs. surgical periodontal therapy. Surgical periodontal therapy and implant therapy in the esthetic zone requires esthetic considerations. Phase II therapy is the surgical phase of treatment. Now customize the name of a clipboard to store your clips. Regenerative techniques are performed to help restore periodontal tissues that have been lost due to disease. Americans with Disabilities: 2010. Clipping is a handy way to collect important slides you want to go back to later. Non-Surgical Treatment. This tissue is removed to the base of the underlying bone, and the new tissue is allowed to granulate in. You can change your ad preferences anytime. A number of treatment procedures, such as gingival curettage and aggressive removal of contaminated root cementum, have been unlearned. 16 17. ABSTRACT Periodontitis is a biofilm infection with a mixed microbial aetiology. PERIODONTAL SURGERY Periodontal surgery is an essential part of modern periodontal therapy. General guidelines for periodontal surgery: instruments, local anesthesia, periodontal dressing, suturing. • Describe the short- and long-term goals of nonsurgical periodontal therapy. At completion of nonsurgical cause-related therapy, patients have to be carefully reevaluated. Harrel SK, Wilson TG Jr and Rivera-Hidalgo F, (2 013). The American Dental Association states that the treatment is aimed to prevent further advancement of the disease, and it is a lifelong plan for treatment. Current modalities for managing periodontal diseases of children and adolescents may include antibiotic therapy in combination with non-surgical and/or surgical therapy. This recession is expected in modified Widman flap surgery as the internal bevel incision is given 0.5-2 mm away from the gingival margin. Prof. Enas Elgendy 2. Periodontal treatment of patients with bleeding disorders. Nonsurgical therapy remains the cornerstone of periodontal treatment. After periodontal surgery during healing, there is shrinkage of gingiva which may cause recession. This applies not only to periodontal surgery but also to oral surgery and implant surgery. Of the numerous periodontal surgical techniques, the oft-modified Widman flap (“Modified Wid-man Flap,” MWF) remains the standard procedure for open periodontitis therapy (Widman 1918, Ramfjord & Nissle 1974, Ramfjord 1977). Improvement of the prognosis of teeth and their replacements. The cost of periodontal surgery varies greatly depending on the type of procedure and the severity of your disease. Intrabony periodontal defects present a clinical challenge in the treatment of periodontal disease and maintenance of compromised teeth. A number of treatment procedures, such as gingival curettage and aggressive removal of contaminated root cementum, have been unlearned. Visualization Technology, Ho boken, NJ: J ohn Wiley & Sons:81-116. Patients typically have needed only over the counter pain medicine post treatment. Since the early twentieth century, periodontal surgery has been used to help dentists control the progression of periodontal disease. Periodontitis is generally treated by non-surgical mechanical debridement and regular periodontal maintenance care. See our User Agreement and Privacy Policy. (2) described the procedure known as curettage, the surgical elimination of the epithelial lining of the pocket. This recession is expected in modified Widman flap surgery as the internal bevel incision is given 0.5-2 mm away from the gingival margin. Phase III therapy usually involves restorations and replacement of missing teeth. After periodontal surgery during healing, there is shrinkage of gingiva which may cause recession. Looks like you’ve clipped this slide to already. • Localized gingival recession and root exposure may represent an esthetic problem to the patient, and it is often associated with root sensitivity. This review aims to highlight concepts relating to nonsurgical and surgical periodontal therapy, which have been learned and unlearned over the past few decades. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Comprehensive Periodontics for the Dental Hygienist, Chapters 9, 12; 2 Learning Objectives. Title: Non-Surgical Periodontal Therapy 1 Non-Surgical Periodontal Therapy. If you continue browsing the site, you agree to the use of cookies on this website. Surgical pocket therapy can be directed toward (1) access surgery to ensure the removal of irritants from the tooth surface or (2) elimination or reduction of the depth of the periodontal pocket. Surgery on gum and bone can reduce pocket depth and save a tooth or teeth. 28,46,52,67,86 They were initially used for removing hard tissue and caries but offered little benefit over standard rotary instruments. It allows the dentist to remove tartar deep below the gumline. periodontal surgical procedures, to discuss the basic principles of periodontal regeneration, and to illus-trate the factors that influence this process. Phase I therapy or cause-related therapy 10 is the first in the chronologic sequence of procedures that constitute periodontal treatment. Lasers were first used in the 1960s for dental applications. Scaling – This is a process where … Attention to detail, patient compliance and proper selection of adjunctive antimicrobial agents for sustained plaque control are important elements in achieving successful long-term results. BDS (UiTM). Share yours for free! J Clin Periodontol. Surgical periodontal therapy and implant therapy in the esthetic zone requires esthetic considerations. When it does not achieve periodontal health, surgery may be indicated to restore periodontal health. See our Privacy Policy and User Agreement for details. Looks like you’ve clipped this slide to already. Now customize the name of a clipboard to store your clips. Some are under the patient’s control, and may, therefore, require lifestyle changes to achieve significant modification. 2. Learning Outcomes • Define nonsurgical periodontal therapy. It is generally accepted that mechanical debridement is at the core of any periodontal therapy (Van Dyke and Serhan, 2003). • When less invasi ve therapy (i.e., non -surgical periodontal therapy, Flap procedures) has failed to eliminate disease . Although advances in root instrumentation techniques and antibiotic therapy have improved the available treatments for periodontal infections, periodontal surgery will continue to be a necessary procedure in the foreseeable future. Since early diagnosis ensures the greatest chance for successful treatment, it is important that children receive a periodontal examination as part of their routine dental visits. The gingivectomy (figure 1) is a technique used to excise excess gingiva without much consideration to shaping the underlying bone. Surgical pocket therapy can be directed toward (1) access surgery to ensure the removal of irritants from the tooth surface or (2) elimination or reduction of the depth of the periodontal pocket. Kindly Ignore those … Many are downloadable. Understand the differences between periodontal debridement, scaling, root planing de-plaquing ; Discuss the goals rationale for non-surgical therapy 3. Diagnostic Criteria for Diabetes Mellitus. Invasive Periodontal Therapy: Clinical Techniques and. Periodontal Esthetic Applications and Functional Crown Lengthening . See our User Agreement and Privacy Policy. Non-surgical periodontal treatment does have its limitations. 43. Methods: An electronic search of four databases and a hand search of peer-reviewed journals for relevant articles were conducted. Ass. With the new Pinhole Surgical Technique, we can treat all the affected teeth in one session, although patients can also opt for treating just one arch or quadrant at a time. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Periodontal treatment seeks to halt gum disease and its effects on the health and integrity of your teeth. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Systemic antibiotics in periodontal therapy LJA Heitz-Mayfield* *Centre for Rural and Remote Oral Health, The University of Western Australia. Author information: (1)Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI. View Phase 1 Periodontal Therapy PPTs online, safely and virus-free! Periodontists, such as those at IPI of Torrance, receive up to three years of additional, specialized training in treating periodontal disease with nonsurgical and surgical procedures. This review aims to highlight concepts relating to nonsurgical and surgical periodontal therapy, which have been learned and unlearned over the past few decades. 2018 Jan;45(1):56-67. doi: 10.1111/jcpe.12830. Mesial/Distal Wedge A mesial/distal wedge procedure is indicated for the following : Learn new and interesting things. Title: Non-Surgical Periodontal Therapy 1 Non-Surgical Periodontal Therapy. Lecture outlines • Definition • Indication of flap surgery • Classification of flaps • Advantages of the periodontal flap • Types of Incisions • Flap techniques for pocket therapy: 1. The bleeding disorders are clinically confirmed by the case history of the patient. Drs. Get ideas for your own presentations. Examine your mouth to look for plaque and tartar buildup and check for easy bleeding. Brault MW. Scaling and Root Planing. In our opinion, patients are more motivated to accept treatment recommendations when they are given the opportunity to see infection in their own mouths and they understand the value of treating periodontal disease in relation to their overall health. If a patient is suspected of having undiagnosed diabetes, the following procedures should be performed: 1. Learn new and interesting things. Osseous Surgery is not indicated for teeth with a hopeless prognosis . Loading in ... “ In patients with chronic periodontitis,what is the effect of smoking or smoking cessation on the response to non-surgical periodontal therapy in terms of clinical and patient-centered outcomes?” ( Labriola et al. ) J Clin Periodontol. For descriptive purposes, a rather broad distinction can be drawn between periodontal surgical techniques used to treat. Controlling Systemic Risk Factors.Several risk factors have well established associations with both periodontal and systemic diseases, such as diabetes, smoking, stress, immunodeficiency, medications, obesity, hormones, and nutrition. Clipping is a handy way to collect important slides you want to go back to later. Non-Surgical Treatments Currently, lasers are used in periodontal therapy for (1) surgical procedures such as gingivectomy and osseous crown lengthening, (2) nonsurgical therapy, and (3) the surgical management of pathological changes resulting from periodontal disease. A longitudinal study of periodontal therapy in cases of advanced disease. Loading in ... single rooted teeth and posterior teeth with intact furcation respond better - Surgical periodontal therapy in pockets of > 5mm results in better outcome as reported By Kaldahl et al 21. Since the mid-1900s we’ve known that soft-tissue resection alone fails to eliminate periodontal pockets. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. PERIODONTAL SURGERY Periodontal flaps Ass. Treatments for such conditions include scaling and root planing, non-surgical periodontal therapy, regenerative procedures, pocket reduction procedures, bone grafting, functional crown lengthening, and gum grafting. Gum disease treatments may cost between $500 and $10,000 . Prepared by James Ramos and Scott Froum give an overview of the current surgical techniques for periodontal pocket elimination: curettage, gingivectomy, osseous surgery through the palatal flap, and laser-assisted pocket-reduction treatment. 1. 1984) 6. Laser therapy has the potential to be an effective, minimally invasive procedure in periodontal therapy. Regenerative techniques for periodontal therapy, No public clipboards found for this slide. Reconstructive periodontal therapy Some of the slides may appear Blank/White/Black, those are the Videos that I added in the presentation. Dr. Aalam became a Doctor of Dental Surgery at the University of Nice Sophia Antipolis, France, in 2000 and enjoys fluency in both English and French. Antibiotic therapy for medical indications has been discussed elsewhere and will not be consid- ered here.1,2 This position paper is concerned with the use of antibiotics in the treatment of periodontitis lesions. Long-Term Effect of Four Surgical Periodontal Therapies and One Non-Surgical Therapy: A Systematic Review and Meta-Analysis. If nonsurgical treatments can’t reduce pocket depth, surgery may be needed. They receive up to three additional years of specialized training in periodontal disease treatment in both non-surgical treatments and periodontal plastic surgery procedures. Periodontists are also experts in replacing missing teeth with dental implants. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Mohammad Al-Isa, Mohanned Alotibi, Hashem Alhashemi, Fahad Althobiani, Alaa Atia, Sameh Baz, Effect of Non-Surgical Periodontal Therapy on the Fibrinogen Levels in Chronic Periodontitis Patients, The Saudi Dental Journal, 10.1016/j.sdentj.2018.12.001, (2018). The aim of the present review was to survey the relevant literature on the clinical application of lasers as a minimally invasive treatment for periodontitis and peri‐implant disease. Usually, most of the patients are under medical supervision for their condition. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Westeelt E, Nyman S, Socransky S, Lindhe J. Step 1. Share yours for free! "Critical probing depths" in periodontal therapy J Clin Periodontol. Prof. Enas Elgendy. Se você continuar a navegar o site, você aceita o uso de cookies. To determine whether you have periodontitis and how severe it is, your dentist may: 1. Review your medical history to identify any factors that could be contributing to your symptoms, such as smoking or taking certain medications that cause dry mouth. For optimal treatment results, systemic risk factors must be modified or eliminated. Current techniques are based on a sound understanding of wound healing and therefore enhance and maximize the bodys healing potential. Periodontists are dentistry's e xperts in treating periodontal disease. as an adjunct to surgical and non-surgical periodontal therapy. Dr.Nurhuda Abdul Alim Araby Selection of the appro- priate incision technique is one of the main preconditions for a complication-free healing process involving minimum esthetic impairment. If you continue browsing the site, you agree to the use of cookies on this website. Dr. Salar Zeinali Oct.2013 2. • Describe the process of healing after periodontal debridement procedures, scaling, and root planing. The association between periodontitis and hypertension was also supported by a randomized controlled trial of non-surgical periodontal therapy. Periodontal flaps Box 37-2. This procedure facilitates connective tissue to lie in direct contact with planned root surfaces in order to reattach before the epithelium. Epub 2017 Nov 21. He then went on to complete his certificate in Advanced Periodontology and Implantology at the prestigious University of Southern California in 2003. Periodontal therapy has limited success in the presence of undiagnosed or poorly controlled diabetes. • Periodontal treatment, both surgical and nonsurgical, results in recession of the gingival margin after healing (Isidor et al. Types of bone and membrane used in guided tissue regeneration, Tissue engineering and periodontal regeneration, Localized bone augmentation and implant site development, No public clipboards found for this slide. Improvement of periodontal status, following IPT, was directly related to the 24-h BP profile improvement. Periodontal disease can cause pockets to form between the tooth and gum. Significance of frequency of professional tooth cleaning for healing following periodontal surgery. Mailoa J(1), Lin GH(1), Khoshkam V(2), MacEachern M(3), Chan HL(1), Wang HL(1). Improvement of periodontal therapy for a complication-free healing process involving minimum esthetic.... Effective, minimally invasive procedure in periodontal therapy, patients have to be reevaluated. Identify the techniques and applications for nonsurgical periodontal therapy hard tissue and removes the disease-causing bacteria before securing tissue. Peer-Reviewed journals for relevant articles were conducted is an essential part of modern periodontal therapy,.... Bleeding disorders are clinically confirmed by the case history of the underlying bone, and planing. Patient, and root exposure may represent an esthetic problem to the patient S! To collect important slides you want to go back to later the effectiveness of periodontal therapy by Abhishek! Descriptive purposes, a rather broad distinction can be drawn between periodontal surgical procedures, such as gingival curettage aggressive... Receive up to three additional years of specialized training in periodontal therapy and Rivera-Hidalgo F (. Activity data to personalize ads and to provide you with relevant advertising where Barkann... And Oral Medicine, University of Southern California in 2003 Learning Outcomes • nonsurgical... Lie in direct contact with planned root surfaces in order to reattach before the epithelium it often! Treatment does have its limitations exposure may represent an esthetic problem to the use of cookies this... Represent an esthetic problem to the base of the slides may appear Blank/White/Black, those are Videos... 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Dressing, suturing to Oral surgery and implant surgery be needed is of. During this procedure, your periodontist folds back the gum tissue and caries but offered little benefit surgical periodontal therapy slideshare standard instruments. Personalize ads and to show you more relevant ads, suturing history of the pocket procedure known curettage. Xperts in treating periodontal disease treatment in both non-surgical treatments and periodontal plastic surgery procedures (,. Up to three additional years of specialized training in periodontal therapy 1 non-surgical periodontal has. The prognosis of teeth and their replacements is at the core of periodontal... Wounds in nonoral sites has been studied in great detail ( Fig in modified Widman surgery. Both non-surgical treatments non-surgical periodontal therapy gingival curettage and aggressive removal of contaminated root cementum, have been.... 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Therapy ( Van Dyke and Serhan, 2003 ), your periodontist folds back the gum tissue caries... Gingival curettage and aggressive removal of contaminated root cementum, have been unlearned the gum tissue and the! Systematic Review and Meta-Analysis little benefit over standard rotary instruments also supported by a randomized controlled trial of periodontal! Periodontal diseases are infections in the structures around the teeth caries but offered little benefit over standard instruments... Agree to the base of the prognosis of teeth and their replacements completely calculus. ):56-67. doi: 10.1111/j.1600-051x.1982.tb02099.x based on a sound understanding of wound healing therefore. To provide you with relevant advertising less invasi ve therapy ( Van and! A randomized controlled trial of non-surgical periodontal treatment does have its limitations relevant articles were conducted changes to achieve modification... And $ 10,000 maximize the bodys healing potential potential to be an effective, minimally procedure. Calculus, plaque, and the new tissue is removed to the of. Treatments may cost between $ 500 and $ 10,000 of four databases and a hand search of peer-reviewed for... Periodontal tissues that have been unlearned, following IPT, was directly related to use... Of any periodontal therapy hand search of four surgical periodontal therapy, patients have to be carefully.... Gingival curettage and aggressive removal of contaminated root cementum, have been unlearned and a hand search peer-reviewed. Treatment time is only one to two hours implant surgery When less invasi ve (. Bleeding disorders are clinically confirmed by the case history of the prognosis of teeth their! Surgery but also to Oral surgery and implant therapy in the esthetic zone requires esthetic considerations of... In advanced Periodontology and Implantology at the core of any periodontal therapy Dr.. Bone can reduce pocket depth and save a tooth or teeth bodys healing potential described the procedure known as,! Restore periodontal tissues that have been unlearned general guidelines for periodontal therapy some the... Case history of the gingival margin is done using local anesthetic and treatment time only! Show you more relevant ads be drawn between periodontal surgical procedures, scaling, to. Reduce pocket depth and save a tooth or teeth internal bevel incision is given mm. Is not indicated for teeth with Dental implants therapy J Clin Periodontol the presence of undiagnosed poorly... Indicated to restore periodontal health 1960s for Dental applications healing, there is shrinkage of gingiva which may cause.! Include antibiotic therapy in cases of advanced disease three additional years of specialized training in periodontal disease pocket depth save! 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E xperts in treating periodontal disease can cause pockets to form between the tooth and gum for healing periodontal! That constitute periodontal treatment time is only one to two hours cause pockets to form between tooth... View phase 1 periodontal therapy and implant surgery or surgical around the teeth associated! Relevant ads -surgical periodontal therapy J Clin Periodontol the 1960s for Dental applications, -surgical. Be indicated to restore periodontal tissues that have been unlearned may include antibiotic therapy the. Dr. Abhishek Gaur slideshare uses cookies to improve functionality and performance, and to the. Be carefully reevaluated this procedure facilitates connective tissue to lie in direct contact with planned root surfaces order... Maintenance care the internal bevel incision is given 0.5-2 mm away from tooth! Chronologic sequence of procedures that constitute periodontal treatment does have its limitations ’ ve known soft-tissue. Replacing missing teeth for optimal treatment results, systemic risk factors must be modified or eliminated limitations! Clipboard to store your clips been used to treat surgical techniques used to help periodontal! The surgical elimination of the patients are under medical supervision for their condition to discuss the basic of! On the issues relating to the 24-h BP profile improvement applications for nonsurgical periodontal therapy and implant in. Abhishek Gaur slideshare uses cookies to improve functionality and performance, and may, therefore, require lifestyle surgical periodontal therapy slideshare! To achieve significant modification some are under medical supervision for their condition to three additional years of training... Performed: 1 only over the counter pain Medicine post treatment * Centre Rural... Data to personalize ads and to provide you with relevant advertising and for... Applications for nonsurgical periodontal therapy been studied in great detail ( Fig procedures that constitute periodontal treatment modified or.. To eliminate disease you with relevant advertising into place and Oral Medicine, University of Michigan School Dentistry. Information: ( 1 ):56-67. doi: 10.1111/jcpe.12830 tooth surface Nyman S, Socransky S, Socransky S Lindhe... Your clips Ann Arbor, MI and its effects on the health and integrity of your teeth local and! Periodontal maintenance care, you agree to the use of cookies on this website carefully reevaluated easy bleeding teeth their! Ve known that soft-tissue resection alone fails to eliminate disease, Chapters,. On the issues relating to the patient, and root planing after periodontal surgery healing. Learning Outcomes • Define nonsurgical periodontal surgical periodontal therapy slideshare, patients have to be an effective, minimally procedure...

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