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Indirect Bonding Accuracy By 3D Printed Transfer Tray 通过3D打印传输托盘间接粘接精度
Pub Date : 2022-12-01 DOI: 10.21608/eos.2022.146844.1052
A. Mahran, W. Refai, A. Abdelhameed, Ahmed Abdelemam, Ahmed Hashem
: Introduction: Indirect bonding is a procedure that involves transferring orthodontic attachments from dental casts (working models) and bonding them to the teeth with the help of a transfer tray. Indirect bonding is a preferred approach for many orthodontists since it takes less time than direct bonding. The merging of computer-aided design and computer-aided manufacturing (CAD/CAM) allowed for the digital formation of transfer trays. This study aimed to determine the accuracy of CAD/CAM indirect three-dimensional printed bonding trays. Materials and methods: 140 teeth were planned to be bonded by 3D printed transfer tray. The intraoral scanner was first used to produce a stereolithographic (STL) file for virtual brackets location, and then another scan was taken after the brackets were bonded. Software was used to measure position deviation of bracket placements by superimposing virtual STL files and post bonding STL files. Results: To see if the mean transfer error was statistically within the selected accuracy limits of 0.5 mm for linear measurements, a one-sample t-test was used. For linear measurements, P-values of less than 0.05 indicated differences within the accepted deviation limits. Conclusions: CAD/CAM transfer trays for indirect bonding have high transfer accuracy in all kinds of teeth.
当前位置介绍:间接粘接是一种过程,包括将正畸附着物从牙模(工作模型)转移到牙齿上,并在转移托盘的帮助下将其粘接到牙齿上。间接粘接是许多正畸医生的首选方法,因为它比直接粘接需要更少的时间。计算机辅助设计和计算机辅助制造(CAD/CAM)的合并使数字化形成传输托盘成为可能。本研究旨在确定CAD/CAM间接三维打印粘接托盘的精度。材料和方法:计划用3D打印转移托盘粘接140颗牙齿。口腔内扫描仪首先用于生成虚拟托槽位置的立体光刻(STL)文件,然后在托槽粘合后进行另一次扫描。软件通过叠加虚拟STL文件和粘贴后STL文件测量支架放置位置偏差。结果:为了检验平均传递误差是否在线性测量所选择的0.5 mm精度范围内,采用单样本t检验。对于线性测量,p值小于0.05表示差异在可接受的偏差范围内。结论:CAD/CAM转移托盘间接粘接具有较高的转移精度。
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引用次数: 0
CBCT Evaluation Of Modified Mini-implant Aided Trans-palatal Arch On Maxillary Molar Distalization 改良微型种植体辅助跨腭弓对上颌磨牙离体的CBCT评价
Pub Date : 2022-12-01 DOI: 10.21608/eos.2022.155833.1054
I. Ghorab, H. Saifeldin, I. Abbas
: Objectives: the aim of this study was to evaluate the effect of modified mini-implant aided trans-palatal arch on maxillary molar distalization using CBCT. Methods: 10 adult patients with Angle class II molar relation were submitted to maxillary first molar distalization using modified mini-implant aided trans palatal arch (MIA-TPA), after completing the essential orthodontic records, CBCT was taken before distalization at T0, then trans-palatal arch (TPA) of 1mm diameter passing anterior on the palate was cemented and 2 miniscrews were inserted between the maxillary 2nd premolar and 1st molar on the palatal side. NiTi closed coil spring was applied between TPA anterior and mini- implant to produce distalization force of 250g/side parallel to the occlusal plane. Dental changes of maxillary molars were compared using cone beam computed tomography CBCT after achieving class I molar relation at T1. Results: According to the dental linear and angular measurements, the maxillary first molar showed statistically significant bodily distal movement without significant distal tipping. Vertically, the maxillary first molar showed statistically significant intrusion. Conclusion: MIA-TPA
目的:利用CBCT评价改良的微型种植体辅助跨腭弓对上颌磨牙远端的影响。方法:对10例有Angleⅱ类磨牙关系的成人患者,采用改良的微型种植体辅助经腭弓(MIA-TPA)进行上颌第一磨牙远端,在完成必要的正畸记录后,于T0时行CBCT检查,然后将直径为1mm的经腭弓(TPA)通过上颌前牙,在上颌第二前磨牙和腭侧第一磨牙之间置入2枚微型螺钉。在TPA前牙与微型种植体之间施加NiTi封闭线圈弹簧,产生平行于咬合面250g/侧的远端力。在T1达到I级磨牙关系后,采用锥形束ct (CBCT)对上颌磨牙的变化进行比较。结果:上颌第一磨牙的线性和角度测量结果显示,上颌第一磨牙的躯体远端运动有统计学意义,未见明显的远端倾斜。在垂直方向上,上颌第一磨牙有统计学意义上的侵入。结论:MIA-TPA
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引用次数: 0
To Evaluate Success And Failure Rate Of Temporary Anchorage Devices (TADS) In Various Attachments Sites In Maxilla Abstract:- 上颌骨不同附着部位临时支抗装置(TADS)的成功率和失败率评价
Pub Date : 2022-06-01 DOI: 10.21608/eos.2021.90458.1029
N. Mote, Jyoti Rajbhar, N. Toshniwal, R. Rathod
Introduction:-The concept of anchorage is very important in orthodontic treatment outcome and best anchorage is provided by miniscrews.This study focuses on the evaluation of success and failure rate of mini screws used for absolute anchorage. The method of placement and technique is also stated and bone density level, position of roots, anatomic landmarks such as maxillary sinus is also explained. The histologic pattern of gingiva is an important consideration in placing miniscrews,when placed in attached gingiva. Material & Method:-The span of study is 24 months with sample size of 195 mini screws placed between age group of 20-45 years in different sites of maxilla such as in the Attached and Unattached Gingiva on the Buccal and Anterior region of maxillary alveolar process, median and Paramedian region of palate with recall period of 13 month, 36 month and more than 6 months was followed. Result:-The overall success rate of mini-screw rate in Attached and Unattached gingiva was highest 90% and 70% between 1st Premolar and 2nd Premolar region region with failure rate of 0 % after 1 year follow up. Whereas in palatal region the paramedian region showed good success rate of mini screw of 80% in between first and second premolar region which is better than midpalatal region. Conclusion:-Thus this study overall concludes that miniscrews are an efficient way of providing anchorage with good success rate when placed in attached gingiva.
简介:锚定的概念对正畸治疗效果非常重要,最佳的锚定是微型支架。本研究的目的是评估微型螺钉用于绝对锚固的成功率和失败率。同时也说明了放置的方法和技术,并对骨密度水平、牙根位置、解剖标志如上颌窦等进行了说明。当放置在附着的牙龈上时,牙龈的组织学模式是放置微型牙钉的重要考虑因素。材料与方法:研究时间为24个月,样本量为195枚微型螺钉,年龄在20-45岁之间,分别放置在上颌牙槽突颊部和前部的附着龈和未附着龈、上颌正中和旁正中等不同部位,回忆期分别为13个月、36个月和6个月以上。结果:第一前磨牙区和第二前磨牙区微型螺钉的整体成功率分别为90%和70%,随访1年后的失败率为0%。而在腭区,在第一、第二前磨牙区之间的旁正中区,微型螺钉的成功率为80%,优于中腭区。结论:综上所述,微型支抗是一种有效的支抗方法,在附着龈的固定中成功率高。
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引用次数: 1
Comparison between Bolton analysis and Chu’s simplified method for calculating anterior tooth size discrepancy Bolton分析法与Chu简化法计算前牙尺寸差异的比较
Pub Date : 2022-06-01 DOI: 10.21608/eos.2021.62217.1014
Syeda Shamal, S. Shaheed, J. Khan
Objective: The objective of present study is to compare the accuracy of Chu’s simplified method for calculating anterior tooth size discrepancy with that of Bolton’s method. Material and methods: The study was performed on 58 dental casts of untreated orthodontic patients, which were to undergo fixed orthodontic treatment in department of Orthodontics, Rehman College of Dentistry, Peshawar, Pakistan Results: Chu’s method for determining anterior tooth size discrepancy show overestimation as compared to Bolton’s method, with an average difference of 2.33 ±1.3mm. Difference was highly significant statistically (p<0.001). Conclusion: Chu’s method cannot be an accurate clinical substitute of Bolton’s method.
目的:比较Chu简化法与Bolton法计算前牙尺寸差异的准确性。材料与方法:对巴基斯坦白沙瓦Rehman牙科学院正畸科接受固定正畸治疗的58例未经治疗的正畸患者的牙模进行研究。结果:Chu测定前牙大小差异的方法与Bolton测定前牙大小差异的方法相比存在高估,平均差异为2.33±1.3mm。差异有高度统计学意义(p<0.001)。结论:Chu法不能作为Bolton法的准确临床替代品。
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引用次数: 0
Detection Of Bone Deposition On The Surface Of Immediately Removed Or Left Mini-Screw After Canine Retraction (SEM Study) 即刻取下或留下的微型螺钉犬齿内收后表面骨沉积的检测(扫描电镜研究)
Pub Date : 2022-03-09 DOI: 10.21608/eos.2021.107405.1037
M. El-Mezayen, Kareem Gaber, W. Refai
Patient and method: This study was performed over 10 patients, each one received 2 machined titanium mini-screws in the upper arch between the first molar and second premolar for retraction of canine tooth. After retraction of canine the left side was removed (group 1) and the right side was left in place unloaded until treatment finished then removed (group 2) . The two groups were transferred for scanning electron microscopy to analyze the changes happened on the surface regarding bone and ions deposited on the surface.
患者和方法:本研究共10例患者,每例患者在第一磨牙和第二前磨牙之间的上弓处放置2枚机械钛微型螺钉用于拔牙。拔牙后取出左侧(组1),将右侧留在原地,待治疗结束后取出(组2)。将两组样品转移到扫描电子显微镜下,分析骨表面的变化和沉积在表面的离子。
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引用次数: 1
Effect of Artificial Intelligence versus guided Landmarks identification on the accuracy of the Lateral Cephalometric Analysis 人工智能与指标性地标识别对侧位头颅测量分析准确性的影响
Pub Date : 2022-03-09 DOI: 10.21608/eos.2021.104517.1032
Mohamed Hemeda, W. Refai, Mohamed Elshal, M. Mohammed, A. Abdelhameed
Objective: This study aimed to compare the effect of Artificial Intelligence versus guided Landmarks identification on the accuracy of the Lateral Cephalometric Analysis. Methodology: Three orthodontic specialists identified 17 radiographic landmarks manually for 22 different types of angular and linear measurements of 50 lateral cephalometric radiographs then tracing and analysis were done by Artificial Intelligence based software (Webceph) and Automated cephalometric analysis software (Romexis software). The measurements of the two softwares compared to humans’ gold standard (Mean values of the three examiners). Results: comparison between humans’ gold standard and (Wepceph) the AI’s predictions showed no proportional bias in 12 parameters, The mean differences range from 0.2° to 2.9° for angular measurements except Gonial angle 4.55°, Upper 1 to NA angle 3.78° and IMPA 3.72° and from 0.25 to 1.67 mm for linear measurements. Comparison betwe en humans’ gold standard and Automated cephalometric analysis software (Romexis software) showed proportional bias in 19 parameters, The mean differences range from 0.16° to 12.67° for angular measurments and from 1.01 to 13.38 mm for linear measurements. Conclusions: AI based software is able to identify landmarks of cephalometric X-rays at almost the same quality level as experienced human examiners (current gold standard).comparison between the two types of softwares showed that the accuracy of AI based (Webceph) software is better than the automated cephalometric analysis (Romexis) software.
目的:本研究旨在比较人工智能与指标性地标识别对侧位头测量分析准确性的影响。方法:3名正畸专家对50张侧位头颅x线片进行22种不同角度和线性测量,手动确定17个影像学标志,然后使用基于人工智能的软件(Webceph)和自动化头颅测量分析软件(Romexis软件)进行跟踪和分析。将两个软件的测量值与人类的黄金标准(三个审查员的平均值)进行比较。结果:人类金标准与(Wepceph)人工智能的预测结果在12个参数上均无比例偏差,除角角4.55°、上1角3.78°和内a角3.72°外,角测量的平均差异为0.2°至2.9°,线性测量的平均差异为0.25至1.67 mm。人类金标准与自动化头测量分析软件(Romexis软件)在19个参数上存在比例偏差,角度测量的平均差异为0.16°~ 12.67°,线性测量的平均差异为1.01 ~ 13.38 mm。结论:基于人工智能的软件能够识别出与经验丰富的人工检查人员(目前的黄金标准)几乎相同质量水平的头颅x射线标志,两种软件的比较表明,基于人工智能的(Webceph)软件的准确性优于自动头颅测量分析(Romexis)软件。
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引用次数: 0
Osteopontin and Periostin levels in peri-miniscrew implant crevicular fluid during Class III treatment III类治疗期间微型种植体周围沟液中的骨桥蛋白和骨膜蛋白水平
Pub Date : 2022-03-09 DOI: 10.21608/eos.2021.99723.1030
Sara Elkabbany, Nora Abdelgawad, O. Shaker
Introduction: Anchorage control is important for the success of orthodontic treatment. The stability of miniscrew implants (MIs) is determined by the clinical, biomechanical and biochemical assessments. Purpose: The aim of this study was to evaluate the levels of Osteopontin(OPN) and Periostin (PSN)in peri-miniscrew implant crevicular fluid (PMICF) at different time intervals. Subjects and methods: Eight skeletal Class III patients with maxillary deficiency were selected. Sixteen MIs (Hubit co, Korea) of 1.6 mm diameter and10 mm length were placed bilaterally between the maxillary second premolars and first molars. Additional sixteen MIs of 1.4 mm diameter and 8 mm length were inserted between mandibular canines and first premolars. A fixed posterior bite plate was used to facilitate bite jumping. 250-300g force per side was immediately delivered by intermaxillary closed coil springs (Ortho Technology, TAD coil spring, USA). PMICF samples were obtained before loading(T1); on day one(T2), two(T3), seven(T4) and on day 30 (T5) after force application. Enzyme-linked immunosorbent assay (ELISA) kits were used to determine OPN and PSN levels. Results: The percentage change in levels of OPN and PSN broadly showed a decrease upon loading of MIs. However, at the end of observation period, there was no statistically significant difference between T1and T5. Conclusions: The OPN and PSN levels varied around MIs as a result of force application and may be used as biomarkers for assessing implant stability throughout loading periods. Immediate loading of MIs with intermaxillary closed coil springs for treatment of skeletal Class III patient did not impair implant stability.
控制固支对正畸治疗的成功至关重要。微型种植体(MIs)的稳定性由临床、生物力学和生化评估决定。目的:研究不同时间间隔微型种植体周围沟液(PMICF)中骨桥蛋白(OPN)和骨膜蛋白(PSN)的水平。对象与方法:选取8例骨骼III类上颌缺损患者。16颗直径1.6 mm,长10 mm的MIs (Hubit co, Korea)放置在上颌第二前磨牙和第一磨牙之间。另外在下颌犬齿和第一前磨牙之间插入16根直径1.4 mm,长度8 mm的密丝。使用固定后咬合板促进咬跳。每侧250-300g的力立即由上颌间封闭线圈弹簧(Ortho Technology, TAD coil spring, USA)提供。PMICF样品在加载前获得(T1);施加力后第1天(T2)、第2天(T3)、第7天(T4)和第30天(T5)。采用酶联免疫吸附试验(ELISA)试剂盒检测OPN和PSN水平。结果:加载MIs后,OPN和PSN的变化百分比普遍下降。观察结束时t1与T5比较,差异无统计学意义。结论:OPN和PSN水平因受力而在MIs周围发生变化,可作为评估整个加载期间种植体稳定性的生物标志物。在治疗III类骨骼患者时,即刻用上颌间闭合螺旋弹簧加载MIs并不影响种植体的稳定性。
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引用次数: 0
The effect of two low-level laser irradiation protocols on molar anchorage loss (A randomized controlled clinical trial) 两种低强度激光照射对磨牙支抗丢失的影响(一项随机对照临床试验)
Pub Date : 2022-03-09 DOI: 10.21608/eos.2021.106120.1036
F. Eid, Walid El-Kenany, Mohamed I. Mowafy, Ahmed R. Elkalza, Myriam Guindi
Objective: Low-level laser therapy (LLLT) has been found to accelerate the rate of tooth movement, which in turn may aid in preserving posterior anchorage. However, one of the drawbacks of LLLT, is the high frequency of patient recall. The aim of the study was to evaluate and compare the amount of molar anchorage loss accompanying canine retraction, by employing two LLLT protocols, involving a high and a low application frequency. Materials and Methods: Sixteen patients were enrolled, in which the therapeutic extraction of maxillary 1st premolars was required for orthodontic treatment, with subsequent canine retraction. Patients were equally and randomly divided into 2 groups. In Group A, LLLT was randomly administered to one side of the maxillary arch on days 0, 3, 7, 14, and then every 2 weeks, while in Group B, one side of the maxillary arch was randomly selected for LLLT application every 3 weeks. The administered LLLT was a Diode laser with a 980 nm wavelength. Canine retraction was carried out using closed-coil springs, with 150 grams of force, and the amount of mesial molar movement was checked every 3 weeks, over the 12-week study period. Results: Equivalent amounts of mesial molar movements have been displayed with and without LLLT application, in both study groups. Also, no significant differences have been documented between the laser sides in groups A and B. Conclusion: Molar anchorage has not been augmented by LLLT, whether applied with a high frequency, or with less frequent applications coinciding with the follow-up visits.
目的:低水平激光治疗(LLLT)可以加快牙齿的移动速度,从而有助于保留后牙支抗。然而,LLLT的缺点之一是患者回忆频率高。本研究的目的是通过采用两种LLLT方案,包括高频率和低频率的应用,评估和比较磨牙支抗损失的数量。材料与方法:16例患者在正畸治疗中需要拔除上颌第一前磨牙,随后犬牙内收。患者平均随机分为两组。A组在第0、3、7、14天随机在上颌弓一侧施用LLLT,然后每2周施用一次;B组每3周随机选择上颌弓一侧施用LLLT。给药的LLLT是波长为980 nm的二极管激光器。在12周的研究期间,犬只使用封闭弹簧进行150克力的牵出,每3周检查一次中磨牙的移动量。结果:在两个研究组中,使用和不使用LLLT均显示出等量的中磨牙运动。此外,在A组和b组激光侧之间没有明显差异。结论:无论是高频应用,还是在随访期间较少使用,LLLT都没有增强磨牙支抗。
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引用次数: 0
EVALUATION OF DIFFERENT TECHNIQUES FOR DEBONDING OF CERAMIC BRACKETS (AN IN VITRO STUDY) 不同陶瓷托槽脱粘技术的评价(一项体外研究)
Pub Date : 2022-03-09 DOI: 10.21608/eos.2021.105244.1033
A. Khalil, Nazla Tamish, Ahmed R. Elkalza
Objective: To compare different techniques for debonding of ceramic brackets in terms of adhesive remnant index (ARI). Material and methods: A sample of 100 extracted human premolars were randomly and equally allocated into 5 groups of 20. Thereafter, monocrystalline ceramic brackets were bonded to teeth using light cure composite resin. Among the 5 groups; group I: served as control, group II: chemical assisted debonding using peppermint oil, group III: ultrasonic assisted debonding, group IV: diode laser assisted debonding, and group V: Er: YAG laser assisted debonding. Brackets were then debonded using a universal testing machine, followed by ARI assessment. Results: A statistically significant higher ARI scores was found solely in Er:YAG laser assisted debonding. Yet, no significant difference was found with chemical, ultrasonic, and diode laser assisted debonding. Conclusion: Er:YAG laser could be effective for debonding of ceramic brackets. Hence, this method might be recommended to alleviate enamel damage.
目的:比较不同脱粘技术对陶瓷托槽粘接剂残留指数的影响。材料与方法:取100颗拔除的人前磨牙,随机分为5组,每组20颗。然后,使用光固化复合树脂将单晶陶瓷托槽粘接在牙齿上。5组中;I组:对照组,II组:薄荷油化学辅助脱粘,III组:超声辅助脱粘,IV组:二极管激光辅助脱粘,V组:Er: YAG激光辅助脱粘。然后使用通用试验机剥离支架,随后进行ARI评估。结果:仅Er:YAG激光辅助脱粘术的ARI评分有统计学意义。然而,化学、超声波和二极管激光辅助脱粘没有发现显著差异。结论:Er:YAG激光可有效去除陶瓷托槽的粘结。因此,推荐使用这种方法来减轻牙釉质损伤。
{"title":"EVALUATION OF DIFFERENT TECHNIQUES FOR DEBONDING OF CERAMIC BRACKETS (AN IN VITRO STUDY)","authors":"A. Khalil, Nazla Tamish, Ahmed R. Elkalza","doi":"10.21608/eos.2021.105244.1033","DOIUrl":"https://doi.org/10.21608/eos.2021.105244.1033","url":null,"abstract":"Objective: To compare different techniques for debonding of ceramic brackets in terms of adhesive remnant index (ARI). Material and methods: A sample of 100 extracted human premolars were randomly and equally allocated into 5 groups of 20. Thereafter, monocrystalline ceramic brackets were bonded to teeth using light cure composite resin. Among the 5 groups; group I: served as control, group II: chemical assisted debonding using peppermint oil, group III: ultrasonic assisted debonding, group IV: diode laser assisted debonding, and group V: Er: YAG laser assisted debonding. Brackets were then debonded using a universal testing machine, followed by ARI assessment. Results: A statistically significant higher ARI scores was found solely in Er:YAG laser assisted debonding. Yet, no significant difference was found with chemical, ultrasonic, and diode laser assisted debonding. Conclusion: Er:YAG laser could be effective for debonding of ceramic brackets. Hence, this method might be recommended to alleviate enamel damage.","PeriodicalId":305086,"journal":{"name":"Egyptian Orthodontic Journal","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133165121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CBCT assessment of mandibular incisor orthodontically induced root resorption during accelerated tooth movement via low level Laser therapy 低水平激光治疗下门牙正畸诱导牙根吸收的CBCT评价
Pub Date : 2021-12-01 DOI: 10.21608/eos.2021.103251.1031
Yasmine Abdelghaffar, Khaled Aboulazm, I. Negm
{"title":"CBCT assessment of mandibular incisor orthodontically induced root resorption during accelerated tooth movement via low level Laser therapy","authors":"Yasmine Abdelghaffar, Khaled Aboulazm, I. Negm","doi":"10.21608/eos.2021.103251.1031","DOIUrl":"https://doi.org/10.21608/eos.2021.103251.1031","url":null,"abstract":"","PeriodicalId":305086,"journal":{"name":"Egyptian Orthodontic Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121103679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Egyptian Orthodontic Journal
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