Comparison of gingival depigmentation with Er,Cr:YSGG laser and surgical stripping, a 12-month follow-up.
Identifieur interne : 000094 ( Main/Exploration ); précédent : 000093; suivant : 000095Comparison of gingival depigmentation with Er,Cr:YSGG laser and surgical stripping, a 12-month follow-up.
Auteurs : Leila Gholami [Iran] ; Somayeh Ansari Moghaddam [Iran] ; Mohammad Ayoub Rigi Ladiz [Iran] ; Zohreh Molai Manesh [Iran] ; Hadi Hashemzehi [Iran] ; Alireza Fallah [Allemagne] ; Norbert Gutknecht [Allemagne]Source :
- Lasers in medical science [ 1435-604X ] ; 2018.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Cicatrisation de plaie (effets des radiations), Douleur (étiologie), Femelle (MeSH), Gencive (chirurgie), Gencive (effets des radiations), Humains (MeSH), Hémorragie (étiologie), Lasers à solide (effets indésirables), Lasers à solide (usage thérapeutique), Mesure de la douleur (MeSH), Mâle (MeSH), Mélanines (métabolisme), Pigmentation (effets des radiations), Satisfaction des patients (MeSH), Soins préopératoires (MeSH), Études de suivi (MeSH).
- MESH :
- chirurgie : Gencive.
- effets des radiations : Cicatrisation de plaie, Gencive, Pigmentation.
- effets indésirables : Lasers à solide.
- métabolisme : Mélanines.
- usage thérapeutique : Lasers à solide.
- étiologie : Douleur, Hémorragie.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Mesure de la douleur, Mâle, Satisfaction des patients, Soins préopératoires, Études de suivi.
English descriptors
- KwdEn :
- Adult (MeSH), Female (MeSH), Follow-Up Studies (MeSH), Gingiva (radiation effects), Gingiva (surgery), Hemorrhage (etiology), Humans (MeSH), Lasers, Solid-State (adverse effects), Lasers, Solid-State (therapeutic use), Male (MeSH), Melanins (metabolism), Middle Aged (MeSH), Pain (etiology), Pain Measurement (MeSH), Patient Satisfaction (MeSH), Pigmentation (radiation effects), Preoperative Care (MeSH), Wound Healing (radiation effects).
- MESH :
- chemical , metabolism : Melanins.
- adverse effects : Lasers, Solid-State.
- etiology : Hemorrhage, Pain.
- radiation effects : Gingiva, Pigmentation, Wound Healing.
- surgery : Gingiva.
- therapeutic use : Lasers, Solid-State.
- Adult, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pain Measurement, Patient Satisfaction, Preoperative Care.
Abstract
Gingival melanin hyperpigmentation is an esthetic concern for many individuals. In this study, we compared the standard surgical removal method with two different Er,Cr:YSGG laser settings in order to find the best treatment method. In 33 dental arches, the following three treatment groups were comparatively evaluated: (1) surgical stripping, (2) removal with laser setting 1 (4.5 W, 50 Hz, 100% water, 80% air, 60 μs, 800 μm Tip; MZ8), and (3) laser setting 2 (2.5 W, 50 Hz, 20% water, 40% air, 700 μs, 800 μm Tip; MZ8). We comparatively evaluated pain, patient satisfaction and wound healing, treatment time, and the amount of bleeding. Re-pigmentation was evaluated after 1 and 12 months by Hedin and Dummet pigmentation scores. Laser setting 1 had the best results regarding pain and patient satisfaction, although not statistically significant (P > 0.05). Wound healing results were better using lasers compared to surgical stripping (P < 0.05). Laser setting 1 was a faster procedure with mild amounts of bleeding. The least amount of bleeding was seen with laser setting 2. After 1 month, only two cases of the laser setting 2-treated areas showed an isolated pigmented area in the papilla; at 12 months, the mean Hedin indexes were still less than 2 and mean Dummett index less than 1 in all treatment techniques, with the lowest scores seen in the laser setting 1 sites. Based on our results, Er,Cr:YSGG laser can be more convenient for gingival depigmentation compared to surgical blade. Although not statistically significant, laser setting 1 with shorter pulse duration and higher water spray showed better overall results. However, laser setting 2, with longer pulse duration and less water spray, resulted in better coagulative effects and can be used to control bleeding wherever necessary in clinical practice.
DOI: 10.1007/s10103-018-2501-1
PubMed: 29654420
Affiliations:
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uniqKey="Moghaddam S" first="Somayeh Ansari" last="Moghaddam">Somayeh Ansari Moghaddam</name><affiliation wicri:level="1"><nlm:affiliation>Oral and Dental research center, Department of Periodontology, Faculty of Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Oral and Dental research center, Department of Periodontology, Faculty of Dentistry, Zahedan University of Medical Sciences, Zahedan</wicri:regionArea><wicri:noRegion>Zahedan</wicri:noRegion></affiliation></author><author><name sortKey="Rigi Ladiz, Mohammad Ayoub" sort="Rigi Ladiz, Mohammad Ayoub" uniqKey="Rigi Ladiz M" first="Mohammad Ayoub" last="Rigi Ladiz">Mohammad Ayoub Rigi Ladiz</name><affiliation wicri:level="1"><nlm:affiliation>Oral and Dental research center, Department of Periodontology, Faculty of Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Oral and Dental research center, Department of Periodontology, Faculty of Dentistry, Zahedan University of Medical Sciences, Zahedan</wicri:regionArea><wicri:noRegion>Zahedan</wicri:noRegion></affiliation></author><author><name sortKey="Molai Manesh, Zohreh" sort="Molai Manesh, Zohreh" uniqKey="Molai Manesh Z" first="Zohreh" last="Molai Manesh">Zohreh Molai Manesh</name><affiliation wicri:level="1"><nlm:affiliation>Dentist, Oral and Dental research center, Zahedan University of Medical Sciences, Zahedan, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Dentist, Oral and Dental research center, Zahedan University of Medical Sciences, Zahedan</wicri:regionArea><wicri:noRegion>Zahedan</wicri:noRegion></affiliation></author><author><name sortKey="Hashemzehi, Hadi" sort="Hashemzehi, Hadi" uniqKey="Hashemzehi H" first="Hadi" last="Hashemzehi">Hadi Hashemzehi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran. Hashemzehi@gmail.com.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hamadan University of Medical Sciences, Hamadan</wicri:regionArea><wicri:noRegion>Hamadan</wicri:noRegion></affiliation></author><author><name sortKey="Fallah, Alireza" sort="Fallah, Alireza" uniqKey="Fallah A" first="Alireza" last="Fallah">Alireza Fallah</name><affiliation wicri:level="3"><nlm:affiliation>Laser Dental Center, Aachen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Laser Dental Center, Aachen</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Aix-la-Chapelle</settlement></placeName></affiliation></author><author><name sortKey="Gutknecht, Norbert" sort="Gutknecht, Norbert" uniqKey="Gutknecht N" first="Norbert" last="Gutknecht">Norbert Gutknecht</name><affiliation wicri:level="3"><nlm:affiliation>Department of Conservative Dentistry, Periodontology and Preventive Dentistry, RWTH Aachen, Aachen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Conservative Dentistry, Periodontology and Preventive Dentistry, RWTH Aachen, Aachen</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Aix-la-Chapelle</settlement></placeName></affiliation></author></analytic><series><title level="j">Lasers in medical science</title><idno type="eISSN">1435-604X</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Female (MeSH)</term><term>Follow-Up Studies (MeSH)</term><term>Gingiva (radiation effects)</term><term>Gingiva (surgery)</term><term>Hemorrhage (etiology)</term><term>Humans (MeSH)</term><term>Lasers, Solid-State (adverse effects)</term><term>Lasers, Solid-State (therapeutic use)</term><term>Male (MeSH)</term><term>Melanins (metabolism)</term><term>Middle Aged (MeSH)</term><term>Pain (etiology)</term><term>Pain Measurement (MeSH)</term><term>Patient Satisfaction (MeSH)</term><term>Pigmentation (radiation effects)</term><term>Preoperative Care (MeSH)</term><term>Wound Healing (radiation effects)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Cicatrisation de plaie (effets des radiations)</term><term>Douleur (étiologie)</term><term>Femelle (MeSH)</term><term>Gencive (chirurgie)</term><term>Gencive (effets des radiations)</term><term>Humains (MeSH)</term><term>Hémorragie (étiologie)</term><term>Lasers à solide (effets indésirables)</term><term>Lasers à solide (usage thérapeutique)</term><term>Mesure de la douleur (MeSH)</term><term>Mâle (MeSH)</term><term>Mélanines (métabolisme)</term><term>Pigmentation (effets des radiations)</term><term>Satisfaction des patients (MeSH)</term><term>Soins préopératoires (MeSH)</term><term>Études de suivi (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en"><term>Melanins</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lasers, Solid-State</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Gencive</term></keywords><keywords scheme="MESH" qualifier="effets des radiations" xml:lang="fr"><term>Cicatrisation de plaie</term><term>Gencive</term><term>Pigmentation</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lasers à solide</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Hemorrhage</term><term>Pain</term></keywords><keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Mélanines</term></keywords><keywords scheme="MESH" qualifier="radiation effects" xml:lang="en"><term>Gingiva</term><term>Pigmentation</term><term>Wound Healing</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Gingiva</term></keywords><keywords scheme="MESH" qualifier="therapeutic use" xml:lang="en"><term>Lasers, Solid-State</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Lasers à solide</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Douleur</term><term>Hémorragie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pain Measurement</term><term>Patient Satisfaction</term><term>Preoperative Care</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mesure de la douleur</term><term>Mâle</term><term>Satisfaction des patients</term><term>Soins préopératoires</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Gingival melanin hyperpigmentation is an esthetic concern for many individuals. In this study, we compared the standard surgical removal method with two different Er,Cr:YSGG laser settings in order to find the best treatment method. In 33 dental arches, the following three treatment groups were comparatively evaluated: (1) surgical stripping, (2) removal with laser setting 1 (4.5 W, 50 Hz, 100% water, 80% air, 60 μs, 800 μm Tip; MZ8), and (3) laser setting 2 (2.5 W, 50 Hz, 20% water, 40% air, 700 μs, 800 μm Tip; MZ8). We comparatively evaluated pain, patient satisfaction and wound healing, treatment time, and the amount of bleeding. Re-pigmentation was evaluated after 1 and 12 months by Hedin and Dummet pigmentation scores. Laser setting 1 had the best results regarding pain and patient satisfaction, although not statistically significant (P > 0.05). Wound healing results were better using lasers compared to surgical stripping (P < 0.05). Laser setting 1 was a faster procedure with mild amounts of bleeding. The least amount of bleeding was seen with laser setting 2. After 1 month, only two cases of the laser setting 2-treated areas showed an isolated pigmented area in the papilla; at 12 months, the mean Hedin indexes were still less than 2 and mean Dummett index less than 1 in all treatment techniques, with the lowest scores seen in the laser setting 1 sites. Based on our results, Er,Cr:YSGG laser can be more convenient for gingival depigmentation compared to surgical blade. Although not statistically significant, laser setting 1 with shorter pulse duration and higher water spray showed better overall results. However, laser setting 2, with longer pulse duration and less water spray, resulted in better coagulative effects and can be used to control bleeding wherever necessary in clinical practice.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">29654420</PMID><DateCompleted><Year>2018</Year><Month>11</Month><Day>26</Day></DateCompleted><DateRevised><Year>2020</Year><Month>06</Month><Day>24</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1435-604X</ISSN><JournalIssue CitedMedium="Internet"><Volume>33</Volume><Issue>8</Issue><PubDate><Year>2018</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Lasers in medical science</Title><ISOAbbreviation>Lasers Med Sci</ISOAbbreviation></Journal><ArticleTitle>Comparison of gingival depigmentation with Er,Cr:YSGG laser and surgical stripping, a 12-month follow-up.</ArticleTitle><Pagination><MedlinePgn>1647-1656</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s10103-018-2501-1</ELocationID><Abstract><AbstractText>Gingival melanin hyperpigmentation is an esthetic concern for many individuals. In this study, we compared the standard surgical removal method with two different Er,Cr:YSGG laser settings in order to find the best treatment method. In 33 dental arches, the following three treatment groups were comparatively evaluated: (1) surgical stripping, (2) removal with laser setting 1 (4.5 W, 50 Hz, 100% water, 80% air, 60 μs, 800 μm Tip; MZ8), and (3) laser setting 2 (2.5 W, 50 Hz, 20% water, 40% air, 700 μs, 800 μm Tip; MZ8). We comparatively evaluated pain, patient satisfaction and wound healing, treatment time, and the amount of bleeding. Re-pigmentation was evaluated after 1 and 12 months by Hedin and Dummet pigmentation scores. Laser setting 1 had the best results regarding pain and patient satisfaction, although not statistically significant (P > 0.05). Wound healing results were better using lasers compared to surgical stripping (P < 0.05). Laser setting 1 was a faster procedure with mild amounts of bleeding. The least amount of bleeding was seen with laser setting 2. After 1 month, only two cases of the laser setting 2-treated areas showed an isolated pigmented area in the papilla; at 12 months, the mean Hedin indexes were still less than 2 and mean Dummett index less than 1 in all treatment techniques, with the lowest scores seen in the laser setting 1 sites. Based on our results, Er,Cr:YSGG laser can be more convenient for gingival depigmentation compared to surgical blade. Although not statistically significant, laser setting 1 with shorter pulse duration and higher water spray showed better overall results. However, laser setting 2, with longer pulse duration and less water spray, resulted in better coagulative effects and can be used to control bleeding wherever necessary in clinical practice.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gholami</LastName><ForeName>Leila</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Periodontology, Faculty of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Moghaddam</LastName><ForeName>Somayeh Ansari</ForeName><Initials>SA</Initials><AffiliationInfo><Affiliation>Oral and Dental research center, Department of Periodontology, Faculty of Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rigi Ladiz</LastName><ForeName>Mohammad Ayoub</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Oral and Dental research center, Department of Periodontology, Faculty of Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Molai Manesh</LastName><ForeName>Zohreh</ForeName><Initials>Z</Initials><AffiliationInfo><Affiliation>Dentist, Oral and Dental research center, Zahedan University of Medical Sciences, Zahedan, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hashemzehi</LastName><ForeName>Hadi</ForeName><Initials>H</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-9735-8273</Identifier><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran. Hashemzehi@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fallah</LastName><ForeName>Alireza</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Laser Dental Center, Aachen, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gutknecht</LastName><ForeName>Norbert</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Conservative Dentistry, Periodontology and Preventive Dentistry, RWTH Aachen, Aachen, Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>7346</GrantID><Agency>Zahedan University of Medical Sciences</Agency><Country></Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>04</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Lasers Med Sci</MedlineTA><NlmUniqueID>8611515</NlmUniqueID><ISSNLinking>0268-8921</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D008543">Melanins</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005881" MajorTopicYN="N">Gingiva</DescriptorName><QualifierName UI="Q000528" MajorTopicYN="Y">radiation effects</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006470" MajorTopicYN="N">Hemorrhage</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053844" MajorTopicYN="N">Lasers, Solid-State</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008543" MajorTopicYN="N">Melanins</DescriptorName><QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010146" MajorTopicYN="N">Pain</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010147" MajorTopicYN="N">Pain Measurement</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017060" MajorTopicYN="N">Patient Satisfaction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010858" MajorTopicYN="N">Pigmentation</DescriptorName><QualifierName UI="Q000528" MajorTopicYN="Y">radiation effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011300" MajorTopicYN="N">Preoperative Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014945" MajorTopicYN="N">Wound Healing</DescriptorName><QualifierName UI="Q000528" MajorTopicYN="N">radiation effects</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Gingival depigmentation</Keyword><Keyword MajorTopicYN="N">Laser</Keyword><Keyword MajorTopicYN="N">Surgical 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Zohreh" uniqKey="Molai Manesh Z" first="Zohreh" last="Molai Manesh">Zohreh Molai Manesh</name><name sortKey="Rigi Ladiz, Mohammad Ayoub" sort="Rigi Ladiz, Mohammad Ayoub" uniqKey="Rigi Ladiz M" first="Mohammad Ayoub" last="Rigi Ladiz">Mohammad Ayoub Rigi Ladiz</name></country><country name="Allemagne"><region name="Rhénanie-du-Nord-Westphalie"><name sortKey="Fallah, Alireza" sort="Fallah, Alireza" uniqKey="Fallah A" first="Alireza" last="Fallah">Alireza Fallah</name></region><name sortKey="Gutknecht, Norbert" sort="Gutknecht, Norbert" uniqKey="Gutknecht N" first="Norbert" last="Gutknecht">Norbert Gutknecht</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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