Comparative evaluation of esthetic changes in nonpitted fluorosis stains when treated with resin infiltration, in-office bleaching, and combination therapies.
Identifieur interne : 000124 ( Main/Exploration ); précédent : 000123; suivant : 000125Comparative evaluation of esthetic changes in nonpitted fluorosis stains when treated with resin infiltration, in-office bleaching, and combination therapies.
Auteurs : Neeraj Gugnani [Inde] ; I K Pandit [Inde] ; Monika Gupta [Inde] ; Shalini Gugnani [Inde] ; Sugandhi Soni [Inde] ; Virender Goyal [Inde]Source :
- Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] [ 1708-8240 ] ; 2017.
Descripteurs français
- KwdFr :
- Blanchiment dentaire (méthodes), Dentisterie esthétique (MeSH), Enfant (MeSH), Femelle (MeSH), Fluorose dentaire (thérapie), Humains (MeSH), Matériaux dentaires (composition chimique), Mâle (MeSH), Méthode en simple aveugle (MeSH), Résines synthétiques (composition chimique), Résultat thérapeutique (MeSH).
- MESH :
- composition chimique : Matériaux dentaires, Résines synthétiques.
- méthodes : Blanchiment dentaire.
- thérapie : Fluorose dentaire.
- Dentisterie esthétique, Enfant, Femelle, Humains, Mâle, Méthode en simple aveugle, Résultat thérapeutique.
English descriptors
- KwdEn :
- MESH :
- chemical , chemistry : Dental Materials, Resins, Synthetic.
- methods : Tooth Bleaching.
- therapy : Fluorosis, Dental.
- Child, Esthetics, Dental, Female, Humans, Male, Single-Blind Method, Treatment Outcome.
Abstract
OBJECTIVES
Dental fluorosis leads to esthetic deviation and varies from nonpitted white opacities, dark brown stains to pitting or structural breakdown of enamel surface. Treatment for fluorosis depends on the severity of condition and includes both noninvasive methods and invasive methods. Recently resin infiltration has been proposed as an alternative treatment for nonpitted fluorosis. This study was done to evaluate the esthetic changes in nonpitted fluorosis stains when treated with resin infiltration, in-office bleaching and combination therapies.
MATERIALS AND METHODS
The present study is a randomized, single blinded controlled trial with four parallel arms with 1:1 allocation ratio. The intervention arms included bleaching with 35% hydrogen peroxide, resin infiltration, resin infiltration with increased infiltration time and a combination approach of bleaching and infiltration. Immediate esthetic changes were evaluated for two parameters including, 'Change in esthetics' and 'Improvement in opacities/stains' using a VAS scale by two independent observers. Kruskal-Wallis test and Mann-Whitney U-test were done for intergroup comparisons.
RESULTS
Best results for both the parameters were observed among patients treated with resin infiltration with increased infiltration time. Mann-Whitney U test revealed significantly better results for resin infiltration groups (alone or combination with bleaching) as compared to bleaching alone (P < .001).
CONCLUSIONS
Resin infiltration procedure with tailored etching times and increased infiltration time exhibited best results in terms of change in esthetics and improvement in stains.
CLINICAL SIGNIFICANCE
White and brown opacities due to fluorosis have always been a concern for esthetics. In our study, resin infiltration technique with tailored etching times and increased infiltration time exhibited best immediate esthetic improvement for nonpitted fluorotic opacities and stains. These esthetic outcomes reaffirm the applicability of RI technique for nonpitted fluorosis, which was originally advocated only for white spot lesions due to early caries. This will in turn help the dentists to plan the esthetic management of nonpitted fluorosis in a micro-invasive manner.
DOI: 10.1111/jerd.12312
PubMed: 28654721
Affiliations:
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wicri:level="1"><nlm:affiliation>Department of Periodontics, DAV (C) Dental College Yamunanagar, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Periodontics, DAV (C) Dental College Yamunanagar</wicri:regionArea><wicri:noRegion>DAV (C) Dental College Yamunanagar</wicri:noRegion></affiliation></author><author><name sortKey="Soni, Sugandhi" sort="Soni, Sugandhi" uniqKey="Soni S" first="Sugandhi" last="Soni">Sugandhi Soni</name><affiliation wicri:level="1"><nlm:affiliation>Department of Preventive and Community Dentistry, DAV (C) Dental College Yamunanagar, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Preventive and Community Dentistry, DAV (C) Dental College Yamunanagar</wicri:regionArea><wicri:noRegion>DAV (C) Dental College Yamunanagar</wicri:noRegion></affiliation></author><author><name sortKey="Goyal, Virender" sort="Goyal, Virender" uniqKey="Goyal V" first="Virender" last="Goyal">Virender Goyal</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pedodontics and Preventive Dentistry, DIRDS, Faridkot, Punjab, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pedodontics and Preventive Dentistry, DIRDS, Faridkot, Punjab</wicri:regionArea><wicri:noRegion>Punjab</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28654721</idno><idno type="pmid">28654721</idno><idno type="doi">10.1111/jerd.12312</idno><idno type="wicri:Area/Main/Corpus">000111</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000111</idno><idno type="wicri:Area/Main/Curation">000111</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000111</idno><idno type="wicri:Area/Main/Exploration">000111</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Comparative evaluation of esthetic changes in nonpitted fluorosis stains when treated with resin infiltration, in-office bleaching, and combination therapies.</title><author><name sortKey="Gugnani, Neeraj" sort="Gugnani, Neeraj" uniqKey="Gugnani N" first="Neeraj" last="Gugnani">Neeraj Gugnani</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pedodontics and Preventive Dentistry, DAV (C) Dental College Yamunanagar, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pedodontics and Preventive Dentistry, DAV (C) Dental College Yamunanagar</wicri:regionArea><wicri:noRegion>DAV (C) Dental College Yamunanagar</wicri:noRegion></affiliation></author><author><name sortKey="Pandit, I K" sort="Pandit, I K" uniqKey="Pandit I" first="I K" last="Pandit">I K Pandit</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pedodontics and Preventive Dentistry, DAV (C) Dental College Yamunanagar, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pedodontics and Preventive Dentistry, DAV (C) Dental College Yamunanagar</wicri:regionArea><wicri:noRegion>DAV (C) Dental College Yamunanagar</wicri:noRegion></affiliation></author><author><name sortKey="Gupta, Monika" sort="Gupta, Monika" uniqKey="Gupta M" first="Monika" last="Gupta">Monika Gupta</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pedodontics and Preventive Dentistry, DAV (C) Dental College Yamunanagar, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pedodontics and Preventive Dentistry, DAV (C) Dental College Yamunanagar</wicri:regionArea><wicri:noRegion>DAV (C) Dental College Yamunanagar</wicri:noRegion></affiliation></author><author><name sortKey="Gugnani, Shalini" sort="Gugnani, Shalini" uniqKey="Gugnani S" first="Shalini" last="Gugnani">Shalini Gugnani</name><affiliation wicri:level="1"><nlm:affiliation>Department of Periodontics, DAV (C) Dental College Yamunanagar, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Periodontics, DAV (C) Dental College Yamunanagar</wicri:regionArea><wicri:noRegion>DAV (C) Dental College Yamunanagar</wicri:noRegion></affiliation></author><author><name sortKey="Soni, Sugandhi" sort="Soni, Sugandhi" uniqKey="Soni S" first="Sugandhi" last="Soni">Sugandhi Soni</name><affiliation wicri:level="1"><nlm:affiliation>Department of Preventive and Community Dentistry, DAV (C) Dental College Yamunanagar, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Preventive and Community Dentistry, DAV (C) Dental College Yamunanagar</wicri:regionArea><wicri:noRegion>DAV (C) Dental College Yamunanagar</wicri:noRegion></affiliation></author><author><name sortKey="Goyal, Virender" sort="Goyal, Virender" uniqKey="Goyal V" first="Virender" last="Goyal">Virender Goyal</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pedodontics and Preventive Dentistry, DIRDS, Faridkot, Punjab, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pedodontics and Preventive Dentistry, DIRDS, Faridkot, Punjab</wicri:regionArea><wicri:noRegion>Punjab</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]</title><idno type="eISSN">1708-8240</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Child (MeSH)</term><term>Dental Materials (chemistry)</term><term>Esthetics, Dental (MeSH)</term><term>Female (MeSH)</term><term>Fluorosis, Dental (therapy)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Resins, Synthetic (chemistry)</term><term>Single-Blind Method (MeSH)</term><term>Tooth Bleaching (methods)</term><term>Treatment Outcome (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Blanchiment dentaire (méthodes)</term><term>Dentisterie esthétique (MeSH)</term><term>Enfant (MeSH)</term><term>Femelle (MeSH)</term><term>Fluorose dentaire (thérapie)</term><term>Humains (MeSH)</term><term>Matériaux dentaires (composition chimique)</term><term>Mâle (MeSH)</term><term>Méthode en simple aveugle (MeSH)</term><term>Résines synthétiques (composition chimique)</term><term>Résultat thérapeutique (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="chemistry" xml:lang="en"><term>Dental Materials</term><term>Resins, Synthetic</term></keywords><keywords scheme="MESH" qualifier="composition chimique" xml:lang="fr"><term>Matériaux dentaires</term><term>Résines synthétiques</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Tooth Bleaching</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Blanchiment dentaire</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Fluorosis, Dental</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Fluorose dentaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child</term><term>Esthetics, Dental</term><term>Female</term><term>Humans</term><term>Male</term><term>Single-Blind Method</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Dentisterie esthétique</term><term>Enfant</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Méthode en simple aveugle</term><term>Résultat thérapeutique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>Dental fluorosis leads to esthetic deviation and varies from nonpitted white opacities, dark brown stains to pitting or structural breakdown of enamel surface. Treatment for fluorosis depends on the severity of condition and includes both noninvasive methods and invasive methods. Recently resin infiltration has been proposed as an alternative treatment for nonpitted fluorosis. This study was done to evaluate the esthetic changes in nonpitted fluorosis stains when treated with resin infiltration, in-office bleaching and combination therapies.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIALS AND METHODS</b></p><p>The present study is a randomized, single blinded controlled trial with four parallel arms with 1:1 allocation ratio. The intervention arms included bleaching with 35% hydrogen peroxide, resin infiltration, resin infiltration with increased infiltration time and a combination approach of bleaching and infiltration. Immediate esthetic changes were evaluated for two parameters including, 'Change in esthetics' and 'Improvement in opacities/stains' using a VAS scale by two independent observers. Kruskal-Wallis test and Mann-Whitney U-test were done for intergroup comparisons.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Best results for both the parameters were observed among patients treated with resin infiltration with increased infiltration time. Mann-Whitney U test revealed significantly better results for resin infiltration groups (alone or combination with bleaching) as compared to bleaching alone (P < .001).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Resin infiltration procedure with tailored etching times and increased infiltration time exhibited best results in terms of change in esthetics and improvement in stains.</p></div><div type="abstract" xml:lang="en"><p><b>CLINICAL SIGNIFICANCE</b></p><p>White and brown opacities due to fluorosis have always been a concern for esthetics. In our study, resin infiltration technique with tailored etching times and increased infiltration time exhibited best immediate esthetic improvement for nonpitted fluorotic opacities and stains. These esthetic outcomes reaffirm the applicability of RI technique for nonpitted fluorosis, which was originally advocated only for white spot lesions due to early caries. This will in turn help the dentists to plan the esthetic management of nonpitted fluorosis in a micro-invasive manner.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28654721</PMID><DateCompleted><Year>2019</Year><Month>08</Month><Day>20</Day></DateCompleted><DateRevised><Year>2019</Year><Month>08</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1708-8240</ISSN><JournalIssue CitedMedium="Internet"><Volume>29</Volume><Issue>5</Issue><PubDate><Year>2017</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]</Title><ISOAbbreviation>J Esthet Restor Dent</ISOAbbreviation></Journal><ArticleTitle>Comparative evaluation of esthetic changes in nonpitted fluorosis stains when treated with resin infiltration, in-office bleaching, and combination therapies.</ArticleTitle><Pagination><MedlinePgn>317-324</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/jerd.12312</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Dental fluorosis leads to esthetic deviation and varies from nonpitted white opacities, dark brown stains to pitting or structural breakdown of enamel surface. Treatment for fluorosis depends on the severity of condition and includes both noninvasive methods and invasive methods. Recently resin infiltration has been proposed as an alternative treatment for nonpitted fluorosis. This study was done to evaluate the esthetic changes in nonpitted fluorosis stains when treated with resin infiltration, in-office bleaching and combination therapies.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">The present study is a randomized, single blinded controlled trial with four parallel arms with 1:1 allocation ratio. The intervention arms included bleaching with 35% hydrogen peroxide, resin infiltration, resin infiltration with increased infiltration time and a combination approach of bleaching and infiltration. Immediate esthetic changes were evaluated for two parameters including, 'Change in esthetics' and 'Improvement in opacities/stains' using a VAS scale by two independent observers. Kruskal-Wallis test and Mann-Whitney U-test were done for intergroup comparisons.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Best results for both the parameters were observed among patients treated with resin infiltration with increased infiltration time. Mann-Whitney U test revealed significantly better results for resin infiltration groups (alone or combination with bleaching) as compared to bleaching alone (P < .001).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Resin infiltration procedure with tailored etching times and increased infiltration time exhibited best results in terms of change in esthetics and improvement in stains.</AbstractText><AbstractText Label="CLINICAL SIGNIFICANCE" NlmCategory="CONCLUSIONS">White and brown opacities due to fluorosis have always been a concern for esthetics. In our study, resin infiltration technique with tailored etching times and increased infiltration time exhibited best immediate esthetic improvement for nonpitted fluorotic opacities and stains. These esthetic outcomes reaffirm the applicability of RI technique for nonpitted fluorosis, which was originally advocated only for white spot lesions due to early caries. This will in turn help the dentists to plan the esthetic management of nonpitted fluorosis in a micro-invasive manner.</AbstractText><CopyrightInformation>© 2017 Wiley Periodicals, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gugnani</LastName><ForeName>Neeraj</ForeName><Initials>N</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-0891-681X</Identifier><AffiliationInfo><Affiliation>Department of Pedodontics and Preventive Dentistry, DAV (C) Dental College Yamunanagar, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pandit</LastName><ForeName>I K</ForeName><Initials>IK</Initials><AffiliationInfo><Affiliation>Department of Pedodontics and Preventive Dentistry, DAV (C) Dental College Yamunanagar, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gupta</LastName><ForeName>Monika</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Pedodontics and Preventive Dentistry, DAV (C) Dental College Yamunanagar, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gugnani</LastName><ForeName>Shalini</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Periodontics, DAV (C) Dental College Yamunanagar, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Soni</LastName><ForeName>Sugandhi</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Preventive and Community Dentistry, DAV (C) Dental College Yamunanagar, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goyal</LastName><ForeName>Virender</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Pedodontics and Preventive Dentistry, DIRDS, Faridkot, Punjab, India.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><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>2017</Year><Month>06</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Esthet Restor Dent</MedlineTA><NlmUniqueID>101096515</NlmUniqueID><ISSNLinking>1496-4155</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D003764">Dental Materials</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D012117">Resins, Synthetic</NameOfSubstance></Chemical></ChemicalList><MeshHeadingList><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003764" MajorTopicYN="N">Dental Materials</DescriptorName><QualifierName UI="Q000737" MajorTopicYN="N">chemistry</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004955" MajorTopicYN="Y">Esthetics, Dental</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009050" MajorTopicYN="N">Fluorosis, Dental</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012117" MajorTopicYN="N">Resins, Synthetic</DescriptorName><QualifierName UI="Q000737" MajorTopicYN="Y">chemistry</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016037" MajorTopicYN="N">Single-Blind Method</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014073" MajorTopicYN="N">Tooth Bleaching</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>6</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>8</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>6</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28654721</ArticleId><ArticleId IdType="doi">10.1111/jerd.12312</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Gugnani, Neeraj" sort="Gugnani, Neeraj" uniqKey="Gugnani N" first="Neeraj" last="Gugnani">Neeraj Gugnani</name></noRegion><name sortKey="Goyal, Virender" sort="Goyal, Virender" uniqKey="Goyal V" first="Virender" last="Goyal">Virender Goyal</name><name sortKey="Gugnani, Shalini" sort="Gugnani, Shalini" uniqKey="Gugnani S" first="Shalini" last="Gugnani">Shalini Gugnani</name><name sortKey="Gupta, Monika" sort="Gupta, Monika" uniqKey="Gupta M" first="Monika" last="Gupta">Monika Gupta</name><name sortKey="Pandit, I K" sort="Pandit, I K" uniqKey="Pandit I" first="I K" last="Pandit">I K Pandit</name><name sortKey="Soni, Sugandhi" sort="Soni, Sugandhi" uniqKey="Soni S" first="Sugandhi" last="Soni">Sugandhi Soni</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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