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Alveolar ridge changes 1‐year after early implant placement, with or without alveolar ridge preservation at single‐implant sites in the aesthetic region: A secondary analysis of radiographic and profilometric outcomes from a randomized controlled trial
Objectives To assess both the radiographic and profilometric outcomes of early implant placement with or without alveolar ridge preservation (ARP) (using two different ARP techniques) after 1 year of loading. Materials and Methods Seventy‐five patients with a failing single tooth in the anterior max...
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| Published in: | Clinical implant dentistry and related research 2024-04, Vol.26 (2), p.356-368 |
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| creator | Strauss, Franz Josef Fukuba, Shunsuke Naenni, Nadja Jung, Ronald Jonker, Brend Wolvius, Eppo Pijpe, Justin |
| description | Objectives
To assess both the radiographic and profilometric outcomes of early implant placement with or without alveolar ridge preservation (ARP) (using two different ARP techniques) after 1 year of loading.
Materials and Methods
Seventy‐five patients with a failing single tooth in the anterior maxilla were randomly allocated to three groups (1:1:1): (a) ARP using demineralized bovine bone mineral containing 10% collagen (DBBM‐C) covered by a collagen matrix (CM), (b) ARP using DBBM‐C covered with a palatal graft (PG), and (c) unassisted socket healing (control). Eight weeks after tooth extraction, early implant placement was performed in all patients. Cone‐beam computed tomography (CBCT) and impressions were taken 8 weeks after tooth extraction (ARP/unassisted healing) prior to implant placement and 1‐year post‐loading. Radiographic and profilometric outcomes were evaluated.
Results
Out of the 70 patients available for re‐examination at 1‐year post‐loading, 55 datasets could be assessed (ARP‐CM 19; ARP‐PG 17; Control 19). The need for additional guided bone regeneration (GBR) at implant placement amounted to 31.6% (ARP‐CM), 29.4% (ARP‐PG), and 68.4% (unassisted healing). Adjusted models revealed that residual buccal bone height and additional GBR at implant placement significantly influenced the magnitude of the alveolar changes at 1 year (p |
| doi_str_mv | 10.1111/cid.13297 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2903323378</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3034078923</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3537-1e8c79446e1f47562e46f49b5355dc6112a0c15ddcbbb6e8d439798e3672cd4d3</originalsourceid><addsrcrecordid>eNp1ks1u1DAQxwMC0bJw4AXQSFyKxLZ2nA-H22r5qlSJC5wjx55kXTnxYjutwolH6DPyJAzdFgkkfPD8Nfr5PzPWZNkLzk45nTNtzSkXeVM_zI55zeRa5kw-Il3mYs1k0xxlT2O8ZCznvOJPsiMhOSuLRh4_yDbuCr1TAYI1A4LeqWnACPznj5sFKa36hAFIuQXsuHdqSkC3xhGn9AaubdqBD7fRzwnU33b7gBHDlUrWT6ASRDsNDsn73iraRNXsBGmHoDBSSFZDwIFevIUNRNR-MiosoCbllmgj-B6CMtYPQe13BKvJUCHfW-dHTIEy1IkmHaEPfgRF-GT8aL-jAXJLwTtHklDlnmWPe-UiPr-Lq-zrh_dftp_WF58_nm83F2stSlGvOUpdN0VRIe-LuqxyLKq-aLpSlKXRFee5YpqXxuiu6yqUphBN3UgUVZ1rUxixyk4OvtTpt5kGbUcbNTr6BfRzbPOGCZELUUtCX_2DXvo50PSxFUwUrJYNgavs9YHSwccYsG_3wY70US1n7e-1aGkt2tu1IPblnePcjWj-kPd7QMDZAbi2Dpf_O7Xb83cHy1_Y58kl</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3034078923</pqid></control><display><type>article</type><title>Alveolar ridge changes 1‐year after early implant placement, with or without alveolar ridge preservation at single‐implant sites in the aesthetic region: A secondary analysis of radiographic and profilometric outcomes from a randomized controlled trial</title><source>Wiley Online Library</source><creator>Strauss, Franz Josef ; Fukuba, Shunsuke ; Naenni, Nadja ; Jung, Ronald ; Jonker, Brend ; Wolvius, Eppo ; Pijpe, Justin</creator><creatorcontrib>Strauss, Franz Josef ; Fukuba, Shunsuke ; Naenni, Nadja ; Jung, Ronald ; Jonker, Brend ; Wolvius, Eppo ; Pijpe, Justin</creatorcontrib><description>Objectives
To assess both the radiographic and profilometric outcomes of early implant placement with or without alveolar ridge preservation (ARP) (using two different ARP techniques) after 1 year of loading.
Materials and Methods
Seventy‐five patients with a failing single tooth in the anterior maxilla were randomly allocated to three groups (1:1:1): (a) ARP using demineralized bovine bone mineral containing 10% collagen (DBBM‐C) covered by a collagen matrix (CM), (b) ARP using DBBM‐C covered with a palatal graft (PG), and (c) unassisted socket healing (control). Eight weeks after tooth extraction, early implant placement was performed in all patients. Cone‐beam computed tomography (CBCT) and impressions were taken 8 weeks after tooth extraction (ARP/unassisted healing) prior to implant placement and 1‐year post‐loading. Radiographic and profilometric outcomes were evaluated.
Results
Out of the 70 patients available for re‐examination at 1‐year post‐loading, 55 datasets could be assessed (ARP‐CM 19; ARP‐PG 17; Control 19). The need for additional guided bone regeneration (GBR) at implant placement amounted to 31.6% (ARP‐CM), 29.4% (ARP‐PG), and 68.4% (unassisted healing). Adjusted models revealed that residual buccal bone height and additional GBR at implant placement significantly influenced the magnitude of the alveolar changes at 1 year (p < 0.05). In patients with ARP (group ARP‐CM or ARP‐PG) without additional GBR, the presence of bone convexity amounted to 36.0% (9/25) at 1‐year post‐loading. For patients that received ARP and additional GBR at implant placement, the frequency of bone convexity increased to 72.7% (8/11) (p = 0.042). Regarding profilometric measurements, a tendency toward agreement with radiographic outcomes was observed.
Conclusions
Early implant placement with ARP can attenuate alveolar ridge changes at 1‐year post loading by minimizing both radiographic and profilometric alterations. However, early implant placement with simultaneous GBR consistently yields superior radiographic and profilometric outcomes, regardless of whether ARP is performed.</description><identifier>ISSN: 1523-0899</identifier><identifier>EISSN: 1708-8208</identifier><identifier>DOI: 10.1111/cid.13297</identifier><identifier>PMID: 38105498</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Alveolar Bone Loss - diagnostic imaging ; Alveolar Bone Loss - prevention & control ; Alveolar Process - diagnostic imaging ; Alveolar Process - surgery ; alveolar ridge ; Alveolar Ridge Augmentation - methods ; alveolar ridge preservation ; Animals ; ARP ; Biological Products ; Bone demineralization ; Bone growth ; Bone healing ; Bones ; Cattle ; Collagen ; Computed tomography ; Convexity ; Dental Implants ; early implant placement ; Esthetics, Dental ; GBR ; guided bone regeneration ; Healing ; Humans ; Loading ; Maxilla ; Minerals ; Regeneration ; Regeneration (physiology) ; Secondary analysis ; Teeth ; Tomography ; Tooth Extraction ; Tooth Socket - diagnostic imaging ; Tooth Socket - surgery</subject><ispartof>Clinical implant dentistry and related research, 2024-04, Vol.26 (2), p.356-368</ispartof><rights>2023 Wiley Periodicals LLC.</rights><rights>2024 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3537-1e8c79446e1f47562e46f49b5355dc6112a0c15ddcbbb6e8d439798e3672cd4d3</citedby><cites>FETCH-LOGICAL-c3537-1e8c79446e1f47562e46f49b5355dc6112a0c15ddcbbb6e8d439798e3672cd4d3</cites><orcidid>0000-0002-6689-2684 ; 0000-0002-5832-7327 ; 0000-0002-1066-7541 ; 0000-0003-0100-3871</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcid.13297$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcid.13297$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38105498$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Strauss, Franz Josef</creatorcontrib><creatorcontrib>Fukuba, Shunsuke</creatorcontrib><creatorcontrib>Naenni, Nadja</creatorcontrib><creatorcontrib>Jung, Ronald</creatorcontrib><creatorcontrib>Jonker, Brend</creatorcontrib><creatorcontrib>Wolvius, Eppo</creatorcontrib><creatorcontrib>Pijpe, Justin</creatorcontrib><title>Alveolar ridge changes 1‐year after early implant placement, with or without alveolar ridge preservation at single‐implant sites in the aesthetic region: A secondary analysis of radiographic and profilometric outcomes from a randomized controlled trial</title><title>Clinical implant dentistry and related research</title><addtitle>Clin Implant Dent Relat Res</addtitle><description>Objectives
To assess both the radiographic and profilometric outcomes of early implant placement with or without alveolar ridge preservation (ARP) (using two different ARP techniques) after 1 year of loading.
Materials and Methods
Seventy‐five patients with a failing single tooth in the anterior maxilla were randomly allocated to three groups (1:1:1): (a) ARP using demineralized bovine bone mineral containing 10% collagen (DBBM‐C) covered by a collagen matrix (CM), (b) ARP using DBBM‐C covered with a palatal graft (PG), and (c) unassisted socket healing (control). Eight weeks after tooth extraction, early implant placement was performed in all patients. Cone‐beam computed tomography (CBCT) and impressions were taken 8 weeks after tooth extraction (ARP/unassisted healing) prior to implant placement and 1‐year post‐loading. Radiographic and profilometric outcomes were evaluated.
Results
Out of the 70 patients available for re‐examination at 1‐year post‐loading, 55 datasets could be assessed (ARP‐CM 19; ARP‐PG 17; Control 19). The need for additional guided bone regeneration (GBR) at implant placement amounted to 31.6% (ARP‐CM), 29.4% (ARP‐PG), and 68.4% (unassisted healing). Adjusted models revealed that residual buccal bone height and additional GBR at implant placement significantly influenced the magnitude of the alveolar changes at 1 year (p < 0.05). In patients with ARP (group ARP‐CM or ARP‐PG) without additional GBR, the presence of bone convexity amounted to 36.0% (9/25) at 1‐year post‐loading. For patients that received ARP and additional GBR at implant placement, the frequency of bone convexity increased to 72.7% (8/11) (p = 0.042). Regarding profilometric measurements, a tendency toward agreement with radiographic outcomes was observed.
Conclusions
Early implant placement with ARP can attenuate alveolar ridge changes at 1‐year post loading by minimizing both radiographic and profilometric alterations. However, early implant placement with simultaneous GBR consistently yields superior radiographic and profilometric outcomes, regardless of whether ARP is performed.</description><subject>Alveolar Bone Loss - diagnostic imaging</subject><subject>Alveolar Bone Loss - prevention & control</subject><subject>Alveolar Process - diagnostic imaging</subject><subject>Alveolar Process - surgery</subject><subject>alveolar ridge</subject><subject>Alveolar Ridge Augmentation - methods</subject><subject>alveolar ridge preservation</subject><subject>Animals</subject><subject>ARP</subject><subject>Biological Products</subject><subject>Bone demineralization</subject><subject>Bone growth</subject><subject>Bone healing</subject><subject>Bones</subject><subject>Cattle</subject><subject>Collagen</subject><subject>Computed tomography</subject><subject>Convexity</subject><subject>Dental Implants</subject><subject>early implant placement</subject><subject>Esthetics, Dental</subject><subject>GBR</subject><subject>guided bone regeneration</subject><subject>Healing</subject><subject>Humans</subject><subject>Loading</subject><subject>Maxilla</subject><subject>Minerals</subject><subject>Regeneration</subject><subject>Regeneration (physiology)</subject><subject>Secondary analysis</subject><subject>Teeth</subject><subject>Tomography</subject><subject>Tooth Extraction</subject><subject>Tooth Socket - diagnostic imaging</subject><subject>Tooth Socket - surgery</subject><issn>1523-0899</issn><issn>1708-8208</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp1ks1u1DAQxwMC0bJw4AXQSFyKxLZ2nA-H22r5qlSJC5wjx55kXTnxYjutwolH6DPyJAzdFgkkfPD8Nfr5PzPWZNkLzk45nTNtzSkXeVM_zI55zeRa5kw-Il3mYs1k0xxlT2O8ZCznvOJPsiMhOSuLRh4_yDbuCr1TAYI1A4LeqWnACPznj5sFKa36hAFIuQXsuHdqSkC3xhGn9AaubdqBD7fRzwnU33b7gBHDlUrWT6ASRDsNDsn73iraRNXsBGmHoDBSSFZDwIFevIUNRNR-MiosoCbllmgj-B6CMtYPQe13BKvJUCHfW-dHTIEy1IkmHaEPfgRF-GT8aL-jAXJLwTtHklDlnmWPe-UiPr-Lq-zrh_dftp_WF58_nm83F2stSlGvOUpdN0VRIe-LuqxyLKq-aLpSlKXRFee5YpqXxuiu6yqUphBN3UgUVZ1rUxixyk4OvtTpt5kGbUcbNTr6BfRzbPOGCZELUUtCX_2DXvo50PSxFUwUrJYNgavs9YHSwccYsG_3wY70US1n7e-1aGkt2tu1IPblnePcjWj-kPd7QMDZAbi2Dpf_O7Xb83cHy1_Y58kl</recordid><startdate>202404</startdate><enddate>202404</enddate><creator>Strauss, Franz Josef</creator><creator>Fukuba, Shunsuke</creator><creator>Naenni, Nadja</creator><creator>Jung, Ronald</creator><creator>Jonker, Brend</creator><creator>Wolvius, Eppo</creator><creator>Pijpe, Justin</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6689-2684</orcidid><orcidid>https://orcid.org/0000-0002-5832-7327</orcidid><orcidid>https://orcid.org/0000-0002-1066-7541</orcidid><orcidid>https://orcid.org/0000-0003-0100-3871</orcidid></search><sort><creationdate>202404</creationdate><title>Alveolar ridge changes 1‐year after early implant placement, with or without alveolar ridge preservation at single‐implant sites in the aesthetic region: A secondary analysis of radiographic and profilometric outcomes from a randomized controlled trial</title><author>Strauss, Franz Josef ; Fukuba, Shunsuke ; Naenni, Nadja ; Jung, Ronald ; Jonker, Brend ; Wolvius, Eppo ; Pijpe, Justin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3537-1e8c79446e1f47562e46f49b5355dc6112a0c15ddcbbb6e8d439798e3672cd4d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Alveolar Bone Loss - diagnostic imaging</topic><topic>Alveolar Bone Loss - prevention & control</topic><topic>Alveolar Process - diagnostic imaging</topic><topic>Alveolar Process - surgery</topic><topic>alveolar ridge</topic><topic>Alveolar Ridge Augmentation - methods</topic><topic>alveolar ridge preservation</topic><topic>Animals</topic><topic>ARP</topic><topic>Biological Products</topic><topic>Bone demineralization</topic><topic>Bone growth</topic><topic>Bone healing</topic><topic>Bones</topic><topic>Cattle</topic><topic>Collagen</topic><topic>Computed tomography</topic><topic>Convexity</topic><topic>Dental Implants</topic><topic>early implant placement</topic><topic>Esthetics, Dental</topic><topic>GBR</topic><topic>guided bone regeneration</topic><topic>Healing</topic><topic>Humans</topic><topic>Loading</topic><topic>Maxilla</topic><topic>Minerals</topic><topic>Regeneration</topic><topic>Regeneration (physiology)</topic><topic>Secondary analysis</topic><topic>Teeth</topic><topic>Tomography</topic><topic>Tooth Extraction</topic><topic>Tooth Socket - diagnostic imaging</topic><topic>Tooth Socket - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Strauss, Franz Josef</creatorcontrib><creatorcontrib>Fukuba, Shunsuke</creatorcontrib><creatorcontrib>Naenni, Nadja</creatorcontrib><creatorcontrib>Jung, Ronald</creatorcontrib><creatorcontrib>Jonker, Brend</creatorcontrib><creatorcontrib>Wolvius, Eppo</creatorcontrib><creatorcontrib>Pijpe, Justin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical implant dentistry and related research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Strauss, Franz Josef</au><au>Fukuba, Shunsuke</au><au>Naenni, Nadja</au><au>Jung, Ronald</au><au>Jonker, Brend</au><au>Wolvius, Eppo</au><au>Pijpe, Justin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Alveolar ridge changes 1‐year after early implant placement, with or without alveolar ridge preservation at single‐implant sites in the aesthetic region: A secondary analysis of radiographic and profilometric outcomes from a randomized controlled trial</atitle><jtitle>Clinical implant dentistry and related research</jtitle><addtitle>Clin Implant Dent Relat Res</addtitle><date>2024-04</date><risdate>2024</risdate><volume>26</volume><issue>2</issue><spage>356</spage><epage>368</epage><pages>356-368</pages><issn>1523-0899</issn><eissn>1708-8208</eissn><notes>Franz J. Strauss and Justin Pijpe contributed equally as senior authors and should be considered as joint corresponding authors.</notes><notes>Correction added on 9 January 2024 after online publication: The affiliation of author Ronald Jung was updated to Affiliation 1 in this version.</notes><notes>Franz Josef Strauss and Shunsuke Fukuba contributed equally to this study and should be considered as joint first authors.</notes><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><notes>ObjectType-Undefined-3</notes><abstract>Objectives
To assess both the radiographic and profilometric outcomes of early implant placement with or without alveolar ridge preservation (ARP) (using two different ARP techniques) after 1 year of loading.
Materials and Methods
Seventy‐five patients with a failing single tooth in the anterior maxilla were randomly allocated to three groups (1:1:1): (a) ARP using demineralized bovine bone mineral containing 10% collagen (DBBM‐C) covered by a collagen matrix (CM), (b) ARP using DBBM‐C covered with a palatal graft (PG), and (c) unassisted socket healing (control). Eight weeks after tooth extraction, early implant placement was performed in all patients. Cone‐beam computed tomography (CBCT) and impressions were taken 8 weeks after tooth extraction (ARP/unassisted healing) prior to implant placement and 1‐year post‐loading. Radiographic and profilometric outcomes were evaluated.
Results
Out of the 70 patients available for re‐examination at 1‐year post‐loading, 55 datasets could be assessed (ARP‐CM 19; ARP‐PG 17; Control 19). The need for additional guided bone regeneration (GBR) at implant placement amounted to 31.6% (ARP‐CM), 29.4% (ARP‐PG), and 68.4% (unassisted healing). Adjusted models revealed that residual buccal bone height and additional GBR at implant placement significantly influenced the magnitude of the alveolar changes at 1 year (p < 0.05). In patients with ARP (group ARP‐CM or ARP‐PG) without additional GBR, the presence of bone convexity amounted to 36.0% (9/25) at 1‐year post‐loading. For patients that received ARP and additional GBR at implant placement, the frequency of bone convexity increased to 72.7% (8/11) (p = 0.042). Regarding profilometric measurements, a tendency toward agreement with radiographic outcomes was observed.
Conclusions
Early implant placement with ARP can attenuate alveolar ridge changes at 1‐year post loading by minimizing both radiographic and profilometric alterations. However, early implant placement with simultaneous GBR consistently yields superior radiographic and profilometric outcomes, regardless of whether ARP is performed.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>38105498</pmid><doi>10.1111/cid.13297</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-6689-2684</orcidid><orcidid>https://orcid.org/0000-0002-5832-7327</orcidid><orcidid>https://orcid.org/0000-0002-1066-7541</orcidid><orcidid>https://orcid.org/0000-0003-0100-3871</orcidid></addata></record> |
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| ispartof | Clinical implant dentistry and related research, 2024-04, Vol.26 (2), p.356-368 |
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| subjects | Alveolar Bone Loss - diagnostic imaging Alveolar Bone Loss - prevention & control Alveolar Process - diagnostic imaging Alveolar Process - surgery alveolar ridge Alveolar Ridge Augmentation - methods alveolar ridge preservation Animals ARP Biological Products Bone demineralization Bone growth Bone healing Bones Cattle Collagen Computed tomography Convexity Dental Implants early implant placement Esthetics, Dental GBR guided bone regeneration Healing Humans Loading Maxilla Minerals Regeneration Regeneration (physiology) Secondary analysis Teeth Tomography Tooth Extraction Tooth Socket - diagnostic imaging Tooth Socket - surgery |
| title | Alveolar ridge changes 1‐year after early implant placement, with or without alveolar ridge preservation at single‐implant sites in the aesthetic region: A secondary analysis of radiographic and profilometric outcomes from a randomized controlled trial |
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