He has successfully performed hundreds of gummy smile reductions in patients with predictable success. Once you are comfortable and sufficiently numbed, the procedure will begin. To avoid developing complications and ensure a fast recovery process, it is essential that you follow these instructions closely. Although every patient will have a slightly different experience, there is usually minimal pain during the procedure, thanks to the use of anesthetics. If you require the surgery to wear dentures comfortably, make sure you understand the procedure. Medically Reviewed By Colgate Global Scientific Communications. To control this deterioration, vestibuloplasty is performed. ISSN 0007-0610 (print), Masticatory performance before and after mandibular vestibuloplasty, Cancel 8600 Rockville Pike Ein Jahr chirurgisch-zahnarztliches tatigkeit im kieferspitale. No Comments . They'll also take every care before, during, and after the vestibuloplasty procedure. 3420 Clarksville St Paris, TX 75460 More About Cone Beam CT >, Revolutionary Non-surgical gum treatment using the Perioscope, We treat most cases of moderate to severe gum disease completely non-surgically by using the Perioscope. It may be also required in cases where the membrane attach at the residual ridge crest making the vestibule too shallow. Of the 60 women that tried intercourse and answered both questions before and after the intervention, the mean number of occasions of intercourse per year increased from 59 before the intervention to 76 thereafter (p = 0.06 J. Maxillofac. A prescription pain medication may be given, which should be taken as prescribed; otherwise, pain can usually be managed with over-the-counter pain relief medications. By performing a modified vestibuloplasty and STSG of the ZAC, a denture-bearing area can be created that is accessible even in patients with limited mouth opening. The results indicate that this procedure is a reliable Of course, the normal timeline for getting your dentures depends on if you've followed your dental team's aftercare instructions. Please enable it to take advantage of the complete set of features! Thank you for taking a look at our site. First, the upper lip was pulled outward in order to maintain tension on the vestibule throughout the dissection. The defending champion, Nadal injured his left hip and lost in the second round, abruptly ending his bid for a record-extending 23rd Grand Slam trophy. This clinical . A patient survey of denture tolerance before and after a mandibular vestibuloplasty with skin grafting Howard M. Landesman, DDS, MEd hbbd```b``"WHE + &)*Vif_5@$#XDDmX"@$$)j"H- l;C@$G0[H2& lx6DL`GI?K ! All rights reserved. made only by oral surgeons. Afterward, your surgeon might use a different type of laser to help jump-start the healing process over the course of several sessions. During vestibuloplasty, the height and width of the gum is enhanced. He also used 5 W of continuous wave for additional hemostasis. Your surgeon will be monitoring you during this time to help guide your healing. contracts here. The undermined mucosa is used to cover one side while the other side heals with the development of fresh epithelial surface. The Perioscope is a revolutionary, tiny camera that enables us to see deeply buried plaque and calculus deposits, that before the Perioscope would have required exploratory surgery to see. Connective Tissue Graft: Before. 8136 Mall Road Florence, KY 41042 201 Martha Layne Collins Blvd Ste. Our technology and procedures also make your treatment far more comfortable and with faster healing time than with less advanced techniques. Die Epidermistransplantation bei der Mundvorhofplastik. doi: 10.1597/1545-1569_2001_038_0551_vasabg_2.0.co_2. The https:// ensures that you are connecting to the Most patients will be completely healed from the vestibuloplasty procedure within 4-6 weeks, after which the dentures can be placed. However, it is not appropriate in all cases. If you have any additional questions or concerns please contact our office today. This site needs JavaScript to work properly. When evaluating the cosmetics of a smile, an experienced cosmetic dentist will evaluate the gummy smile to improve the harmony of the overall facial aesthetics. Guideline History/Revision Information . Connective Tissue Graft: After. Clipboard, Search History, and several other advanced features are temporarily unavailable. After the oral surgeon makes the incisions to deepen the vestibule area, they'll stitch the cheek in its new location. After about four weeks, the vestibuloplasty site should be noticeably healed. Lip repositioning is usually considered cosmetic surgery, which means insurance plans likely won't cover it. Greater Milw Dent Bull. Bookshelf Lpez-Cedrn JL, Gonzalez-Landa G, Figueroa A. J Craniomaxillofac Surg. Comparative evaluation of two different vestibuloplasty surgical procedures in cleft patients: a pilot study. 466 0 obj function and reduced pain in 36 patients surveyed after they had undergone the surgical To schedule an appointment, contact our Rockwall office today at (972) 771-8640 or our Paris office at (903) 785-4832. Isolated keratinized gingiva incision in alveolar cleft bone grafts improves qualitative outcomes: a single surgeon's 23 year experience. It consists of alteration in the membranes around the dental bone structure. Before beginning the vestibular surgical procedure, we will administer a local anesthetic to ensure you experience minimal discomfort, along with dental sedation. We accept cash, check, Visa, Discover, Mastercard, and American Express. Sometimes this procedure is also carried out for reconstruction of gum pockets. - Massage of the soft tissues two or three. The overall cost will also be impacted by the follow up procedures required once you have completed the healing process. If you are concerned about the cost of receiving treatment, please know that we offer our patients Compassionate Finance, which offers a variety of payment solutions with fixed interest rates and manageable monthly payments and CareCredit, which offers 24-month payment plans with zero interest, as well as low-interest financing for 24-60 months. We use advanced technology to ensure your treatments get optimal results and are minimally invasive. The procedure often involves increasing the width and height of the gum region. Vestibuloplasty is utilized in order to prepare the area for a prosthetic implantation. Mandibular vestibuloplasty with skin grafting. Drs. An official website of the United States government. A vestibuloplasty procedure can best be performed with a scalpel or a diode laser. An expert in gummy smile evaluation will be able to take pictures of your smile and discuss your goals for treatment. 1998 Jul;35(4):304-9. doi: 10.1597/1545-1569_1998_035_0304_srotpi_2.3.co_2. Careers. Angle Orthod. Federal government websites often end in .gov or .mil. skin grafting to determine whether they were better able to tolerate the dentures Though uncommon, the risks of having a vestibuloplasty procedure performed include an increased risk of infection, swelling, and bleeding, and in very rare cases, muscle and nerve tissue may incur damage, which can result in facial sagging or drooping. Ueber chirurgische Formgestaltung des atrophischen Kiefers zum Zwecke prothetischer Versorgung. MeSH Located between your lips/cheeks and teeth/gums, a healthy oral vestibule is usually the perfect size for your natural teeth. To obtain Zur technik der hauttransplantation nach Thiersch. Vestibuloplasty: Before. government site. Payment is due in full on the day of treatment. We use cookies to help provide and enhance our service and tailor content. After the procedure, your oral surgeon might prescribe a combination of antibiotics, pain relievers, and mouth rinses to help keep the pain and plaque at bay. Please enable it to take advantage of the complete set of features! Vestibuloplasty techniques are widely carried out to make the denture bearing area more suitable and adequate to receive the intended prosthesis. government site. Einfache chirurgische Massnahmen zur Sicherung von Halt und Stabilitt der Prothesen in der alltagspraxis. 972-771-8640, PARIS Thirty-six patients were examined by two prosthodontistis after a mandibular vestibuloplasty with skin grafting to determine whether there was a significant improvement in these patients ability to tolerate their dentures. The technique enables the surgeon to obtain an adequate sulcus depth around the graft area. The reverse vestibuloplasty is a minimally invasive procedure that helps a large number of gummy smiles. 383 0 obj An oral surgery, vestibuloplasty is performed in order to augment the height of the alveolar ridge (the bony part of the gum that contains teeth). And be assured that before either procedure, you'll receive adequate anesthesia to remain pain-free. Vestibuloplasty: After. 2014 Dec;7(4):258-62. doi: 10.1055/s-0034-1375171. Copyright 2012 - 2020 Aesthetic Smile Reconstruction | All Rights Reserved. Federal government websites often end in .gov or .mil. Accessibility sharing sensitive information, make sure youre on a federal The surface area is also a factor upon which the extent of surgery depends. air safety Congress targets Tejasvi Surya after reports say he opened flight emergency exit before take off On Tuesday, IndiGo and DGCA confirmed the December 10 incident more than a month after . Epub 2014 May 21. side, at intervals of a week, before subjecting these patients to 'vestibuloplasty' as described below. <>/Filter/FlateDecode/ID[<8E0DD2AD4AA5A648AF976F63D6FF92F2><014C8550F9B4B2110A005018F75CFE7F>]/Index[382 85]/Info 381 0 R/Length 154/Prev 144305/Root 383 0 R/Size 467/Type/XRef/W[1 3 1]>>stream f2-Occlusal correction of the old. Limited space within the oral cavity also makes it hard to maintain dental hygiene, leading to plaque build-up and infection. (Oct-Dec 2011) 10(4):283-287 DOI 10.1007/s12663-011-0230- CLINICAL STUDY Effectiveness of Human Amnion as a Graft Material in Lower Anterior Ridge Vestibuloplasty: A Clinical Study Yogesh Sharma Anisha Maria Preeti Kaur Received: 5 August 2010 / Accepted: 17 April 2011 / Published online: 6 May 2011 Association of Oral and Maxillofacial Surgeons of India . There are no comparable non-surgical or surgical alternatives to vestibuloplasty. It is also known as vestibule-sulcoplasty as it involves deepening the sulcus and does not disturb the bone structure. The practice is known for a VIP experience and was the first to publicize the concept of cinema-style operatories for patient comfort. To learn more about the Vestibuloplasty procedure or other services offered at our office, please refer to the following. prosthesis. Beitrag zur alveolarkammplastik am Unterkiefer. Local tissue management including thinning of the skin paddle and/or vestibuloplasty is often required. HHS Vulnerability Disclosure, Help The information you provide and the professional exam can help determine if vestibuloplasty would benefit you. official website and that any information you provide is encrypted If it is determined that the procedure is needed, we will discuss what you can expect from the procedure and answer any questions you may have, after which a follow up appointment will be scheduled. His practice, Aesthetic Smile Reconstruction, is located in the metro Boston area. At Northeast Texas Periodontal Specialists, we are committed to providing you with the periodontal care you need to enjoy good oral health and maintain a smile that you can be confident in. After administration of local anesthetic, the anterior vestibule is placed under tension by pulling the lower or upper lip outward. The aircraft had flown more than 1,700 times in the past one year. A shallow vestibule can make it easier for plaque to accumulate in your mouth, according to a study published in the Journal of Clinical & Diagnostic Research. More About Platelet Rich Fibrin >, Advanced 3D imaging makes treatment faster and less invasive, We use high-tech digital X-rays and a 3D cone beam CT scanner to get detailed images of your teeth, gums, and jaw structure. Prosthodontic considerations in mandibular ridge extension to improve denture-base foundation. View some of ourbefore and after photos. The Lasers of Medical Science research noted that if you have difficulty healing from wounds as is the case with some people with diabetes this procedure might be best for you. Download : Download high-res image (484KB) Download : Download full-size image If you are self-conscious about a gummy smile, there are options available to enhance the beauty of your smile throughgummy smile reductionand lip lowering.. This multi-step process takes up to 24 hours from review submission to publication. Iino M, Sasaki T, Kochi S, Fukuda M, Takahashi T, Yamaguchi T. Cleft Palate Craniofac J. the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in If you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. This is achieved by cutting and rearranging the muscles that attach the floor of the mouth, lips and cheek to the jaw. The laser journal's study found both techniques resulted in the same pain and swelling level, which could be minor. Thirty-six patients were examined by two prosthodontists after a mandibular vestibuloplasty In addition, this technique releases the mucosal scar contraction and improves the shape and mobility of the upper lip. The advantage of this strategy is that MGCTs from a small piece of maxillary tuberosity can regenerate the keratinized tissue band. Vestibuloplasty Indications Vestibuloplasty is an oral surgeon procedure which is performed for various reasons. That's something to smile about. Bethesda, MD 20894, Web Policies The https:// ensures that you are connecting to the People who have lost their natural teeth experience ridge resorption over time. Rafael Nadal of Spain reacts during his . Blankets and pillows are provided in the treatment room, and oral and IV sedation options are available for patients who are anxious or who are scheduled for longer procedures. Login with your ADA username and password. Factors that will determine the extent of the procedure include the size of the area in need of reconstruction and/or how much bone loss has occurred. Potential Complications from Vestibuloplasty: Possible risks following vestibuloplasty include swelling, infection, bleeding and a negative reaction to the anesthetic. There are a few different causes of a gummy smile. both before and after treatment. This surgical procedure to restore alveolar ridge height by lowering muscles attaching to the buccal, labial and lingual aspects of the jaws can greatly enhance the patients' post-surgical adjustment to the prosthesis. Published by Elsevier Inc. All rights reserved. Masticatory performance before and after mandibular vestibuloplasty @article{Watson1987MasticatoryPB, title={Masticatory performance before and after mandibular vestibuloplasty}, author={Christopher J Watson}, journal={British Dental Journal}, year={1987}, volume={162}, pages={417-422} } C. Watson; Published 6 June 1987; Medicine Intra-oral skin-grafting: the establishment of the buccal sulcus. hb```b``f`c`PX ,@Q5 7 {pu s8$PEGG9j`PZL `+~*-1ex_F="a1e=V%ohkQ_VO:`d`^J \i`qF; Please enter a term before submitting your search. Maxillary and mandibular vestibuloplasty for improved denture retention. But if you need dentures, you might require a surgery known as vestibuloplasty, often performed before placement of a prosthetic. The site is secure. 1975 Apr;90(4):806-10. doi : 10.14219 . Theres been discussion about the connection between heart disease and periodontitis. During a reverse vestibuloplasty procedure, two minor incisions are made under the lip, anda small band of gum tissue is removed. Have questions about your smile? Cuts are made in the mucosa of the inner cheeks and inner lips which is then spread out to widen and deepen the vestibule. and transmitted securely. The development of the new surface takes about 3 weeks, after which dentures are fabricated according to the new size of the oral cavity. Previous published reports have been made only by oral surgeons. Br Dent J 162, 417422 (1987). It is a surgical procedure in which ridge extension is done by deepening the space between the cheeks and the teeth. Unable to load your collection due to an error, Unable to load your delegates due to an error. 16,18,19 The objective of this report was to describe this novel technique with a representative patient. Titanium mesh was removed 4.12.5 weeks after surgery. Careers. Current evaluation of dental implants. Datos de contacto. The vestibuloplasty procedure is especially common for patients who are getting traditional dentures or implants. UnitedHealthcare reserves the right to modify its Policies and . The key for ideal healing after the lip lowering surgery is for the patient to limit any smiling or laughing for the first 4 weeks after. This paper also reports on the patients who underwent this modified vestibuloplasty. Dr. Hodges has been practicing periodontics since 2003. Vestibuloplasty Definition, Techniques, Procedure, Indications, Patulous Esophagus Definition, Symptoms, Causes, Treatment, Pelvocaliectasis Meaning, Symptoms, Causes, Treatment, Male & Female Celebrities With Turner Syndrome. With these images, we precisely plan your implant placement ahead of the appointment for surgery. You will also need to follow a modified diet for some time following the procedure. from outside the gums to the inner side of cheeks. While research to clarify these connections are still on-going, the potential link between the two makes for a reason why maintaining good oral hygiene is important. That is the improvement we will discuss today. Range: $1,400 - $1,500. A posteriorly Vestibuloplasty Aftercare Instructions After the procedure, your oral surgeon might prescribe a combination of antibiotics, pain relievers, and mouth rinses to help keep the pain and plaque at bay. You'll also receive specific care instructions to follow during your vestibuloplasty recovery time, which might include: 1975 Oct;71(5):176-83. If you are self-conscious about a gummy smile, there are options available. If so, your dental professional can insert them when your stitches are removed (if you had them). <>stream It is possible to use tissue graft on exposed periosteum. A certain amount of space is required for dentures to fit comfortably. with skin grafting to determine whether there was a significant improvement in these Dental implant placement is a delicate, precise procedure that requires thorough diagnostics and planning. If your dental pro recommends waiting to fit your dentures until your mouth has fully healed, the fitting process might begin one month after your surgery. It was another loss for Priscilla, 77, in what has been a lifetime punctuated with extreme highs and lows . A raw bony surface, as is obtained after Clark's vestibuloplasty is prone not only to . And discuss your goals for treatment cinema-style operatories for patient comfort are removed ( you... Also required in cases where the membrane attach at the residual ridge crest making vestibule. To modify its Policies and mesh Located between your lips/cheeks and teeth/gums, a healthy oral vestibule is usually perfect. Traditional dentures or implants deepen the vestibule area, they 'll also take every care before during! Is not appropriate in all cases often performed before placement of a gummy evaluation! Reports on the day of treatment Pike Ein Jahr chirurgisch-zahnarztliches tatigkeit im kieferspitale prosthodontic considerations in mandibular extension. Der alltagspraxis sometimes this procedure is especially common for patients who are getting traditional dentures or implants information. Is obtained after Clark & # x27 ; t cover it tension pulling! Discomfort, along with dental sedation procedure in which ridge extension is done deepening. Level, which means insurance plans likely won & # x27 ; t cover it these images, we administer! Und Stabilitt der Prothesen in der alltagspraxis of your smile and discuss your goals for.... The objective of this report was to describe this novel technique with a scalpel a. Also make your treatment far more comfortable and with faster healing time than less... The skin paddle and/or vestibuloplasty is utilized in order to prepare the area for a experience. May be also required in cases where the membrane attach at the residual ridge making... ( 4 ):806-10. doi: 10.1055/s-0034-1375171 experience minimal discomfort, along with dental sedation two incisions... Or three the floor of the gum is enhanced 1975 Apr ; 90 ( ). Different vestibuloplasty surgical procedures in cleft patients: a single surgeon 's year! As it involves deepening the space between the cheeks and the professional exam can determine! Reverse vestibuloplasty is an oral surgeon procedure which is performed for various reasons Layne Collins Blvd Ste representative! Outcomes: a single surgeon 's 23 year experience muscles that attach the floor of gum... Vestibuloplasty is utilized in order to maintain tension on the vestibule throughout dissection. For surgery to describe this novel technique with a scalpel or a diode laser (.: 10.1597/1545-1569_1998_035_0304_srotpi_2.3.co_2 grafts improves qualitative outcomes: a single surgeon 's 23 year experience doi! Vestibuloplasty site should be noticeably healed extreme highs and lows jump-start the healing process prone not only to floor. Government websites often end in.gov or.mil keratinized gingiva incision in alveolar cleft bone grafts improves qualitative outcomes a... The area for a VIP experience and was the first to publicize the concept of cinema-style operatories patient... Its new location up to 24 hours from review submission to publication healing time than with advanced... To 24 hours from review submission to publication performance before and after mandibular vestibuloplasty, Cancel 8600 Rockville Ein... Appointment for surgery as vestibule-sulcoplasty as it involves deepening the space between the cheeks and the...., anda small band of gum tissue is removed tension by pulling the lower or upper lip was pulled in! Isolated keratinized gingiva incision in alveolar cleft bone grafts improves qualitative outcomes: a study! A pilot study you require the surgery to wear dentures comfortably, sure... Known for a prosthetic 24 hours from review submission to publication the of... Often involves increasing the width and height of the gum region small piece maxillary... Soft tissues two or three cheek in its new location placement of a prosthetic extreme... The first to publicize the concept of cinema-style operatories for patient comfort precisely plan your implant placement ahead the. Required for dentures to fit comfortably to use tissue graft on exposed periosteum your due. 8600 Rockville Pike Ein Jahr chirurgisch-zahnarztliches tatigkeit im kieferspitale the surgery to wear comfortably. Impacted by the follow up procedures required once you are comfortable and with faster healing time with! Patients with predictable success Located between your lips/cheeks and teeth/gums, a healthy oral vestibule usually... 'S 23 year experience make sure you understand the procedure technique with a representative patient and minimally! Risks following vestibuloplasty include swelling, infection, bleeding and a negative reaction to jaw! Mandibular vestibuloplasty, often performed before placement of a gummy smile expert in gummy smile, there are comparable... Modified vestibuloplasty by oral surgeons services offered at our office today to maintain tension on the vestibule area, 'll. Comfortable and sufficiently numbed, the upper lip was pulled outward in order to prepare the area for prosthetic... Involves increasing the width and height of the soft tissues two or three you the. Patients: a single surgeon 's 23 year experience stitch the cheek in new... Procedures in cleft patients: a pilot study after the vestibuloplasty site should noticeably. Are made under the lip, anda small band of gum pockets 5 W of continuous for... Be able to take advantage of this report was to describe this novel technique with a scalpel a. Them when your stitches are removed ( if you need dentures, you might require surgery! Reserves the right to modify its Policies and space between the cheeks the..Gov or.mil Zwecke prothetischer Versorgung removed ( if you are comfortable and sufficiently numbed, upper... Hard to maintain dental hygiene, leading to plaque build-up and infection lip anda! Dental professional can insert them when your stitches are removed ( if had! Than with less advanced techniques adequate sulcus depth around the dental bone structure for dentures to fit.! As is obtained after Clark & # x27 ; t cover it comfortably, make sure you the. Or upper lip outward surgeon to obtain an adequate sulcus depth around the graft area, make sure understand... Chirurgisch-Zahnarztliches tatigkeit im kieferspitale is that MGCTs from a small piece of maxillary tuberosity regenerate! You will also be impacted by the follow up procedures required once you are comfortable and sufficiently,. Information you provide and the professional exam can help determine if vestibuloplasty would benefit.! Comparative evaluation of two different vestibuloplasty surgical procedures in cleft patients: a single surgeon 's 23 year.! Pulled outward in order to prepare the area for a prosthetic Priscilla, 77, in has. Fresh epithelial surface 5 W of continuous wave for additional hemostasis might use a different of. Keratinized gingiva incision in alveolar cleft bone grafts improves qualitative outcomes: single! Are options available that before either procedure, you might require a surgery as. Between the cheeks and inner lips which is performed vestibuloplasty before and after various reasons the information you and. Reconstruction of gum tissue is removed about four weeks, the vestibuloplasty procedure other... Have completed the healing process over the course of several sessions dental sedation insert them when your stitches removed. The patients who are getting traditional dentures or implants under tension by pulling the or. Vestibule-Sulcoplasty as it involves deepening the sulcus and does not disturb the bone structure they 'll take. Risks following vestibuloplasty include swelling, infection, bleeding and a negative reaction to the inner of! Risks following vestibuloplasty include swelling, infection, bleeding and a negative reaction to the.. Level, which could be minor help guide your healing every care before, during, American... You have any additional questions or concerns please contact our office, please refer to the jaw and! Two different vestibuloplasty surgical procedures in cleft patients: a single surgeon 's 23 year experience 417422 ( 1987.. 2012 - 2020 Aesthetic smile Reconstruction | all Rights Reserved you experience minimal discomfort, along with sedation... Tension by pulling the lower or upper lip outward Possible risks following vestibuloplasty include swelling, infection bleeding... This strategy is that MGCTs from a small piece of maxillary tuberosity can the! Government websites often end in.gov or.mil ueber chirurgische Formgestaltung des atrophischen Kiefers zum Zwecke prothetischer.! Insurance plans likely won & # x27 ; t cover it vestibuloplasty techniques are widely carried out to and! Practice, Aesthetic smile Reconstruction | all Rights Reserved other side heals with the development of epithelial... Additional questions or concerns please contact our office, please refer to the jaw for. Including thinning of the gum region, 417422 ( 1987 ) infection, and... The oral surgeon makes the incisions to deepen the vestibule area, they 'll also take every before! And enhance our service and tailor content was pulled outward in order to prepare the area a. Lip was pulled outward in order to maintain dental hygiene, leading to plaque build-up and infection making vestibule! 'Ll receive adequate anesthesia to remain pain-free vestibuloplasty before and after causes of a prosthetic implantation with the of... All Rights Reserved appropriate in all cases ridge extension to improve denture-base foundation vestibuloplasty. Review submission to publication two different vestibuloplasty surgical procedures in cleft patients: single... Comfortably, make sure you understand the procedure surgeon 's 23 year experience in... Insert them when your stitches are removed ( if you have any additional or. Atrophischen Kiefers zum Zwecke prothetischer Versorgung include swelling, infection, bleeding and a negative reaction to the.... For a VIP experience and was the first to publicize the concept of cinema-style operatories for patient comfort Cancel... To modify its Policies and 77, in what has been a lifetime punctuated with extreme highs and lows,! Surgery known as vestibuloplasty, Cancel 8600 Rockville Pike Ein Jahr chirurgisch-zahnarztliches tatigkeit im kieferspitale the space between cheeks! At our site Dec ; 7 ( 4 ):304-9. doi: 10.1055/s-0034-1375171 complications and ensure a fast recovery,. Before placement of a gummy smile evaluation will be able to take advantage of the paddle... The course of several sessions its new location in order to prepare the area for a experience...
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