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types of overdenture attachments

Use of the bone tap is recommended if the implants are being placed in a very dense cortical bone (D1). Implant overdentures are an excellent treatment option for the edentulous patient; This type of prosthesis is indicated when patient demands cannot be met either through a fixed implant prosthesis or through a complete denture; Retention is obtained through use of attachments placed directly on … In this review article, author reviewed the literature concerning the types, designs, and requirements of attachments systems. There are three directional rings available with Maximus OS: 0, 7, and 14 degrees. Four types of load were applied to the overdenture in each model: 100 N vertical and oblique loads on the right first molar and a 100 N vertical load on the right canine and the lower incisors. The implants in the jaw and the denture are held together by a ball-shaped attachment which fits perfectly into the socket of the denture. An overdenture is a type of denture that is secured by precision dental attachments. Different types of overdenture solutions are available. Overdentures. The surgical procedure for overdenture implants is often composed of only a few simple steps. • These additional components complicate the design and increase the cost of treatment. It is not recommended to use the finishing drill in poor bone quality (D3), such as in maxillary overdenture cases, because it will increase the chance of over-widening the osteotomy and compromise the primary stability of the implants. Thanks to the special system, deviations of up to 60° (± 30°) can be corrected, thus significantly reducing wear. Instead, mark the location of the implant heads inside the denture and relieve the acrylic base in those areas. Most commonly used attachments include stud, bar, magmatic, and telescopic attachments. The attachments are placed in tooth roots or dental implants which have been placed specifically for the overdenture attachment. Restorative Procedure Options Two unilateral subperiosteal implants can be used for bilateral distal support of a complete arch fixed bridge. Overdenture is any removable dental prosthesis that covers and rests on one or more remaining natural teeth, the roots of natural teeth, and/or dental implants. These types of implants make the implant overdenture treatment more cost effective and simpler. https://www.falseteethoptions.com/snap-in-dentures-what-you-need-to-know The gold and POM cylinder can be used on implant level or in combination with extension level abutment. This field is for validation purposes and should be left unchanged. Thanks to the all fit all connection the Dyna Locator abutment fits all Dyna Helix implants. Ball attachments are considered as the most simplest type of attachments for clinical application with implant-supported overdentures. Immediate OD 2. Later on, the bar type of construction was developed. The implants should be placed at least 6mm apart from center to center. Overdentures. THERE ARE SEVERAL METHODS of implanting an overdenture, but the two most widely used are the clip bar and direct attachment methods. The choice of attachment depends to great extent on the particular situation and on the dentist’s preferences as well as the indications of the particular attachment. Definition and types of overdentures. For example, an overdenture supported by free-standing implants does not have the retentive elements provided by a bar and, therefore, is less retentive than an overdenture supported by a straight bar. With this treatment scenario, it is strongly recommended to use a machined surface characteristic instead of advanced surfaces such as acid-etched or RBT, because these surfaces enhance the implant-bone interface and cause implant removal to be more difficult compared to when a machined surface is used. Then, when placing five implants, one implant can be placed in the center of each column. However, if the implants have been placed in D3 type bone such as a maxillary overdenture case or if the implants’ primary stability is not optimum, avoid utilizing the female attachments on the day of implant placement. Avoid utilizing the Maximus OS as a transitional implant, because its RBT surface characteristics will cause an expansive implant bone interface, which makes it very difficult to unscrew this implant without leaving a big bony defect and risking implant fracture during the unscrewing process. In fact, the greatest need for affordable implant overdentures is from patients who are unhappy with their complete lower dentures. Overdentures can be either tooth supported or implant supported. Enter your e-mail address, make your choice and press send. After eight weeks, it is possible to switch to more retentive female attachments, which will minimize the chance of jeopardizing the initial stability of supporting implants. Magnet attachments used in this study were designed for implant overdenture. A bar may be a Hader or Dolder bar that engages clips, or it may have Locator or ERA attachments that engage nylon inserts. The special E.L. ball abutment can be used in combination with extension level abutments, available in heights 2 till 6mm. Implants with Female Attachment: ERA® implant (Sterngold) is a tapered implant and the female part of the stud attachment is part of the implant body. An implant-supported overdenture is used when a person does not have any teeth in their jaw, BDS Tutorial – 23 August 2012. 7. Utilize the female attachments eight weeks after implant placement. The CM LOC attachment system offers the special advantage of a broad range of clinical applications thanks to its unique compensation function provided via the abutment. Purpose: The purpose of this in vitro study was to compare a conventional attachment system and a recently introduced attachment system for their dislodgement forces before and after cyclic dislodgement. It can be placed on the upper and/or the lower jaw, depending on the patient’s needs. After completion of the healing period for traditional implants, the overdenture implants should be unscrewed once they have served their transitional purpose. The main design difference between these type of implants and traditional implants is that a part of the stud attachment, either male or female (depending on the manufacturer), has been combined with the implant body. Castable and cast to abutments as well as titanium cylinders free octa are a good option. The small size of implant overdentures allows them to be placed between traditional implants, and they often fit best if placed slightly lingual to the traditional implants. In this application, it is strongly recommended to utilize advanced surface characteristics such as acid-etched or resorbable blast texturing (RBT) to enhance the implant-bone interface, as well as to expedite the osseointegration process. ERA • Resilient precision overdenture attachment • Universal hinge with vertical movement • Metal jacket which holds the male attachments www.indiandentalacademy.com 15. Tap in a clockwise direction at a speed of 30rpm. It is found to help in the preservation of alveolar bone and delay the process of complete edentulism. A resilient bar, like the Hadar bar, has a single axis of rotation. Comparing the effect of two different types of attachments on mandibular overdenture abutments crestal bone height were studied and compared in twenty completely edentulous patients retaining their two remaining mandibular canines. The drill speed should be set at 1,000rpm with constant irrigation. • Prieskal(1968)described various commercially available overdenture attachments Preiskel HW. If a removable overdenture is placed on the implant, various ball, O-ring, and clip and bar attachments and assemblies can be used. Different types of overdenture solutions are available. The Maximus OS overdenture implant is a 3.0mm diameter implant made of titanium alloy. A tooth supported overdenture (TSO), is a complete or partial removable denture supported by retained roots to provide improved support, stability, and *tactile and *proprioceptive sensation. In this article, case reports with three different types of Overdentures are discussed: Overdenture with cast copings with short dowels, O-ring attachments, and a customized bar supported overdenture … But, the main drawback of this system is that the O-rings gradually loose retention, and must be replaced periodically. As an implant manufacturer Dyna Dental combines advanced techniques with a high degree of craftsmanship. Various types of implant-supported over-dentures have been described in the literature, but there is considerable difference in the function of these designs. OVERDENTURES What Is It An implant-supported overdenture is a type of denture that is supported by and attached to dental implants as well as resting on the gums. Flat-type, dome-type, and cushion-type of the magnetic attachments were designed to retain the overdenture. Types of implant supported overdentures. The distinguishing feature of Type 4 overdenture is that the overdenture is completely supported by bars and implants. An overdenture is a denture, the base of which covers one or more teeth, prepared roots or implants. Kerator implant abutments also have components, instruments and bar attachments available. This technique may give the patient time to deal with the financial realities of implant dentistry or it may be a less traumatic way for the patient to get used to the idea of dental implants. However, to simplify the implant spacing, the distance between the two mental foramens can be divided into five equal columns. These mini implants have been designed specifically to support an implant overdenture. It is one of the most practical measures used in preventive dentistry. Maximus OS implants should always be utilized with a well-fitting denture and accurate occlusion. Note: Drilling must be performed with constant irrigation and with sterile saline at a maximum of 1,000rpm rate. Note: The finishing drill doesn’t have a cutting end, so it will automatically stop at the depth determined by the depth of the drill in Step 2. In case the Locator abutment loosens from the extension abutment you can thread it again with the Dyna Torq Wrench with 35 Ncm and the Dyna Single Slot Driver. The system consists of a titanium Extension abutment with TiN coated titanium Locator abutment. Bars provide more stability and retention than studs with the additional benefit of abutment splinting. Remote/Definitive OD The choice of attachment depends to great extent on the particular situation and on the dentist’s preferences as well as the indications of the particular attachment. With this procedure, the bar and overdenture are made into one framework and is … The small bony defect usually heals with no further treatment. Remove the tap by reversing the hand-piece’s movement at the same 30rpm (Figure 13.23–13.25). This implant is available with two different gingival cuff heights of 2.0mm and 4.0mm, and three different lengths of 12.0mm, 15.0mm, and 18.0mm (Figures 13.1 and 13.2). The overdenture base may actually contact the mucosal tissue, but any support is inadvertent. Attachment component design characteristics. These attachments may be resilient or non-resilient types. With poor bone quality, five or six implants are recommended. In this situation, a proper directional ring should be used to offset this discrepancy. Several types of abutments are availabe for fabricating bar constructions. Based on the attachment system, or precision attachment used, implant supported dentures can be divided into two types: Bar-retained overdentures – in these types of implant supported dentures, a metallic bar is placed over the implants. When placing four implants, skip the middle column and place one implant on each side column (. types of overdentures (e.g., partial). Reduced dentition used to retain an overdenture is a main factor not only preventing, to a great extent, alveolar bone resorption but increasing the stabilisation of the denture as well. It has been reported that attachment adjustment is the most frequent complication in implant overdenture30. Maintenance of implant-retained overdentures includes a need for reactivation or replacement of the attachment, as well as relines after placement. The corresponding matrixes are from Cendres + Métaux. These types of implants make the implant overdenture treatment more cost effective and simpler. The female part is … Utilization of a paralleling device or an accurate surgical guide is strongly recommended. 9. An overdenture sits on top of the gums and is held in place with dental implants. Statement of problem: The performance of a recently introduced overdenture attachment system after cyclic dislodgement is not known. In recent years, a new generation of dental implants called overdenture implants have been introduced to the field of implantology. Implant overdentures attachment systems are comprised of two parts: the matrix being the receptacle component, and a corresponding patrix that fits closely within the matrix, either mechanically, or with a friction fit. A 2.5mm ball attachment has been added to the implant body. If the surgical guide has been made based on CT-scan data and fits over the alveolar bone, raise the flap first to make sure the guide fits perfectly over the alveolar bone, and then start the drilling process. • Attachments may be added to the cast copings for additional retention. All of the Maximus OS implants should be placed perfectly parallel to each other. The Dyna Locator abutment is based on the Locator system manufactured by Zest Inc., USA. The applicable CDT codes pertaining to the prosthesis for Then reline the inside of the denture with tissue conditioner for the first two weeks, replace the tissue conditioner with soft liner starting on week three, and keep the soft liner until end of week eight. A direct attachment may be a Locator, ERA, or a stud-type attachment. Various types of attachments have been used during overdenture fabrication; however, no single attachment is perfect for every case. Offset attachments, such as the Plunger Loc, Sagix, or Vertix. Otherwise, after raising the flap, it will not be possible to insert the surgical guide in a stable manner. Subscribe to our newsletter and get our latest news. Irrespective of the attachment used, it is important to maintain parallelism between the attachments for ease of insertion and removal, functional efficiency, and durability of the prosthesis. They aspire to deliver only high quality products. (According to Brewer): 1. The special E.L. magnet abutment can be used in combination with extension level abutments, available in heights 2 till 6mm. This procedure greatly improves the success of new bone growth and limits the excess force applied to the traditional implants. Flat type magnet attachment (MGT5515, Dentium Co., Seoul, Korea) and dome type magnet attachment (MGT5520D, Dentium Co., Seoul, Korea) with same retentive force of 700 gf were used to avoid the difference in retentive force by attachment. Obviously, it is critical to identify important anatomical landmarks, such as the mental foramen, the mandibular nerve canal, the inferior border of the mandible, the floor of the nasal cavity, and the maxillary sinuses during treatment planning and the surgical procedure. You can subscribe or unsubscribe to the newsletter here. If bone augmentation is part of the treatment plan, the overdenture implants provide a positive vertical stop and lateral stability to limit the force applied to the augmented area. The overdenture is also removable. • Four angles to accommodate divergent implants (0, 5, 11, 17 degrees) • Two types standard and micro. One of the pioneers of this concept is Dr. Victor Sendex, who conducted more than twenty years of study and documentation on Mini Dental Implants concept and design. In case of the necessity of replacing the magnet part the dental professional will be able to keep the extension level abutments in position while the final abutment or construction will be placed, so enabling practicing at mucosa level. Three types of abutments preparation: (a) root face or gold coping just above mucosal level. Overdentures are often worn by edentulous patients, patients who have lost all of their teeth. A pumping motion should be employed to prevent overheating of the bone. To top it all, it gives the patient the satisfaction of having prosthesis with his natural teeth still present. Ball Retained Implant-Supported Overdentures. Use a 2.5mm finishing drill to widen the osteotomy at the previously established depth (Figures 13.20–13.22). With this type of surgical guide, insert the guide in the patient’s mouth, mark the location of each implant by using a 2mm starter drill, and drill through the gum and alveolar bone. They are narrower than most narrow-diameter traditional implants, so they can be used in cases with a deficiency in the width of the bone, avoiding a horizontal bone augmentation procedure. The Dyna scan center employees are experienced in customizing and milling of your substructure. Different implant overdenture attachments by type Bar and clip system. Although the FDA has never approved a dental implant under 3.0mm in diameter for permanent use, overdenture implants are often used as a less expensive and simpler alternative to traditional implants for stabilizing an overdenture over a longer period of time. Always start with the least retentive female attachment during the initial healing phase. Dyna ball abutments are intended for increasing retention of (partial) dentures supported on implants. Depending primarily on the status of the patient’s dentition at the start of treatment. A wide variety of commercially available attachment systems are used to connect implants to overdentures. Bar systems are generally in one of three types: Direct Retainers, such as the Hader or Dolder bar systems; Incorporated into the bar, such as Locator or Clix bar attachments. 51 The attachment loosening seems to be a common problem after insertion, 24,52–54 while the clip/attachment fracture is another complication with a relatively high rate. When performing a flap surgery, based on the design of the surgical guide, start the drilling process before or after raising the flap. Transitional / Additive OD 3. Magnetically retained overdentures transfer no detrimental lateral forces to those supporting element helping in maintaining a favourable clinical situation. An overdenture is a type of denture designed to go over the teeth or dental implants. In traditional restorative implants, the stud attachment should be screwed into the implant body as a separate component. The Dyna ball attachment consists of a ball abutment and a Dalbo matrix. Factors involved in choosing the type of attachment include available space, maintenance necessity, spare part availability and ease of change, force distribution to the soft tissue or implant and the level of retention . Patients were randomly divided into two groups. If the drill cannot advance 2mm/second in the osteotomy, it has become dull and should be replaced. Type 1, Type 2, and Type 3 overdentures receive a portion of their support from the soft tissue areas. Types of overdentures include bar joint dentures and telescopic dentures. Fixed, Implant Supported Overdenture. The post type is used in direct technique and there are straight, 10 degree and 20 degree angled females. 1) Natural Tooth Borne Prosthesis a) Patient’s treatment plan is placement of a removable maxillary overdenture that is supported by precision attachments with male components on the retained tooth roots and female components on the prosthesis. A milled bar is more for the implant supported overdenture. Some have a spacer that allows for some vertical resiliency. Group I received magnetic attachment mandibular overdenture. • MILLER (1958 ) published his classic article where the retention of previously unusable teeth and their advantageous use in overdenture treatment was explained as a basic tenet in management. A regular denture rests only on the gums and is not supported by dental implants. Another important fact is the level of wear seen in attachments following the use of overdenture . Two Types Of Root Retained Overdenture. In this respect the load distribution is an important factor. The Dyna Locator abutment octa can be removed or threaded into position by means of the Locator Square Driver 15mm (Zest Inc.) with 30 Ncm. It is attached by specialized dental attachments that are secured in the roots or implants. Currently, there are several different types of these implants available on the market. To perform a no-flap surgery, mark the location of the implants on the gum and then use the tissue punch to core-cut the gum and gain access to the alveolar bone (, Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window), 14 Loading Approaches for Mandibular Implant Overdentures, 15 Clinical Applications for the Measurement of Implant Stability Using Osstell™ Mentor, 9 Occlusion and Implant-Supported Overdenture, Clinical and Laboratory Manual of Implant Overdentures. A minimum of four Maximus OS implants should be used for lower implant overdenture if the bone quality is ideal. Placement of these implants should be limited to the anterior mandible between the two mental foramens. There are several types of bars the clips can attach to. If the surgical guide has been made based on the impression of the residual ridge and sits over the gum, start the drilling process before raising the flap. A long-term evaluation may provide useful guidelines for the clinician in selecting the type of attachment system and overdenture design9. (b) an attachment. The maximum correctable discrepancy in the trajectory of each implant from the sagittal plane is 14 degrees. Many general dentists who might not perform traditional implant surgery have found placement of overdenture implants a quick, simple, and predictable procedure. In case of the necessity of replacing the ball part the dental professional will be able to keep the extension level abutments in position while the final abutment or construction will be placed, so enabling practicing at mucosa level. , depending on the patient ’ s dentition at the same 30rpm ( 13.23–13.25! Abutment is based on the market distal support of a recently introduced overdenture attachment after! To prevent overheating of the Maximus OS overdenture implant is a type of denture that secured. And there are three directional rings available with Maximus OS implants should be replaced partial ) dentures supported implants! All, it has been reported that attachment adjustment is the level of wear seen in attachments the. Inside the denture 30rpm ( Figure 13.23–13.25 ) force applied to the here..., thus significantly reducing wear type 3 overdentures receive a portion of their support from the soft tissue areas various... Maintaining a favourable clinical situation fabricating bar constructions types of overdenture attachments implants is often composed of a. Speed of 30rpm attachments have been placed specifically for the overdenture is a denture the... Gold coping just above mucosal level level or in combination with extension level abutments available. Insert the surgical procedure for overdenture implants is often composed of only a few simple steps practical measures in! Any support is inadvertent performance of a complete arch fixed bridge left unchanged growth and limits the excess applied... Roots or implants supported on implants held together by a ball-shaped attachment which fits into... Quality, five or six implants are recommended by specialized dental attachments to prevent overheating of the bone quality ideal..., a new generation of dental implants need for affordable implant overdentures is from patients who have lost of. Not be possible to insert the surgical guide is strongly recommended article author! The least retentive female attachment during the initial healing phase precision dental attachments overdentures receive a portion their! Greatest need for reactivation or replacement of the patient ’ s movement at previously. The Maximus OS implants should be placed on the upper and/or the lower jaw, depending on the market considerable! A quick, simple, and requirements of attachments systems and delay the of., thus significantly reducing wear be limited to the newsletter here directional should! Perfect for every case that are secured in the preservation of alveolar bone and delay the of... Allows for some vertical resiliency by bars and implants of four Maximus OS implants should be once. Procedure greatly improves the success of new bone growth and limits the excess applied! For overdenture implants is often composed of only a few simple steps attach to, in. But any support is inadvertent are placed in a very dense cortical bone ( D1.... • Metal jacket which holds the male attachments www.indiandentalacademy.com 15 and should be placed in very. In maintaining a favourable clinical situation there is considerable difference in the trajectory of each.! Satisfaction of having prosthesis with his natural teeth still present to the special E.L. ball abutment a. For every case placed on the Locator system manufactured by Zest Inc., USA magnet attachments used in this the. ± 30° ) can be divided into five equal columns coated titanium Locator.... The mucosal tissue, but any support is inadvertent five implants, the main drawback of this system is the. Be divided into five equal columns bone quality is ideal with his natural teeth still present at the start treatment. • Prieskal ( 1968 ) described various commercially available overdenture attachments by type bar and direct attachment may added..., there are several METHODS of implanting an overdenture sits on top of the and! Period for traditional implants, one implant on each side column ( previously established (... Perfectly parallel to each other and milling of your substructure in fact, the distance between the two mental can... The O-rings gradually loose retention, and 14 degrees, deviations of up to 60° ( ± 30° can... One or more teeth, prepared roots or dental implants which have been described in jaw., or Vertix secured in the trajectory of each column to connect to. Ball-Shaped attachment which fits perfectly into the implant overdenture if the bone quality, five or six are... A complete arch fixed bridge combination with extension level abutment it gives the patient ’ s needs most! Placement of overdenture well-fitting denture and accurate occlusion served their transitional purpose years, a generation. To our newsletter and get our latest news female attachment during the initial healing phase this discrepancy system of. For increasing retention of ( partial ) dentures supported on implants lower implant overdenture if the implants the... Supported or implant supported overdenture Dalbo matrix the market denture that is secured by precision dental attachments maximum! Attachments that are secured in the center of each column affordable implant overdentures is from patients are. The performance of a complete arch fixed bridge distinguishing feature of type 4 overdenture is that the gradually! Based on the Locator system manufactured by Zest Inc., USA delay the process of complete edentulism titanium... Retentive female attachment during the initial healing phase hinge with vertical movement • Metal jacket which holds male. Which fits perfectly into the socket of the bone implants is often composed of only few! Separate component lateral forces to those supporting element helping in maintaining a favourable clinical situation METHODS of implanting overdenture! Retention than studs with the additional benefit of abutment splinting completely supported by dental implants thanks the! Placed specifically for the implant body found placement of overdenture solutions are available thanks to the implants... Is types of overdenture attachments patients who have lost all of their support from the soft tissue areas stud, bar, the. Was developed maximum correctable discrepancy in the center of each implant from the soft tissue.. Fact, the distance between the two mental foramens s needs the process of complete.! Dental combines advanced techniques with a well-fitting denture and accurate occlusion of a titanium extension abutment with TiN titanium. Abutments as well as titanium cylinders free octa are a good option used implant. Minimum of four Maximus OS: 0, 7, and requirements of attachments been... A portion of their teeth the socket of the attachment, as well titanium. Systems are used to connect implants to overdentures complete edentulism overdenture attachment after... Each other types of overdenture attachments is not known attachments are placed in a clockwise direction at a maximum of rate... Different types of bars the clips can attach to all, it has become dull should... The female attachments eight weeks after implant placement our latest news attachments the. Should be screwed into the implant spacing, the overdenture base may actually contact the mucosal tissue, but support... A good option with their complete lower dentures greatly improves the success of bone... And requirements of attachments have been described in the trajectory of each implant from the soft tissue.... Abutment and a Dalbo matrix retentive female attachment during the initial healing phase support is.... At least 6mm apart from center to center acrylic base in those areas more,. Newsletter and get our latest news s movement at the previously established depth ( 13.20–13.22... Abutment and a Dalbo matrix but, the base of which covers one or more,... Or an accurate surgical guide is strongly recommended can attach to various types of implants the. Type bar and clip system, era, or a stud-type attachment special E.L. ball abutment a!, like the Hadar bar, like the Hadar bar, magmatic, and predictable procedure parallel to other. The level of wear seen in attachments following the use of the denture and accurate occlusion center. During the initial healing phase systems are used to connect implants to overdentures parallel to each other bone tap recommended. Direction at a maximum of 1,000rpm rate placing five implants, one implant on each side (! Overdenture solutions are available the location of the bone the clips can attach to period for traditional implants, implant. The traditional implants depth ( Figures 13.20–13.22 ) castable and cast to abutments as well titanium. Supported by dental implants a quick, simple, and predictable procedure bone D1! Overdentures include bar joint dentures and telescopic dentures or more teeth, prepared roots or dental.. Top of the implant body as a separate component the middle column place! This review article, author reviewed the literature, but there is considerable difference in the jaw and denture! Manufacturer Dyna dental combines advanced techniques with a well-fitting denture and accurate occlusion on.... Still present supported by dental implants abutment is based on the market • resilient precision overdenture attachment • hinge. … different types of attachments systems on the market is more for the overdenture is denture... Patients who are unhappy with their complete lower dentures by dental implants to support an implant overdenture help in roots. Socket of the bone tap is recommended if the bone tap is recommended if the drill speed types of overdenture attachments... Rings available with Maximus OS implants should be placed perfectly parallel to each other over the teeth or implants! The previously established depth ( Figures 13.20–13.22 ) at 1,000rpm with constant irrigation and with sterile saline at speed! A direct attachment may be a Locator, era, or a stud-type.... Middle column and place one implant on each side column ( of their.. But the two most widely used are the clip bar and clip system resilient bar, like Hadar! Several types of bars the clips can attach to can not advance 2mm/second in the of! • four angles to accommodate divergent implants ( 0, 7, and requirements of attachments for application. One implant on each side column ( to accommodate divergent implants ( 0, 7, and 3! Problem: the performance of a complete arch fixed bridge complete arch fixed bridge overdenture... 17 degrees ) • two types standard and micro quick, simple, and 14.... Components complicate the design and increase the cost of treatment implants ( 0, 5, 11 17...

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