Metal Free Preparation Guide Note: BruxZir- Solid Zirconia crowns and bridges only need 0.5mm occlusal reduction since no porcelain will be overlaid. EMAX crowns, will fail now, and ever, like any other pure ceramic crown of the world, if you dont follow the correct procedures of manufacturing and preparing the tooth reduction. Prep. Can be cemented or bonded. I got six single unit anterior emax crown And im sure which ingot should i use for shade a1 dr didnt give me the stump shade Should i use ht or mt however mt looks like very high value to me and ht looks ok but little bit of grey and im not gonna cutback tech. e.max: Bond or Cement? - Spear Education IPS ErisR I-Unit Bridge Restorations 3-UNIT BRIDGE PREPARATION I reduction at … Posterior Crown Preparation Bur Armamentarium Each bur has a specific purpose in the armamentarium and will be addressed during preparation and methods. except when translucency is of primary concern. Zirconia Crown :Anterior. Emax anterior bridge (left) and anterior crowns (right) IPS e.max has one unibody material, nothing to debond from a frame which is the main reason for framed restoration failure. 1 mm. The diamond bur is angled to bevel back the incisal edge. The following burs are used for preparation. Eliminates risk of porcelain Preparation. Patients may not be able to afford a crown for purely esthetic purposes and invasive procedures should be avoided whenever possible. CHAMFER MARGINS Correctpreparation of the chamfer marginsinterproximally allows the appropriate bulk of porcelain. – Do not locate the incisal preparation margins in the area of the abrasion surfaces or dynamic Anterior Chairside Preparation Guide Veneers A medium grit, round-ended, diamond bur is used to remove a uniform thickness of facial enamel by joining the depth-cut grooves. . Emax is great for single crowns, veneers, inlays/onlays, and specifically anterior cases. It will also need to have a clearly visible and continuous circumferential chamfer and a reduction of at least 0.5 mm is required at the gingival margin. Read our Metalfree Prep Guide. Zirconia Frame. The manufacturers' stated strength of any ceramic material is totally dependent on the thickness of the material and the preparation design. 20210617_89E11A01C118FAE4!!!! 400 MPa flexure strength. View Image Gallery. A circular shoulder is prepared with rounded inner edges or a chamfer at an angle of 10-30°: the width of the shoulder/chamfer is approx. The average Emax crown cost in the UK is between £500 – £900, but some places have been known to charge up to £1600 for a single Emax crown. e.max®. It is preferred in short bridges since it cannot provide the resistance required by long bridges. Facial reduction should be between 1 mm and 1.5 mm, while incisal edges should be reduced between 1.5 mm and 2 mm to ensure sufficient incisal translucency can be created. e.max Ceram. Some patients have many teeth crowned, and we can join … IPS e.max ZirCAD is ideal for fabricating copings and frameworks as well as full-contour crowns and bridges. Znext™ Anterior Znext™ Anterior represents a revolutionary advancement in solid zirconia material for anterior and posterior restorations. With a lithium disilicate framework, IPS e.max is perfect for both single unit anterior or posterior crowns and 3-unit anterior bridges. Due to the increased translucency of BruxZir Anterior, you can see that these solid zirconia crowns come much closer to matching the proven esthetics of IPS e.max. - Free download as PDF File (.pdf), Text File (.txt) or read online for free. I t is the most robust type of “dental restoration”, and Dr. Hawryluk Jr. uses it for teeth that have encountered a lot of damage from decay or trauma. Post & Core emax. The best esthetic result is obtained by layering. This is because they are thin. Emax. Rinse and dry. Emax crowns are a type of dental crowns, which gathers an increasing popularity due to its durability and real-like effect. e.max ZirCAD. These restorations have very specific preparation and bonding requirements if they are to perform optimally. The E-Max crown is a type of all-ceramic crown which is preferred for its longer lasting, aesthetic qualities. This crown and the Zirconia crown are worn due to their highly attractive appearance which ensures that they compliment the rest of your teeth. E-max is extremely durable and highly esthetic, hence it is widely used for restoring teeth in the anterior (front) region. 6) Disclaimer : For maximum performance and esthetics, Ivoclar Vivadent recommends the use of Ivoclar Viadent brands of cements for the placement of all IPS Empress® and IPS e.max® restorations. Anterior and Posterior Crowns IPS e.max CAD Preparation Guide In this short video, Dr. Richard Stevenson provides the parameters and preparation steps for the all-ceramic crown on tooth #8. E-max can be milled in the dentist's office, so you can get an E-max crown in one day. In addition, margins should be extremely smooth and uniform to allow the technician to fabricate precise, well fitting and IPS Empress®, IPS e.max®) require proper etching and priming to establish adequate bonding. E-max crown:Anterior . Veneers. Practical procedure for restorations with IPS e.max | Preparation. In rare cases, E.MAX crowns may break when placed on occlusal surfaces. Preparation Guidelines for e.max Crowns PREPARATIONS TO AVOID All images from D4D Technologies LLC, ©2009 AVOID ANGLED PREPS This type of prep might present challenges for Autogenesis® and also for milling. A. bevel back the incisal edge. Chairside Preparation Guide. is used to remove a uniform thickness of facial enamel by joining the depth-cut grooves. The K0292 IPS e.max® Restorative Preparation System by Brasseler USA was designed as the definitive solution when prepping for IPS e.max® crowns, bridges or veneers and is ideal for posterior crown, anterior crown and veneer preparations. The prep should be tapered between 4°and 8°. 3-UNIT BRI DGE PRE PARA TION For IPS Empress ® restorations Anterior Crown Veneer Bridge Posterior Crown Bridge Inlay/Onlay IPS Empress For IPS e.max ® restorations … Indications IPS e.max press is indicated for full anterior or posterior crowns, veneers, inlays, onlays,as well as three-unit bridges having only one pontic with the second bicuspid as the most distal abutment. The crowns on teeth #6, #7 and #8 are BruxZir® Anterior and the crowns on teeth #9, #10 and #11 are IPS e.max. 4. Facial reduction is 1.5 – … Zero prep. Emax. Preparation Guide FOR IPS EMPRESS' AND IPS ERIS9 RESTORATIONS Full-coverage Restorations ANTERIOR CROWN PREPARATION IPS EmpressE Anterior Crown Veneer Bridge Posterior Crown Bridge Inla /0nla tone pontic and the second premolar as the most distal abutment. Since crown preparation needs to preserve the anatomy of the crown while creating space for the bulk of the material, our prep should also have this curve as well. Anterior full coverage crowns require a chamfer or shoulder margin. IPS e.max is a lithium disilicate glass ceramic that has optimized translucency, durability, and strength for full anatomical restorations. Anterior tooth preparation: well-planned steps to a successful clinical outcome. Preparation guidelines for Zirlux crowns and bridges are similar to the guidelines clinicians use for all-ceramic restorations. Anterior Crown . IPS e.max Ceram/ZirPress Crown Veneer Brid e Crown Bridge Full-Coverage Restorations ANTERIOR CROWN PREPARATION 3-Unit Bridge Restorations 3-UNIT BRIDGE PREPARATION I .0-mm reduction at gingival margin Butt joint margin Rounded internal line angles Butt joint margin at argin I .5-mm axial reduction I .5-mm to 2.0-mm incisal reduction … Posterior Chairside Preparation Guide. 4 4. Restoration of the anterior region: use of LT ingot. The diamond bur is angled to bevelback theincisaledge. Lithium Disilicate Glass Ceramic (400 MPa) Suggested Preparation. Crown or bridge abutment teeth may require root canal treatment After being crowned, teeth may develop a condition known as pulpitis or pulpal degeneration. For anterior crown: Reduction of 1.5-2.0mm at the incisal, 1.5mm lingual, 1.5-1.0mm facial, and 1mm-1.5mm at the cervical of the prep with a deep chamfer or shoulder finish; For veneers: 1.0-1.5mm facial reduction; thin veneers may require some reduction depending on the bulkiness or orientation of the tooth Single tooth: use of the MO ingot because of its ability to match the luminosity of the adjacent teeth, especially after whitening. E-max crown:Posterior . Do NOT clean with phosphoric acid. Just as with the preparation for an anterior crown, a bevel is not recommended. Dental professionals benefit from the material's high performance, versatility and function. If the underlying tooth colour is not overly dark and the preparation margins are on enamel, a glass based, all-ceramic crown can be made with margins similar to that for a porcelain veneer (0.5 mm). With this I get asked quite often about the protocol for placing these restorations, and it always occurs like there is a “should”. Crown. etchable, glass based ceramic crown (Empress Emax). E.MAX Dental Crown s are more expensive than zirconium crowns. feather margins are OK as long as there is not an undercut or any parallel axial walls which would require a slight taper in preparation. IPS e.max restorations can be cemented with low-expanding resin-modified glass … Post & Core Zirconia . Materials. e.max monolithic posterior restorations. e.max by Ivoclar ( lithium Disilicate) has rapidly become one of my favorite materials over the last five years. Suggested Cementation Options for IPS Empress® & IPS e.max® Restorations Restoration Crowns Veneers Inlays/Onlays Crowns & Bridges Crowns & Bridges ... Resistance form in preparation design is critical to retain restorations (e.g. Casting Miling Telescopic Zirconia Crowns. Affordable. Chamfer or shoulder margin. The diamond bur is angled to bevel back the incisal edge. Depending on the case requirements, however, some teeth may need to be prepared to accomodate for the thickness of the ceramic and to ensure for proper contour and emergence profile. The anterior fo the starts to approach lithium disilicate’s strength (500 MPa), commonly known by brand names such as Emax of LiSi Press. We have automated the manufacturing process of the wax pattern, thus, making this high strength all ceramic restoration very cost competitive. You can provide your patients with a restoration that compares to e.max ® in aesthetics, with nearly twice the strength! CHAMFER MARGINS Correct preparation of the chamfer margins interproximally allows the appropriate bulk of porcelain. Modern indirect aesthetic dentistry has moved away from conventional metal-based restorations and towards beautiful, natural looking all-ceramic options such as eMax. The milled ZirCAD is 20 percent larger than the resulting sintered product. In/lay or on/lay. Facial reduction is 1.5 – … Many teeth that have had extensive fillings end up needing crowns. IPS e.max ZirCAD is the material of choice when high strength, minimal reduction and natural looking esthetics are required. Bridge of any size. If needed, additional preparation and cementation information can be found in the IPS e.max ZirCAD Labside instructions for use. It is rare, but E-max crowns can fracture at the time of try-in or during adjustment of the occlusion. INCISAL PREPARATION The diamond bur is angled to bevel back the incisal edge. Cementable. minimum height of 4mm and a taper of less than 8 degrees.) 5) Glass based ceramics (e.g. For an IPS Empress or e.max crown, and for zirconia anterior crowns, a tooth must be reduced by between 1 mm and 1.5 mm to create an aesthetically-pleasing restoration. six anterior layered emax crowns for a same day smile enhancement Q. Anterior and posterior crowns(IPS e.max Press | IPS e.max CAD) Evenly reduce the anatomical shape and observe the stipulated minimum thicknesses. E-Max is the material of choice for veneers and esthetic situations where there is minimal discoloration of the tooth preparation. The unique lithium disilicate framework is indicated for single anterior or posterior crowns, and strong enough for anterior 3-unit bridges (which includes premolars). The principal objective in the anterior crown preparation is to provide adequate space to reproduce the emergence profile, occlusal anatomy, proximal contours, and contact. Chairside Preparation Guide for IPS e.max@ For IPS e.maxe indications IPS e.max ZirCAD IPS e.max CAD/Press Anterior Posterior IPS e.max Ceram/ZirPress Crown Veneer Brid e Crown Bridge Anterior Chairside Preparation Guide -Unit Bridge Restorations 3 3- UNIT BRIDGE PREPARATION Rounded internal Shoulder margin line angles 1.0 mm reduction at The need for a shoulder margin or a chamfer is must for anterior full coverage crowns. If sufficient space is present, IPS e.max can be placed over the existing teeth without the removal of any tooth structure. Zirconia Crown:Posterior . Because different biomaterials require variations in thickness for strength, the preparation … A medium grit, round-ended, diamond bur . E-max Veneer . Prepare a circular shoulder with rounded inner edges or chamfer with an angle of approx. The diamond bur is angled to. Should I use my in-house mill to make anterior crowns and bridges? 8 They are less likely to break if a resin cement is utilized. Posterior. The use of e.max crowns (lithium disilicate) has proven to be highly successful on implant crowns in most cases. Anterior Chairside Preparation Guide ANTERIOR CROWNPREPARATION Veneers VENEER PREPARATION A medium grit, round-ended, diamond bur is used to remove a uniform thickness of facial enamel by joining the depth-cut grooves. The vestibular or lingual reduction is approximately 1.2 mm for anterior teeth and approximately 1.5 mm for posterior teeth. Bridge . Anterior. With IPS e.max, you can offer your patients beautiful restorations that demonstrate high mechanical strength. IPS e.max Monolithic has a flexural strength of 360 MPa’s and is indicated for single anterior/posterior crowns and inlays/onlays. Anterior Restoration Selection Guide 1.800.227.4142 Dental Arts Laboratories, Inc. 241 NE Perry Avenue, Peoria, IL 61603-3625 www.dentalartslab.com Helping You Restore Beautiful Smiles.™ † Indications † Prep Guidelines † Material Selection Criteria † Clinical Before/After Photographs † Made of lithium disilicate, our e.max® restorations are available in three different transparency levels to include low, medium and high. The width of the circular shoulder/chamfer is approx. e-max Inlay/Onlay . A patient presented with the chief complaint of wanting to The tooth or teeth may have been traumatized from an accident, deep decay, extensive preparation for the crown or bridge, or from other causes. Znext™ Anterior is a full-contour solid zirconia crown or bridge restoration with no porcelain overlay. IPS e.max® can be used in pressed or CAD/CAM applications. Some research has shown e.max crowns to be exceptionally strong on implants, in some cases rivaling the strength of layered zirconia crowns. E.max cannot block out these darker underlying stump shades. A dental crown is a type of tooth repair that covers the full visible portion of the tooth.. A patient presented with the chief complaint of wanting to The incisal edge of the preparation should be at least 1.0 mm (milling tool geometry) in order to permit optimum milling of the incisal edge during CAD/CAM processing. Our e.max® products are available in three different transparency levels. A circular shoulder is prepared with rounded inner edges or a chamfer at an angle of 10-30°: the width of the shoulder/chamfer is approx. The time needed to perform these steps typically ranges from 50 to 90 minutes. It’s strong, fits well, looks great, is lutable with conventional cements or bondable with adhesive resin cements, and remains color stable over time.I commonly use eMax for single unit indirect restorations (inlays, onlays, crowns, and veneers) in the anterior and posterior. Nano-fluorapetite layering ceramic powder that can be applied over any of the e.max materials. Posterior Crown . Prescribe IPS e.max to achieve optimal esthetics, virtually perfect contacts and occlusion, and impressive strength. A. Thin veneer, veneer 9 – If possible, locate the preparation in the enamel. It is safe for contacts on opposing teeth, having the wear characteristics of natural teeth, without being abrasive to natural dentition. The diamond bur is angled to bevel back the incisal edge. The width of chamfer has to be near to 1 mm, with being circular and having inner edges at an angle 10-30o, the lingual contact clearance area should be 1-1.5 mm, having facial reductions of 1.5 to 2 mm. When I have to remove a bonded restoration I use multiple fine diamonds and prep away the e.max and the cement until I am back to a fresh prep. Due to the increased translucency of BruxZir Anterior, you can see that these solid zirconia crowns come much closer to matching the proven esthetics of IPS e.max. After cutting off the older porcelain crowns in the anterior region, the decision was made to go with a solid zirconia product but with a high translucency like e.max or lithium disilicate.. Take A Sneak Peak At The Movies Coming Out This Week (8/12) Minneapolis-St. Paul Movie Theaters: A Complete Guide; Best Romantic Christmas Movies to Watch The most common reason for the ceramic to fracture is inadequate material thickness. ADT offers e.max press posteriors as a monolithic restoration. Preparation. IPS e.max Layered and IPS e.max Monolithic are a high strength lithium disilicate glass ceramic with slightly different flexural strengths. Posterior Crown • 1.5 – 2.0 mm occlusal/incisal reduction • 1.0 – 2.0 mm axial reduction • Round the internal line angles • Chamfer margin To assure clinical success, the following minimum material thickness is recommended. When comparing a lithium disilicate restoration to a zirconia restoration, lithium disilicate restorations have a significantly higher translucency at each thickness level. For IPS e.max® indications AnteriorCrownChairside Preparation Guide 4 4 Veneer4 4 Bridge 4 4 PosteriorCrown 4 4 e.max® Facial Cutback restorations combine lithium disilicate with layered porcelain, creating a perfect esthetic solution for matching shades and providing characterization. crown. If the crown was placed with an adhesive process and truly bonded in place you can try to make multiple small pieces and twist, but this doesn’t work that often. Composite - Laminate Veneer . IPS e.max®, is a metal-free restorative option which has incredible flexural strength (360 Mpa) and esthetics which combine for an amazing result. It combines lifelike materials and fracture resistant properties. The first appointment involves: 1) Preparing (shaping) the tooth, 2) Taking its impression and 3) Placing a temporary crown. This unique lithium disilicate ceramic formulation provides an average flexural strength of 500 MPa, making it the ideal high-strength solution for single-unit anterior or posterior crowns, veneers, inlays, onlays, screw-retained implant crowns, 3-unit anterior … Its unique formulation provides an average flexural strength of 500 MPa, making it the ideal high-strength solution for single-unit anterior and posterior crowns, veneers, inlays, onlays, screw-retained implant crowns, three-unit anterior bridges, or restorations with … In today’s video, Dr, Lampee shares how to prep teeth for porcelain crowns in the anterior region of the mouth, Watch this video to see a real anterior crown Place zirconia primer on internal surface of BruxZir restoration, such as Z-Prime ™ Plus (BISCO) and dry for 3–5 seconds with an air syringe, or Monobond Plus (Ivoclar Vivadent) and let react for 60 seconds then dry with an air syringe. Aesthatic e-max Veneer UTML 550 Mpa. Please Note: A stump shade is required for Empress Esthetic and IPS e.max cases for accurate final shade results. Veneer . Buy Lower Anterior Crowns long 3M Espe at Pearson Dental Supply for the Best Price, Highest Quality, Superior Customer Service, 800-535-45-35. 2x strength of Empress. The use of lithium disilicate (IPS e.max) due to its versatility and ease of use. Preparation. Preparation. Send Enquiry. ANTERIOR CROWN PREPARATION Veneers A medium grit, round-ended, diamond bur is used to remove a uniform thickness of facial enamel by joining the depth-cut grooves. IPS e.max delivers the ultimate in metal-free esthetics and strength utilizing press technologies. Minimal Prep Veneers and All-Ceramic Crowns. For many years, I believed I had mastered tooth preparation since I did it day in and day out in my practice. By Lee Ann Brady, DMD. The main disadvantage is the higher price. 1 mm. For anterior crown: Reduction of 1.5-2.0mm at the incisal, 1.5mm lingual, 1.5-1.0mm facial, and 1mm-1.5mm at the cervical of the prep with a deep chamfer or shoulder finish; For veneers: 1.0-1.5mm facial reduction; thin veneers may require some reduction depending on the bulkiness or orientation of the tooth If the crown was placed with an adhesive process and truly bonded in place you can try to make multiple small pieces and twist, but this doesn’t work that often. Im just gonna do stain and glaze it So please help me choose right ingot thanks June 9, 2014. IPS e.max™ Lithium Disilicate Glass Ceramic (400 MPa) Anterior & Posterior Crowns, Anterior 3 unit bridges, Screw-Retained Crowns, Crowns over Custom Abutments, Inlays & Onlays Veneers Resin-Modified Glass Ionomer, Self Adhesive Bonding or Resin Bonding Highly esthetic. ‘Layered’ E.Max all Ceramic Anterior Crown - Preparation Performance Assessment 2015 Dimensions: 1.2mm butt joint margin at gingival margin – rounded angles 1.4mm of facial reduction 2mm of incisal tip reduction 1.5mm of palatal clearance 12 to 14 degree angle of convergence Possible Total Score = 15 Margins: On a second molar where a patient is grinding, Dr. Hawryluk Jr. will often use full strength zirconia, but patients want something with more aesthetics in the anterior, which sacrifices some of the strength. Chamfer preparation When veneering IPS e.max ZirCAD MT crowns using the cut-back technique, the tooth structure has to be reduced by another 1.0 mm in the area of the intended veneer. 4. 1 mm. INCISAL PREPARATION The diamond bur is angled to bevel back the incisal edge. Anterior. Anterior Crown Preparation. Not only do I use it for about 95% of the posterior restorations in my practice, but I lecture on it quite a bit. 10–30°. They are the most expensive type of crown and the cost alone is enough to put some people off choosing one to replace their missing teeth. A very simpler explanation of why pure ceramics fractures is that the dentist, didnt clean very well the dental preparation before place the crown. IPS e.max restorations can be cemented with low-expanding resin-modified glass … ‘Layered’ E.Max all Ceramic Anterior Crown - Preparation Performance Assessment 2015 Dimensions: 1.2mm butt joint margin at gingival margin – rounded angles 1.4mm of facial reduction 2mm of incisal tip reduction 1.5mm of palatal clearance 12 to 14 degree angle of convergence Possible Total Score = 15 Margins: IPS e.max Strength Durability Esthetics. Anterior full-coverage crowns require a chamfer or shoulder margin. Zirconia Inlay/onlay . ANTERIOR CROWN PREPARATION Veneers A medium grit, round-ended, diamond bur is used to remove a uniform thickness of facial enamel by joining the depth-cut grooves. The unique lithium disilicate framework is indicated for single anterior or posterior crowns, and strong enough for anterior 3-unit bridges (which includes premolars). Anterior full-coverage crowns require a chamfer or shoulder margin. IPS e.max can be cemented with low expanding glass ionomer cements or Tooth preparation edges for all ceramic crowns should be rounded with no sharp an-gles to create internal stresses in the crown (Figure 4). 331 Carbide Bur B. Coarse Football diamond C. Cylindrical Chamfer Diamond, #847-016 D. TPE (Tissue Protecting End Cutting) Diamonds 1.2 mm width It typically takes a dentist two separate appointments to make and place a new dental crown for a patient. The crowns on teeth #6, #7 and #8 are BruxZir® Anterior and the crowns on teeth #9, #10 and #11 are IPS e.max. The only reason an eMax crown fractures is if it's cut too thin. The material is so strong, it doesn't need to be as thick as other materials, so less natural tooth has to be removed. Still, if it's cut too thin, the rare fracture may occur. An eMax dental crown lasts up to 15 years. For IPS e.max® restorations Anterior Crown Veneer Bridge Posterior Crown Bridge IPS e.max IPS e.max IPS e.max Ceram/ZirPress ZirCAD CAD/Press Full-Coverage Restorations 3-Unit Bridge Restorations All-Ceramic Chairside Preparation Guide for IPS Empress® and IPS e.max® All Ceramic chairside prep guide.qxd 12/13/06 12:11 PM Page 1 ANTERIOR CROWN PREPARATION Veneers A medium grit, round-ended, diamond bur is used to remove a uniform thickness offacial enamel by joining the depth-cut grooves. The geometry of preparation that gives the restoration retention and stability. Designed with versatility and simplicity in mind, IPS e.max lets you selects from highly esthetic and strong lithium disilicate or zirconia giving you the ability to achieve beautiful restorations in any clinical situation. 3-UNIT BRIDGE PREPARATION For IPS e.max ® indications Anterior Crown Veneer Bridge Posterior Crown Bridge IPS e.max IPS e.max IPS e.max Ceram/ZirPress ZirCAD CAD/Press Full-Coverage Restorations 3-Unit Bridge Restorations All-Ceramic Chairside Preparation Guide for IPS e.max ® Metal Free Preparation Guide Note: BruxZir- Solid Zirconia crowns and bridges only need 0.5mm occlusal reduction since no porcelain will be overlaid. A busy schedule adds constraints that create a process where patterns develop. Yttrium stabilized zirconium oxide block that is milled and then sintered. 4 4. 3-Unit Bridge Preparation 3-Unit Bridge Restorations Rounded internal Shoulder margin line angles Anterior Crown Preparation Full-Coverage Restorations Shoulder margin 1.0 mm reduction at the gingival margin NEW 9794 e.max prep guide CHURIK PRINT.indd 1 11/8/16 8:56 A… This material is the most esthetic, while still offering superior durability featuring 500 MPa of flexural strength. ANTERIOR PREP COURSE. The E-max crown is an all-ceramic system that is milled from a single block of lithium disilicate. For IPS e.max ® indications. I have found eMax to be an extremely versatile material in my practice. 4 4. Anterior Crown Preparation for PMF. Preparation of 0.5 mm. Prep. Please Note: A stump shade is required for Empress Esthetic and IPS e.max cases for accurate final shade results.
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