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Crowns Teeth Treatment Tips

Crown Sensitivity: Causes and Management

MDS - Oral & Maxillofacial Surgery
Dentist, Jaipur
Crown Sensitivity: Causes and Management

Losing a tooth to infection (decay) or trauma can be a painful experience. Imagine that you are in a dental chair and just got a new tooth or a bridge fitted. It is a joyous experience, almost like a new found lease of life, to be able to eat better and look better. However, even after a few days to a week, you realize that the new crown is just not settling down completely. There is a constant sensitivity that exists and is not allowing you to enjoy the new tooth.  

There are various reasons that the new crown can be sensitive, some of them including:

  1. A high point: On the new crown, there could be small points that do not allow for a bite as earlier. This can lead to sensitivity and minor jaw discomfort. 
  2. Improper fit with exposed dentin: This can happen at the neck area, where the crown is not fitting the tooth, leaving a small part of dentin exposed. This can lead to sensitivity once the crown is fixed in.
  3. Other decayed teeth: If there is a decayed tooth adjacent to the crown, it could be confusing and sometimes difficult to pinpoint the exact area.

If it persists for more than a week, check with your dentist on the following:

  1. Severity of decay: The extent of decay in the first place should be considered, especially if you have had crown as a result of extensive tooth decay. If it was involving a large portion of the dentin, the changes of having sensitivity are high, even after a crown placement.  In these cases, there could be silent abscess, which may never manifest as symptoms, but can cause a gnawing sensitivity issue with each bite.
  2. Area of decay: Root caries and cervical caries are more prone to have sensitivity compared to the crown of the tooth. The enamel layer in these areas is thin and the chances of dentinal involvement is high. The rate at which the decay will reach the pulp and cause pain is also higher.
  3. Type of dental treatment: If extensive metal work is done, the sensitivity might last longer than a week, which is the norm.
  4. Triggering factors: Make a note of what triggers the sensitivity, hot, cold or sweets. 
  5. Management: As mentioned, expect the sensitivity with your new crown to last for up to a week. In some cases, it may be longer, depending on, as noted above, the severity of the original decay, the area, triggers, etc. 

While some cases may be managed with a small trim of the crown, some may need the crown to be re-fitted, and some may even require re-treating the tooth completely.

4697 people found this helpful

Crown And Bridges!

Dr. Shashank Shekhar 87% (19 ratings)
BDS, MDS Endodontist
Dentist, Ghaziabad
Crown And Bridges!

What are Dental Crowns and Tooth Bridges?
Both crowns and most bridges are fixed prosthetic devices. Unlike removable devices such as dentures, which you can take out and clean daily, crowns and bridges are cemented onto existing teeth or implants, and can only be removed by a dentist.

How do Crowns Work?

A crown is used to entirely cover or “cap” a damaged tooth. Besides strengthening a damaged tooth, a crown can be used to improve its appearance, shape or alignment. A crown can also be placed on top of an implant to provide a tooth-like shape and structure for function. Porcelain or ceramic crowns can be matched to the color of your natural teeth. Other materials include gold and metal alloys, acrylic and ceramic. These alloys are generally stronger than porcelain and may be recommended for back teeth. Porcelain bonded to a metal shell is often used because it is both strong and attractive.

5 people found this helpful

Crohn s Disease!

Dr. Radhika A (Md) 84% (10 ratings)
MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Crohn s Disease!

Treatment of Crohn’s Disease

Homeopathic Treatment of Crohn’s Disease
Acupuncture & Acupressure Treatment of Crohn’s Disease
Psychotherapy Treatment of Crohn’s Disease
Conventional / Allopathic Treatment of Crohn’s Disease
Surgical Treatment of Crohn’s Disease
Dietary & Herbal Treatment of Crohn’s Disease
Other Treatment of Crohn’s Disease
What is Crohn’s Disease
Symptoms of Crohn’s Disease
Causes of Crohn’s Disease
Risk factors of Crohn’s Disease
Complications of Crohn’s Disease
Lab Investigations and Diagnosis of Crohn’s Disease
Precautions & Prevention of Crohn’s Disease
Treatment of Crohn’s Disease

Homeopathic Treatment of Crohn’s Disease

Before prescribing a remedy, homeopaths take into account a person’s constitutional type like your physical, emotional, and psychological makeup. It helps to calm anxious feelings in those who suffer from flatulence and diarrhea, and helps ease the craving of sweet foods which may not be easily tolerated. Following are some homeopathy remedies for Crohn’s disease.

Mercurius
Podophyllum
Veratrum album
Argentum nit
Asafoetida
Ignatia
Podphylium 

Acupuncture & Acupressure Treatment of Crohn’s Disease

Acupuncture has long been used in Traditional Chinese Medicine to treat inflammatory bowel disease. Acupuncture and moxibustion were effective specifically for treating Crohn’s disease. Moxibustion  is a technique in which the herb mugwort is burned over specific acupuncture points. It is used because it is thought to reach deeper into the body than using needles alone. 

Psychotherapy and Hypnotherapy Treatment of Crohn’s Disease

Hypnotherapy, Psychotherapy and counseling has been very helpful in the treatment with Crohn’s disease. It has been proven that when exposed to a stressful situation some children learn to develop gastrointestinal symptoms to cope with the stress. Crohn’s disease is stress related. Exercise is helpful to relieve stress therefore reducing symptoms of these particular diseases.

Conventional / Allopathic Treatment of Crohn’s Disease

The conventional treatment for Crohn’s disease involves first administering steroids in order to control the patient’s symptoms (abdominal pain and bloody diarrhea); the next step involves administering immune-suppressing drugs, which prepare the body to receive the third medication – an antibody that curbs the inflammatory response at the root of the disease. 

Surgical Treatment of Crohn’s Disease

Some people who suffered with Crohn’s disease will need to have surgery at some point to treat the disease. Surgical treatments include:

Correction of a fistula or fissure
Draining of an abscess
Opening of a stricture or obstruction of the bowel
Removal of a segment of diseased tissue.
Dietary & Herbal Treatment of Crohn’s Disease

Eat six smaller meals a day, rather than three larger meals
Elimination food types such as grains or sugars.
Take a daily multivitamin
Avoid caffeine, alcohol, and tobacco
Avoid refined foods such as white breads and pastas 
Other Treatment of Crohn’s Disease

Mild exercise can help reduce stress, relieve depression and normalize bowel function. Talk to your doctor about an exercise plan that’s right for you. 

What is Crohn’s Disease?

Crohn’s disease is an inflammatory condition that affects the digestive tract – including the mouth, esophagus, stomach, small and large intestine, and anus. It can affect any portion of the digestive tract, but is most common in the ileum – the lowest portion of the small intestine, where it connects with the large intestine.

Symptoms of Crohn’s Disease

Abdominal pain and cramping
Rectal bleeding
Eye inflammation
Weight loss and reduced appetite
Ulcers
Arthritis,
Skin problems
Fever
Delayed growth or sexual development, in children 

Causes of Crohn’s Disease

The exact cause of Crohn’s disease is unknown. Most researches think that it could be caused by a combination of inter-related factors that is listed below:

Previous infection
Genetics
The immune system
Diet high in fat or refined foods

Risk factors of Crohn’s Disease

Cigarette smoking
Age between 20 and 30.
Although whites have the highest risk of the disease
Family history.
People living in a city or an industrialized country and in northern climates
Arthritis and Skin problems
inflammation in the eyes or mouth,
kidney stones or gallstones
Diseases of the liver and biliary system.

Complications of Crohn’s Disease

Bowel obstruction – It includes abdominal pain, cramping, vomiting etc.
Fistula – It includes a high temperature, generally feeling unwell, a constant throbbing pain, blood or pus in your faeces(stools) etc.
Diagnosis of Crohn’s Disease

To perfectly diagnose Crohn’s disease(CD), a patient will likely experience a number of laboratory tests and one or more imaging procedures that allow a doctor to visually evaluate the intestine.

Laboratory tests

Blood tests
Stool cultures
Imaging procedures

X-ray 

Precautions & Prevention of Crohn’s Disease

There is no way to prevent Crohn’s disease because the cause is unknown. But you can take steps to reduce the rigorousness of the disease.

Get regular exercise.
Do not smoke.
Medicines taken regularly may reduce sudden attacks
Eat a healthy diet.
Never use antibiotics unless they have been prescribed for you by a doctor.

Crohn's Disease - When Should You Go For Surgery?

Dr. Sandeep Jha 90% (403 ratings)
DNB (Surgical gastroenterology, MS( General Surgery), MBBS, Fellowship in Minimal Access Surgery, Diploma in Minimal Access Surgery, Fellow of International College of Robotic Surgeons
Surgical Gastroenterologist, Delhi
Crohn's Disease - When Should You Go For Surgery?

Crohn's Disease is a medical condition that falls under the category of Inflammatory Bowel Disease. Crohn's disease triggers inflammation of the digestive tract resulting in ulcerations and sores, mostly affecting people between 17-30 years (people of other age groups can also be affected). The inflammatory disease is a chronic illness that gives rise to a host of complications such as frequent and chronic diarrhea, fever, rapid weight loss, abdominal pain, to name a few.
Unfortunately, there is no permanent treatment available for Crohn's Disease. However, effective remedies and treatments are available to reduce and manage the symptoms and complications associated with Crohn's Disease. Many people dealing with Crohn's Disease have benefitted immensely from surgery.

When surgery is recommended for Crohn's Disease?

A surgery becomes essential when the medicines and other nonsurgical treatments fail to control or manage the symptoms and complications triggered by Crohn's Disease, some of which include

  1. Severe intestinal inflammation followed by uncontrolled bleeding
  2. There is a bowel abscess or a perforation
  3. Toxic Megacolon (a fatal condition whereby the large intestine swells up and also becomes dilated due to the inflammation that affects the intestinal walls)
  4. Fistula
  5. An intestinal blockage or narrowing of the intestinal

The surgery for a Crohn's Disease can be of different types depending on the part of the digestive tract affected.

  1. Colectomy: This is mainly carried out in the case of the Crohn's Disease causing such extensive damage to the colon that it needs to be surgically removed. Following the removal of the colon, the small intestine may be connected to the rectum to ensure that the bowel movement is not affected.
  2. Bowel Resection: A bowel resection is usually performed to treat a fistula or to get rid of the diseased and inflamed portion of the intestine to avoid further aggravation.
  3. Proctocolectomy (Ileostomy): This surgery is performed to get rid of both the rectum and the colon affected extensively by Crohn's Disease. Here also, post removal of the organs, the surgeon connects the small intestine (end part or the ileum) to the stroma or a small opening in the abdomen. This rearrangement is done to ensure that the wastes from the small intestine get eliminated.
  4. Stricturoplasty: This surgery goes a long way to open up the areas of the small intestine that have narrowed down due to Crohn's Disease.

Risks associated with the surgery
Every surgery comes with their share of side-effects and risks. In the case of Crohn's Disease, the surgeries can give rise to complications such as

  1. Pain, swelling, bruising is common.
  2. There may be Infection at the site of the incision.
  3. Scarring at the incision site.
  4. There can be a blockage of the bowel (temporary or short-term)
  5. Surgical removal of the diseased part of the small intestine can trigger inadequate absorption of the vital nutrients (Short-Gut Syndrome).

In case you have a concern or query you can always consult an expert & get answers to your questions!

3168 people found this helpful

Acupuncture And Moxibustion for Crohn's Disease

Dr. Aura Acupuncture 88% (65 ratings)
Bachelor of Naturopathy & Yogic Sciences (BNYS)
Alternative Medicine Specialist, Ernakulam
Acupuncture And Moxibustion for Crohn's Disease

Crohn’s disease is an inflammatory bowel disease (IBD) characterized by abdominal pain, diarrhea, intestinal obstructions, abdominal masses, fatigue, nausea, mouth ulcers, and many other disruptions of the gastrointestinal system. Crohn’s disease often affects the colon, anus, and terminal ileum. Deep intestinal ulcerations with a patchy distribution throughout the gastrointestinal system help to distinguish Crohn’s disease from ulcerative colitis.Acupuncture reduces intestinal inflammation in patients with Crohn’s disease, reverses tissue damage, and improves the quality of life. Acupuncture and moxibustion have been shown to improve CDAI (Crohn’s Disease Activity Index) scores in modern research. CDAI scores are a method of measuring clinical responses to medicine and medical procedures by quantifying responses and remissions of Crohn’s disease. The researchers noted that studies show that acupuncture improves CDAI scores, quality of life, increases hemoglobin levels, and reduces CRP levels for Crohn’s disease patients.CRP (C-reactive protein) is determined by a blood test and quantifies inflammation levels. High levels indicate inflammation, often due to infections and chronic disease. The researches demonstrates that acupuncture significantly lowers CRP levels for Crohn’s disease patients.Patients with Crohn’s disease are often treated with corticosteroids, immunosuppressants, aminosalicylates, and anti-TNF-alpha medications. Acupuncture is an effective treatment which can be combined with any of these.

Crohn's Disease - What All Should You Know

MBBS, MD-Medicine, DNB-Gatroenterology
Gastroenterologist, Gurgaon
Crohn's Disease - What All Should You Know

Crohn’s disease is a condition characterized by the inflammation of the digestive tract or gut. The inflammation caused by Crohn’s disease can lead to severe diarrhoea, abdominal pain, fatigue, malnutrition and weight loss. It is also known as enteritis or ileitis.

Crohn's disease is a form of Inflammatory Bowel Disease (IBD) out of the two main forms. The other form is known as Ulcerative Colitis.

Causes-
The accurate cause of Crohn's disease remains unknown even today. Formerly, stress and diet were made accountable, but now it is known that these factors aggravate it but are not responsible for causing Crohn's disease. Factors such as heredity and an abnormal reaction in the immune system play a role in the development of this disease.

A bacterium or virus may also play a role in its development. For instance, E. coli bacteria has been associated with Crohn's disease. Smoking can be another risk factor.

Symptoms
Crohn’s Disease is known to be a very individual condition. It can effect any part of the gut, starting from the mouth and down to the anus. In the most common cases, however, the ileum (the lower part of the small intestine) or colon (part of the large intestine) is majorly affected.

Its symptoms may vary from person to person, and depend on the location of the disease in the gut. Crohn’s disease develops gradually, but sometimes it comes suddenly, without any warning. Symptoms exhibited change over time, with intervals of good health when your body shows no symptoms (remission) and periods of bad health when your symptoms are more vigorous (‘flare-ups’ or relapses).

Some of the major symptoms of Crohn’s disease when it is active are:

  • Abdominal pain
  • Diarrhoea
  • Fever
  • Tiredness
  • Fatigue
  • Anal Fistulae
  • Mouth ulcers
  • Loss of appetite and weight loss
  • Perirectal Abscesses
  • Anaemia

Patients suffering from severe Crohn's disease also may experience:

  • Inflammation of the bile ducts or liver
  • Inflammation of eyes, joints and skin
  • Delayed sexual development or growth, in children

Diagnosis
There is no specific diagnostic test known for Crohn’s disease. Patients with fever, abdominal pain and tenderness, diarrhoea with blood, and anal diseases such as ulcers are sometimes diagnosed with Crohn’s disease. Elevated white blood cell counts and sedimentation rates are mostly demonstrated in laboratory blood tests. Both of which suggest infection or inflammation in the digestive tract. Other blood tests may reveal low blood proteins, low red blood cell counts (anaemia), and low body minerals, reflecting the loss of these minerals due to chronic diarrhoea.

Conclusion
Although many effective medications are available in the market to control the symptoms of Crohn’s disease, yet there is no cure developed for it. Surgery can extensively improve the quality of life in certain individuals, but the reappearance of this disease after surgery is familiar to many. A better insight into the role of environmental factors and genetics in causing this disease can help in improved treatments and prevention.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1809 people found this helpful

Tooth Sensitivity - Know Causes And Treatment Of It!

Dr. Neelam Yadav 93% (594 ratings)
BDS
Dentist, Narnaul
Tooth Sensitivity - Know Causes And Treatment Of  It!

Tooth sensitivity is a condition when the nerve endings in the teeth are overly sensitive to hold and cold conditions. Drinking and eating hot or cold food may cause a sharp pain in the tooth. A material called dentin, which is what makes up the inside of your tooth, is protected by the enamel in the crown and the cementum in the root of the tooth. In cases when the dentin loses its covering, teeth may be become sensitive.

Causes of sensitive teeth

1. Inflammation caused by bacteria may lead to sensitive teeth.
2. Gum diseases such as gingivitis may cause the gums to retract and reveal the roots of your teeth.
3. Constantly grinding your teeth can cause the enamel to break down, which leads to exposure of the dentin.
4. Accumulation of plaque can cause sensitive teeth.
5. Various acidic foods such as lemon cause the enamel to be worn out.
6. Sensitive teeth is caused by decay of the tooth.
7. Various dental procedures such as teeth restoration and cleaning of the teeth cause the teeth to be sensitive.

Treatments for sensitive teeth

1. You need to use dental products that contain fluoride. Fluoride products tend to decrease teeth sensitivity.
2. Restrict consumption of acidic foods such as lemon and some dairy products.
3. If you grind your teeth then start using mouth guard.
4. Follow proper dental hygiene such as brushing and flossing on a regular basis to keep teeth sensitivity at bay.
5. You should use a toothbrush that has soft bristles so that the gum tissue is not affected while brushing.
6. You may use a toothpaste that has been made for people who have sensitive teeth.
7. You may apply fluoride varnishes to root surfaces that have been exposed.
8. You may cover up root surfaces with white fillings.
9. Application of dentin sealers to root surfaces that have been exposed may help in preventing tooth sensitivity.
10. Laser is also effective to fix tooth sensitivity.

1 person found this helpful

Implant Treatment For Lost Tooth!

Dr. Manjushree Salathia 90% (102 ratings)
MDS - Periodontics, BDS
Dentist, Jalandhar
Implant Treatment For Lost Tooth!

Dental Implants

A dental implant is an artificial tooth root that is placed into your jaw to hold a replacement tooth or bridge. Dental implants may is the best option for people who have lost a tooth or teeth due to periodontal disease, an injury, or some other reason.

Types of DENTAL Implants

  • Endosteal (in the bone): This is the most commonly used type of implant. The various types include screws, cylinders or blades surgically placed into the jawbone. Each implant holds one or more prosthetic teeth. This type of implant is generally used as an alternative for patients with bridges or removable dentures.

  • Subperiosteal (on the bone): These are placed on top of the jaw with the metal framework's posts protruding through the gum to hold the prosthesis. These types of implants are used for patients who are unable to wear conventional dentures and who have minimal bone height.

Before dental implant

Before dental implant

After dental implant

After dental implant

Are You a Candidate for Dental Implants?

The ideal candidate for a dental implant is in good general and oral health. 

Dental implants are intimately connected with the gum tissues and underlying bone in the mouth. Since periodontists are the dental experts who specialize in precisely these areas, they are ideal members of your dental implant team. Not only do periodontists have experience working with other dental professionals, they also have the special knowledge, training and facilities that you need to have teeth that look and feel just like your own. Your dentist and periodontist will work together to make your dreams come true. 

What Is A DENTAL IMPLANT PROCEDURE Like?

This procedure is a team effort between you, your dentist and your periodontist. Your periodontist and dentist will consult with you to determine where and how your implant should be placed. Depending on your specific condition and the type of implant chosen, your periodontist will create a treatment plan tailored to meet your needs.

  • Replacing a Single Tooth   If you are missing a single tooth, one implant and a crown can replace it.
  • Replacing Several Teeth   If you are missing several teeth, implant-supported bridges can replace them.
  • Denture ImplantsFour On Four Implants
  • implant supported full denture
  • Replacing All of Your Teeth   If you are missing all of your teeth, an implant-supported full bridge or full denture can replace them.
  •  

What Can I Expect After RECEIVING A DENTAL IMPLANT?

As you know, your own teeth require conscientious at-home oral care and regular dental visits. Dental implants are like your own teeth and will require the same care. In order to keep your implant clean and plaque-free, brushing and flossing still apply!

After treatment, your periodontist will work closely with you and your dentist to develop the best care plan for you. Periodic follow-up visits will be scheduled to monitor your implant, teeth and gums to make sure they are healthy.

1 person found this helpful

What You Must Know About It if Your Child Suffers From Crohn's Disease

Dr. J P Singh 92% (21 ratings)
MD - Paediatrics, MBBS
Pediatrician, Delhi
What You Must Know About It if Your Child Suffers From Crohn's Disease

If you are finding certain symptoms like stomach pain, cramping, frequent diarrhoea, weight loss of your child or fever, then there are chances that he is suffering from Crohn's disease. Crohn's disease is a bowel disease that causes swelling and inflammation along the digestive tract of your child. Mostly, it affects the end of the small intestine, but it can occur anywhere from the mouth to the anus.

Causes behind the disease: It is not common in children, but if your child is showing symptoms, then one of the following may be the reason:

  1. Immunity system of the child,
  2. Genetics, and
  3. Environment.

The main cause behind such a disease can be any of the above. However, it has been found that if you have someone suffering from this disease in the family, then your child has more chances of getting affected by it.

Diagnosing Crohn's disease: If you find the above-mentioned symptoms in your child, then it is better to take him or her to a doctor. Mostly, this disease is chronic in nature, meaning that it will continue even if it is treated. However, with proper treatment the symptoms can be reduced.

For diagnosing this disease the following tests may be done

  1. Different lab tests that include a blood test for blood count and white blood cell count, and stool test to look for the bacteria that cause the inflammation and urine.
  2. X-Ray for detecting whether your child is suffering from Crohn's disease and what is the exact position of it in the digestive tract.
  3. If further required, they may do an endoscopy to find out the exact location and get more details.

Complications arising out of Crohn's disease: If your child is suffering from this disease and is left without treatment for long, he or she may suffer from the following complications.

  1. When the disease thickens, it may obstruct the intestinal walls by swelling of the intestine. Thus, the space from where the digestive matter passes becomes less and may lead to bowel obstruction.
  2. Fissures may develop at the mucus membrane of the anus.
  3. Fistulas or ulcers can occur as they tunnel through the affeced area to the nearby tissues. All these are painful for your child to bear.
  4. Your child cannot absorb the nutrients of the food like any other child and hence there are chances that they suffer from nutritional deficiencies.

With such problems that may not seem very huge in the beginning, your child may lose his appetite and forget about normal living. Thus, the moment you find any such symptoms, discuss them with your doctor.

4710 people found this helpful

Complications Arising Out of Crohn's Disease in Child

Dr. Rahul Sharma 85% (38 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, Diploma In Child Health (DCH)
Pediatrician, Delhi
Complications Arising Out of Crohn's Disease in Child

If you are finding certain symptoms like stomach paincramping, frequent diarrhoeaweight loss of your child or fever, then there are chances that he is suffering from Crohn's disease. Crohn's disease is a bowel disease that causes swelling and inflammation along the digestive tract of your child. Mostly, it affects the end of the small intestine, but it can occur anywhere from the mouth to the anus.

Causes behind the disease: It is not common in children, but if your child is showing symptoms, then one of the following may be the reason:

  1. Immunity system of the child,
  2. Genetics, and
  3. Environment.

The main cause behind such a disease can be any of the above. However, it has been found that if you have someone suffering from this disease in the family, then your child has more chances of getting affected by it.

Diagnosing Crohn's disease: If you find the above-mentioned symptoms in your child, then it is better to take him or her to a doctor. Mostly, this disease is chronic in nature, meaning that it will continue even if it is treated. However, with proper treatment the symptoms can be reduced.

For diagnosing this disease the following tests may be done

  1. Different lab tests that include a blood test for blood count and white blood cell count, and stool test to look for the bacteria that cause the inflammation and urine.
  2. X-Ray for detecting whether your child is suffering from Crohn's disease and what is the exact position of it in the digestive tract.
  3. If further required, they may do an endoscopy to find out the exact location and get more details.

Complications arising out of Crohn's disease: If your child is suffering from this disease and is left without treatment for long, he or she may suffer from the following complications.

  1. When the disease thickens, it may obstruct the intestinal walls by swelling of the intestine. Thus, the space from where the digestive matter passes becomes less and may lead to bowel obstruction.
  2. Fissures may develop at the mucus membrane of the anus.
  3. Fistulas or ulcers can occur as they tunnel through the affeced area to the nearby tissues. All these are painful for your child to bear.
  4. Your child cannot absorb the nutrients of the food like any other child and hence there are chances that they suffer from nutritional deficiencies.

With such problems that may not seem very huge in the beginning, your child may lose his appetite and forget about normal living.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3328 people found this helpful
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