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Antibiotika - Ein Mittel der Wahl bei Zahnentzündungen

Everything About Periodontal Pockets: How to Identify, Treat, and Prevent Them

Oral health reflects our overall health and well-being. A commonly underestimated issue with far-reaching consequences is periodontal pockets. These small yet deceptive areas in the mouth can lead to major dental and general health issues if left untreated. Statistics indicate that a significant portion of the population, especially adults over 30, are affected by periodontal pockets in some form. But what exactly are periodontal pockets, and why do they deserve our attention? This article delves deep into the subject to shed light on it and demonstrates how preventive measures and early treatment can sustainably protect oral health.

What Are Periodontal Pockets?

Periodontal pockets form due to the detachment of the gum from the tooth. This separation creates a gap, known as the sulcus, or a "pocket" between the tooth and gum, where bacteria can accumulate and multiply. In a healthy individual, the depth of this gap typically measures between 0.5 and 2 millimeters. However, if a periodontal pocket depth of more than 3.5 millimeters is measured, action is required as it may indicate the onset of periodontal pocket inflammation. Bacteria can accumulate and multiply in this pocket between the tooth and gum, and the inflammatory processes they trigger lead to a progressive deepening. This creates a self-perpetuating cycle and therefore urgent action is required if recessed gum lines are diagnosed. The distinction is made between so-called pseudopockets, which are caused by inflammatory swelling of the gums, and true periodontal pockets, which are characterized by bone degradation and shifting of the gum line.

Causes and Risk Factors

The primary cause of periodontal pocket formation is bacterial inflammation, caused by plaque – a sticky film of bacteria and food remnants. Without regular and thorough removal, plaque can harden into tartar, further leading to gum inflammation, known as gingivitis, and eventually periodontitis. Periodontitis is a progressive disease of the periodontium and the main reason for the formation and deepening of periodontal pockets. Risk factors that facilitate the onset and worsening of periodontal pockets include poor oral hygiene, smoking, diabetes, genetic predisposition, and stress. These factors can weaken the immune system and increase susceptibility to inflammation, thereby promoting the development of periodontal pockets. However, a certain amount of gum recession is unfortunately also due to the process of aging and thus general degeneration processes. Unfortunately, it is nearly impossible to influence this beyond excellent oral hygiene.

To break the cycle of periodontal pocket development, it's crucial to recognize the first signs and act promptly. In the next section, we will discuss the symptoms and diagnostic methods that allow for the early identification of periodontal pockets and the implementation of appropriate measures.

Symptoms and Diagnosis

Early detection of periodontal pockets is essential to prevent serious consequences. Often, the first signs are subtle and easily overlooked. Warning signs include persistent bad breath, gum bleeding while brushing teeth or eating, changes in tooth alignment, and a visible deepening between tooth and gum. Specifically, the symptom "inflamed periodontal pocket" can indicate a progressing issue that, without proper treatment, can lead to further bone loss and ultimately tooth loss.

The diagnosis begins with a visual examination by the dentist, followed by measuring the periodontal pocket depth with a periodontal probe. This measurement is painless and provides valuable information about the condition of the periodontium. Additionally, X-rays may be required to assess the condition of the jawbone and accurately determine the extent of the disease.

Treatment Options

The goal of periodontal pocket treatment is to combat the underlying inflammation and reduce bacterial accumulation. Periodontal pocket cleaning, involving the removal of plaque and tartar both above and below the gum line, is often the first step. For deep pockets, specific treatments may be required, such as root planing, which cleans and smooths the root surfaces to make it harder for bacteria to adhere. In severe cases, surgical intervention may be necessary to improve access to deep pockets and enable thorough cleaning.

Prevention and Aftercare

Preventive measures are key to avoiding periodontal pockets. Consistent oral hygiene, including brushing teeth twice daily, using dental floss, and regular professional dental cleanings, is essential. Additionally, risk factors such as smoking and unhealthy diets should be minimized. Regular dental check-ups allow for early detection and treatment of problems.

After treatment, careful aftercare is crucial to minimize the risk of recurrence. The dentist can provide specific recommendations for home care and may suggest additional professional cleanings to maintain gum health.

Additional Information

Beyond basic treatment and prevention measures, it's important to consider special situations that require particular attention. For instance, in children and pregnant women, the risk of periodontal pocket inflammation may increase due to hormonal changes and altered eating habits. In such cases, tailored prevention and oral hygiene are especially important to prevent periodontal pockets and their complications.

Another important issue is pain management after periodontal pocket cleaning. It's not uncommon for patients to experience significant pain after an intensive cleaning. As the sensation of pain is very individual, this question cannot be answered with certainty. However, you should not be afraid to ask for advice and help depending on how you feel, as there are various ways to find relief. Suffering is definitely not necessary. Your dentist can recommend special rinses or medications to alleviate these discomforts. The use of a thermoreversible gel applied locally can also be an effective method to minimize pain in the treatment of up to 5 mm deep periodontal pockets.

Summary and Conclusion

Periodontal pockets are a serious sign of oral health issues that can lead to significant consequences without appropriate treatment. Early detection through regular dental examinations and treatment through professional periodontal pocket cleaning, along with other specific measures, are crucial for effectively managing the condition. Preventive measures, such as meticulous daily oral hygiene and avoiding risk factors, play a central role in preventing periodontal pockets.

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FAQ Section

What pocket depth is considered normal?

A pocket depth of up to 3 millimeters is considered normal and unremarkable. Problems typically start at a depth of more than 3 millimeters.

What can be done about gum inflammation?

Besides professional treatment by the dentist, rinsing with antiseptic solutions at home can also contribute to alleviating inflammation. Thorough oral hygiene is also important.

How long does it take for the gums to regenerate after periodontal pocket cleaning?

The regeneration time can vary, but many patients notice improvement within a few weeks, provided the recommended aftercare measures are consistently followed.

Is severe pain after periodontal pocket cleaning normal?

It's not uncommon for patients to experience pain after an intensive cleaning. As the sensation of pain is very individual, this question cannot be answered with certainty. However, you should not be afraid to ask for advice and help depending on how you feel, as there are various ways to find relief. Suffering is definitely not necessary. Your dentist can recommend special rinses or medications to alleviate these discomforts. The use of a thermoreversible gel applied locally can also be an effective method to minimize pain in the treatment of up to 5 mm deep periodontal pockets.

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Antibiotika - Ein Mittel der Wahl bei Zahnentzündungen

Zahnentzündungen sind ein häufiges Problem, das Menschen jeden Alters betreffen kann. Sie reichen von leichten Beschwerden bis hin zu schwerwiegenden Zuständen, die sofortige medizinische Aufmerksamkeit erfordern. Bei der Behandlung einer Zahnentzündung spielen Antibiotika oft eine wichtige Rolle, um bakterielle Infektionen effektiv zu bekämpfen. In diesem Artikel erfahren Sie alles über die effektivsten Methoden zur Bekämpfung einer Infektion im Mundbereich, insbesondere durch die Einnahme von Antibiotika. Dabei liegt der Fokus auf einer verständlichen Darstellung, die es Ihnen ermöglicht, schnell und umfassend Einblicke in dieses wichtige Thema zu gewinnen. Grundlagen von Zahnentzündungen Eine Zahnentzündung entsteht, wenn Bakterien Zugang zu den inneren Bereichen eines Zahnes oder zu den tieferen Schichten des umgebenden Gewebes erlangen. Oft entsteht dies durch Karies, Risse oder Lücken in der Zahnstruktur. Die Anatomie des Zahns ist komplex: Er besteht aus dem harten äußeren Schmelz, dem darunterliegenden Zahnbein (Dentin) und dem Zahnmark (Pulpa), das Nerven und Blutgefäße enthält. Bakterien, die in die Pulpa eindringen, können zu einer Infektion führen, die sich bis zur Wurzelspitze und darüber hinaus ausbreiten kann, was eine Zahnwurzelentzündung zur Folge hat. Symptome und Erkennung von Zahnentzündungen Die Symptome einer Zahnentzündung variieren, können aber folgende Anzeichen umfassen: Schmerzen, die von mild bis intensiv reichen und bei Kälte, Wärme oder Kauen verstärkt werden können. Schwellungen im Gesicht oder am Zahnfleisch, die auf eine Ausbreitung der Infektion hinweisen. Eine erhöhte Empfindlichkeit des betroffenen Zahns. Manchmal sind Fieber und ein allgemeines Gefühl von Unwohlsein Zeichen einer weitreichenden Infektion. Oftmals wird eine Zahnentzündung nicht sofort bemerkt, insbesondere wenn sie im Inneren des Zahns beginnt. Sobald die Symptome jedoch auftreten, ist es wichtig, diese ernst zu nehmen und einen Zahnarzt aufzusuchen. Frühzeitige Erkennung und Behandlung sind entscheidend, um eine Ausbreitung der Infektion zu verhindern und schwerwiegende gesundheitliche Probleme zu vermeiden. Ein Zahnarzt kann eine Zahnentzündung durch eine gründliche Untersuchung, Röntgenbilder und, falls notwendig, weitere diagnostische Tests identifizieren. Sobald die Diagnose gestellt ist, kann eine geeignete Behandlung eingeleitet werden, die auch den Einsatz von Antibiotika umfassen kann, um die bakterielle Infektion zu bekämpfen. Die Bedeutung einer zeitnahen Behandlung kann nicht genug betont werden, da eine unbehandelte Zahnentzündung zu einer Reihe von Komplikationen führen kann bis hin zur Ausbreitung der Infektion auf andere Teile des Körpers. Die Rolle von Antibiotika bei der Behandlung von Zahnentzündungen Antibiotika sind in der Zahnmedizin ein entscheidendes Werkzeug zur Bekämpfung von Zahnentzündungen, die durch bakterielle Infektionen verursacht werden. Sie wirken, indem sie die Bakterien abtöten oder ihr Wachstum hemmen, was dem Körper ermöglicht, die Infektion selbst effektiver zu bekämpfen. Die Auswahl der richtigen Antibiotika bei einer Zahnentzündung hängt von verschiedenen Faktoren ab, wie z.B. dem spezifischen Bakterienstamm, der Schwere der Infektion und der individuellen Gesundheitsgeschichte des Patienten. Amoxicillin und Clindamycin sind Beispiele für Antibiotika, die häufig zur Behandlung von Zahnentzündungen eingesetzt werden, da sie ein breites Spektrum an bakteriellen Infektionen im Mundraum abdecken. Wann sind Antibiotika notwendig? Nicht jede Zahnentzündung erfordert den Einsatz von Antibiotika. In vielen Fällen kann eine Wurzelkanalbehandlung oder das Entfernen des infizierten Zahns ausreichen, um die Infektion zu beseitigen. Antibiotika werden in der Regel verschrieben, wenn die Infektion über den Zahn hinausgeht und das umliegende Gewebe betrifft, bei Patienten mit einem erhöhten Risiko für eine Ausbreitung der Infektion oder wenn das Immunsystem geschwächt ist. Die Entscheidung über die Notwendigkeit von Antibiotika bei einer Zahnentzündung sollte immer von einem Zahnarzt getroffen werden, basierend auf einer gründlichen Untersuchung und Diagnose. Die Frage, welches Antibiotikum bei Zahnentzündung am besten geeignet ist, sollte immer von einem Zahnarzt nach sorgfältiger Untersuchung beantwortet werden. Mögliche Nebenwirkungen und Risiken Obwohl Antibiotika wirksame Mittel zur Bekämpfung von Infektionen sind, können sie, wie alle Medikamente generell, auch Nebenwirkungen hervorrufen. Die häufigsten Nebenwirkungen sind gastrointestinale Beschwerden, wie Übelkeit, Erbrechen und Durchfall. Allergische Reaktionen sind ebenfalls möglich und können von Hautausschlägen bis hin zu schweren anaphylaktischen Reaktionen reichen. Einige Antibiotika, insbesondere solche mit einem breiten Wirkungsspektrum, können auch die natürliche Bakterienflora im Mund und im Darm stören, was zu einer Überwucherung von schädlichen Bakterien führen kann. Ein besonderes Augenmerk sollte auf die langfristigen Risiken der Antibiotikaresistenz gelegt werden. Die unsachgemäße oder übermäßige Verwendung von Antibiotika kann dazu führen, dass Bakterien Resistenzen entwickeln, wodurch diese Medikamente in Zukunft weniger wirksam oder sogar unwirksam werden. Daher ist es wichtig, Antibiotika genau nach den Anweisungen des verschreibenden Arztes einzunehmen und den vollständigen Behandlungszyklus zu beenden, auch wenn sich die Symptome verbessern. Alternativen und ergänzende Behandlungen Während Antibiotika eine wichtige Rolle bei der Bekämpfung bakterieller Infektionen spielen, gibt es auch alternative und ergänzende Behandlungsmethoden, die zur Heilung von Zahnentzündungen beitragen können. Eine Wurzelkanalbehandlung ist eine effektive Methode, um die Infektion direkt im Zahn zu entfernen, indem das infizierte Zahnmark entfernt und der Zahn von innen gereinigt, desinfiziert und versiegelt wird. In einigen Fällen kann auch die Entfernung des betroffenen Zahnes erforderlich sein, um die Ausbreitung der Infektion zu verhindern. Zur Linderung der Symptome und zur Unterstützung der Heilung können zudem Maßnahmen wie das Spülen des Mundes mit Salzwasser oder die Anwendung von kühlen Kompressen auf die äußere Wangenpartie hilfreich sein. Schmerzmittel können vorübergehend Erleichterung von Schmerzen und Entzündungen bieten, bis eine spezifische Behandlung durchgeführt werden kann. Diese sollten aber ebenfalls nur auf Anweisung und Dosierung nach ärztlicher Verschreibung verwendet werden. Prävention und Nachsorge Die beste Strategie gegen Zahnentzündungen ist die Prävention. Eine gute Mundhygiene, einschließlich regelmäßigem Zähneputzen, der Verwendung von Zahnseide und regelmäßigen zahnärztlichen Untersuchungen, kann das Risiko einer Zahnentzündung erheblich reduzieren. Dazu zählen auch regelmäßig durchgeführte professionelle Zahnreinigungen und zahnärztliche Kontrollen, die besonders wichtig sind, um Probleme wie Karies oder Zahnfleischerkrankungen zu verhindern oder sie wenigstens frühzeitig zu erkennen, bevor sie zu schwerwiegenden Infektionen führen. Nach der Behandlung einer Zahnentzündung ist eine sorgfältige Nachsorge entscheidend, um sicherzustellen, dass die Infektion vollständig ausgeheilt ist und um zukünftige Probleme zu vermeiden. Ihr Zahnarzt kann spezifische Anweisungen zur Pflege des behandelten Bereichs geben und wird wahrscheinlich Folgeuntersuchungen empfehlen, um den Heilungsprozess zu überwachen. Zusammenfassung und Schlussfolgerung Zahnentzündungen können schmerzhaft und potenziell gefährlich sein, aber mit der richtigen Behandlung und Nachsorge ist eine vollständige Erholung gut möglich. Antibiotika spielen eine wichtige Rolle bei der Bekämpfung bakterieller Infektionen, sollten jedoch verantwortungsvoll und nur unter Anleitung eines Zahnarztes oder Arztes verwendet werden. Durch die Kombination von medizinischer Behandlung mit guter Mundhygiene und regelmäßigen zahnärztlichen Kontrollen, können Sie Ihre Zähne gesund halten und das Risiko zukünftiger Entzündungen minimieren. Letztendlich ist die Zusammenarbeit mit Ihrem Zahnarzt der Schlüssel zu einer effektiven Behandlung und Prävention von Zahnentzündungen. Indem Sie sich um Ihre Mundgesundheit kümmern und bei den ersten Anzeichen einer Entzündung professionelle Hilfe suchen, können Sie sicherstellen, dass Ihre Zähne stark und gesund bleiben. Vereinbaren Sie hier Ihren Termin!

Dental Cleaning During Pregnancy: Why It’s Especially Important Now!

Expecting a new life? First of all, congratulations! Naturally, you have a thousand things on your mind right now: What color should the nursery be? Which daycare is the best option? Or could it be twins? During this exciting time, a professional dental cleaning (PDC) is probably the last thing you're considering. However, neglecting this could be a significant mistake for both you and your baby, as you'll discover here. Dental Cleaning during Pregnancy Pregnancy brings numerous changes to the body. Hormonal adjustments are common but can cause the gums to swell noticeably, become more sensitive, and inflame more easily. Now, more than ever, there's a lot at stake: Untreated periodontitis can lead to various adverse effects on the pregnancy and, in severe cases, even premature birth. Thus, it's crucial to prevent this. Moreover, certain dental treatments are limited during these nine months since some medications are best avoided. X-rays and local anesthesia should also be minimized as much as possible. To be on the safe side, paying extra attention to oral hygiene is advisable: Professional dental cleanings are now more important than ever. How Does a Professional Dental Cleaning Work? The first step is scheduling an appointment, which at Dental21, can be done effortlessly online. You can also complete the digital medical history form from the comfort of your couch, office, or even on a tram ride. Before starting, the dentist assesses the current status of your teeth and creates a personalized treatment plan based on your needs. Various cleaning techniques are employed as required. Staining of Teeth: To check if all surfaces of the teeth are being cleaned properly at home, the teeth are stained. This visibility helps reinforce the importance of thorough cleaning and assists the dental professional in removing all plaque. Anesthesia: If the teeth or gums are too sensitive, gel anesthesia can provide relief. In extreme cases, local anesthesia may be considered. Removal of Plaque: With the help of an ultrasonic device (Piezon), the removal of hard and soft plaque begins. For hard-to-reach areas, all available tools are used (interdental brushes, superfloss, dental floss, etc.). Removal of Stains: Stubborn stains on the teeth are gently removed using a powder jet device (Airflow). Biofilm Removal: The biofilm, a bacterial layer on the tooth surface, contributes to the development of cavities and gum disease. This biofilm is removed using Airflow-Plus, including intensive cleaning of areas slightly below the gumline. Cleaning of Interdental Spaces: Most pathological processes occur in the interdental spaces, where cavities and gum diseases often start in adulthood due to limited access and infrequent cleaning. Professional dental cleaning pays special attention to these areas, and a bactericidal gel (CHX) is often applied after cleaning to further reduce bacterial levels. Polishing of Teeth: After thorough cleaning, the teeth are polished to not only make them shine but also to smooth any rough surfaces, minimizing potential attachment sites for bacteria. Special polishing pastes, brushes, and rubber cups are used for this purpose, and fillings may also be polished, and sharp edges smoothed. Don't Forget the Tongue: Numerous bacteria reside on the tongue, so it's also cleaned and treated with a gel to reduce bacterial levels. Fluoridation of Teeth: Fluorides play a crucial role in dentistry, strengthening teeth and helping to remineralize small cavities, preventing further progression. Few substances have been as extensively researched for their effectiveness as fluorides. In Conclusion: We also provide comprehensive education on nutrition, demonstrate home oral hygiene tools, explain brushing techniques, and much more. If necessary, we can prescribe special mouthwash solutions, perform a test to determine your risk of developing periodontitis (MMP8 test), or show you how to address hard-to-reach areas with dental treatments (Invisalign). The Ideal Timing For Professional Teeth Cleaning During Pregnancy It is recommended that expectant mothers have at least two professional dental cleanings during pregnancy. However, the ideal time for the first dental cleaning is not in the 1st trimester, but in the 2nd trimester, i.e. between the 14th and 26th week of pregnancy. According to DG Paro, elective dental procedures, including professional teeth cleaning, are not recommended in the 1st trimester. The reason for this is the potential risk of bacteremia, which should be avoided during this sensitive phase of pregnancy. The second dental cleaning can then take place between the 25th and 35th week of pregnancy. In the 3rd trimester, many women often find visits to the dentist less pleasant, which is why appointments tend to be avoided at this time. Professional dental cleanings are not only considered safe, but even beneficial for an optimal course of pregnancy. Women planning a pregnancy are also advised to ensure thorough oral hygiene before conception and to have any periodontitis treated. This creates the best conditions for your dental health and allows you to concentrate fully on what really matters during pregnancy: Your baby. Key Points at a Glance Oral hygiene can impact the course of pregnancy: The link between periodontitis and premature births is well-documented. Many dental treatments are advised against during pregnancy, such as anesthesia or exposure to X-rays, to avoid potential risks. Professional dental cleanings are safe and highly recommended during pregnancy to ensure a healthy outcome. Ideally, expectant mothers should undergo two dental cleanings during the first two-thirds of their pregnancy. Time for a Professional Teeth Cleaning? At Dental21 clinics, you benefit from treatment using state-of-the-art technology. You can find us at over 50 locations throughout Germany. Book your professional teeth cleaning now!

Yellow Tongue Coating: Causes, Symptoms, and Effective Treatment Methods

The tongue coating arises from the accumulation of food residues, dead skin cells, and microorganisms on the tongue’s rough surface. This coating is often found in the back third of the tongue because this area is difficult to clean. Different Types of Tongue Coating White Coating: A slightly white tongue is normal. Yellow Coating: Often harmless but can indicate diseases when associated with other symptoms. Brown Coating: Commonly caused by coffee, tea, or nicotine. Black Coating: Known as black hairy tongue, unsightly but harmless. Causes of a Yellow Tongue A yellow tongue can arise from poor oral hygiene, an unbalanced diet, or smoking. It may also signal serious health issues like liver and gallbladder diseases or gastritis. Other potential causes include: Fungal Infection: A thick, white-yellowish coating can result from a fungal infection, often caused by Candida albicans. Poisoning: The presence of toxins or metals can manifest as a yellow discoloration of the tongue. Disease: Conditions like syphilis or diphtheria can be associated with changes in the tongue. Symptoms Accompanying a Yellow Tongue Symptoms such as bad breath, loss of taste, a furry sensation, tongue burning, fever, and a general feeling of illness may accompany changes in the tongue. When to See a Doctor? While a yellow tongue coating is often harmless, there are situations when consulting a doctor is advisable: If the coating persists despite good oral hygiene. If additional symptoms like bad breath, changes in taste, a furry sensation, or tongue burning occur. In case of fever or a general feeling of illness. If the coating is particularly thick, furry, or persistent. A dentist or general practitioner can determine the cause and, if necessary, recommend further tests or specific treatments. The Importance of The Tongue and Saliva in Health The tongue is more than just an organ for speech and communication. It is a central organ for pleasure, conveying flavors, temperature, and food texture. It plays a significant role in oral health and the digestive process. The papillae on the tongue help us recognize different tastes. Saliva also plays a crucial role in maintaining oral health - it helps flush interdental food residues, neutralizes acids produced by plaque bacteria, and contains essential minerals for tooth remineralization. Adequate saliva production is vital to reduce the formation of tongue coatings. Prevention and Daily Care A healthy lifestyle and good oral hygiene are crucial to prevent issues like a yellow tongue coating. Here are some tips: Regular Oral Hygiene: Daily dental cleaning should include tongue care. A tongue brush or scraper can effectively remove the coating. Adequate Hydration: Drink enough water to support oral hygiene and reduce bacterial accumulation. Healthy Diet: Avoid excessive consumption of foods and beverages containing colorants, as well as sugar and nicotine. Regular Dental Visits: Routine check-ups with the dentist can help detect and treat problems early. If a yellow tongue coating persists, seek medical advice to rule out serious health issues and initiate appropriate treatment. Professional Tongue and Treatment Options For stubborn tongue coating, professional cleaning by a dentist may be necessary. This can be done with special tools that remove deep-seated coatings. In cases of oral thrush (fungal infection) or other infections, treatment with antifungal or other medications may be required. Summary While a yellow tongue can be an unpleasant but mostly harmless phenomenon, it's important to pay attention to your body's signals and seek medical advice for persistent or concerning symptoms. With proper care and attention to oral health, this condition can be effectively treated and prevented in the future. Book your appointment now! FAQs What are the most common causes of a yellow tongue coating? The most common causes are typically poor oral hygiene, consumption of certain foods and drinks (like coffee, tea, and cigarettes), certain medications, and in rare cases, medical conditions like liver and gallbladder diseases or oral thrush. Is a yellow tongue coating a cause for concern? In most cases, it is harmless and can be tackled with improved oral hygiene or changes in dietary habits. However, if the coating persists despite good oral care or is accompanied by other symptoms like bad breath or taste changes, a medical consultation is recommended. Book your appointment now! Can a yellow tongue coating indicate serious health problems? While often harmless, a yellow tongue coating can sometimes signal serious health issues such as an infection or liver or gallbladder diseases. If the coating is persistent, cannot be removed by improved oral hygiene, or is accompanied by other symptoms, a doctor's evaluation is advised. Book your appointment now!

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