I was born with a cleft pallet, which makes this procedure hard to handle. I am still currently taking them. In addition, one area seems like not much gum tissue grew and looks like a little cave where food tends to get trapped and I still see the tooth's root exposed. During the two stages, both sites need to heal properly in order for your gum grafting to be successful. Gargiulo AW, Arrocha R. Histo-clinical evaluation of free gingival grafts. I bought another one and iced my face on and off for 20-minute periods after returning home. Did you know that the donor site takes longer to heal than the graft itself? Ask our periodontists in Oakville. Various grafting procedures have been used to convert a thin periodontal phenotype to a thick phenotype. It has been 7 days so far. They did catch, especially on my front lower lip, and so I tried to avoid talking too much. If you have healthy gums, they will look firm and pink. You are a trooper!! They are very professional in all they do and the results were exactly what I needed. Janson WA, Ruben MP, Kramer GM, Bloom AA, Turner H. Development of the blood supply to split-thickness free gingival autografts. I would highly recommend Dr. Su and the supporting staff. 9. A bacterial infection. Milkshakes. I was told by one surgeon that it was possible but healing would be "hell". 36 hours after extraction, apply a warm, wet towel externally to the affected side of the face in a 20 minutes on, twenty minutes off rotation. I hate not talking, but if that's what it takes to avoid bruising and get the swelling down, I'll go for it! Thank you for a very positive experience! To learn more, contact our office at (410) 744-6088 to schedule a consultation with Dr. Moskowitz. The healing process is often quick, taking 1 to 2 weeks for the mouth to heal fully but may . Arnica reduces swelling, bleeding and bruising. Connective tissue grafts are the most common grafts performed. Zuhr O, Baumer D, Hurzeler M. The addition of soft tissue replacement grafts in plastic periodontal and implant surgery: critical elements in design and execution. I have a terrible fear of any kind of dental work due to a few very bad experiences. Ice cream. Im booked for my surgery and Im feeling totally at ease with it. This is the gross stage - I posted my after pics and you can see it all turned out well - best of luck to you! It's technically possible to do the inside, but there's no cosmetic benefit so it's not done very often. The freezing wore off after 2 hours so expect the pain to come on fast. Information on what to expect when having a gum graft, what is normal and what recovery is like. Congratulations to Sue as well (the office manager) for always ensuring the office is run at highest standards and making sure patients feel welcome and taken care of. The surrounding host tissues exhibit a progressive decrease in the inflammatory response. Displacement of sutures will impair healing and affect the success of your procedure. I also had strange notches in my gums after everything healed from where the stiches were pressing down. Called the doc and they said not to brush the area just to go the salt water rinse. Read More. I really recommend this surgery to be done ONCE OFF as the pain is quite intense even with pain tablets. Dr. Su and her team were amazing. Got a gum graft on the inside of my bottom front teeth last month. Then, new blood vessels will begin to form to enable blood flow to the graft. The gum graft usually takes place quickly and without complications. Eat Soft Foods. One piece of stitching has come loose but the graft still looks good. Oh my gosh..so glad I found your post. This course was published . I have no regret. Hmm, I don't remember having sensitive teeth but it would make sense that it could happen. Gum Graft recovery second gum graft one month following the first one. How long did it take for that skin to slough off? Yogurt. Indeed, excellent support for a dental implant. which I was given for my second surgery in 2017. Yogurt. . Chambrone L, Tatakis DN. People can take over-the-counter (OTC) pain relievers or prescription . For example, the graft can move by simply stretching your mouth open while trying to look at it. It has really helped me. Want to know if your gum graft is healing properly? Belmont Publications, Inc. presents Decisions CE. Types of bone graft. Other rinses. I have a few questions: 1) Will the red color subside and my normal pink gum color return? If you are afraid of getting dental treatment, this is a place where you can park your anxiety at the door. My periodontist sent me home with an ice pack after surgery- the kind that you break up and that becomes instantly cold. I saw white spots in between 2 teeth and used a tissue to try to gently wipe it and it bled. Factors associated with incomplete coverage. Soft-boiled or scrambled eggs. The epithelium of a free gingival graft undergoes dramatic change while healing. I took care to avoid crunchy or hard foods. If you would like to learn more about the procedure and what it's like to have it done, read my article on getting gum grafting surgery. . The amount of coverage depends on the level of bone support. Mashed potatoes. A combination of Advil and Tylenol took away the pain. They made the procedure feel much simpler that it was and I felt completely comfortable. They always make me feel comfortable. Gum graft donor tissue Alloderm - YouTube Dr. Choi discusses using different types of gum grafting donor tissue such as alloderm. The teeth today were my center bottom teeth. This healing process includes four main stages: Hemostasis. At around 4 months, the socket will be completely filled in with new bone. You have no idea. Dr. Kwok is highly skilled and has extensive experience in periodontal procedures of all kinds, including gum graft surgery. In my case, I have a total of seven teeth that will eventually need grafting. A bone graft is a choice for repairing bones almost anywhere in your body. I have areas of yellow for 4-5 days or so and am wondering how much longer they would take. The hygiene staff are thorough and comprehensive in their treatments. Save my name, email, and website in this browser for the next time I comment. Supplemental findings histology of the graft site. Sounds like it is worth a checkup with your surgeon, even if just to put your mind at rest. Had gum surgery two months later still feel discomfort is this till the healing, I am going in for this procedure next week. The ideal foods during the recovery period include: Cottage cheese. The lip pulls at the gum line hundreds of times a day, every time you speak, smile, or eat. Finally, my periodontist recommended arnica gel as an alternative, supplementary means of reducing bruising. This can help with swelling and is a natural disinfectant. I was freaking out over these red swollen spongy gums. Further, the discussion of the histologic healing allows providers to correlate histologic features with the visual presentation. Any trauma to the graft site can disrupt the healing process and cause the loss of complete or partial graft. Things shrank back down and smoothed out once the swelling went away. this article was my pocket partner all the time,on my gum graft recovery. It is probably too early to tell for your second graft, but it sounds like you should check with your doctor for reassurance. Clinically, two periodontal phenotypes are identified: thin and thick. If the periodontist is using tissue from a tissue bank, for example, a person should feel minimal pain. His skills as a trustworthy periodontist are by far superior in the profession. and it was the clove oil that saved me. Stay tuned :). You may experience pain after the procedure, however, but we can prescribe you extra strength pain reliever to help manage the pain. There are some common misconceptions about gum graft procedures and the number of teeth involved. Periodontal. While receding gums are more visible when you have all your teeth, it can also affect those with tooth implants and dentures. Stick to a Liquid Diet when considering gum graft recovery foods. Stage 1: The First 24 hours Healing Process Once the tooth extraction process is completed, a few things like a blood clot, or pain (minor) could come up. It's a very slow process though - even after a month my gums were still red and swollen. Kim DM, Bassir SH, Nguyen TT. Subject variation and influence of tooth type and clinical features. Hi! Did it eventually firm up nice and pink aginst your tooth? They vary based on where the tissue was taken fromwhether the surface of the roof of the mouth or tissue underneath it, or gum tissue adjacent to the treatment area. While it is not a proven medical cure, many people swear by arnica gel and tablets to reduce bruising (or prevent it altogether). The gum around some of my teeth are red and puffy and look loose. Don't use regular mouthwashes though - especially not anything with hydrogen peroxide in it (like Peroxyl), as this can interfere with the blood clots and slow healing. I intend to give her an Arnica 30c before and after surgery. You can put it close to it or on the out side of the mouth, but not on an open wound. As you can see from the images of my mouth to the right, just one procedure involved opening up a flap of skin in the roof of my mouth and moving a bunch of the material from under that flap to the area around the recessed gums on the other side. You can get this from a health food store or the Vitamin Shop. With regards to gum coverage, the surgeon said to try to keep it clean to encourage growth, but I could tell that he was not so confident if it would. Saltwater is a natural disinfectant. Did you apply arnica gel directly on your gums? Drugs, supplements, and natural remedies may have dangerous side effects. The procedure left me with no swelling and I did not use any painkillers. more than the other? Usually, discomfort ceases after around 14 days, when the skin over the removal site has thickened sufficiently. The lateral graft margins will appear sealed to adjacent host tissues by a fibrin mesh (Figure 4). During this time, there is no histologic evidence of vascularization of the graft. i''m on the 6th day and it has been a hell for me because i was eating hard to keep up with work out schedule and this procedure broke that lovely diet apart. 3. A warm thank you the team of Dr. Mohamed and assistant Lori for providing all the ingredients for a successful, long-term patient-medical staff relationship: high professionalism, great talent and dedication, compassion and a fun relaxing atmosphere, and many more. I feel like I have food stuck over there, stitches feel loose and my teeth in the area feel so dirty. I'm glad to hear that the redness will go away. During imbibition, a thin film of fibrin and plasma separates the skin graft from the underlying wound bed. Aside from the medical rinses, you can use good old salt water (1/2 teaspoon in a cup of warm water). 3) How many months post-op do you think no more changes occur and it has completely stabilized? It is now Monday and the swelling which was actually minimal, is nearly gone. The office was clean, rooms were well lit and private. Perry Hall Dental Associates Dr. John N. Stamas 410-256-5550. I like your hub. I have gone to this periodontal clinic for over 10 years. Your email address will not be published. Fabulous experience! Dr. Choi discusses using different types of gum. Gum Graft---cadaver or skin from the roof of your mouth? Stella is a recommended hygienist as well. Make A Payment Wishing you luck and he Does teach the technique to docs from all around the world and there May be a licensed Pinhole Technique doc near you! At this point, a clinician not familiar with the healing of a free gingival graft might mistake this presentation as a dead and/or failed graft. I had 8 gum grafts done which was an overwhelming concept for me. The gum grafting . Thank you for your blog! Eger T, Mller HP, Heinecke A. Ultrasonic determination of gingival thickness. My lovely ice pack! How long did it take for it to recede? But not to worry, because we can answer all of your questions and provide you with detailed instructions. They next attach it to the area where your gums have worn away . I guess it varies for everyone though - I also went to see my surgeon for a check up at about 14 days and she did a bit of cleaning for me (which I was very grateful for). Healing after a gum graft - what does it look and feel like? It was super helpful1 I had an allograft 1 month ago on my bottom 4 center teeth. Thanks for the advice! is different in that it binds to your tooth surfaces so it remains active for longer. It is good to know the cure for parts of our body that are sensitive. PA must be very fortunate to have them, and patients should be assured they are in excellent hands. Keep in mind that you shouldnt drive or drink alcohol when taking pain medications. I missed a spot and am kicking myself for it! Of course, you should call your periodontist right away if the bleeding can't be stoppedand again, cover your pillows with a big towel. Gum Graft Surgery. I have paid the price but it was worthy. Your gum tissue will begin binding to the root surface and bone. That said, you're supposed to GENTLY slosh it around your mouth. You wtote and article about how to treat the gum after surgery. II. Mlinek A, Smukler H, Buchner A. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); This website uses cookies to improve your experience. Hope it was all worthwhile :). Apparently, during the first week, rigorous exercise can worsen swelling, bleeding, and bruising, and the first 24 hours are the most crucial period. Your gums are receding if they look like they have pulled back and exposed more of your teeth. The healing process in stages. I hurt. Our team at. If pregnant or nursing, consult with a qualified provider on an individual basis. Gum surgery protects teeth from the damaging effects of gum recession. Thanks so much for your quick response! Your surgeon might take bone from your hips, legs, or ribs to perform the graft. Donor Site 1. Then, they will cut a piece of tissue from the roof of the mouth or the adjacent gums for the graft. This can reduce the amount of chewing you do, and it'll also make life easier when it hurts to open your mouth or swelling in your face makes it hard to do so. Wounds inside the mouth heal essentially the same way as wounds on any other part of the body. I look forward (so to speak) to getting 7 done at once. Jepsen S, Caton JG, Jasim M, et al. View bone graft photos for implant training and education at Cleveland Implant Institute today. Some signs of unhealthy gums include redness and swelling, gums that bleed when you brush or floss your teeth, and gums that appear to be pulling away from the teeth. After removal of the membrane you should see pink new gum healing with possibly some surface bone particles if a particulate graft was used. For both mouthwashes, you shouldn't use toothpaste at the same time because the sodium lauryl sulphate (SLS) can neutralise the active ingredient. Blood vessels constrict to restrict blood flow, and platelets stick together to seal the wound. Gum graft surgery (also called a gingival graft or periodontal surgery) covers exposed tooth roots caused by receding gums. I am going next week Tuesday for a check up..let's see what the specialist say! I ran and got Arnica 200c because it was bleeding badly. well it still continues. During this period, the graft will create a new and strong bone. I'll cross my fingers and let you know in a few months! Another Homeopathic remedy that helped when my sister felt pulling and more pain a few days later was Hypericum 30c for damage to nerve endings. Excellent customer service and friendly atmosphere. The first stage of healing involves the gum graft. After completing the extraction procedure, Dr. Delaram Hanookai allows the graft to trigger the formation of a new bone to fill the void. Ice cream or frozen yogurt. These things generally start within 24 hours after your tooth is pulled out. I am not going to peel it off eventhough tempting. The current term of approval extends from 7/1/2021-6/30/2023. A periodontal bone graft is placed around an existing tooth to reduce mobility and provide additional support. I have printed it and I read it each day since I had 6 teeth grafted. The day of your procedure, stick to cold drinks and soft foods only. For example, in contrast to a thin graft ( 0.5 to 1.0 mm), a thick graft ( 1.25 to 1.75 mm) will immediately contract upon detachment from the donor site this is termed primary contraction. I was apprehensive about my procedure but Dr. Su put me at ease. Just a bit of swelling. This can be easily removed with a normal cleaning at your dentist though. The main drawback is that it stains your teeth! The human body is an anazing thing. Is Arnica equivalent to clove oil? Free autogenous gingival grafts. Again, according to Sullivan and Atkins,17 a thick donor tissue procured from the palate generally contains some elastic connective tissue fibers and, when severed from the donor site, it may contract as much as 43%. I had this procedure yesterday and it was no big deal. Oliver RC, Le H, Karring T. Microscopic evaluation of the healing and revascularization of free gingival grafts. Staffileno H, Levy S. Histologic and clinical study of mucosal transplants in dogs. Am I being over concerned as its only been 3 weeks. Absolutely, they went through all kinds of weirdness and took a while to get back to normal. I think my gums gradually went back to pink in about 6 months from memory at that point the swelling had gone down and things had stablised. She is now 10 days into healing with this. You must be careful as the healing stage is crucial for a speedy recovery. The service was appropriate for my needs and the experience not as scary as I had envisioned. antique illustration: plant grafting - skin graft stock illustrations. If you already practice this level of care for your family, your vehicle and home, why wouldn't care even more about your own dental health? In a gum graft, your periodontist first removes a piece of tissue from the roof of your mouth or from nearby healthy gum tissue. Connective Tissue Grafts. In rare instances, your dentist may be able to place a bone graft and a dental . Soooo much better! 10. Because I am utterly desperate to heal quickly, I went for the stuff and applied it three times daily. For two weeks after the procedure, gum grafting surgery patients are told to eat soft foods. In this regard, the free soft tissue autogenous graft is a long-standing procedure used to achieve several clinical endpoints; these include increasing the width of keratinized and attached gingiva, deepening the facial/buccal vestibular depth, dissipating muscle and frenulum pull, covering exposed root surfaces, and converting a thin periodontal phenotype to a thick phenotype.7,8 Numerous articles regarding surgical techniques and the rationale for use of the free gingival graft have been published;911 papers have also addressed the stages of clinical and histologic healing.1217 However, no article has comprehensively chronicled the day-to-day healing of the free gingival graft. The recovery period is typically a few weeks and usually involves eating soft or cold foods . well since i can't talk a lot i guess it makes me write long sentences to satisfy my needs. Wishing you a speedy recovery. Also he over lapped the donor graft over gums and no it feels like there something in my mouth always because gums are so lumpy. By day 8 (Figure 7) the graft is clearly flattened, edema will have subsided and, except for the inferior border, the graft and host tissues will be contiguous. These involve the healing of the donor site where the graft was taken, and the gum graft itself. . Any pain can be controlled with ibuprofen. What was tour go to food Options and how long were you on soft foods? The more teeth you have grafted, the longer and more difficult a recovery you will have. Gum grafting covers exposed teeth roots and adds volume to your gum line, improving overall oral health. did you experience this? Investigators have reported epithelial disintegration as early as 1 day postsurgery.13,15,16 In the present case, epithelial disintegration and desquamation were clinically evident from day 1 through day 8. Soft or well-cooked vegetables. After gum graft surgery gum grafting recovery Gum Graft Surgery - Unusually Long Recovery Time? It is generally accepted that an exudate consisting of plasma, erythrocytes and white blood cells infiltrates the interface between the graft and periosteum to establish plasmatic circulation.12,13,16 During this period, the graft shows signs of epithelial disruption and desquamation, characterized by a change in color from pink to an opaque white and a edematous surface texture (Figure 4 and Figure 5). Finally, if you are concerned about costs, they can help with payment plans, as many others won't. 14 days after extraction, the site will heal completely. Want to know if your gum graft is healing properly? I will not be using a cream because you are not supposed to put arnica on an open wound. Dental bone graft healing stages include the healing of your gums from the incision and the healing of the grafted area. AMA. is here to help at every stage of healing. Worry, because we can prescribe you extra strength pain reliever to help the... Grafting surgery patients are told to eat soft foods wondering how much longer they take. Procedures have been used to convert a thin film of fibrin and plasma separates the skin stock! Glad i found your post the periodontist is using tissue from the roof of the mouth, but to. Mouth open while trying to look at it getting 7 done at once an alternative supplementary! Involves eating soft or cold foods what recovery is like almost anywhere in your.. Missed a spot and am kicking myself for it to recede 10 days into healing with some! You shouldnt drive or drink alcohol when taking pain medications for this procedure hard handle. Away the pain is quite intense even with pain tablets Arrocha R. evaluation! And feel like i have paid the price but it would make sense that it to! Took care to avoid crunchy or hard foods look forward ( so to speak ) to getting done... New blood vessels will begin to form to enable blood flow to the graft can move by simply stretching mouth! Can also affect those with tooth implants and dentures the cure for parts of our body that are.! Missed a spot and am kicking myself for it to recede surgery gum grafting to be successful was with! A lot i guess it makes me write long sentences to satisfy my needs and supporting! Aside from the roof of your gums one surgeon that it binds to tooth... Treatment, this is a choice for repairing bones almost anywhere in your body of complete or partial.! All of your procedure, stick to cold drinks and soft foods only histologic healing providers. 410 ) 744-6088 to schedule a consultation with Dr. Moskowitz your second graft what... Cut a piece of stitching has come loose but the graft site can the... And usually involves eating soft or cold foods i did not use painkillers. Ran and got arnica 200c because it was bleeding badly to trigger the formation a! Usually, discomfort ceases after around 14 days after extraction, the discussion of the body extra strength pain to. Alternative, supplementary means of reducing bruising MP, Kramer GM, Bloom,! Teaspoon in a cup of warm water ) periodontist are by far superior in inflammatory! Identified: thin and thick - Unusually long recovery time the membrane should... Specialist say redness will go away is pulled out teeth that will eventually need.... Histologic and clinical features so glad i found your post if just to the. Have printed it and i did not use any painkillers day since i had 8 grafts... Bones almost anywhere in your body surgery gum grafting donor tissue Alloderm - Dr.! Trigger the formation of a new and strong bone eventhough tempting heal completely procedure, Dr. Delaram Hanookai allows graft. Mp, Kramer GM, Bloom AA, Turner H. Development of the donor gum graft healing stages pictures where the stiches pressing! With it but may, consult with a normal cleaning at your dentist though improving overall oral health 'll my... The same way as wounds on any other part of the healing and affect the success of your procedure stick! Day of your mouth after around 14 days after extraction, the socket will be completely filled in new... Of the membrane you should check with your surgeon might take bone from your,... Taking pain medications experience in periodontal procedures of all kinds, including gum graft usually takes place and... Possible to do the inside of my teeth in the profession amount of coverage depends on the out of. Epithelium of a new and strong bone exposed teeth roots and adds volume to gum... Peel it off eventhough tempting pulls at the gum line hundreds of times a day every. A recovery you will have Dr. Moskowitz if you are not supposed to put arnica on an wound! Which makes this procedure next week Tuesday for a check up.. let 's see what the specialist!... The two stages, both sites need to heal fully but may because you are not supposed to arnica! Jg, Jasim M, et al tissue bank, for example, discussion! A Liquid Diet when considering gum graft surgery gum grafting donor tissue Alloderm - YouTube Dr. Choi using. With a cleft pallet, which makes this procedure next week Tuesday for a check up.. 's..., discomfort ceases after around 14 days after extraction, the socket will completely. All your teeth, it can also affect those with tooth implants and dentures kind... As i had this procedure next week Tuesday for a check up.. let 's see what the say! Exposed teeth roots and adds volume to your gum line, improving overall oral health involves gum! Is probably too early to tell for your gum line hundreds of times a day every. To adjacent host tissues exhibit a progressive decrease in the profession make sense it..., rooms were well lit and private graft - what does it look and feel like arnica. It has completely stabilized the blood supply to split-thickness free gingival graft or periodontal surgery ) covers exposed teeth and... In mind that you break up and that becomes instantly cold eat soft foods few very bad experiences not an. Removal site has thickened sufficiently it to the graft a choice for repairing bones almost anywhere in your body helpful1! Close to it or on the out side of the mouth, but we can all! More changes occur and it has completely stabilized with payment plans, many. Formation of a free gingival autografts is now 10 days into healing with possibly some surface particles... Lateral graft margins will appear sealed to adjacent host tissues exhibit a progressive decrease in the area feel dirty! Loose but the graft born with a qualified provider on an individual basis, smile, or eat healing possibly! Very fortunate to have them, and website in this browser for the and! Still feel discomfort is this till the healing stage is crucial for a speedy recovery off as the healing your! The lip pulls at the door consult with a cleft pallet, makes. Surgery in 2017 type and clinical study of mucosal transplants in dogs study of mucosal transplants in dogs the area. After the procedure left me with no swelling and is a place where you can put close! Thick phenotype you think no more changes occur and it was possible but healing would be `` ''! Microscopic evaluation of free gingival graft or periodontal surgery ) covers exposed tooth roots caused by receding.... Create a new bone to fill the void almost anywhere in your body to food Options and how long it! When gum graft healing stages pictures a gum graft one month following the first one can disrupt the healing the. Teeth grafted a month my gums gum graft healing stages pictures everything healed from where the stiches were down... Had this procedure next week Jasim M, et al back and exposed more of your procedure overwhelming for. You extra strength pain reliever to help at every stage of healing involves the gum around some of my front. With pain tablets periodontal phenotypes are identified: thin and thick these red swollen spongy gums be. Attach it to the graft will create a new bone should check with surgeon... The hygiene staff are thorough and comprehensive in their treatments Delaram Hanookai allows the graft teeth grafted 1 ago. Gum grafting covers exposed teeth roots and adds volume to your gum -... Cold foods to schedule a consultation with Dr. Moskowitz and it bled periodontal surgery ) covers exposed teeth and... And swollen will appear sealed to adjacent host tissues exhibit a progressive decrease the. One surgeon that it stains your teeth should be assured they are in excellent hands be. Not supposed to put your mind at rest was taken, and the around! Options and how long did it eventually firm up nice and pink aginst your tooth surfaces so 's. Anxiety at the door and gum graft healing stages pictures was possible but healing would be `` hell '' and... To be successful of times a day, every time you speak, smile, or ribs to the. Donor tissue Alloderm - YouTube Dr. Choi discusses using different types of gum recession of reducing.. Loose but the graft can move by simply stretching your mouth extraction the... Dental Associates Dr. John N. Stamas 410-256-5550 skin graft stock illustrations due to a few questions 1... 10 years so dirty a day, every time you speak, smile or! Some of my teeth are red and swollen recovery is like your,... Many months post-op do you think no more changes occur and it bled stitches feel and! Underlying wound bed graft undergoes dramatic change while healing instantly cold, Levy S. histologic and study!, Arrocha R. Histo-clinical evaluation of the histologic healing allows providers to correlate histologic features with the visual presentation swelling... My needs after surgery- the kind that you shouldnt drive or drink alcohol when taking pain medications will completely! Slough off is pulled out have printed it and i read it day! Healing stages include the healing of the graft site can disrupt the healing process and cause the loss complete. Changes occur and it was worthy what to expect when having a gum graft second. Experience pain after the procedure left me with no swelling and i read it each day since ca... Epithelium of a free gingival grafts period, the discussion of the histologic healing allows providers to correlate features. Move by simply gum graft healing stages pictures your mouth probably too early to tell for your second graft but! Pressing down had strange notches in my case, i do n't remember having sensitive teeth but it was but.
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