{"id":32521,"date":"2025-09-08T00:00:23","date_gmt":"2025-09-07T15:00:23","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=32521"},"modified":"2025-09-07T23:38:54","modified_gmt":"2025-09-07T14:38:54","slug":"7-apicoectomy","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=32521","title":{"rendered":"\u6839\u306e\u5148\u306b\u75c5\u6c17\u304c\u3042\u308b\u3002\u88ab\u305b\u7269\u3092\u3084\u308a\u76f4\u3059\u306e\u306b\u6cbb\u7642\u304c\u5fc5\u8981\u3060\u3068\u8a00\u308f\u308c\u7d39\u4ecb\u3055\u308c\u305f\u301c#7 Apicoectomy"},"content":{"rendered":"<p>\u7d39\u4ecb\u60a3\u8005\u3055\u3093\u306e\u6cbb\u7642\u3002<\/p>\n<p>\u4e3b\u8a34\u306f<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u6839\u306e\u5148\u306b\u75c5\u6c17\u304c\u3042\u308b\u3002\u88ab\u305b\u7269\u3092\u3084\u308a\u76f4\u3059\u306e\u306b\u6cbb\u7642\u304c\u5fc5\u8981\u3060\u3068\u8a00\u308f\u308c\u7d39\u4ecb\u3055\u308c\u305f<\/strong><\/span><\/h1>\n<p>\u3067\u3042\u308b\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\uff082025.8.23\uff09<\/strong><\/span><\/h1>\n<p>#6 Cold+1\/1, Perc.(-), Palp.(-), BT(-), Pero Probe(WNL), Mobility(WNL)<\/p>\n<p>#7 Cold N\/A, <span style=\"color: #ff0000;\"><strong>Perc.(+), Palp.(+)<\/strong><\/span>, BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n<p>#8 Cold N\/A, Perc.(-), Palp.(-), BT(-), Pero Probe(WNL), Mobility(WNL)<\/p>\n<p>\u60a3\u6b6f\u306f\u6253\u8a3a\u75db\u3001\u5727\u75db\u306e\u3042\u308b#7\u3060\u308d\u3046\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>PA\uff082025.8.23\uff09<\/strong><\/span><\/h1>\n<h1><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32522\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/b25f3265eb80c8d2019014ef48765b29.jpg\" alt=\"\" width=\"1491\" height=\"1945\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/b25f3265eb80c8d2019014ef48765b29.jpg 1491w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/b25f3265eb80c8d2019014ef48765b29-230x300.jpg 230w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/b25f3265eb80c8d2019014ef48765b29-785x1024.jpg 785w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/b25f3265eb80c8d2019014ef48765b29-768x1002.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/b25f3265eb80c8d2019014ef48765b29-1177x1536.jpg 1177w\" sizes=\"auto, (max-width: 1491px) 100vw, 1491px\" \/><\/h1>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32523\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/ed507835d71805f95bf32ff56c31c443.jpg\" alt=\"\" width=\"1492\" height=\"1944\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/ed507835d71805f95bf32ff56c31c443.jpg 1492w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/ed507835d71805f95bf32ff56c31c443-230x300.jpg 230w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/ed507835d71805f95bf32ff56c31c443-786x1024.jpg 786w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/ed507835d71805f95bf32ff56c31c443-768x1001.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/ed507835d71805f95bf32ff56c31c443-1179x1536.jpg 1179w\" sizes=\"auto, (max-width: 1492px) 100vw, 1492px\" \/><\/p>\n<h1><span style=\"color: #008000;\"><strong>CBCT\uff082025.8.23\uff09<\/strong><\/span><\/h1>\n<h2><span style=\"color: #008000;\"><em><strong>#7 <\/strong><\/em><\/span><\/h2>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32524\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/7-Pre-op-kondou_chiho_20250822_100449.jpg\" alt=\"\" width=\"1706\" height=\"941\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/7-Pre-op-kondou_chiho_20250822_100449.jpg 1706w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/7-Pre-op-kondou_chiho_20250822_100449-300x165.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/7-Pre-op-kondou_chiho_20250822_100449-1024x565.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/7-Pre-op-kondou_chiho_20250822_100449-768x424.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/7-Pre-op-kondou_chiho_20250822_100449-1536x847.jpg 1536w\" sizes=\"auto, (max-width: 1706px) 100vw, 1706px\" \/><\/h2>\n<h2><span style=\"color: #008000;\"><em><strong>#8<\/strong><\/em><\/span><\/h2>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32525\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/8-Pre-op-kondou_chiho_20250822_100430.jpg\" alt=\"\" width=\"1706\" height=\"941\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/8-Pre-op-kondou_chiho_20250822_100430.jpg 1706w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/8-Pre-op-kondou_chiho_20250822_100430-300x165.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/8-Pre-op-kondou_chiho_20250822_100430-1024x565.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/8-Pre-op-kondou_chiho_20250822_100430-768x424.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/8-Pre-op-kondou_chiho_20250822_100430-1536x847.jpg 1536w\" sizes=\"auto, (max-width: 1706px) 100vw, 1706px\" \/><\/h2>\n<p>\u540c\u3058\u3088\u3046\u306a\u6cbb\u7642\u3060\u304c\u3001#7\u306b\u306f\u6839\u5c16\u75c5\u5909\u304c\u3042\u308b\u306e\u306b#8\u306b\u306f\u306a\u3044\u3002<\/p>\n<p>\u3055\u3089\u306b\u306f\u3001<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-32526\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/d6b37ff3357c023021d18a313174db09-164x300.png\" alt=\"\" width=\"164\" height=\"300\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/d6b37ff3357c023021d18a313174db09-164x300.png 164w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/d6b37ff3357c023021d18a313174db09.png 436w\" sizes=\"auto, (max-width: 164px) 100vw, 164px\" \/><\/p>\n<p>#7\u306f\u6b6f\u69fd\u9aa8\u306b\u7a74\u304c\u7a7a\u3044\u3066\u3044\u308b\u3002<\/p>\n<p>\u3053\u308c\u304c\u5727\u75db\u306e\u539f\u56e0\u3060\u3002<\/p>\n<p>\u3053\u3053\u307e\u3067\u5927\u304d\u304f\u5f62\u6210\u3055\u308c\u3066\u3044\u308b\u3068\u3001Apicoectomy\u3067\u3057\u304b\u72b6\u6cc1\u3092\u6539\u5584\u3067\u304d\u306a\u3044\u3002<\/p>\n<p>\u305d\u306e\u969b\u306f\u3001<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-32527 size-full\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/kondou_chiho_20250822_100600.jpg\" alt=\"\" width=\"1706\" height=\"941\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/kondou_chiho_20250822_100600.jpg 1706w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/kondou_chiho_20250822_100600-300x165.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/kondou_chiho_20250822_100600-1024x565.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/kondou_chiho_20250822_100600-768x424.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/kondou_chiho_20250822_100600-1536x847.jpg 1536w\" sizes=\"auto, (max-width: 1706px) 100vw, 1706px\" \/><\/p>\n<p>CEJ\u3088\u308a14mm\u4e0b\u65b9\u306bApex\u304c\u3042\u308a\u3002\u305d\u3053\u30923mm\u5207\u65ad\u3059\u308b\u306b\u306f<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-32528 size-full\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/kondou_chiho_20250822_100555.jpg\" alt=\"\" width=\"1706\" height=\"941\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/kondou_chiho_20250822_100555.jpg 1706w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/kondou_chiho_20250822_100555-300x165.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/kondou_chiho_20250822_100555-1024x565.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/kondou_chiho_20250822_100555-768x424.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/kondou_chiho_20250822_100555-1536x847.jpg 1536w\" sizes=\"auto, (max-width: 1706px) 100vw, 1706px\" \/><\/p>\n<p>3.6mm\u5207\u65ad\u3059\u308c\u3070\u3044\u3044\u3002<\/p>\n<p>\u975e\u5e38\u306bEasy\u306a\u5916\u79d1\u6cbb\u7642\u3060\u3002<\/p>\n<p>\u307e\u305f\u3001<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-32529\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/de53f3c42864ce1e701d1986000509ab-235x300.png\" alt=\"\" width=\"235\" height=\"300\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/de53f3c42864ce1e701d1986000509ab-235x300.png 235w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/de53f3c42864ce1e701d1986000509ab.png 624w\" sizes=\"auto, (max-width: 235px) 100vw, 235px\" \/><\/p>\n<p>#7\u306e\u982c\u5074\u306b\u306f\u6b6f\u69fd\u9aa8\u304c\u5b58\u5728\u3059\u308b\u306e\u3067\u3001Submarginal Flap\u3067\u5916\u79d1\u6cbb\u7642\u304c\u3067\u304d\u308b\u3002<\/p>\n<p>\u3053\u306e\u3053\u3068\u306f\u3001\u9ebb\u9154\u306e\u4f5c\u7528\u6642\u9593\u304c\u9650\u3089\u308c\u3066\u3044\u308b\u4e0a\u984e\u524d\u6b6f\u306b\u306f\u798f\u97f3\u3060\u308d\u3046\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-32530 size-full\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/65d56cf35eb9ba29e4bf3bd95fa438d9.png\" alt=\"\" width=\"1280\" height=\"832\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/65d56cf35eb9ba29e4bf3bd95fa438d9.png 1280w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/65d56cf35eb9ba29e4bf3bd95fa438d9-300x195.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/65d56cf35eb9ba29e4bf3bd95fa438d9-1024x666.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/65d56cf35eb9ba29e4bf3bd95fa438d9-768x499.png 768w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" \/><\/p>\n<p>\u9ebb\u9154\u3068\u5916\u79d1\u6cbb\u7642\u304c\u3053\u306e\u3088\u3046\u306b\u3064\u306a\u304c\u308b\u3068\u306f\u601d\u3044\u3082\u3088\u3089\u306a\u3044\u8a71\u3060\u308d\u3046\u304c\u3001\u3053\u308c\u304c\u30a2\u30e1\u30ea\u30ab\u306e\u6b6f\u79d1\u81e8\u5e8a\u6559\u80b2\u3060\u3002\u5168\u3066\u304c\u4f53\u7cfb\u3060\u3063\u3066\u3044\u308b\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u8a3a\u65ad\uff082025.8.23\uff09<\/strong><\/span><\/h1>\n<p>Pulp Dx: Previously treated<\/p>\n<p>Periapical Dx: Symptomatic apical periodontitis<\/p>\n<p>Recommended Tx: Apicoectomy<\/p>\n<p>\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u540c\u65e5\u306b\u6cbb\u7642\u304c\u884c\u308f\u308c\u305f\u3002<\/p>\n<p><strong>\u2b50\ufe0e\u3053\u306e\u5f8c\u3001\u5916\u79d1\u52d5\u753b\u304c\u51fa\u3066\u304d\u307e\u3059\u3002\u4e0d\u5feb\u611f\u3092\u611f\u3058\u308b\u65b9\u306f\u8996\u8074\u3092Skip\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/strong><\/p>\n<hr \/>\n<h1><span style=\"color: #008000;\"><strong>#7 Apicoectomy\uff082025.8.23\uff09<\/strong><\/span><\/h1>\n<p>Submarginal Flap\u3067\u5207\u958b\u3057\u3001Apex\u3068\u601d\u3057\u304d\u90e8\u4f4d\u3092\u4e88\u60f3\u3057\u305f\u3002<\/p>\n<figure class=\"wp-block-videopress-video wp-block-jetpack-videopress jetpack-videopress-player\"><div class=\"jetpack-videopress-player__wrapper\"><iframe title=\"VideoPress \u52d5\u753b\u30d7\u30ec\u30fc\u30e4\u30fc\" aria-label=\"VideoPress \u52d5\u753b\u30d7\u30ec\u30fc\u30e4\u30fc\" src=\"https:\/\/videopress.com\/embed\/S99iK2Oy?at=0&#038;controls=1&#038;preloadContent=metadata\" width=\"640\"height=\"360\" frameborder=\"0\" allowfullscreen data-resize-to-parent=\"true\" allow=\"clipboard-write\"><\/iframe><\/div><\/figure>\n<p>\u3061\u306a\u307f\u306b\u3001\u79c1\u306b\u306fApex\u304c\u898b\u3048\u308b\u3002<\/p>\n<p>Osteotomy\u3057\u3066Apex\u3092\u898b\u3064\u3051\u30013mm\u3067\u5207\u65ad\u3057\u305f\u3002<\/p>\n<figure class=\"wp-block-videopress-video wp-block-jetpack-videopress jetpack-videopress-player\"><div class=\"jetpack-videopress-player__wrapper\"><iframe title=\"VideoPress \u52d5\u753b\u30d7\u30ec\u30fc\u30e4\u30fc\" aria-label=\"VideoPress \u52d5\u753b\u30d7\u30ec\u30fc\u30e4\u30fc\" src=\"https:\/\/videopress.com\/embed\/p7kZjWzG?at=0&#038;controls=1&#038;preloadContent=metadata\" width=\"640\"height=\"360\" frameborder=\"0\" allowfullscreen data-resize-to-parent=\"true\" allow=\"clipboard-write\"><\/iframe><\/div><\/figure>\n<p>\u30e1\u30c1\u30ec\u30f3\u30d6\u30eb\u30fc\u3067\u67d3\u3081\u51fa\u3057\u9006\u6839\u7ba1\u5f62\u6210\u3057\u305f\u3002<\/p>\n<figure class=\"wp-block-videopress-video wp-block-jetpack-videopress jetpack-videopress-player\"><div class=\"jetpack-videopress-player__wrapper\"><iframe title=\"VideoPress \u52d5\u753b\u30d7\u30ec\u30fc\u30e4\u30fc\" aria-label=\"VideoPress \u52d5\u753b\u30d7\u30ec\u30fc\u30e4\u30fc\" src=\"https:\/\/videopress.com\/embed\/ytXkOZ0g?at=0&#038;controls=1&#038;preloadContent=metadata\" width=\"640\"height=\"360\" frameborder=\"0\" allowfullscreen data-resize-to-parent=\"true\" allow=\"clipboard-write\"><\/iframe><\/div><\/figure>\n<p>\u9006\u6839\u7ba1\u5145\u586b\u3057\u305f\u3002<\/p>\n<figure class=\"wp-block-videopress-video wp-block-jetpack-videopress jetpack-videopress-player\"><div class=\"jetpack-videopress-player__wrapper\"><iframe title=\"VideoPress \u52d5\u753b\u30d7\u30ec\u30fc\u30e4\u30fc\" aria-label=\"VideoPress \u52d5\u753b\u30d7\u30ec\u30fc\u30e4\u30fc\" src=\"https:\/\/videopress.com\/embed\/3TIfZEP2?at=0&#038;controls=1&#038;preloadContent=metadata\" width=\"640\"height=\"360\" frameborder=\"0\" allowfullscreen data-resize-to-parent=\"true\" allow=\"clipboard-write\"><\/iframe><\/div><\/figure>\n<p>\u8853\u5f8c\u306bPA\u3092\u64ae\u5f71\u3057\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-32531 size-full\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/957fb5dc0d741db0a362cc6f31c60c8f.jpg\" alt=\"\" width=\"1486\" height=\"1941\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/957fb5dc0d741db0a362cc6f31c60c8f.jpg 1486w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/957fb5dc0d741db0a362cc6f31c60c8f-230x300.jpg 230w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/957fb5dc0d741db0a362cc6f31c60c8f-784x1024.jpg 784w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/957fb5dc0d741db0a362cc6f31c60c8f-768x1003.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/957fb5dc0d741db0a362cc6f31c60c8f-1176x1536.jpg 1176w\" sizes=\"auto, (max-width: 1486px) 100vw, 1486px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-32532 size-full\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/b78c5ee70eab89f62957b8d5952aff84.jpg\" alt=\"\" width=\"1494\" height=\"1931\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/b78c5ee70eab89f62957b8d5952aff84.jpg 1494w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/b78c5ee70eab89f62957b8d5952aff84-232x300.jpg 232w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/b78c5ee70eab89f62957b8d5952aff84-792x1024.jpg 792w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/b78c5ee70eab89f62957b8d5952aff84-768x993.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/b78c5ee70eab89f62957b8d5952aff84-1188x1536.jpg 1188w\" sizes=\"auto, (max-width: 1494px) 100vw, 1494px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32533\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/7-Post-op-kondou_chiho_20250822_113736.jpg\" alt=\"\" width=\"1706\" height=\"941\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/7-Post-op-kondou_chiho_20250822_113736.jpg 1706w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/7-Post-op-kondou_chiho_20250822_113736-300x165.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/7-Post-op-kondou_chiho_20250822_113736-1024x565.jpg 1024w, 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