{"id":7882,"date":"2022-04-15T01:18:10","date_gmt":"2022-04-14T16:18:10","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=7882"},"modified":"2022-04-15T01:21:00","modified_gmt":"2022-04-14T16:21:00","slug":"mta%e3%81%aeoverextension%e3%81%af%e6%82%aa%e3%81%8b%ef%bc%9f%e3%80%9c15-re-rctcore-build-up-with-fiber-post-6m-recall","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=7882","title":{"rendered":"MTA\u306eOverextension\u306f\u60aa\u304b\uff1f\u301c#15 Re-RCT+Core build up with Fiber Post 6M recall"},"content":{"rendered":"<p>\u7d39\u4ecb\u306e\u60a3\u8005\u3055\u3093\u306e\u7d4c\u904e\u89b3\u5bdf\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>\u521d\u8a3a\u306f2021.10.15<\/strong><\/span><\/h1>\n<p>\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n<p>#14 Cold+3\/3, Perc.(-), Palp.(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n<p>#15 Cold N\/A, Perc.(-), <span style=\"color: #ff0000;\"><strong>Palp.(+)<\/strong><\/span>, BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n<p>PA\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7883\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI1-3.jpg\" alt=\"\" width=\"1933\" height=\"1484\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI1-3.jpg 1933w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI1-3-300x230.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI1-3-1024x786.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI1-3-768x590.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI1-3-1536x1179.jpg 1536w\" sizes=\"auto, (max-width: 1933px) 100vw, 1933px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7884\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI3-3.jpg\" alt=\"\" width=\"1943\" height=\"1498\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI3-3.jpg 1943w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI3-3-300x231.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI3-3-1024x789.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI3-3-768x592.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI3-3-1536x1184.jpg 1536w\" sizes=\"auto, (max-width: 1943px) 100vw, 1943px\" \/><\/p>\n<p>\u6839\u5c16\u75c5\u5909\u306f\u3042\u308b\u304c\u3001\u6839\u7ba1\u5f62\u6210\u306f\u307b\u3068\u3093\u3069\u3055\u308c\u3066\u3044\u306a\u3044\u3002<\/p>\n<p>\u518d\u5f62\u6210\u306e\u6709\u52b9\u6027\u304c\u3042\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3068\u8a00\u3048\u308b\u3002<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u4ee5\u4e0b\u306e\u6210\u529f\u7387\u3067\u306e85%(90%)\u306b\u8a72\u5f53\u3059\u308b\u3002<\/strong><\/span><\/h1>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7885 size-large\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/a2324a7f578d031ff70b384740a3daf8-1024x639.png\" alt=\"\" width=\"640\" height=\"399\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/a2324a7f578d031ff70b384740a3daf8-1024x639.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/a2324a7f578d031ff70b384740a3daf8-300x187.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/a2324a7f578d031ff70b384740a3daf8-768x480.png 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/a2324a7f578d031ff70b384740a3daf8-1536x959.png 1536w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/a2324a7f578d031ff70b384740a3daf8-2048x1279.png 2048w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/p>\n<p>\u75c5\u540d\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n<p>Pulp Dx\uff1aPreviously Treated<\/p>\n<p>Periapical Dx\uff1aSymptomatic apical periodontitis<\/p>\n<p>Recommended Tx\uff1aRe-RCT+Core build up with Fiber Post<\/p>\n<p>\u518d\u5f62\u6210\u304c\u53ef\u80fd\u3067\u3042\u308b\u3068\u3044\u3046\u4e8b\u5b9f\u3092\u544a\u3052\u305f\u3002<\/p>\n<p>\u60a3\u8005\u3055\u3093\u306f\u6cbb\u7642\u8a08\u753b\u306b\u540c\u610f\u3057\u305f\u306e\u3067\u3001\u518d\u6cbb\u7642\u304c\u958b\u59cb\u3055\u308c\u305f\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>Re-RCT(2021.10.21)<\/strong><\/span><\/h1>\n<p>\u30af\u30e9\u30a6\u30f3\u3068\u30e1\u30bf\u30eb\u30dd\u30b9\u30c8\u30b3\u30a2\u3092\u9664\u53bb\u3057\u3066\u3001\u518d\u6839\u7ba1\u6cbb\u7642\u304c\u884c\u308f\u308c\u305f\u3002<\/p>\n<p>\u6cbb\u7642\u5185\u5bb9\u306e\u8a73\u7d30\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7886\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/ccaec653f50e2b8bc817d587b7c4acd1.png\" alt=\"\" width=\"4096\" height=\"1666\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/ccaec653f50e2b8bc817d587b7c4acd1.png 4096w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/ccaec653f50e2b8bc817d587b7c4acd1-300x122.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/ccaec653f50e2b8bc817d587b7c4acd1-1024x417.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/ccaec653f50e2b8bc817d587b7c4acd1-768x312.png 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/ccaec653f50e2b8bc817d587b7c4acd1-1536x625.png 1536w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/ccaec653f50e2b8bc817d587b7c4acd1-2048x833.png 2048w\" sizes=\"auto, (max-width: 4096px) 100vw, 4096px\" \/><\/p>\n<p>MB\u306f\u9589\u9396\u6839\u7ba1\u3067\u3042\u3063\u305f\u3002#60.02\u307e\u3067\u62e1\u5927\u5f62\u6210\u3057\u3066\u3044\u308b\u3002<\/p>\n<p>DB\u306f\u4f5c\u696d\u9577\u304c11.5mm\u3067\u3042\u3063\u305f\u3002\u518d\u6cbb\u7642\u3067\u6839\u5c16\u75c5\u5909\u304c\u3042\u308b\u306e\u30670.5mm\u5f15\u3044\u3066\u4f5c\u696d\u9577\u3068\u3057\u305f\u3002<\/p>\n<p>P\u6839\u306fIBF\u304cK #30\u3067\u3042\u308b\u3002\u304b\u306a\u308a\u5927\u304d\u306a\u30d5\u30a1\u30a4\u30eb\u304cIBF\u3067\u3042\u308b\u3002\u3053\u306e\u6839\u306b\u306fGutta Percha Point\u3092\u4f7f\u7528\u3067\u304d\u306a\u304b\u3063\u305f\u306e\u3067MTA\u3092\u7528\u3044\u305f\u3002<\/p>\n<p>\u306a\u305cBC Putty\u3067\u306f\u306a\u3044\u306e\u304b\uff1f\u3068\u3044\u3048\u3070\u3001\u79c1\u306e\u500b\u4eba\u7684\u306a\u610f\u898b\u3060\u304c<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>BC putty\u306f\u6839\u7ba1\u5145\u586b\u306b\u304a\u3044\u3066\u306f\u6271\u3044\u304c\u96e3\u3057\u3044\u3068\u601d\u3046\u3002<\/strong><\/span><\/h1>\n<h1><span style=\"color: #ff0000;\"><strong>\u5916\u79d1\u3084\u7a7f\u5b54\u4fee\u5fa9\u306a\u3089\u307e\u3060\u3057\u3082\u6839\u7ba1\u3054\u3068\u8a70\u3081\u308b\u306e\u306f\u79c1\u306b\u3068\u3063\u3066\u306f\u96e3\u3057\u3044\u306e\u3067\u3001<\/strong><\/span><\/h1>\n<h1><span style=\"color: #ff0000;\"><strong>\u6839\u7ba1\u305d\u306e\u3082\u306e\u306e\u5145\u586b\u306b\u306fMTA\u3092\u4eca\u3067\u3082\u7528\u3044\u3066\u3044\u308b\u3002<\/strong><\/span><\/h1>\n<p>\u6839\u7ba1\u5145\u586b\u3057\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7887\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI5-3.jpg\" alt=\"\" width=\"1948\" height=\"1491\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI5-3.jpg 1948w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI5-3-300x230.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI5-3-1024x784.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI5-3-768x588.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI5-3-1536x1176.jpg 1536w\" sizes=\"auto, (max-width: 1948px) 100vw, 1948px\" \/><\/p>\n<p>\u6065\u305a\u304b\u3057\u306a\u304c\u3089\u53e3\u84cb\u6839\u306eMTA\u30bb\u30e1\u30f3\u30c8\u306f\u6ea2\u51fa\u3057\u3066\u3057\u307e\u3063\u305f\u3002<\/p>\n<p>\u79c1\u306f\u72af\u7f6a\u8005\u3060\u308d\u3046\u304b\uff1f<\/p>\n<p>\u4ee5\u4e0b\u306e\u6587\u732e\u3092\u7d39\u4ecb\u3059\u308b\u3002<\/p>\n<h1><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19801229\/\"><strong>Mente, Friedman 2009 Mineral trioxide aggregate apical plugs in teeth with open apical foramina: a retrospective analysis of treatment outcome<\/strong><\/a><\/h1>\n<p>MTA\u3092\u6839\u5c16\u304b\u3089\u7a81\u304d\u51fa\u3057\u3066\u6cbb\u7642\u306e\u4e88\u5f8c\u306b\u5f71\u97ff\u304c\u3042\u308b\u304b\u3069\u3046\u304b\u8abf\u3079\u305f\u6587\u732e\u3067\u3042\u308b\u3002<\/p>\n<p>\u7d50\u679c\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u3063\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7889\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/372d15a6ceda40c05669223b5430f3db.png\" alt=\"\" width=\"3830\" height=\"1120\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/372d15a6ceda40c05669223b5430f3db.png 3830w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/372d15a6ceda40c05669223b5430f3db-300x88.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/372d15a6ceda40c05669223b5430f3db-1024x299.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/372d15a6ceda40c05669223b5430f3db-768x225.png 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/372d15a6ceda40c05669223b5430f3db-1536x449.png 1536w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/372d15a6ceda40c05669223b5430f3db-2048x599.png 2048w\" sizes=\"auto, (max-width: 3830px) 100vw, 3830px\" \/><\/p>\n<p>\u7a81\u304d\u51fa\u305fMTA\u304c\u306a\u3044\u5834\u5408\u3001\u6cbb\u7642\u3092\u884c\u3044\u6839\u5c16\u75c5\u5909\u304c\u306a\u304f\u306a\u308b\u78ba\u7387\u306f87%\u3067\u3001<\/p>\n<p>\u7a81\u304d\u51fa\u3066\u3082\u3001\u6839\u5c16\u75c5\u5909\u304c\u6d88\u3048\u308b\u53ef\u80fd\u6027\u306f82%\u3042\u308a<\/p>\n<p>\u3053\u306e\u4e8c\u3064\u306e\u74b0\u5883\u306b\u6709\u610f\u5dee\u3092\u898b\u51fa\u3057\u3066\u3044\u306a\u3044\u3002<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u3068\u3044\u3046\u3053\u3068\u306f\u3001\u81e8\u5e8a\u7684\u306b\u306fMTA\u304c\u98db\u3073\u51fa\u3088\u3046\u3068\u98db\u3073\u51fa\u306a\u3044\u72b6\u6cc1\u3060\u308d\u3046\u3068\u6cbb\u7642\u306e\u7d50\u679c\u306b\u5dee\u306f\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u3092\u610f\u5473\u3059\u308b\u3002<\/strong><\/span><\/h1>\n<p>\u3064\u307e\u308a\u3053\u3053\u3067P\u6839\u304b\u3089MTA\u304c\u98db\u3073\u51fa\u3088\u3046\u3068\u6cbb\u7642\u306e\u7d50\u679c\u306b\u306f\u5f71\u97ff\u3057\u306a\u3044\u3068\u3044\u3046\u610f\u5473\u3067\u3042\u308b\u3002<\/p>\n<p>\u79c1\u306f\u3053\u306e\u4e8b\u5b9f\u3092\u60a3\u8005\u3055\u3093\u306b\u8aac\u660e\u3057\u305f\u3002<\/p>\n<p>\u305d\u3057\u3066\u6b8b\u308a\u306e\u6839\u7ba1\u3092\u6839\u7ba1\u5145\u586b\u3057\u305f\u3002<\/p>\n<p>\u4ee5\u4e0b\u306ePA\u306b\u306a\u308b\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7890\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI9-3.jpg\" alt=\"\" width=\"1934\" height=\"1491\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI9-3.jpg 1934w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI9-3-300x231.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI9-3-1024x789.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI9-3-768x592.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI9-3-1536x1184.jpg 1536w\" sizes=\"auto, (max-width: 1934px) 100vw, 1934px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7891\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI10-3.jpg\" alt=\"\" width=\"1941\" height=\"1482\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI10-3.jpg 1941w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI10-3-300x229.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI10-3-1024x782.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI10-3-768x586.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI10-3-1536x1173.jpg 1536w\" sizes=\"auto, (max-width: 1941px) 100vw, 1941px\" \/><\/p>\n<p>\u3055\u3042\u3053\u306e\u6cbb\u7642\u304b\u3089\u534a\u5e74\u304c\u7d4c\u904e\u3057\u305f\u3002<\/p>\n<p>PA\u3067\u305d\u306e\u7d50\u679c\u304c\u5224\u660e\u3057\u59cb\u3081\u308b\u6642\u671f\u3067\u3042\u308b\u3002<\/p>\n<p>\u60a3\u8005\u3055\u3093\u306e\u6b6f\u3092\u691c\u67fb\u3057\u305f\u304c\u81e8\u5e8a\u75c7\u72b6\u306f\u306a\u3044\u3002<\/p>\n<p>\u8853\u524d\u306ePalp.(\uff0b\uff09\u306f\u6d88\u5931\u3057\u3066\u3044\u308b\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>Re-RCT \u534a\u5e74\u7d4c\u904e\u6642\uff082022.4.11\uff09<\/strong><\/span><\/h1>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7892\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI11.jpg\" alt=\"\" width=\"1931\" height=\"1489\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI11.jpg 1931w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI11-300x231.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI11-1024x790.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI11-768x592.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI11-1536x1184.jpg 1536w\" sizes=\"auto, (max-width: 1931px) 100vw, 1931px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7893\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI12.jpg\" alt=\"\" width=\"1952\" height=\"1486\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI12.jpg 1952w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI12-300x228.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI12-1024x780.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI12-768x585.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/04\/CI12-1536x1169.jpg 1536w\" sizes=\"auto, (max-width: 1952px) 100vw, 1952px\" 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#ff0000;\"><strong>\u62bc\u3055\u3048\u308b\u3068\u75db\u304b\u3063\u305f\u6b6f\u3050\u304d\u306f\u3082\u3046\u3069\u3046\u3082\u3042\u308a\u307e\u305b\u3093\u3002<\/strong><\/span><\/h1>\n<h1><span style=\"color: #ff0000;\"><strong>\u3053\u3093\u306a\u306b\u4e00\u822c\u6b6f\u79d1\u533b\u5e2b\u3068\u6b6f\u5185\u7642\u6cd5\u5c02\u9580\u533b\u3067\u6cbb\u7642\u306e\u7d50\u679c\u304c\u9055\u3046\u306e\u304b\uff1f\u3068\u3044\u3046\u3053\u3068\u306b\u9a5a\u3044\u3066\u3044\u307e\u3059\u2026<\/strong><\/span><\/h1>\n<h1><span style=\"color: #ff0000;\"><strong>\u6839\u7ba1\u6cbb\u7642\u306f\u5c02\u9580\u533b\u306b\u3057\u3066\u3082\u3089\u3046\u306e\u304c\u65e9\u3044\u3057\u3001\u89e3\u6c7a\u306b\u3064\u306a\u304c\u308b\u3068\u3044\u3046\u3053\u3068\u304c\u3088\u304f\u308f\u304b\u308a\u307e\u3057\u305f\u3002<\/strong><\/span><\/h1>\n<h1><span style=\"color: #ff0000;\"><strong>\u3053\u308c\u304b\u3089\u3082\u5b9c\u3057\u304f\u304a\u9858\u3044\u3044\u305f\u3057\u307e\u3059\u3002<\/strong><\/span><\/h1>\n<\/blockquote>\n<hr 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