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Posts for tag: fillings
Dental amalgam—also known as “silver fillings”—has been used for nearly a hundred years to treat cavities. There are several reasons why this mixture of metals has been the go-to material among dentists: Malleable when first applied, dental amalgam sets up into a durable dental filling that can take years of biting forces. What’s more, it’s stable and compatible with living tissue.
But there’s been growing concern in recent years about the safety of dental amalgam, with even some wondering if they should have existing fillings replaced. The reason: liquid mercury.
Mercury makes up a good portion of dental amalgam’s base mixture, to which other metals like silver, tin or copper are added to it in powder form. This forms a putty that can be easily worked into a prepared cavity. And despite the heightened awareness of the metal’s toxicity to humans, it’s still used in dental amalgam.
The reason why is that there are various forms of mercury and not all are toxic. The form making headlines is known as methylmercury, a compound created when mercury from the environment fuses with organic molecules. The compound builds up in the living tissues of animals, particularly large ocean fish, which have accumulated high concentrations passed up through their food chain.
That’s not what’s used in dental amalgam. Dentists instead use a non-toxic, elemental form of mercury that when set up becomes locked within the amalgam and cannot leach out. Based on various studies, treating cavities with it poses no health risks to humans.
This also means there’s no medical reason for having an existing silver fillings removed. Doing so, though, could cause more harm than good because it could further weaken the remaining tooth structure.
The most viable reason for not getting a dental amalgam filling is cosmetic: The metallic appearance of amalgam could detract from your smile. There are newer, more life-like filling options available. Your dentist, though, may still recommend dental amalgam for its strength and compatibility, especially for back teeth. It’s entirely safe to accept this recommendation.
If you would like more information on updating your dental work, please contact us or schedule an appointment for a consultation.
For over a hundred years dental amalgam — a combination of silver, mercury, tin and other metals — has been an effective filling material for teeth damaged by decay. But it has one major drawback — its metallic appearance stands out in stark contrast to the natural color of teeth.
As an alternative, composite resin fillings can match the color, shape and texture of natural teeth. These materials and the techniques used to bond them are proving just as effective as and more aesthetically pleasing than dental amalgam.
Fillings help protect and preserve a decayed tooth. By first removing decayed tooth structure through drilling, the resulting void is filled with durable material that strengthens the tooth and provides it protection from further decay.
The ultimate goal for restoration is to return the tooth to as near normal form and function as possible. Dental amalgam serves well in terms of function, providing the tooth strength in the face of the daily biting forces it encounters. In contrast, composite resins excel in appearance, but haven’t always matched the durability of amalgam. They’re material construction has improved over time, though, as well as the techniques used to bond them to teeth.
Most of these bonding techniques incorporate layering. The first step is to seal the dentin (the porous, living tissue just below the enamel); we then build up the composite material layer by layer within the tooth using special bonding adhesive and curing lights. In some cases where a large volume of tooth structure must be replaced, the restoration is first formed on the tooth and then removed for curing before being cemented into the tooth or a separate restoration is formed by a dental lab.
The end result is a tooth which both looks and functions like a fully intact tooth. Though care must be taken not to subject composite resin restorations to undue forces (no cracking open nutshells, for example), your new filling should continue to serve you and look great for a long time to come.
If you would like more information on metal-free restorations, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “The Natural Beauty of Tooth Colored Fillings.”
With all the new tooth-colored fillings for cavities, it's easy to overlook metal amalgam. While this mainstay of dental care for over a century might not be as attractive as composite resins or glass and resin ionomers, it still has the advantage of strength and durability.
Amalgam is a stable metal alloy usually made up of silver, tin, copper and mercury. The metals are proportioned and mixed precisely to guard against “free” mercury molecules, which could pose a health hazard. The mixture is pliable at first, but then sets hard once molded into the prepared area of the tooth.
Besides strength, amalgam's other advantages include low cost, high resistance to wear and biocompatibility (not toxic to the body or allergy-producing). At the same time, it can require more tooth structure removal to accommodate a filling and cause higher sensitivity to temperature for a while after installation. Its main disadvantage, however, is appearance — it's now considered unacceptable from an aesthetic point of view to use it in visible areas like the front teeth.
Because of this, materials resembling natural tooth color are coming into vogue, especially as their strength improves. Still, dental amalgam continues to play a useful role, especially in less visible back teeth with higher chewing forces.
One past concern about dental amalgam is the inclusion of mercury in the alloy. As mentioned before, mercury is hazardous in a “free” form when not knit microscopically with other metals; as such it can emit a vapor that could enter the bloodstream and damage the nervous system. But after several studies by various organizations, the American Dental Association has concluded amalgam's precise mixture prevents the mercury from taking this form: although some vapor is given off during chewing it's far too low in concentration to pose any danger.
Dental amalgam continues to be an effective choice for fillings. Whether it's the right choice for you will depend on the type and location of a tooth to be filled, and whether durability is a higher concern than appearance. If we do recommend an amalgam filling, you can be assured it's a safe and lasting choice.
If you would like more information on your choices for dental fillings, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Silver Fillings — Safe or Unsafe?”
Cavities used to be nothing to smile about, but thanks to advances in technology, tooth-colored fillings have made repair of decayed teeth so natural, they're invisible. Now you no longer need to feel self-conscious about that unsightly flash of silver when you talk or laugh. While silver amalgam fillings were once the preferred option for tooth restoration filling materials, tooth-colored “composite resins” have gained popularity as a safe and effective alternative to treat new cavities or to replace old silver fillings.
A Better Alternative: Consumer demand for tooth-colored (metal free) restorations as well as the dental profession's desire to preserve as much natural tooth structure as possible has led to the development of special “adhesive” tooth-colored materials. Besides the aesthetic advantages over amalgam fillings, tooth-colored fillings require the removal of less tooth structure. While traditional silver fillings often crack or leak over time, composite resin fillings bond directly to tooth structure and actually reinforce and strengthen it while creating a natural looking smile.
The Choice is Yours: You can choose to replace unsightly silver fillings with tooth-colored ones to enhance their cosmetic appearance. Although concern has been expressed over the mercury content in older silver fillings, years of research cited by the American Dental Association has found that traditional amalgam fillings are safe. Unless you have cracks or damage to your current amalgam fillings or have other concerns regarding your dental health, replacing silver fillings is a matter of personal preference.
Cost: Although composite resin fillings may cost slightly more than silver fillings, they are very durable and may be more cost-effective in the long run.
Contact us today to schedule an appointment to discuss any questions you may have regarding tooth colored fillings. Read more about this topic in the Dear Doctor magazine article “The Natural Beauty of Tooth Colored Fillings.”
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- 2020
- September (5)
- A Word to Young Adults: Brushing and Flossing are Key to a Healthy Mouth
- Your 'Toothache' Might Signal a Problem Other Than in Your Mouth
- Call the Dentist Immediately If You Have a Loose Tooth
- Wisdom Teeth Can Still be a Problem for the World's Youngest Billionaire
- We Need to Act Quickly to Save Your Loose Tooth
- August (6)
- 3 Orthodontic Options for Correcting Bad Bites
- Floss First or Brush First? You Be the Judge
- You Can Have a Straighter Smile - Just Like the Queen of England
- Removing Hardened Plaque Reduces Your Risk of Disease
- Studies Show Vaping May Not Be Safer for Oral Health Than Tobacco
- Some Simple Cosmetic Techniques Could Help Your Smile Age Gracefully
- July (6)
- Pretty Little Liars' Lucy Hale Crushes on Smiles
- Talk With Your Dentist About Antibiotic Therapy Before Implant Surgery
- Prevention and Early Detection of Root Cavities Could Save a Tooth
- Enjoy Your Ice Cream - But Just a Little for Your Dental Health's Sake
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- Porcelain Veneers Could Change Your Smile and Your Life!
- That Odd 'Lacy' Mouth Sore is No Cause for Alarm
- Find Out How These Famous Celebrities Protect Their Smiles From Teeth Grinding
- Instill These Habits in Your Child for a Lifetime of Great Dental Health
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- Without Prompt Intervention, Gum Disease Could Damage Tooth Roots
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- You Don't Need to Pass a Football Like Patrick Mahomes to Remove a Loose Baby Tooth
- 3 Surprising Things You Should Be Doing to Improve Your Dental Health
- The Graduation Season is the Perfect Time to Review Dental Health
- These High-Tech Tools Help Your Veneers Look Attractive and Natural
- What Tara Lipinski Does to Protect One of Her Most Valuable Assets - Her Smile
- Diet and Lifestyle Changes Could Lower Your Risk of Oral Cancer
- 3 Tips for Successful, Safe Home Teeth Whitening
- April (6)
- Friendly Bacteria Can Help Protect Our Mouths From Disease
- Dakota Johnson and Her Missing Tooth Gap Sparks Online Debate
- 3 Tips for Helping Your Child Feel More Comfortable Going to the Dentist
- Avoid Becoming a Dental Injury Statistic - Get a Custom Mouthguard for Your Young Athlete
- Although a Challenge, Chronically Ill Children Need Tooth Decay Prevention
- What You Can Do About Bad Breath (Unless You're a Famous Actress Pranking Your Co-Star)
- March (6)
- Take These Measures to Lower Your Child's Tooth Decay Risk
- Gum Disease Could be Affecting More Than Just Your Mouth
- Sedation Can Help Create a More Positive Dental Experience for a Child
- Listen to Ellen DeGeneres: Don't Think You Can Get Away Without Flossing!
- Give Your Child Added Protection Against Cavities With Topical Fluoride
- Manage Your GERD Symptoms to Prevent Enamel Erosion
- February (6)
- Manage These Risk Factors to Reduce Your Risk of Tooth Decay
- Too Old to Straighten Your Smile? Not If You're Like These A-List Celebrities
- You Don't Have to Live With Uncomfortable Cracked Mouth Corners
- Veneers May Not Be the Best Option for Your Teenager's Teeth
- See Your Dentist to Find out the Real Cause for Your Tooth Pain
- The Howie Mandel Effect: Avoid Dental Disease Through Daily Brushing and Flossing
- January (6)
- Tobacco: One Baseball Tradition We Can Do Without
- Fixed or Removable: Deciding Which Implant-Supported Bridge is Best for You
- Get a Dental Exam as Soon as Possible if you Suspect Gum Disease
- Even Celebrities Have Accidents: See What They Do to Restore Their Chipped Teeth
- Don't Worry About Dental Amalgam: It's Safe for Treating Cavities
- Avoid Permanent Tooth Alteration With No Prep Veneers
- 2019
- December (6)
- 3 Reasons Why Smoking Doesn't Mix with Dental Implants
- Miley Cyrus's Little Secret: Straightening Her Smile With Lingual Braces
- Your Smile Can Be Your Passport to the World - Take Care of It With These Tips
- It Takes Artistry and Skill to Achieve the Right Color Balance for Your Veneers
- Fluoridated Drinking Water Helps Curb Tooth Decay Safely
- NHL Iron Man Keith Yandle Suffers Dental Trauma on Ice
- November (6)
- Eating the Right Carbs Helps Keep Your Gums Healthy
- If Appropriate, Antibiotics before Implant Surgery Could Reduce Infection Risk
- New Saliva Test may Help Identify Oral Cancer Earlier
- The Real Truth Behind Ed Helms' Missing Tooth in "The Hangover"
- Topical Fluoride Offers a Protective Boost to Children at High Risk for Decay
- Vaping Could Be Just as Harmful to Your Teeth and Gums as Smoking
- October (6)
- Behavioral Therapy Could Reduce a Child's Dental Anxiety Without Drugs
- How Veneers Restored Howie Mandel's Winning Smile
- Periodontal Maintenance Can Help You Avoid Another Episode of Gum Disease
- There Are a Lot of Bacteria in Your Mouth but Only a Few Mean You Harm
- Don't Delay Seeing the Dentist If You Suspect Gum Recession
- Hugh Jackman Is All Smiles for His New Broadway-Inspired Show
- September (6)
- Primary Teeth are Critical to Future Dental Health and Worth Preserving
- Watch Out for These Dental Health Issues as You Age
- Don't Let Gum Disease Cut Short Your Implant's Service Life
- Your Dentist Might Hold the Key to Solving Your Sleep Apnea Problem
- 3 Ways to Correct Missing Front Teeth
- Look for These Basics When Buying Your Next Toothbrush
- August (6)
- Make Sure Your Kids' Teeth Are Ready for School
- "Tooth, Heal Thyself" May Soon Be a Reality
- Viggo Mortensen's Red-Carpet Smile
- How to Keep Your Teeth and Gums Healthy During Pregnancy
- Your Reoccurring Sinus Infections May Actually Be Caused by Tooth Decay
- Even All-Natural Fruit Juice Could Increase the Risk of Tooth Decay
- July (7)
- Bruins' Zdeno Chara Breaks His Jaw During 2019 Stanley Cup
- Don't Ignore Tooth Pain - You May Need a Root Canal
- Catch Root Resorption Early for Best Chances of Saving Your Tooth
- 3 Things You Can do to Help Promote Your Child's Dental Development
- Crazy Little Thing Called... Hyperdontia?
- Dentures with Implants Could Help You Avoid Bone Loss
- Inflammation: the Link Between Gum Disease and Cardiovascular Disease
- June (6)
- Don't Use Benzocaine Products to Ease Your Baby's Teething Pain
- Pop Star Demi Lovato Pops Out Jay Glazer's Tooth
- A Minor Procedure Could Make Breastfeeding Easier for You and Your Baby
- As Summer Heats Up, Be on Your Guard for Tooth Injuries
- Do This for Your Dental Health Before, During and After Cancer Treatment
- Bobby Bones Dances His Way to Dental Damage
- April (6)
- Stress and Nighttime Teeth Grinding
- A Different Kind of "Chip Shot" for Pro Golfer Danielle Kang
- Why You Should Floss Around the Implants Supporting Your Bridge
- Sealants Provide a Little Extra Protection for Children at High Risk for Decay
- 3 Things You can Do to Ease Chronic Dry Mouth
- How Shawn Mendes and Miley Cyrus Got Their Stellar Smiles
- March (6)
- Nutrition for the Best Oral Health
- 4 Common-Sense Tactics to Lower Tooth Decay Risk Between Dental Visits
- People Born with Missing Teeth can Still Gain a Beautiful Smile
- NBA Player's Injury Points Out Need for Mouthguards
- A Pediatric Dentist Could be a Great Choice for Your Child's Dental Care
- 4 Things to Avoid if You Want to Support Your Child's Dental Development
- February (6)
- Stop Gum Disease Before it Becomes a Major Health Issue
- Why Alfonso Ribeiro Is Grateful for Root Canal Treatment
- Have Your Loose Tooth Examined as Soon as Possible
- 4 Things that can Cause Gum Recession and What to do About Them
- Legal or Not, Marijuana Poses a Health Risk to Your Gums
- Healthy Smiles for Alfonso Ribeiro and Family
- January (6)
- 3 Reasons for Why It's a Smart Move to Invest in Dental Implants
- Keep up Regular Dental Care While You're Pregnant
- You may Need Orthodontic Treatment Before Obtaining Implants
- Singer Dua Lipa Sees the Wisdom in Postponing Tour Dates
- Stay Hydrated in Winter for Better Year-Round Oral Hygiene
- Want to Keep Enjoying Winter Sports? Wear a Mouthguard!
- 2018
- December (6)
- Porcelain Veneers Might not be the Best Option for Teenagers
- Why Big Bang Theory Actress Mayim Bialik Couldn't Have Braces
- Dental Care is Difficult but not Impossible for a Special Needs Child
- Safety is a Priority When Imaging Children's Teeth with X-Rays
- Stop Smoking to Reduce Your Risk of Gum Disease
- J-Lo's Unlucky Break: Chipping a Tooth on Stage
- November (6)
- Take Steps to Treat Chronic Mouth Breathing as Early as Possible
- Don't Let GERD Ruin Your Teeth's Health
- Use the Same Prevention Strategy to Defeat Tooth Decay and Gum Disease
- Steely Dan Founder's Death Highlights Importance of Early Cancer Detection
- Don't Ignore Sudden Tooth Pain - Your Teeth may be Telling you Something
- Diabetes and Oral Health: True or False?
- October (6)
- To Prevent Tooth Decay, Practice Effective Brushing and Flossing
- NBC Star Delivers a Message about the "Perfect" Smile
- Stop Root Cavities with Prevention and Prompt Treatment
- Eat the Right Kind of Carbs to Protect Yourself from Gum Disease
- Ease Your Child's Teething Discomfort with these Tips
- Janet Jackson: Even pop stars get insecure about their smiles!
- September (6)
- Make Efforts to Protect Your Teeth from Disease While Wearing Braces
- Look at Your Options for Saving a Tooth First Before Replacing it
- Replacing a Missing Tooth isn't Just About Improving Your Smile
- Margot Robbie Knows: A Great Smile Is Worth Protecting
- FAQs for National Gum Care Month
- 3 Surprising Sugar Sources Your Baby Might be Consuming
- August (6)
- Keeping Gum Disease at Bay Could Help Your Overall Health
- (Don't) Break It Like Beckham
- We'll Help You Maintain Your Oral Health After Gum Disease
- Ease Your Child's Discomfort During Teething
- Treating a Child's Tooth Injury May Require Special Consideration
- Vivica's Veneers: the Making of a Hollywood Smile
- July (7)
- Avoid Bone Loss around Tooth Roots through Regular Dental Care
- A Child's Teeth Grinding is Normal - But You Should Still Keep an Eye on it
- Diabetes Doesn't Have to Stop You From Acquiring Dental Implants
- Fan of Superhero Film Black Panther Breaks Steel Wire...with Her Mouth!
- Research Confirms: Dental Sealants Really Work!
- 4 Big Benefits for Beginning Early Dental Visits for Your Child
- Gum Disease is Still a Threat to Your Dental Implants
- June (6)
- How Big Bang Theory Actress Mayim Bialik Gets Her Kids to Floss
- The Parent-Dentist Partnership: Establishing Better Oral Health for Your Child
- June Is Men's Health Month
- Good Reasons for Choosing Clear Aligners for Orthodontic Treatment
- Dental Injury Is Just a Temporary Setback for Basketball Star Kevin Love
- That Small Mouth Sore is Likely Nothing - but Still Have it Checked
- March (5)
- Charlize Theron Back in Action After Dental Surgery
- Why the Bottled Variety Might not be Your Best Choice for Clean Drinking Water
- 4 Things You Should be Doing Now for Your Baby's Long-Term Dental Health
- Instill Good Dental Habits in Your Child as Early as Possible
- Julianne Hough Shares a Video - and a Song - After Wisdom Teeth Come Out
- 2017
- September (6)
- Inflammation is a Key Element in Both Oral and Systemic Diseases
- FAQs About Pediatric Dentistry
- Attention to Detail Crucial to a Beautiful Smile Supported by Dental Implants
- Practice Proactive Prevention to Enhance Your Child's Dental Development
- Any Time, Any Place: Cam Newton's Guide to Flossing
- Stop Gum Disease Before it Threatens Your Dental Implant
- May (5)
- Clean Your Implants Just Like you Clean Your Natural Teeth
- Instill in Your Child the Daily Habit of Brushing and Flossing
- Life Is Sometimes a Grind for Brooke Shields
- Tips on Encouraging Healthy Snacking While Your Child's at School
- Protect Your Child's Long-Term Dental Health with Regular Office Visits
- April (5)
- Gum Disease Could Affect More than Your Teeth and Gums
- Actress Emma Stone Reveals How Thumb Sucking Affected Her Teeth
- Don't Let Sleep Apnea Ruin Your Sleep - or Your Health
- Be Alert to the Unintended Consequences of Cancer Treatment to Oral Health
- Conscious Sedation can Help Ease Your Child's Dental Visit Anxiety
- 2016
- March (9)
- Good Oral Hygiene Just as Important for Implants as for Natural Teeth
- Surgically Accessing Sinuses can Help Grow New Bone for Implants
- Get Relief from Cracked Corners of the Mouth
- Treating Gum Abscesses and the Underlying Gum Disease
- Dental Crowns for the King of Magic
- Although a Global Problem, Tooth Decay can be Prevented
- 3 Things to do to Prepare for Dental Emergencies While Traveling Abroad
- Though not Always Seen, it's Still Important to Replace a Missing Back Tooth
- Game, Set, Match: Milos Raonic Says A Mouthguard Helps Him Win
- February (7)
- Advancing Gum Disease Requires Thorough Treatment to Control it
- Persistent Jaw Pain After an Injury Needs Immediate Attention
- Is There a Link Between Gum Disease and Cardiovascular Health?
- Four Tips for Preventing Premature Loss of Baby Teeth From Tooth Decay
- The Time Interval to Replant a Knocked Out Tooth Can Affect its Longevity
- The Major Benefits of Early Childhood Dental Visits
- Can an App Help You Brush Your Teeth?
- 2015
- December (5)
- Nancy O'Dell on Making Oral Hygiene Fun for Kids
- Implant-Based Removable Dentures a Good Choice for Patients with Extensive Bone Loss
- Treating Dry Mouth is Important for Maintaining Good Oral Health
- A Smile Makeover is a Transforming Experience
- Master Illusionist Benefits from the Magic of Orthodontics
- June (5)
- Advancing Gum Disease Requires Your Dentist's Intervention
- Tom Hanks' Abscessed Tooth Gets Cast Away
- Life-like Dental Porcelain Helps Restore Smiles Marred by Unattractive Teeth
- 'Prepless' Veneers can Transform Your Smile Without Altering Your Teeth
- What you can Expect if You're Undergoing Implant Surgery
- May (7)
- Take Positive Action with Your Child's Thumb-Sucking Habit
- America's (Dentists) Got Talent - for Fixing Damaged or Missing Teeth!
- Dental Implants and Smoking - Cause for Concern?
- Take Steps to Reduce Mouth Acid and Avoid Dental Erosion
- Although Rare, Allergic Reactions to the Metal in Implants Could be a Concern
- While Usually Benign, Lichen Planus Lesions Should Still be Examined
- A Toothless Tiger?
- April (6)
- Tooth Bleaching: Test Your Knowledge
- Mouthguards Reduce Risk of Concussion as well as Dental Injuries
- An Oral Appliance for Sleep Apnea may be the Right Option for You
- TV's Nate Berkus Discusses Dental Sealants, Fluoride Treatments and Flossing
- Choosing Natural Tooth-Colored Fillings Over Silver
- Turn Back the Clock with Whiter Teeth
- March (8)
- A Future So Bright — Teeth Whitening Facts
- Follow in Vanna White's Footsteps and Replace That Missing Back Tooth
- Things you Should Know about Oral Cancer
- Chronic Biting Habits Can Lead to Loose Teeth
- Managing Gum Disease Could Benefit Other Conditions You May Have
- George Washington's False Teeth
- Dental Offices Uphold the Highest Standards for Infection Control
- Eating Disorders Can Cause Problems With the Teeth and Mouth
- February (8)
- Your Gum Tissue 'Biotype' Could Determine How Gum Disease Affects You
- Spice Up Your Teeth
- Bonding with Composite Resins Ideal for Restoring Chipped Teeth
- There's a Battle Going On - And It's In Your Mouth
- Reduce Your Risk of Oral Cancer With a Healthy Whole Food Diet
- The Secrets Behind Vanna White's Smile
- Pay Attention to Gum Disease Warning Signs for an Early Diagnosis
- Test Your Knowledge: A Quiz on Dental Erosion
- 2014
- September (5)
- Saving a Baby Tooth is the Best Option for Permanent Tooth Development
- Removing Bacterial Plaque is Critical to Halting Advancing Gum Disease
- Be Extra Vigilant for Signs of Gum Disease During Pregnancy
- Kristin Cavallari's "Spaghetti Catcher" - First Step To A Winning Smile
- Your Dentist May Have the Solution to Your Snoring and Sleep Apnea
- April (5)
- Advances in Clear Aligners Make Them a Viable Choice for More Teens
- Oral Cancer: Risk Factors and Prevention
- Considering Bone and Gums Critical to Achieving a Better Smile With Implants
- FAQs About Calming Your Fears With Oral Sedation Dentistry
- Implant Overdentures: a Marriage of Options for Lower Jaw Tooth Replacement
- 2013
- 2012
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