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12 Schwarz et al. Dimensionsveränderungen des Alveolarknochens Tabelle 3 Klinische Untersuchungen zur Dimensionsveränderung des Alveolarfortsatzes [mm ± SD] mit und ohne Socket preservation Studie Heilungs- Test Kontrolle Test Kontrolle Test Kontrolle dauer [Monate] (horizontal) (horizontal) (vertikal) (vertikal) Lekovic et al. 30 6 Membran (e-PTFE) unbehandelt -1,73 ± 0,56 mm -4,43 ± 0,52 mm -0,31 ± 0,26 mm -0,88 ± 0,26 mm Lekovic et al. 29 6 Membran (PLA/PGA) unbehandelt -1,32 ± 0,21 mm -4,59 ± 0,23 mm -0,38 ± 0,20 mm -1,50 ± 0,21 mm Yilmaz et al. 51 12 Bioglas unbehandelt +0,1 ± 0,52 mm -0,75 ± 0,59 mm -0,1 ± 0,87 mm -0,5 ± 0,76 mm Camargo et al. 28 6 Membran (CaSO4) + Bioglas unbehandelt -3,48 mm -3,06 mm -0,38 mm -1,0 mm Simon et al. 103 4 Membran (PLA/PGA) – + allogener Knochen +0,65 ± 0,21 mm +1,10 ± 0,29 mm – – Iasella et al. 1 6 Membran (Typ-I- Kollagen) + allogener Knochen unbehandelt -1,17 ± 0,93 mm -2,63 ± 2,29 mm +1,30 ± 2,0 mm -0,90 ± 1,60 mm stützung des Membrankörpers eingesetzt werden. Hierbei scheinen autogene Knochentransplantate den allogenen, xenogenen und alloplastischen Materialien überlegen zu sein. • Im Allgemeinen gibt es jedoch heute in der Literatur keine standardisierte Methode, die eine 100%ige Stabilität der Alveole unterstützt. Literatur 1. Iasella JM, Greenwell H, Miller RL, Hill M, Drisko C, Bohra AA, Scheetz JP. Ridge preservation with freeze-dried bone allograft and a collagen membrane compared to extraction alone for implant site development: A clinical and histologic study in humans. J Periodontol 2003;74:990-999. 2. Araujo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol 2005;32:212-218. 3. Cardaropoli G, Araujo M, Lindhe J. Dynamics of bone tissue formation in tooth extraction sites. An experimental study in dogs. J Clin Periodontol 2003;30:809-818. 4. Claflin RS. Healing of disturbed and undisturbed extraction wounds. J Am Dent Assoc 1936;23:945-959. 5. Kuboki Y, Hashimoto F, Ishibashi K. Time-dependent changes of collagen crosslinks in the socket after tooth extraction in rabbits. J Dent Res 1988;67:944-948. 6. Lin WL, McCulloch CA, Cho MI. Differentiation of periodontal ligament fibroblasts into osteoblasts during socket healing after tooth extraction in the rat. Anat Rec 1994;240:492-506. 7. Schram WR. A histologic study of repair in the maxillary bone following surgery. J Am Dent Assoc 1929;16:1987- 1997. 8. Simpson HE. Experimental investigation into the healing of extraction wounds in macacus rhesus monkeys. J Oral Surg Anesth Hosp Dent Serv 1960;18:391-399. 9. Amler MH. The time sequence of tissue regeneration in human extraction wounds. Oral Surg Oral Med Oral Pathol 1969;27:309-318. 10. Amler MH, Johnson PL, Salman I. Histological and histochemical investigation of human alveolar socket healing in undisturbed extraction wounds. J Am Dent Assoc 1960;61:32- 44. Implantologie 2006;14(4):000-000 Not for Publication Copyright by Not for Quintessence 11. Boyne PJ. Osseous repair of the postextraction alveolus in man. Oral Surg Oral Med Oral Pathol 1966;21:805-813. 12. Evian CI, Rosenberg ES, Coslet JG, Corn H. The osteogenic activity of bone removed from healing extraction sockets in humans. J Periodontol 1982;53:81-85. 13. Long MW, Robinson JA, Ashcraft EA, Mann KG. Regulation of human bone marrow-derived osteoprogenitor cells by osteogenic growth factors. J Clin Invest 1995;95:881-887. 14. Reilly TM, Seldes R, Luchetti W, Brighton CT. Similarities in the phenotypic expression of pericytes and bone cells. Clin Orthop 1998;((Jahrgang oder Heftnummer)):95-103. 15. Rickard DJ, Kassem M, Hefferan TE, Sarkar G, Spelsberg TC, Riggs BL. Isolation and characterization of osteoblast precursor cells from human bone marrow. J Bone Miner Res 1996;11:312-324. 16. Schwarz F, Herten M, Sager M, Dard M, Wieland M, Becker J. Histological and immunohistochemical analysis of initial and early osseous integration at chemically modified and conventional SLA ® titanium implants. Preliminary results of a pilot study in dogs. Clin Oral Implants Res 2007 (im Druck). 17. Amler MH. Age factor in human alveolar bone repair. J Oral Implantol 1993;19:138-142. 18. Devlin H, Garland H, Sloan P. Healing of tooth extraction sockets in experimental diabetes mellitus. J Oral Maxillofac Surg 1996;54:1087-1091. 19. Iizuka T, Miller SC, Marks SC jr. Alveolar bone remodeling after tooth extraction in normal and osteopetrotic (ia) rats. J Oral Pathol Med 1992;21:150-155. 20. Nicopoulou-Karayianni K, Brägger U, Lang NP. Patterns of periodontal destruction associated with incomplete root fractures. Dentomaxillofac Radiol 1997;26:321-326. 21. Houston JP, McCollum J, Pietz D, Schneck D. Alveolar osteitis: A review of its etiology, prevention, and treatment modalities. Gen Dent 2002;50:457-463; quiz 464-455. 22. Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: A clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent 2003;23:313-323. 23. Atwood DA. Some clinical factors related to the rate of resorption of residual ridges. J Prosthet Dent 1962;12:441- 450. 24. Hedegard B. Some observations on tissue changes with immediate maxillary dentures. Dent Pract 1962;13:70-78. 25. Tallgren A. The continuing reduction of the residual alveolar ridges in complete denture wearers: A mixed-longitudinal study covering 25 years. J Prosthet Dent 1972;27:120-132.
26. Pietrokovski J, Massler M. Alveolar ridge resorption follo- 46. Denissen HW, de Groot K. Immediate dental root implants wing tooth extraction. J Prosthet Dent 1967;17:21-27. from synthetic dense calcium hydroxylapatite. J Prosthet 27. Johnson K. A study of the dimensional changes occurring in Dent 1979;42:551-556. the maxilla following tooth extraction. Aust Dent J 47. Quinn JH, Kent JN. Alveolar ridge maintenance with solid 1963;14:241-244. nonporous hydroxylapatite root implants. Oral Surg Oral 28. Camargo PM, Lekovic V, Weinlaender M, Klokkevold PR, Med Oral Pathol 1984;58:511-521. Kenney EB, Dimitrijevic B, Nedic M, Jancovic S, Orsini M. 48. Sattayasanskul W, Brook IM, Lamb DJ. Dense hydroxyapati- Influence of bioactive glass on changes in alveolar process te root replica implantation: Measurement of mandibular dimensions after exodontia. Oral Surg Oral Med Oral Pathol ridge preservation. Int J Oral Maxillofac Implants 1988;3: Oral Radiol Endod 2000;90:581-586. 203-207. 29. Lekovic V, Camargo PM, Klokkevold PR, Weinländer M, 49. Cranin AN, Ronen E, Shpuntoff R, Tobin G, Dibling JB. Kenney EB, Dimitrijevic B, Nedic M. Preservation of alveolar Hydroxylapatite (H/A) particulate versus cones as post-ex- bone in extraction sockets using bioabsorbable membranes. traction implants in humans. Parts I and II. J Biomed Mater J Periodontol 1998;69:1044-1049. Res 1988;22:1165-1180. 30. Lekovic V, Kenney EB, Weinlaender M, Han T, Klokkevold P, 50. Kwon HJ, el Deeb M, Morstad T, Waite D. Alveolar ridge Nedic M, Orsini M. A bone regenerative approach to alveo- maintenance with hydroxylapatite ceramic cones in humans. lar ridge maintenance following tooth extraction. Report of J Oral Maxillofac Surg 1986;44:503-508. 10 cases. J Periodontol 1997;68:563-570. 51. Yilmaz S, Efeoglu E, Kilic AR. Alveolar ridge reconstruction 31. Lam RV. Contour changes of the alveolar processes follo- and/or preservation using root form bioglass cones. J Clin wing extraction. J Prosthet Dent 1960;10:25-32. Periodontol 1998;25:832-839. 32. Quayle AA. Atraumatic removal of teeth and root fragments 52. Nair PN, Luder HU, Maspero FA, Fischer JH, Schug J. in dental implantology. Int J Oral Maxillofac Implants Biocompatibility of (beta)-tricalcium phosphate root replicas 1990;5:293-296. in porcine tooth extraction sockets – A correlative histologi- 33. Becker W, Becker BE. Guided tissue regeneration for imcal, ultrastructural, and X-ray microanalytical pilot study. J plants placed into extraction sockets and for implant dehis- Biomater Appl 2006;((Jahrg. bzw. Heftnr. u. Seitenzahlen)). cences: Surgical techniques and case report. Int J 53. Nair PN, Schug J. Observations on healing of human tooth Periodontics Restorative Dent 1990;10:376-391. extraction sockets implanted with bioabsorbable polylactic- 34. Brägger U, Hämmerle CH, Lang NP. Immediate transmucopolyglycolic acids (PLGA) copolymer root replicas: A clinical, sal implants using the principle of guided tissue regenerati- radiographic, and histologic follow-up report of 8 cases. on (II). A cross-sectional study comparing the clinical outco- Oral Surg Oral Med Oral Pathol Oral Radiol Endod me 1 year after immediate to standard implant placement. 2004;97:559-569. Clin Oral Implants Res 1996;7:268-276. 54. Suhonen JT, Meyer BJ. Polylactic acid (PLA) root replica in 35. Cochran DL, Douglas HB. Augmentation of osseous tissue ridge maintenance after loss of a vertically fractured incisor. around nonsubmerged endosseous dental implants. Int J Endod Dent Traumatol 1996;12:155-160. Periodontics Restorative Dent 1993;13:506-519. 55. Dahlin C, Linde A, Gottlow J, Nyman S. Healing of bone de- 36. Gotfredsen K, Nimb L, Buser D, Hjorting-Hansen E. fects by guided tissue regeneration. Plast Reconstr Surg Evaluation of guided bone regeneration around implants 1988;81:672-676. placed into fresh extraction sockets: An experimental study 56. Dahlin C, Sennerby L, Lekholm U, Linde A, Nyman S. in dogs. J Oral Maxillofac Surg 1993;51:879-884. Generation of new bone around titanium implants using a 37. Hämmerle CH, Brägger U, Schmid B, Lang NP. Successful membrane technique: An experimental study in rabbits. Int bone formation at immediate transmucosal implants: A clini- J Oral Maxillofac Implants 1989;4:19-25. cal report. Int J Oral Maxillofac Implants 1998;13:522-530. 57. Gottlow J, Nyman S, Lindhe J, Karring T, Wennstrom J. New 38. Lang NP, Brägger U, Hämmerle CH, Sutter F. Immediate attachment formation in the human periodontium by guided transmucosal implants using the principle of guided tissue tissue regeneration. Case reports. J Clin Periodontol 1986; regeneration. I. Rationale, clinical procedures and 30-month 13:604-616. results. Clin Oral Implants Res 1994;5:154-163. 58. Hämmerle CH, Karring T. Guided bone regeneration at oral 39. Araujo MG, Sukekava F, Wennstrom JL, Lindhe J. Ridge al- implant sites. Periodontology 2000 1998;17:151-175. terations following implant placement in fresh extraction so- 59. Hämmerle CH, Lang NP. Single stage surgery combining ckets: an experimental study in the dog. J Clin Periodontol transmucosal implant placement with guided bone regene- 2005;32:645-652. ration and bioresorbable materials. Clin Oral Implants Res 40. Botticelli D, Berglundh T, Lindhe J. Hard-tissue alterations 2001;12:9-18. following immediate implant placement in extraction sites. J 60. Karring T, Nyman S, Gottlow J, Laurell L. Development of Clin Periodontol 2004;31:820-828. the biological concept of guided tissue regeneration – animal 41. Botticelli D, Berglundh T, Lindhe J. Resolution of bone de- and human studies. Periodontology 2000 1993;1:26-35. fects of varying dimension and configuration in the marginal 61. Pihlström BL, McHugh RB, Oliphant TH, Ortiz-Campos C. portion of the peri-implant bone. An experimental study in Comparison of surgical and nonsurgical treatment of peri- the dog. J Clin Periodontol 2004;31:309-317. odontal disease. A review of current studies and additional 42. Covani U, Bortolaia C, Barone A, Sbordone L. Bucco-lingual results after 6 crestal bone changes after immediate and delayed implant placement. J Periodontol 2004;75:1605-1612. 43. Becker J, Kuntz A, Gross A, Fensch FE, Küpper W, Reichart P. Tierexperimentelle Untersuchungen zur Einheilung von Zahnwurzelimplantaten aus Hydroxylapatit-Keramik. Z Zahnärztl Implantol 1987;3:200-205. 44. Becker J, Kuntz A, Reichart P. Verschluss von Mund-Antrum- Perforationen durch Hydroxylapatitkeramik. Dtsch Z Mund Kiefer GesichtsChir 1987;11:92-95. 45. Becker J, Reichart P. Zahnwurzelimplantate aus Hydroxylapatitkeramik zur Prophylaxe der Alveolarkammatrophie. Fortschr Z Implantol 1985;((Jahrg. bzw. Heftnr.)):257-263. 1 for Copyright Schwarz et al. Dimensionsveränderungen des Alveolarknochens by Not /2 years. J Clin Periodontol 1983;10:524-541. 62. Hardwick R, Scantlebury TV, Sanchez R, Whitley N, Ambruster J. Membrane design criteria for guided bone regeneration of the alveolar ridge. In: Buser D, Dahlin C, Schenk RK. Guided bone regeneration in implant dentistry. Quintessence Publ., 1994:101-136. 63. Selvig KA, Kersten BG, Chamberlain AD, Wikesjö UM, Nilveus RE. Regenerative surgery of intrabony periodontal defects using ePTFE barrier membranes: scanning electron microscopic evaluation of retrieved membranes versus clinical healing. J Periodontol 1992;63:974-978. Implantologie 2006;14(4):000-000 Not for Publication Quintessence 13
- Seite 1 und 2: Frank Schwarz, Daniel Rothamel, Dan
- Seite 3 und 4: growth factor) und FGF (fibroblast
- Seite 5 und 6: nen Alveole ausgeprägter als im li
- Seite 7 und 8: Schwarz et al. Dimensionsveränderu
- Seite 9 und 10: Abb. 4a Kieferkammatrophie drei Mon
- Seite 11: Abb. 5a Situation nach sechs Monate
- Seite 15: Schwarz et al. Dimensionsveränderu
26. Pietrokovski J, Massler M. Alveolar ridge resorption follo- 46. Denissen HW, de Groot K. Immediate dental root implants<br />
wing tooth extraction. J Prosthet Dent 1967;17:21-27.<br />
from synthetic dense calcium hydroxylapatite. J Prosthet<br />
27. Johnson K. A study of the dimensional changes occurring in Dent 1979;42:551-556.<br />
the maxilla following tooth extraction. Aust Dent J 47. Quinn JH, Kent JN. Alveolar ridge maintenance with solid<br />
1963;14:241-244.<br />
nonporous hydroxylapatite root implants. Oral Surg Oral<br />
28. Camargo PM, Lekovic V, Weinlaen<strong>der</strong> M, Klokkevold PR, Med Oral Pathol 1984;58:511-521.<br />
Kenney EB, Dimitrijevic B, Nedic M, Jancovic S, Orsini M. 48. Sattayasanskul W, Brook IM, Lamb DJ. Dense hydroxyapati-<br />
Influence of bioactive glass on changes in alveolar process te root replica implantation: Measurement of mandibular<br />
dimensions after exodontia. Oral Surg Oral Med Oral Pathol ridge preservation. Int J Oral Maxillofac Implants 1988;3:<br />
Oral Radiol Endod 2000;90:581-586.<br />
203-207.<br />
29. Lekovic V, Camargo PM, Klokkevold PR, Weinlän<strong>der</strong> M, 49. Cranin AN, Ronen E, Shpuntoff R, Tobin G, Dibling JB.<br />
Kenney EB, Dimitrijevic B, Nedic M. Preservation of alveolar Hydroxylapatite (H/A) particulate versus cones as post-ex-<br />
bone in extraction sockets using bioabsorbable membranes. traction implants in humans. Parts I and II. J Biomed Mater<br />
J Periodontol 1998;69:1044-1049.<br />
Res 1988;22:1165-1180.<br />
30. Lekovic V, Kenney EB, Weinlaen<strong>der</strong> M, Han T, Klokkevold P, 50. Kwon HJ, el Deeb M, Morstad T, Waite D. Alveolar ridge<br />
Nedic M, Orsini M. A bone regenerative approach to alveo- maintenance with hydroxylapatite ceramic cones in humans.<br />
lar ridge maintenance following tooth extraction. Report of J Oral Maxillofac Surg 1986;44:503-508.<br />
10 cases. J Periodontol 1997;68:563-570.<br />
51. Yilmaz S, Efeoglu E, Kilic AR. Alveolar ridge reconstruction<br />
31. Lam RV. Contour changes of the alveolar processes follo- and/or preservation using root form bioglass cones. J Clin<br />
wing extraction. J Prosthet Dent 1960;10:25-32.<br />
Periodontol 1998;25:832-839.<br />
32. Quayle AA. Atraumatic removal of teeth and root fragments 52. Nair PN, Lu<strong>der</strong> HU, Maspero FA, Fischer JH, Schug J.<br />
in dental implantology. Int J Oral Maxillofac Implants Biocompatibility of (beta)-tricalcium phosphate root replicas<br />
1990;5:293-296.<br />
in porcine tooth extraction sockets – A correlative histologi-<br />
33. Becker W, Becker BE. Guided tissue regeneration for imcal, ultrastructural, and X-ray microanalytical pilot study. J<br />
plants placed into extraction sockets and for implant dehis- Biomater Appl 2006;((Jahrg. bzw. Heftnr. u. Seitenzahlen)).<br />
cences: Surgical techniques and case report. Int J 53. Nair PN, Schug J. Observations on healing of human tooth<br />
Periodontics Restorative Dent 1990;10:376-391.<br />
extraction sockets implanted with bioabsorbable polylactic-<br />
34. Brägger U, Hämmerle CH, Lang NP. Immediate transmucopolyglycolic acids (PLGA) copolymer root replicas: A clinical,<br />
sal implants using the principle of guided tissue regenerati- radiographic, and histologic follow-up report of 8 cases.<br />
on (II). A cross-sectional study comparing the clinical outco- Oral Surg Oral Med Oral Pathol Oral Radiol Endod<br />
me 1 year after immediate to standard implant placement. 2004;97:559-569.<br />
Clin Oral Implants Res 1996;7:268-276.<br />
54. Suhonen JT, Meyer BJ. Polylactic acid (PLA) root replica in<br />
35. Cochran DL, Douglas HB. Augmentation of osseous tissue ridge maintenance after loss of a vertically fractured incisor.<br />
around nonsubmerged endosseous dental implants. Int J Endod Dent Traumatol 1996;12:155-160.<br />
Periodontics Restorative Dent 1993;13:506-519.<br />
55. Dahlin C, Linde A, Gottlow J, Nyman S. Healing of bone de-<br />
36. Gotfredsen K, Nimb L, Buser D, Hjorting-Hansen E. fects by guided tissue regeneration. Plast Reconstr Surg<br />
Evaluation of guided bone regeneration around implants 1988;81:672-676.<br />
placed into fresh extraction sockets: An experimental study 56. Dahlin C, Sennerby L, Lekholm U, Linde A, Nyman S.<br />
in dogs. J Oral Maxillofac Surg 1993;51:879-884.<br />
Generation of new bone around titanium implants using a<br />
37. Hämmerle CH, Brägger U, Schmid B, Lang NP. Successful membrane technique: An experimental study in rabbits. Int<br />
bone formation at immediate transmucosal implants: A clini- J Oral Maxillofac Implants 1989;4:19-25.<br />
cal report. Int J Oral Maxillofac Implants 1998;13:522-530. 57. Gottlow J, Nyman S, Lindhe J, Karring T, Wennstrom J. New<br />
38. Lang NP, Brägger U, Hämmerle CH, Sutter F. Immediate attachment formation in the human periodontium by guided<br />
transmucosal implants using the principle of guided tissue tissue regeneration. Case reports. J Clin Periodontol 1986;<br />
regeneration. I. Rationale, clinical procedures and 30-month 13:604-616.<br />
results. Clin Oral Implants Res 1994;5:154-163.<br />
58. Hämmerle CH, Karring T. Guided bone regeneration at oral<br />
39. Araujo MG, Sukekava F, Wennstrom JL, Lindhe J. Ridge al- implant sites. Periodontology 2000 1998;17:151-175.<br />
terations following implant placement in fresh extraction so- 59. Hämmerle CH, Lang NP. Single stage surgery combining<br />
ckets: an experimental study in the dog. J Clin Periodontol transmucosal implant placement with guided bone regene-<br />
2005;32:645-652.<br />
ration and bioresorbable materials. Clin Oral Implants Res<br />
40. Botticelli D, Berglundh T, Lindhe J. Hard-tissue alterations 2001;12:9-18.<br />
following immediate implant placement in extraction sites. J 60. Karring T, Nyman S, Gottlow J, Laurell L. Development of<br />
Clin Periodontol 2004;31:820-828.<br />
the biological concept of guided tissue regeneration – animal<br />
41. Botticelli D, Berglundh T, Lindhe J. Resolution of bone de- and human studies. Periodontology 2000 1993;1:26-35.<br />
fects of varying dimension and configuration in the marginal 61. Pihlström BL, McHugh RB, Oliphant TH, Ortiz-Campos C.<br />
portion of the peri-implant bone. An experimental study in Comparison of surgical and nonsurgical treatment of peri-<br />
the dog. J Clin Periodontol 2004;31:309-317.<br />
odontal disease. A review of current studies and additional<br />
42. Covani U, Bortolaia C, Barone A, Sbordone L. Bucco-lingual results after 6<br />
crestal bone changes after immediate and delayed implant<br />
placement. J Periodontol 2004;75:1605-1612.<br />
43. Becker J, Kuntz A, Gross A, Fensch FE, Küpper W, Reichart<br />
P. Tierexperimentelle Untersuchungen <strong>zur</strong> Einheilung von<br />
Zahnwurzelimplantaten aus Hydroxylapatit-Keramik. Z<br />
Zahnärztl Implantol 1987;3:200-205.<br />
44. Becker J, Kuntz A, Reichart P. Verschluss von Mund-Antrum-<br />
Perforationen durch Hydroxylapatitkeramik. Dtsch Z Mund<br />
Kiefer GesichtsChir 1987;11:92-95.<br />
45. Becker J, Reichart P. Zahnwurzelimplantate aus Hydroxylapatitkeramik<br />
<strong>zur</strong> Prophylaxe <strong>der</strong> Alveolarkammatrophie.<br />
Fortschr Z Implantol 1985;((Jahrg. bzw. Heftnr.)):257-263.<br />
1 for<br />
Copyright<br />
Schwarz et al. Dimensionsverän<strong>der</strong>ungen des Alveolarknochens<br />
by Not<br />
/2 years. J Clin Periodontol 1983;10:524-541.<br />
62. Hardwick R, Scantlebury TV, Sanchez R, Whitley N,<br />
Ambruster J. Membrane design criteria for guided bone regeneration<br />
of the alveolar ridge. In: Buser D, Dahlin C,<br />
Schenk RK. Guided bone regeneration in implant dentistry.<br />
Quintessence Publ., 1994:101-136.<br />
63. Selvig KA, Kersten BG, Chamberlain AD, Wikesjö UM,<br />
Nilveus RE. Regenerative surgery of intrabony periodontal<br />
defects using ePTFE barrier membranes: scanning electron<br />
microscopic evaluation of retrieved membranes versus clinical<br />
healing. J Periodontol 1992;63:974-978.<br />
Implantologie 2006;14(4):000-000<br />
Not for Publication<br />
Quintessence<br />
13
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