ALL-ON-4 Dental Implants & Sedation with photos
Periodontal Gum Disease Increased Death Rate from Pneumonia Almost 3.5 times
Periodontal disease may be a co-morbidity with Coronavirus deaths from pneumonia
Periodontal disease may also be a co-morbidity with Coronavirus deaths from pneumonia and patients should be made aware of this possible risk.
A seven-year study to evaluate the association between periodontal disease and pneumonia mortality in dialysis patients. Iwasaki et al, Journal of Clinical Periodontology, October 2017
Materials and Methods
This prospective cohort study included 211 patients (mean age, 64.4 years) undergoing dialysis at a single medical center. The patients underwent a baseline clinical dental examination in 2008 and were then followed up until July 2015. Periodontal gum disease was defined as the presence of clinical attachment loss of ≥4 mm in ≥30% of the probed sites. The primary endpoint, that is death from pneumonia, was determined by reviewing death certificates and was analyzed using the competing‐risks regression model.
At baseline, 92 patients (43.6%) had periodontal disease. The median follow‐ up period was 84 months (interquartile range, 36–86 months). Of the 68 deaths that occurred, 21 were from pneumonia. The multivariable competing ‐ risks regression model showed that periodontal disease was significantly associated with death from pneumonia (adjusted sub hazard ratio, 3.49; 95% confidence interval, 1.14–10.64), after adjusting for other baseline health characteristics.
The results of this study suggest that periodontal disease increased the death rate from pneumonia almost 3.5 times and is independently associated with pneumonia mortality in dialysis patients with kidney failure. Periodontal disease may also be a co-morbidity with Coronavirus deaths from pneumonia and patients should be made aware of this possible risk.
Dental Preparedness Check List
Coronavirus Disease 2019 (COVID-19) is a respiratory disease caused by the SARS-CoV-2 virus. It has spread from China to many other countries around the world, including the United States. Dental-Prepareness-Check-List.pdf
For most dental practice, protecting dental workers will depend on emphasizing basic infection prevention measures. As appropriate, all dental staff should implement good hygiene and infection control practices, including:
Promote frequent and thorough hand washing, including by providing workers, customers, and worksite visitors with a place to wash their hands. If soap and running water are not immediately available, provide alcohol-based hand rubs containing at least 60% alcohol.
Encourage dental workers to stay home if they are sick.
- Encourage respiratory etiquette, including covering coughs and sneezes.
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION COMMON PRACTICE
Provide paients with tissues and trash receptacles.
Dental staff should explore whether they can establish policies and practices, such as flexible worksites (e.g., teledentistry) and flexible work hours (e.g., staggered shifts), to increase the physical distance among dental staff and between dental staff and patients and others if state and local health authorities recommend the use of social distancing strategies.
Discourage dental staff workers from using other workers’ phones, desks, offices, or other work tools and equipment, when possible.
Maintain regular housekeeping practices, including routine cleaning and disinfecting of surfaces, equipment, and other elements of the work environment. When choosing cleaning chemicals, employers should consult information on Environmental Protection Agency (EPA)-approved disinfectant labels with claims against emerging viral pathogens. Products with EPA-approved emerging viral pathogens claims are expected to be effective against SARS-CoV-2 based on data for harder to kill viruses. Follow the manufacturer’s instructions for use of all cleaning and disinfection products (e.g., concentration, application method and contact time, PPE).
Control guidence for Dental Settings During Coronavirus COVID-19 Response
According to the CDC there are suggested dental settings to consider as follow
Cleaning Products That Destroy Coronavirus
Soap and Water
Just the friction from scrubbing with soap (any kind of soap) and water can break the coronavirus’s protective envelope. “Scrub like you’ve got sticky stuff on the surface and you really need to get it off,” says Richard Sachleben, an organic chemist and a member of the American Chemical Society. Discard the towel or leave it in a bowl of soapy water for a while to destroy any virus particles that may have survived.
Using antibacterial soap won’t give you added protection against the coronavirus because it kills bacteria, not viruses. You can still use it as long as you scrub.
The Centers for Disease Control and Prevention recommends a diluted bleach solution (⅓ cup bleach per 1 gallon of water or 4 teaspoons bleach per 1 quart of water) for virus disinfection. Wear gloves while using bleach, and never mix it with ammonia—or anything, in fact—except water. (The only exception is when doing laundry with detergent.) Once mixed, don’t keep the solution for longer than a day because the bleach will lose potency and can degrade certain plastic containers.
“Always clean the surface with water and detergent first, since many materials can react with bleach and deactivate it,” Sachleben says. “Dry the surface, then apply the bleach solution and let it sit for at least 10 minutes before wiping it off.”
Bleach can corrode metal over time, so Sachleben recommends that people not get into the habit of cleaning their faucets and stainless steel products with it. Because bleach is harsh for many countertops as well, you should rinse surfaces with water after disinfecting to prevent discoloration or damage to the surface.
If you can’t find liquid bleach, you can use bleach tablets instead. You may have seen Evolve bleach tablets, which dissolve in water, at Walmart or on Amazon. Just follow the dilution instructions on the packaging (1 tablet is equal to ½ cup liquid bleach). A label on the bottle states the product is not a disinfectant, but chemically, it’s the same as liquid bleach. A company spokesperson at Custom Bottling & Packaging, which acquired Evolve three years ago, says the company hasn’t had the time or resources to put their product through the Environmental Protection Agency’s registration process that would allow them to make disinfecting and sanitizing claims. As of this update, Evolve is not experiencing any shortages and is supplying hospitals, research centers, and correctional facilities.
Alcohol solutions with at least 70 percent of alcohol are effective against the coronavirus on hard surfaces. First, clean the surface with water and detergent. Apply the alcohol solution (do not dilute it) and let it sit on the surface for at least 30 seconds to disinfect. Alcohol is generally safe for all surfaces but can discolor some plastics, Sachleben says.
According to the Centers for disease control and prevention (CDC), household (3 percent) hydrogen peroxide is effective in deactivating rhinovirus, the virus that causes the common cold, within 6 to 8 minutes of exposure. Rhinovirus is more difficult to destroy than coronaviruses, so hydrogen peroxide should be able to break down the coronavirus in less time. Pour it undiluted into a spray bottle and spray it on the surface to be cleaned, but let it sit on the surface for at least 1 minute.
Hydrogen peroxide is not corrosive, so it’s okay to use it on metal surfaces. But similar to bleach, it can discolor fabrics if you accidentally get it on your clothes. “It’s great for getting into hard-to-reach crevices,” Sachleben says. “You can pour it on the area, and you don’t have to wipe it off because it essentially decomposes into oxygen and water.”
ALL-ON-4 Dental Implants Procedure and Cost
The dental term All-on-4 refers to "all" teeth (know a teeth-in-a-day) being supported "on four" small titanium screws that are inserted into the jawbone, a surgical and dental prosthodontic procedure for total rehabilitation of for patients with badly broken down teeth, decayed teeth or compromised teeth due to gum disease.
It consists of the rehabilitation of either top jaw or bottom jaw or both jaws with four implants supporting a fixed prosthesis with 10 to 12 teeth and it is placed immediately, typically within 24 hours of surgery.
Instead of using one dental implant for every missing tooth, you can simply use 4 dental implants on top and 4 dental implants on the bottom as the main anchors. Then your dentist can attach teeth-in-a-day as a bridge at those implant spots
The Cost of an ALL-ON-4 Dental Implants
The cost of ALL-ON-4 dental implants varies depending on the type of teeth material used and the number of teeth to be removed. Another factor is part of the entire process your insurance plan may cover.
ALL-ON-4 dental implants can be quite expensive, so it’s important to see an experienced insurance coordinator to have the insurance to cover, at least, some of the cost of extractions.
ALL-ON-4 Dental Implants with Acrylic Teeth
As of 2019, the standard of ALL-ON-4 option involves using an acrylic denture built around a strong titanium framework. It cost in average between $22,000 and $24,000. Keep in mind, if you go to more than one dentist location for the procedure, it ends up costing about $5,000 to $8,000 more. Cost of replacing broken acrylic teeth cost about $250 - $750
ALL-ON-4 Dental Implants with Porcelain teeth
Teeth made of porcelain are more natural-looking and will last longer than acrylic. However, these types of teeth material may be an additional $4,500 per jaw. So, the whole procedure could end up costing between $27,000 and $29,000. Replacing a broken porcelain denture cost about $10,000.
What is ALL-ON-4 Dental Implants Procedure?
It is concerning to get dental implants for the first time. Most of that possible dental phobia it may be to the uncertainty, so here is the step-by-step process for getting ALL-ON-4 dental implants:
First, local, IV twilight anesthesia or general anesthesia will be administered.
Second, the dentist will prepare your gums for the implants, which involves extracting your remaining teeth that are failing and any wisdom tooth you may have. The dentist will then remove any diseased or infected tissue from your jaw and gums.
Third, the dentist will begin the implant placement process. This means they will insert the small titanium screws into your jawbone one at the time and apart from each other, two implants toward the front of your mouth and two implants towards the back of your mouth.
Then, they will clean and suture all the incisions made. And finally, you will be taken to a recovery room where you can relax and take time to wake up from the anesthesia.
The standard ALL-ON-4 dental implants procedure involves anesthesia, preparation of the gums, placing the implant, and suturing.
When transitioning from a lying down position to standing, it’s best to do so slowly to avoid getting lightheaded.
All-ON-4 Dental Implants Recovery Time
The recovery time after getting traditional dentures with implants range from 4 to 6 months, but after getting an ALL-ON-4 and Teeth-in-a-day, you should be functioning much more sooner in about several days to a few weeks.
The reason is that the titanium bar attached to the 4 implants provide significant stability of the teeth-in-a-day as a fixed bridge from the first day. This is why you as a patient can start eating from day one.
First Day Recovery
The first three hours after 4 implants placement, you would be asked to ice packs your cheek area over the surgery site for two hours. Then after the second hour, you may be asked to start taking some anti-inflammatory prescribed medication.
When you go home after dental implants surgery, make sure you don’t do anything that would raise your blood pressure. disturb the blot clot. Do not rinse or touch the surgical areas, except for gentle brushing. Smoking after implant surgery is not advised for seven days.
48 hours after implants surgery, if there still is minimal bleeding, you can gently rinse your mouth with saltwater. Twice a day mix one tablespoon of iodized salt with eight ounces of warm water and rinse gently for 20 seconds.
It is key for your recovery to keep your mouth as clean as possible. Your dentist will prescribe Peridex mouth rinse to prevent any the bacterial infection.
Ten days After Implant Surgery
At this time, you should be working or going back to your normal daily activities including working out, bending over and lifting heavy objects if regularly do so.
The most important things to remember during the first 4-6 week of recovery is eating soft foods ONLY.
Common ALL-ON-4 Complications And How To Deal With The Outcome
Common ALL-ON-4 issues you may experience in the days after dental implants surgery are:
Swelling. Swelling is a normal part of getting implant surgery, and it will reach its peak at the end of the 3 days after the surgery. Using ice or a cold pack on your cheek within the 24 hours following the procedure helps control the swelling (20 minutes on and 20 minutes off with a paper towel between the ice-cold pack and your cheek).
Bleeding. If you find that you are experiencing bleeding that would not stop, this usually means you may be biting down on the gauze packs without them covering the surgical areas. Reposition the gauze and bite down continuously for 30 minutes.
If this does not help and the bleeding still continues, then is best to call the office for specific over the phone instructions.
Pain. This is common when dealing with surgery in general. Your dentist will have given you a prescription for pain medicine. It is important to take the medication as directed on the bottle label.
Soft Diet. It is ok to be on a soft diet from day one. Just avoid any hard foods and hot foods, and chewing too much is not recommended as it may cause some unnecessary trauma to the implants. What is best practice is to consume only soft food like pureed food and liquids high in protein.
Most importantly, make sure you are getting great nutrition and vitamin C, no matter how inconvenient it may be. It’s important to your healing and timely recovery.
You may experience nausea from any of the medicines you’ll be taking including administered anesthesia. A flat carbonated drink and lectin free diet help tone down the sickness. If nausea persists or gets severe, call your dentist.
Dry Lips. Sometimes it is expected that your lips will become dry as your mouth will be slightly stretch from pulling away from your cheeks and lips. You can use vaseline or some other hydrating ointment.
Muscles Soreness. Your lower jaw muscles may become stiff, again because of the dentist keeping your bottom jaw open in the same position for long periods of time. To counteract this, you can gently and slowing open all the way and close down your jaw every other hour.
Surgical ALL-ON-4 Complications
With any type of surgery, there is always some degree of risk involved. With an ALL-ON-4 dental implants procedure, some unlikely complications include bacterial infection, delay and poor healing, and bleeding.
It is best to keep your dentist know of any abnormal changes.
ALL-ON-4 Dental Implant Failures
Occasionally, the bone may not take the dental implant. Factors that affect how well an implant will integrate (fuse) with your bone is if you smoke, the health and quality of your bone density, your nutrition, and a few other factors.
If an implant fails to fuse with your bone, your dentist can remove the implant, let the area heal, and insert a bigger and longer new implant.
This is a rare occurrence of about 1-4 % of the time. Dental implants are friendly with the gums and bone and have a high success rate, but if the implant does not take, your dentist can always replace the implant.
The most common reason for a failed implant can is gum disease, which you can avoid by taking good care of your implants and the surrounding gums and going to regular checkups.
Reviews Of All-On-4 Dental Implants
In general, patients who get ALL-ON-4 Dental Implants are satisfied with their new set of teeth. As long as you go to experience, reliable and trusted dentist, you should have a similar experience.
ALL-ON-4 Dental implants Testimonials: “I love them so much,” one All-On-4 patient said on RealSelf.com. “They went in a dream. Didn’t take very long and only a tiny little adjustment made to the lower set. Absolutely no pain at all. I can honestly say they feel so normal, exactly like my own teeth felt (without any of the pain).”
Another ALL-ON-4 patient was happy with their new teeth-in-a-day, despite wishing they still had their natural teeth.
“I have no regrets!” she said. “Would I rather have my original teeth? Of course. But I didn’t take care of them and I feel like I got the best thing available on the market at this point in time. The teeth look natural, the gums look normal…”
Overall, All-ON-4 patients are happy with their fixed dental prosthesis.
Cheapest Way To have All-On-4 Dental Implants
The cheapest way get ALL-ON-4 procedure is to find a dentist who owns a private practice dental office that performers these types of high-end procedures. Avoid going to a chain of corporate dental offices that are owned and run by business executives who creates strict and relatively high fees that are not negotiable. Moreover, choose one location, fees are much lower when compared to a two location approach, where both doctors from two locations would charge separate fees, significantly increasing the total cost of the procedure.
Where Can I Find A Dentist Near Me Who Does All-On-4 Dental Implants?
By far the best way to find a dentist near you who will do an ALL-ON-4 dental implant do a Google search. This may take some time, but in the end, it will be worth having a nice new set of teeth that last a long time.
All-on-4 Procedure Summary
In summary, the All-On-4 procedure can be expensive, but dental insurance helps with the cost regardless of the type of implant you get. But despite all of this, all-on-4 patients, generally, have been successful.
What is ALL-ON-4 dental implants for teeth in a day? (with photos)
The all-on-4 dental implants refer to “all” teeth being supported “on-4” dental implants (also known as AO4). A full mouth fixed dental prosthesis for patients who have failing teeth, bad teeth, broken caps and bridges, and missing teeth. It may consist of full mouth teeth replacement having bad teeth due to severe periodontal gum disease. The 4 dental implants support a full mouth of teeth replacement of about 10 to 12 teeth. A fixed bridge with teeth is placed immediately or typically within 24 hours of dental implants placement.
Teeth-in-a-day with all-on-4 treatment is a valid, cost-effective, and more affordable alternative to conventional dental implant treatment.
With the advances in implant dentistry now available, If you have a full mouth of missing or failing teeth and broken caps and bridges, the all-on-four treatment may be the optimal solution. It is proven and cost-effective. And it lowers the cost replacing all your teeth per arch with just 4 dental implants for a full mouth fixed dental prosthesis.
When it comes to weighing your options with teeth-in-a-day with dental implants, many people today are not seeking teeth replacements with dentures and instead, they are looking for a fixed and permanent solution.
Can you eat the night of All-on-4 implant placement?
The all-on-4 treatment is a dental implant protocol where in one day all bad teeth and broken caps and bridges are removed, 4 dental implants are placed, and a fixed temporary (or permanent) dental prosthesis is delivered for teeth-in-a-day. This surgery and full month teeth replacement take place in about 4-6 hours. The final result is a great looking smile, that is fixed to 4 dental implants at the time of surgery. It should be secure and stable. This will be worn for about 4-10 months, then the final fixed dental prosthesis (permanent bridge) is made. The final and permanent fixed prosthesis (bridge) has titanium reinforcement and is meant to last several years.
All-on-4 and missing teeth
All-on-4 for teeth-in-a-day is not your grandparent's denture. The all-on-4 is slim and with minimal pink acrylic around. It lacks the flanges or "wings" that traditional dentures have. It does not cover the roof of your mouth. Teeth-in-a day consists of a fixed and one piece bridge that is screwed into the 4 dental implants, these dental implants hold the teeth in. The all-on-four should neither rock nor move; it should be stable. You do not remove your dental prosthesis with all-on-four treatment, it is retrievable by a dentist only, but not by the patient. This gives patients security and a piece of mind.
A full mouth of missing teeth can be replaced with as few as 4 dental implants per full arch (upper teeth or lower jaw teeth) of fixed, non-removable dental prosthesis know as teeth-in-a-day. This remarkable life-changing treatment can be accomplished in a single day or with 24 hours.
Conventional dentures rest on the gums - which by their nature move. It is well known in the dental literature that with conventional dentures patients are only able to function at about 10% or less; with teeth, patients are able to function at 100%. Much of a difference with full mouth dental implants reconstruction like all-on-four, they provide a stable foundation for which we can build a fixed bridge with teeth - the fixed bridge of the all-on-four treatment concept. This arrangement of implants and prosthesis, transmit the forces the jaws generate directly to the food- translating in the ability to improve eating. Much of the force is lost at the gums with conventional dentures.
Please note, in the 90 days after 4 dental implants placement, the patient is asked to maintain on a soft diet. This is because the bone around the 4 dental implants during the first 3 months undergoes some changes healing and if overloaded, could be at risk of failure.
What is All-on-4 Teledentistry?
All-on-4 Teledentistry is a new form of remote diagnosis and treatment plan development of patients by means of telecommunications technology.
Teledentistry allows all-on-4 dentists to evaluate and diagnose patients in remote locations using telecommunications technology.
Teledentistry allows prospect all-on-4 patients in remote locations to access dental implants for teeth-in-a-day expertise quickly, efficiently and without travel.
Max Arocha DMD has pioneered the ALL-ON-4 dental implants online live video consultation for real-time with all-on-4 patients. Teledentistry face-to-face live interactive video gets you a smile analysis while going over details for teeth-in-day. Get all of your ALL-ON-4 questions answered at your convenience with a "all-on-4 teledentistry" mobile App.
Teeth-in-a-day with all-on-4 there is no need for denture adhesives
Denture creams and adhesives are a thing of the past when your denture is converted and screwed into the 4 dental implants with all-on-4 procedure concept. There is absolutely no need for the goop!
How much does all-on-four dental implant cost?
Teeth-in-a-day with all-on-4 is less costly when compare with traditional full month rehabilitation dental implant treatment for people with bad teeth, no teeth and soon to lose all his or her teeth. For all-on-4 dental implant cost, we have an all-inclusive fee that coves everything from teeth removal, bone grafting if needed, 4 to 6 dental implants, and temporary and final permanent bridge. If you are looking at multiple offices the fee will be split between the offices, meaning a surgical portion as phase I and then a restorative portion as Phase II.
Shorter treatment times with all-on-4
The ability to angle or tilt of the back implants prevents the need for time-consuming and costly bone grafting procedures known as a sinus lift. Most of the patients we treat are able to receive their dental implants and a new set of non-removable teeth on the same day or the next day. The following is an approximation of your typical All-on-4 treatment timeline. On consultation day there is a detail discussion about your smile and of potential treatment options. The planning for the doctor. Then the day of the actual all-on4 treatment, you arrive at the office in the morning. We then escort you to your private room where you are prepped for surgery. The sedative is administered then once you are ready, we administer a local anesthetic as necessary and begin the procedure. The surgery is usually brought to an end later that morning.
After dental implant surgery, we would then fit, screw in and deliver your initial set of teeth fixed dental bridge. You will then be allowed to return home, typically early in the afternoon, to start and enjoy your new smile. Your follow-up appointment varies from patient to patient. It is scheduled usually a few weeks to two months out to ensure you are healing well
The recovery time for all-on-4 dental implants varies from patient to patients due to their clinical dental condition. We prefer to perform Teeth-in-a-day and dental implants surgery with our advanced computerized 3D dental treatment software whenever possible. Our advanced surgical computerized guide protocol from Anatomage® not only delivers high precision for implant surgery including all-on-4 concept but also significantly decrease recovery time for the patient. Our dental implant 3D software is a highly effective tool that, in certain clinical cases, delivers minimal invasive surgery for a fast recovery.
Then around six months later, your temporary bridge may be replaced with your final bridge. But sometimes the final bridge is delivered within 24 hours when the surgery is performed under computerized guide protocol. This is possible with all-on-four dental implant guided surgery only. Periodic dental visits with the hygienist are suggested for proper maintenance protocols. A visit twice a year with any dentist is recommended. Keep in mind, every patient is different, so make sure you understand the treatment timeline discussed with you by our dentist and dental implants team members.
Teeth-in-a-day provides a great looking smile.
The all-on-4 treatment is a great procedure for the patient to smile about. Replacing the whole mouth of teeth with dental implants allow dentists to uniformly create a beautiful and harmonious smile. Patients can feel free to smile, eat, drink, and speak knowing there is no slippage or chance for of embarrassing moment if your teeth slip or fall.
All-on-4 dental implants benefits and before and after (phtos)
People have regained confidence by replacing bad teeth with All-on-four dental implants. In the US All-on-four has become popular and preferable among people over the age of 45 years old because it can replace an entire mouth of teeth with just 4 dental implants in a one-day surgery. Because this treatment costs less than other options, many more people are able to restore their entire smile with affordable all-on-4 dental implants. It’s possible to replace all of your teeth in just one day known as teeth-in-a-day. Some of the Benefits include:
- A full set of new teeth in only one day creating a new smile
- An entire single arch smile with only 4 dental implants
- One surgery
- All teeth replace over a secure placement of 4 dental implants deep in the jawbone
- No bone graft usually necessary
- A more affordable cost than other treatment alternatives, making it easier to replace teeth with affordable all-on-four dental implants
What is the cost of dental implants?
As of 2019 in the U.S., dental implants cost ranges from $1,700 to $1,900, with the national average at about $1,800. For instance, average dental implants cost in Fort Lauderdale, FL is $1,700.
Dental implant treatment can vary depending on your needs. Of course, a dental implant dentist will be able to fully determine the cost, which is based on the specifics of your individual dental needs. These factors can include the complexity of your case and how long a dental implant treatment will take.
Dental Implants Payment Options and Financing.
Should the cost of dental implants prove prohibitive for an individual, there are options to consider that can put dental implants within reach? We have found that LendingClub online application is fast and easy. It takes just minutes, with no impact on your credit score. Financial times have changed, and credit scores are no longer the main factor for patient dental implant procedure financing. You can instantly review the loan offers that you qualify for, and you'll never need to visit a branch to complete your application.
Our dental office is affiliated with LendingClub for dental implant treatment. LendingClub can finance over $20,000 plus for upper and lower jaw full mouth teeth replacement. All LendingClub financing payment plans feature an affordable fixed rate, which means your monthly payment does not increase. In addition, you can prepay your loan at any time and there's never a prepayment penalty or fee.
With this type of dental implants financing plan, patients can break up the total cost of the procedure into a series of monthly payments. Click on the LendingClub logo above to apply online and check your options in just minutes. Please note: (Under doctor name you must enter: " max arocha ")
Does my dental insurance cover dental implants?
Dental insurance plans may cover on average $400 - 800 towards dental implant cost just as they would with other teeth replacement treatments like dental bridgework. Either your dental insurance provider or your dental insurance carrier can help you to determine the exact dental coverage for your dental implant treatment based on your dental insurance coverage policy. If your dental insurance does not cover all of your dental implant treatment costs or if the cost of a dental implant is a concern for you, talk to your dental implant dentist provider about payment options - many dental implant dentists offer flexible and affordable monthly payment plans and financing, many with no down payment and no interest. About one-half of dental implant patient use financing options to spread their dental implant treatment costs over time.
The cost the insurance companies would cover on dental implants depends on many variables including the location of the tooth and the number of teeth. Because most dental insurance plans do not cover this cosmetic procedure, we can only give estimated average insurance coverage for a dental implant which is about 600 per implant.
Can I look younger with Dental Implants?
You can look younger and feel healthier with dental implants. Dental implants are like having a new set of natural teeth. You can enjoy the comforts of healthy eating, speaking and socializing without the embarrassment of missing teeth or “slipping” denture and partials. According to the American Dental Association, a dental implant offers comfort, stability and is a dental restoration that is the closest thing to a natural tooth.
In a survey of more than 50,000 adults, only one-third of respondents were aware that missing teeth can alter facial contour. But that is only half the story. And what you do not know can hurt you. Chewing, talking, laughing and even kissing are a few instances when the role of healthy teeth is often taken for granted until one or more teeth are damaged or lost.
Over time, even a single missing tooth can lead to bone loss which, in turn, can alter your jaw structure, cause teeth to shift and can actually change the shape of your face. Once the tooth roots are no longer in place, bone recession in that area can gradually develop into a “sunken” appearance prematurely aging your face.
Tooth replacement that also replaces your tooth root is necessary to maintain proper facial contour. Dental implants are the only tooth replacements that substitute your tooth’s crown and root.
According to the American Academy of Implant Dentistry, dental implants should always be considered as an option to replace a failing or missing tooth.
Tooth replacement is not just a cosmetic fix. Studies have shown that failing to replace lost teeth can also affect your eating habits, speech, self-esteem, quality of life and your overall health. Missing teeth that are not replaced can limit your diet to softer foods lacking proper nutrition which can lead to weight problems, digestive disorders, diabetes, and cardiovascular disease. Dental implants allow you to eat foods that can enhance your health.
Why compromise your health, give up your favorite foods, or look older than you are, when you may not have to.
Dental implants are the next best thing to your natural teeth. Until you have experienced tooth loss or having to adjust to partials or dentures you probably take for granted the simple pleasures of eating and tasting. Did you know that you can not fully taste food without “chewing awareness”? No matter how juicy that steak is or how tasty that spaghetti sauce might be, the eating experience goes beyond the mechanics of placing food in your mouth and chewing it.
Your gums, teeth, and palate (roof of your mouth) each play a part in how your brain processes chewing forces and food tastes. When your gum surfaces, teeth, and palate are covered by dentures or partial, chewing reception is altered dulling your sense of taste.
The good news is dental implants help maintain normal “chewing awareness”. So if enjoying mouthwatering meals is an important part of your life, here’s just one more reason to consider the advantage of dental implants.
Dental implants are second to none. No other tooth replacement compares to the look, feel and function of dental implants. The good news is most people are candidates for this exciting, time-tested and proven treatment option. In addition, in dental implants treatment no other teeth are involved but the missing teeth.
Things to Know about Implant Costs
Before starting with a dental implant procedure, there are a few factors to know and consider the cost of dental implants and payment options. It is always helpful to sit down with your dentist for a consultation to discuss all of your options.
- Dental implants may be covered by insurance, and the average price for a dental implant ranges between $1700 to $2000 for a single tooth.
- With proper oral hygiene, implants offer longevity; once they are placed, dental implants can last for many years.
- It may be possible to reduce the overall cost of the dental implant procedure, as the timing of can affects out of pocket cost. The implant procedure is typically a two-part process that consists of placing the implant; four-month later the implant is restored with a crown (cap) or bridge. By scheduling the first procedure at the end of the calendar year, and then having the implant restored the following year, this allows you to use two years’ worth of pretax flexible spending money through your employer. And if dental insurance covers a portion of the cost, you won’t go over the yearly limit. Remember, insurance available coverage does not roll over to the next year. With dental insurance is either use it or lose it.
Since a portion of the dental implant procedure is typically an out-of-pocket expense, patients can pay for the treatment with:
- Personal checks
- Credit cards
- A health care financing plan through CareCredit
- An employer-sponsored flexible spending account
Patients that opt to pay for the treatment with a financing plan should pay attention to the interest rate and penalties associated with the payment plan. Patients should try to find a plan that offers low-interest rates, and pay each monthly installment on time to avoid additional fees.
Learn More about Dental Implant Prices and Payment Options
Several payment options are available to make having your best implant treatment possible. To learn more about how to make the best financial decision regarding your dental implants, book an appointment with the knowledgeable staff of Dr. Arocha’s practice today. Together, we can sit down to thoroughly go over your various payment options so that you can decide what option is ultimately best for you.
What are the benefits of dental implants?
- Dental implants look and feel more like your natural teeth
- Dental implants improved chewing ability
- Dental implants provide better nutrition and health
- Dental implants avoid facial bone loss
- Dental implants boost self-confidence
- Dental implants improve speech
Dental Implants Frequently Asked Questions.
What are the dental implants?
Dental implants are substitutes for the roots and crowns of missing teeth. They act as an anchor for one or a series of replacement teeth or can be used to anchor bridges and dentures.
Who is a candidate for dental implants?
According to the American Dental Association, candidates for dental implants need to have healthy gums and adequate bone to support the dental implant. A thorough evaluation by your implant dentist will help determine whether you are a good candidate for dental implants.
Dental implant patients are of all ages and dental implants may be the right choice for anyone missing one or more teeth due to dental injury, gums disease or dental cavity. A dental implant is especially practical for patients who can no longer wear removable dentures. A complete oral exam, dental x-rays, dental and medical health history are necessary to determine if you are a candidate for dental implants.
Do I have enough gums and bone to hold a dental implant?
It is important for a dental implant patient to have enough bone to support the dental implant. If you do not have enough bone, there are many safe and effective ways to correct bone deficiency.
Why replace my missing tooth in the back if I can't see it?
For one thing, if you lose an upper tooth, you essentially lose the chewing function of that tooth and the one just below it. In addition, when you don’t replace a missing tooth, excessive force is then placed on adjacent teeth and may lead to tooth fractures and tipping. By ignoring damaged or missing teeth, you leave yourself prone to further tooth loss, teeth shifting, crowded teeth, speech problems, diet restrictions, and other dental complications.
Waht are the facts about dental implants
- More than 4 million people have dental implants and that number is growing by over 500,000 a year
- Dental implants have been used for over 50 years.
- In some cases, the cost of a single tooth implant is less than the cost of a fixed three-unit dental bridge. (a fixed three-unit bridge is needed to replace a single missing tooth)
- Unlike dental bridgework, dental implants don’t require the reduction of healthy adjacent teeth.
- Dental implants are considered more predictable than dental bridgework and root canals treatments.
MetLife Dental Insurance overview
Metlife can help you maximize your oral health and minimize out-of-pocket costs for routine dental check-ups, crown, caps, root canals, teeth removal and dental implants procedures and most things in between.
As of 2018, dental PPOs insurances like MetLife offers a broader selection of dentist providers than HMO managed-care plans. With a MetLife PPO, the patient pays for covered services after it receives a bill, which means that you may have to pay up front and then obtain reimbursement from your insurance carrier later.
You are free to choose any dentist you like from either the in-network or out-of-network lists, and you receive an agreed-upon level of benefits from the insurer according to the list you use. These types of policies are popular among both employer-provided and individual dental insurance plans like MetLife because they offer the customer flexibility and freedom.
You may go to any dentist, however, for maximum MetLife benefits at the lowest cost visit a participating network dentist.
What's the benefit of seeing an in-network MetLife dentist?
If your dentist is not in the network with MetLife you still recieve benefits, but you will pay higher out-of-pocket costs for the dental services.
MetLife dentist in-network Vs MetLife dentist out-network
If you choose a dentist from within the MetLife network, you receive the full benefits available under the policy. If you visit a dentist outside the network, you are still eligible for insurance coverage, but the benefits are often restricted, resulting in greater out-of-pocket costs for you.
What dental service are covered under MetLife dental?
There are certain services under your MetLife Dental plan that will have a copayment and frequency limitation. As an example, standard plans include frequency limitations for the following procedures: Exam, cleanings and x-rays. Standard plans includes copayments for the following procedures wisdom teeth extractions, root canals, white fillings, porcelain crowns, periodontal (gums) treatment, dentures and others. For more detailed information on service cover by your plan contact our office or MetLife customer service.
As of 2019 below are our most commonly asked questions on Gum Laser Surgery and periodontal laser treatment.
How long does Laser gum surgery take to perform? (photos)
In many cases, we can do the LASER treatment in one long session of 2-3 hours. Sometimes, it can be split up into two sessions of 1-1.5 hours one week apart.
Does periodontal Laser treatment hurt?
No, we always get our patient numb for LASER periodontal treatment just like we would if patients were to get a small cavity filled. We use local anesthesia. Our patients normally have good dental experience during laser dental procedures. Some discomfort may be present after laser periodontal gum surgery.
How far are you located in Fort Lauderdale?
Our Plantation office is part of west Fort Lauderdale. We are about 15 minutes west of downtown Fort Lauderdale or about 8 miles away.
How much does LANAP laser gum treatment cost?
Periodontal gum laser treatment cost about $3,900 for a full mouth laser periodontal treatment on patients with severe periodontal infection. This treatment includes the cost of local anesthesia and follows visits. The average cost for periodontal scaling and root planing (deep cleaning) is between $275 and about $980. Periodontal maintenance costs after undergoing LANAP average $115 every 3-4 months. Active severe periodontal treatment — which usually consists of laser periodontal treatment like, REPAIR® and LANAP®— cost about $1,000 - $1,100 per quadrant for more detail information about LANAP cost visit https://www.drarocha.com/gum-disease-treatment-cost.html
They are both FDA approved laser treatment for periodontal disease. Both laser procedures are specifically designed for the treatment of periodontal disease. LANAP®: Laser-assisted new attachment procedure and REPAIR®. In addition, REPAIR® has also FDA approval for removing periodontal bacterial calculus (tartar) under the gums. Calculus (calcified tartar) is the source of all periodontal disease. Both LANAP® and REPAIR® laser periodontal surgery provides much improve methods for saving teeth with moderate and advanced periodontal disease.
How Laser Gum Treatment Works?
Laser gums treatment may be needed when gum pockets are too deep and disease to better remove infected gum tissues and save the teeth. As a periodontal pocket worsen, it provides a greater place for bacteria to live and eat way your gums. Laser gum surgery such as LANAP® and REPAIR® allow certified dentist to access under the gum and remove tartar and plaque reducing bacterial stronghold. For a video detailed information on how laser gum treatment works click this link: https://www.youtube.com/watch?v=7K_3A0gd66k&feature=emb_title
How soon after Laser periodontal surgery can I go back to work and family responsibilities?
LASER surgery enables people to get on with their lives with minimal disruption. With Laser periodontal surgery there is fast recovery time. You might leave the office "numb" but this wears off after a short period of time and you should feel little or no discomfort. A few patients come to mind who, shortly after laser surgery, have traveled, made public or TV appearances or business deals, taken care of children, worked with heavy equipment, performed an airplane pilot or professional musicians.
How much is laser periodontal treatment?
Each patient is different and the fee depends on the severity and extent of the periodontal disease. It varies significantly from about $400 for a severe single tooth to about $4,300 for the whole mouth or four quadrants of Laser periodontal treatment.
Does insurance cover laser gum surgery?
Yes, most insurance does cover a percentage associated with LASER gum surgery, just like they would with conventional "gum surgery". Maria, at the office, can help you with the insurance paperwork.
Can a patient make payments for the periodontal services such as laser surgery, implants or conventional surgery?
Yes. We offer to finance through the American Dental Association's approved financing programs. Call Maria for details.
How would a dentist determine whether I might be a candidate for laser gum surgery?
By conducting a thorough clinical exam and reviewing a full mouth series digital X-rays.
What is the advantage of laser surgery over "conventional" gum surgery? Are the results better than conventional surgery?
With laser periodontal surgery, there is no cutting or stitching of the gums, and therefore, minimal post-operative discomfort. In our office, we are finding the results have been great.
Are you available to give lectures on periodontal laser procedures?
Yes, Dr. Max Arocha has been invited to present his techniques and knowledge on Laser periodontal surgery to dentists at the World Clinical Laser Institute.
I take blood thinners. Do I have to get off these medications before the laser surgery?
No, one of the advantages of laser surgery is that patients don't have to stop their medications as with conventional gum surgery. This eliminates the risk of discontinuing these medications.
Will I have a gum recession after the laser surgery?
No, LASER surgery does not cause any recession of the gums around the natural teeth or crowned teeth. However, once the inflammation that comes from the bacteria gum infection is removed you may notice a slight and mild recession.
Do I have to follow a special regimen after the laser surgery is completed?
Yes, Dr. Max Arocha will review with you the suggested regimen of cleaning, follow-up and home care instructions.
I see that there are connections between heart attacks, cardiovascular disease, premature births and numerous other medical conditions with "unstable" periodontal disease. Does this laser surgery help?
Yes, LASER energy kills bacteria that cause gum disease. These are the same bacteria that have been linked to a number of medical conditions.
I understand that it is hard to determine the price without seeing a patient, but if you were to compare laser to conventional periodontal surgery as an average, is it higher in cost or lower in cost, and by what percent?
A laser is normally lower in cost than conventional surgery. However, it varies among clinicians and locations.
Do dental insurance policies cover your services?
Most dental insurance plans cover periodontal therapy. We are the in-network provider of most insurance. Please call Maria, so she can check your policy for further details.
Is it ever possible to treat and heal gum pockets as serious as 6 without surgery?
Yes, it is possible in most cases to treat periodontal pockets of 6mm and more.
Can I get laser surgery or treatment even though I have braces?
Yes, it is possible to have laser treatment with braces. We would recommend a thorough clinical exam and radiographs to confirm this mode of treatment. Having periodontal issues during orthodontic treatment is a concern, but intervention is usually successful and oftentimes done with the laser.
Do some problems still, require conventional gum surgery?
Yes. We still use conventional procedures in some clinical circumstances, but even during these procedures, we utilize the laser as much as possible. This reduces after surgery discomfort for our patients.
How much Sedation and General Anesthesia Dentistry Cost?
As of 2018, the cost of general anesthesia to performed sleep dentistry range from $400 to $600 per hour. This includes the cost of drugs administered and recovery time. On average, the patient can expect to spend about $500/hr plus the dentistry treatment rendered. The cost mostly depends on the duration of the dental treatment. In general, the longer and more dental procedures that are required the lower the cost of the hourly rate.
In-office general anesthesia has proven a useful and cost-effective means to assist phobic patients, those afraid of the dentist, the behaviorally or medically challenged, as well as those with gagging problems, so these patients can receive dental care.
What is Sedation and General Anesthesia Dentistry?
While it is generally accepted that the prevalence of dental caries is decreasing, there remain an important group of adults who have high treatment needs and for whom general anesthesia provides a useful treatment option. The general anesthesia or sleep dentistry approach pain management in dentistry includes pharmacological techniques that are used to modify anxiety and pain in the dental patient.
Although most patients can be successfully treated without its use, general anesthesia has been an important part of dentistry since the 1840s. The general anesthesia that's used in dentistry is typically less invasive than its use in the rest of the medical world; unlike with other types of surgery, oral, periodontal and implant surgeries do not typically require the use of paralytic drugs and consequently can be administered without the additional use of an intubation tube that facilitates breathing.
There are also similarities between medical and dental general anesthesia - like its medical counterpart, the use of this anesthetic method in dentistry render the patient totally unconscious and unable to feel pain during dental procedures.
In this unconscious state, there is also an absence of fear and anxiety; it's for this reason that general anesthesia is sometimes used not only for complex and long dental treatment but is also recommended for adults who experience acute dental anxiety and phobia.
The administration of conscious IV sedation and general anesthesia is an integral part of our dental practice serving the city of Fort Lauderdale. Our practice is committed to the safe and effective use of these modalities by appropriately certified and trained dentists and staff.
Dentist near Fort Lauderdale who does General Anesthesia in Broward County
It is a highly regulated area of dentistry in Florida. Beyond appropriate education and training for the administering dentist, general anesthesia regulations also commonly address requirements for safety equipment and auxiliary personnel.
Our dental clinic follows the American Dental Association guidelines for the administration of general anesthesia by our dental anesthesiologist and staff.
Waht is the difference between General Anesthesia and Local Anesthesia?
It's important to remember that general anesthesia is not the name of the drug that's being administered. Instead, it differentiates itself from local anesthesia in that it numbs the body and puts the mind to sleep. Most commonly given by means of an intravenous (IV) or as an inhalant, general anesthesia describes a mixture of potent drugs that are used to induce a sleep-like state in those to whom it's given.
If you're considering to "go under," keep in mind that the effects of general anesthesia may take several hours to wear off. Plan ahead: Dental anesthesiologists typically require a patient to arrange for a ride home and a few hours of aftercare following procedures in which general anesthesia is used. If you are not able to make appropriate ride-accommodations or do not have a companion to stay with you at your home for a few hours following your surgical procedure, your dental anesthesiologist may recommend a longer stay at the office to ensure complete recuperation from the anesthetics used.
A Sedation dentist for patients, in the Fort Lauderdale area, who has a history of psychological or physical trauma that prevents them from receiving needed dental treatment?
Patients who wish to remain conscious during treatment, sedation dentistry offers a safe and reliable technique for making dental visits comfortable and relaxing without putting the patient to sleep. Thanks to mild oral sedation pill, an alternative to IV sedation and general anesthesia.
How Oral Sedation Works
This type of sedation dentistry begins when the doctor administers a small, custom-prescribed pill shortly before treatment. Soon after swallowing the pill, the patient eases into an anxiety-free state. Patients who undergo oral Sedation Dentistry remain aware of their surroundings and yet feel calm and relaxed throughout their time in the treatment chair.
Many patients find that oral sedation dentistry allows them to undergo dental treatments and procedures they would have never before been able to tolerate. Oral sedation dentistry is an especially promising alternative for our younger patients or for people whose dental anxiety may only be exacerbated by the use of numbing injections or IV sedation. If you live in the Fort Lauderdale area interested in learning more about oral sedation dentistry call the number above.
IV Concious Sedation Dentistry
IV concious sedation dentistry allows patients to undergo one or more procedures while they remain sedated of anxiety. This effect is achieve by using intravenous medication to calm the patient into a sedated state for the duration of the treatment. A state-of-the-art monitoring equipment is use to ensure that patients are always safe and comfortable, and all of the anesthesiology is administered by Florida board-certified dentist in IV concious Sedation.
IV sedation is indicated when the patient is apprehensive and/or does not want to remember anything when going to the dentist.
IV Sedation Dentistry Applications and Benefits
For many patients, a typical IV sedation dentistry visit may include deep cleanings, crowns and multi-specialty treatments such as as gum surgery, root canal, and dental implants. The anesthesia techniques selection is based on each individual's needs and desires.
The most obvious advantage of conscious IV aneshesia is to allow the patient to undergo multiple dental procedures, all while been sedated. In general, these sedated patients do not want to remember anything when going to the dentist.
Inhalants Sedation (Gas)
Instead of receiving medication intravenously through a vein, patients can opt to receive their sedation medication through the simple process of inhalation (anesthetics in the form of gas). A small mask attached to a tube is placed over the patient’s nose in order to administer the gas medication. Nitrous oxide, which is more commonly referred to as laughing gas, is one of the most common types of inhalants used in dentistry.
Are you Avoiding the Dentist?
Tips to get through your Next Dental Procedure
Have you had a traumatic bad experience at the dentist? Anxious patients cringe at the sight of the syringe and sound of the drill. They make dental appointments, and then cancel them. They get sweaty palms, feel overwhelming anxiety and have difficulty sleeping the night before their dental appointment. As patient, we have to lie back with our mouths wide open, unable to communicate – thus rendered passive and unable to see what is going on – all adding to the feeling of uncertainty and apprehension.
It is estimated that as many as 75 percent of Americans experience some degree of traumatic emotional trauma according to the text book writting by by Milgrom, Weinstein & Gets. Avoiding dentists ranges from mild feelings of apprehension to high levels of stress, emotional discomfort and full-blow panic attack.
About ten percent of Americans are considered dental phobic. The significant factor in a phobia is avoidance. These people avoid dental work at all costs. Only seeking treatment for an emergency or when in extreme pain. Teeth deteriorate to an appalling condition; resulting in low self-esteem, distancing from relationship, failure to achieve goals in life and a host of physical problems. They believe that no one understands their emotional trauma; they are embarrassed, ashamed and concerned that they are mentally unstable.
Signs and Symptoms of Dental Emotional Trauma
- Difficulty sleeping the night before a dental appointment
- Difficulty breathing or feeling that you are suffocating
- Racing or pounding heat; chest pain or tightness
- Trembling, shaking
- Feeling dizzy or lightheaded
- Churning stomach, physically ill
- Hot or cold flashes, sweating
- Feeling overwhelming anxiety or panic while in the waiting room
- Intense need to escape
- Feeling “unreal” or detached from yourself
- Fear of losing control of your body or going crazy
- Feeling like you are going to pass out
- Knowing that you are overreacting, but feeling powerless to control your fear.
What causes anxiety?
People are not born anxious; the association of anxiety with dentist develops out of socialization and personal learning experiences. Those who suffer from dental anxiety are usually very competent in all other areas of their lives.
Some people have difficulty tolerating a particular dental procedure or the associated pain. “I can’t stand needles,” “I hate dentistry” or “I would rather go with a toothache than go through that drill.”
Many people feel uncomfortable, helpless and claustrophobic during dental treatment. Others feel self-conscious, embarrassed and fear being scolded about the appearance of their teeth or possible mouth odors.
We fear the unknown and worry about receiving bad news. We believe that we have a horrible cancer, disease or infection.
Many life situation are experienced as stressful or difficult. Dental fear may be predominant, but it is frequently one of several fears or phobias. This is the most common type of dental fear in patient.
Treatment of Dental Anxiety
Treatment of dental anxiety often includes a combination of behavioral and pharmacological techniques. As with any illness, dental anxious patients must take some initiative in their treatment and recovery.
The relaxed body is more comfortable, has less stress, decreased blood pressure, a sense of well-being and mastery over fear. We can learn relaxation and breathing techniques that can be called upon when needed, in day-to-day life or in the dental chair.
Behavior and cognitive therapy:
Therapy can help you uncover the underlying causes of worry and anxiety, learn how to relax, look at situations in new, less frightening ways and develop better coping and problem-solving skills. Therapy gives you the skills to overcome anxiety and teaches you how to use them to accept dental care without undue difficulty.
A hierarchy of anxiety provoking situations and associated symptoms is stablished. Anxiety is reduced through gradual exposure to the identified situation, beginning with least threatening (sitting in the waiting room) and progressing to more threating (sitting in the chair waiting for the dentist too get the drill to begin treatment).
Sedation refers to the use of sedative medication to calm and relax patients prior to and during dental appointments. The degree of sedation may vary from light calming, to moderate sedation to general anesthesia. These sedation method may be obtained by two general routes. Oral sedation involves medication that are swallowed like Xanax, Valium or midazolam. The intravenous route involves the administration of sedative drugs like Versed.
Tips to get through your Next Dental Procedure
Develop a relationship with a dentist before something huts. Talk about your fears and share past experiences, ask questions about anything that worries you. Once your dentist knows about your situation, he or she will be better able to work with you to determine the best way to reduce your anxiety and increase your comfort. If your dentist does not take your situation seriously, find another dentist.
Stablish a signal – such as raising your hand –when you want the dentist or hygienist to stop treatment. Use this signal whenever you are uncomfortable, need to rinse your mouth or simply need to catch your breath.
Take a friend or family member along to meet the dentist, keep you company in the waiting room or for support during treatment.
THERE IS HOPE! You don’t have to live avoiding dentists. Regardless of your own personal experience, understand that your past traumation experience may have kept you from the dentist, but there is no need to be embarrassed. You can accept dental care without undue difficulty. You can reduce your anxiety level, keep appointments and your teeth, and have the confidence that a beautiful healthy smile can bring.
People are not born anxious; the association of avoiding the dentist develops out of socialization and personal learning experiences. WE CAN HELP! with Sedation Dentistry.
Gums exams are vital in the maintenance of your oral health as they are used to assess the health of your gums and teeth. They can help your dentist diagnose gum diseases, gingivitis and periodontitis. These gums exams can also reveal receding gums, exposed roots, tooth grinding and other gums related problems, making gums exams vital to maintaining proper oral health. Regular dental exams are important as they can reveal evidence of gum disease in its early stages.
During your gums examination, dentist should check:
- For any lumps or abnormal areas in the mouth
- Whether any of your teeth are missing or loose
- The color, texture, size and shape of your gums
- Whether you have fillings, crowns, bridges, dentures or implants
- How much plaque is on your teeth
- The depth of the space between your tooth and gum
Gingivitis is the first stage of periodontal disease that causes inflammation of the gums. Dental x-rays can determine if the inflammation has spread to the supporting structures on the teeth so treatment can be started to correct the problem. Periodontitis occurs when gingivitis goes untreated, which makes gums exams vital to preventing and putting an end to gum diseases.
We, as dentists in plantation, performer gums exam with each visit, emphasizing the importance of regular, routine dental visits.
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