Showing posts with label Indiana. Show all posts
Showing posts with label Indiana. Show all posts

Thursday, May 30, 2019

The Invisalign Process at Quest Johnson Orthodontics



Whether you’re considering Invisalign treatment for yourself or someone else, knowing more about the entire process can help you be more confident in your decision to choose Invisalign.

During your initial consultation, we will discuss your concerns to determine if you are a good candidate for Invisalign. We will take x-rays of your teeth, which will be used to create digital 3-D images. From these images, Drs. Quest and Johnson will map out your treatment plan and tell you the approximate length of treatment.

While every case is unique to each patient, treatment typically takes approximately 12 to 18 months. Based on your individual treatment plan, a series of clear aligners will be created specifically for you. These aligners are made of a smooth, comfortable, BPA-free plastic that won't irritate your cheeks and gums. You will begin wearing your aligners throughout the day and remove them when you eat or brush and floss your teeth. As you wear each set of aligners, your teeth gently and gradually begin to shift into place. To monitor your progress, you will also have occasional checkups with our office, usually only every six weeks or so.

For best results and a timely outcome, you should wear your aligners for 20 to 22 hours per day, throughout your entire treatment.

Wednesday, December 12, 2018

Protect Your Enamel

quest johnson orthodontics


Here at Quest Johnson Orthodontics, with locations in Mooresville and Elwood, Indiana, our practice's top priority is to provide you with the highest quality orthodontic care in a friendly, comfortable environment. We also pride ourselves in providing the best information and being proactive in taking care of our teeth.

Your tooth enamel is the hard, outer surface layer of your teeth that serves to protect against tooth decay. In fact, tooth enamel is considered the hardest mineral substance in your body, even stronger than bone. Your tooth enamel acts as a protection shield against your teeth. There are several actions you can do to prevent enamel damage such as decaying or discoloration.

Preventing enamel decay can be as easy as cutting out or limiting high-acidic foods from your regular diet. High-acidic foods include items such as blueberries, sugar, honey, vinegar, soy sauce, cranberries, and more.  Another thing you can do is remove high sugar drinks from your diet in addition to acidic foods is also a good idea.

The easiest way to avoid decay is to steer clear of high-acidity foods. This may not always be possible, but eliminating sugary fruit juices and soda from your diet is a good start.

Brushing your teeth after each meal and flossing frequently also preserves your enamel. Another good idea is to rinse your mouth with water or mouthwash after eating to wash away high-acidity particles.

Although enamel damage is common, it does not have to be an inevitable occurrence. Knowing the foods that harm your teeth gives you the tools to prevent discoloration and decay. With some easy preventive measures, your teeth will stay strong and white for years to come!

Tuesday, May 15, 2018

5 Foods for Dental Health



Excellent oral health is the foundation for a healthy beautiful smile and can make a big difference before you visit us. At Quest Johnson Orthodontics, we want to give you simple tips that will make a lasting impact on your smile and oral health.


Share this infographic and remind someone of these simple healthy tips. To learn more about us visit our website and follow us on Facebook and Instagram


Friday, September 1, 2017

Spotlight on This Months Check-In 4 Charity: Smile for a Lifetime


Just like that the warm summer months are winding down and September is here! For all of us at Quest Johnson Orthodontics, this also means a new charity of the month! With your help we will be supporting Smile for a Lifetime.

ABOUT THE CHARITY
The Smile for a Lifetime Foundation is a charitable non-profit organization that provides orthodontics to individuals, ages 11-18, who may not have the opportunity to acquire assistance any other way. Launched in 2008, Smile for a Lifetime aims to reach individuals with financial challenges, special situations, and orthodontic needs. The Foundation sponsors the orthodontic care of hundreds of patients each year through local chapters. To date, they have donated services totaling more than $35 million dollars.

JOIN US IN SUPPORTING SMILE FOR A LIFETIME
Quest Johnson Orthodontics takes part in the Check-In 4 Charity program. Whenever you check-in at our office on Facebook, a donation will be generated for the charity of the month. Be sure to check-in at your next appointment and together we can give back to this amazing charity during the month of September.

Thursday, August 3, 2017

Meet The Charity Of The Month

August is here! For many, this means the end of summer vacation and back to school, but for Quest Johnson Orthodontics, this means a new charity of the month. This month, with your help, we will be supporting Doctors Without Borders.

ABOUT THE CHARITY
Doctors Without Borders is an international humanitarian organization founded in 1971. This charity is known to respond to emergencies around the world, saving and impacting lives daily. The funds allow the organization to impact those in need of help; they go where patients are. They generally work in conflict zones after natural disasters, epidemics, long-term care settings, and more. Funding is a crucial part of this charity as the crew works on so many projects worldwide, we want to help.

JOIN US IN SUPPORTING DOCTORS WITHOUT BORDERS
Quest Johnson Orthodontics is a Check-in 4 Charity Member. That means, whenever you check-in at our office on Facebook, a donation will be generated for the charity of the month. Check-in at your next appointment and together we can join forces to give back to this amazing charity during the month of August.

Monday, July 31, 2017

Early Evaluation For A Healthy Smile

Orthodontics deals with the correction of teeth and jaws that are not in the right position. Quest Johnson Orthodontics has been a versatile help in creating a straight and healthy smile to patients who are affected with crooked teeth and other oral problems such as: 

• Overbite: In which the front teeth lie so much far forward, protruding quite the lower teeth.

• Underbite: In which the lower teeth lie too far forward, sticking out more than the upper teeth.

• Crossbite: In which there is a wide opening between the upper teeth and the lower teeth in front.

• Crowding: This is when there are too many teeth growing on a dental ridge more that it can accommodate

These problems are easily solved with orthodontics through the use of aligners, traditional braces, and various appliances to mention a few. It is factual that orthodontics effectively manages oral problems when discovered early, especially when the patient is a child and yet to develop a permanent tooth. A recommendation from the American Association of Orthodontists, the ideal age for a child’s first orthodontic exam is age seven when the orthodontist is fortunate enough to monitor closely the eruption of their permanent teeth and follow the growth of the jaws through its critical years of development. It is obvious that early evaluation enables us to catch the problem while it is at its metamorphosing stage, rather than after the patient has already developed, thus making it much more effectively managed with imminent invasive treatment needed in the future avoided.

When orthodontic problems are left undiagnosed and untreated, many of these issues can result in severe and permanent oral health problems. These may include abnormal wear of the tooth surface or enamel, inefficient chewing, and even excessive stress on gum tissues and supporting bones which can lead to gum recession or bone loss. Early treatment of these problems not only protects the teeth but can be more cost effective to fix the problems before they cause damages

Early treatment phase is provided from ages 7 and older when the treatment is majorly aimed at eliminating bite problems which can damage the teeth or gum tissues, treating down the road less invasive thus minimizing tooth extraction or jaw surgery.

Orthodontics patients of Quest Johnson Orthodontics are advised to see Dr. Quest or Dr. Johnson early so that they can attain the best oral health and have a nice straight, healthy smile with a strategized treatment plan.

For more questions and information, you can contact Quest Johnson Orthodontics today.

Friday, July 28, 2017

Back to School With Braces Tips

Caring for braces especially for students in school can be quiet hectic due to the restrictive devotions to maintain the braces and for this reason, Quest Johnson Orthodontics has decided to put up an article which will make caring for orthodontic braces easy in school. As a student who just had an orthodontic treatment, you should be rest assured that it is the best that can happen to give you the perfect smile again but the care for your teeth and gums help make it very effective. Take a look at your new braces, you can notice a lot of nooks and crannies that can trap food and plaque and that means a great risk of tooth decay is imminent if not properly cared for, therefore you need to pay special attention to cleaning your teeth. This might look hectic but right here the team of Quest Johnson Orthodontics has few great tips to keep your braces in top condition.

1. WATCH YOUR DIET
As an orthodontic patient with braces, it is very important for you to select your diet with caution. We know that there are several foods in school which tastes great but don't look great in your braces. Certain foods can either break a bracket or some foods are sugary and can have negative effects on the natural ability to brush behind the bracket. Be sure to make decisions on foods based on what is healthy, tasty, and won't harm your brackets.

Food to avoid: As an orthodontic patient we would advise that you desist from:
  • Sticky or gooey foods 
  • Hard foods 
  • Sugary foods 
  • Acidic drinks 
2. WEAR A MOUTHGUARD
With braces on your teeth, you might be wondering if you should desist from sports or retire from being the captain of your favorite sports team, but the truth is orthodontics does not affect your ability to play sports. You can keep on with your braces and sports if and only if you have your mouth guard on. Mouth guards are safety measures that can mean the difference between just a bruised, fat lips and thousands spent in orthodontics repair work. While you are in any kind of physical activity (including gym classes), it is advisable that you wear a mouth guard which can protect your teeth and braces from flying sports balls, swinging elbows or an accidental fall or hit.

3. BRUSH AND FLOSS REGULARLY
Braces can easily trap food, and this trapped food can lead to other inimical dental problems. Because of this, it is very important to brush your teeth after every meal and to floss at least once a day.

4. DON'T CHEW ON PENCILS
Pencils, pen, and rulers are all hard objects and most times when you get bored, anxious or plainly destructive you are tempted to chew on them in class. Obviously, this can be destructive in the moment and can be grossly inimical over time. It is important that you don't practice these habits while wearing braces.

We know that maintaining braces in school is can be tough. That is why we ensure to give you the best plans of action to help you out.

For more questions and inquiries that you may have, we are always at your service. You can always contact Quest Johnson Orthodontics.





Friday, July 21, 2017

Learn About Wisdom Teeth & Braces

Wisdom teeth are a third set of molars that usually come in anywhere from 17 to 25 years old. Coincidentally, this age bracket is a popular time for orthodontic work, and many people are in braces or will soon have them taken off. It can be disconcerting in this time period to see completely new teeth emerging.

Wisdom teeth are a leftover trait from when humans had larger jaws and chewed hearty leaves. Wisdom teeth tend to overcrowd already corrected molars or emerge only half way. In fact, wisdom teeth statistically have the highest chance of growing in sideways, an issue known as an impacted wisdom tooth, which can affect the nearby teeth. However, wisdom teeth cannot cause front teeth to become crooked. From the back of the mouth, the pressure they exert on the other molars is not strong enough to reach the front.

This has led people to believe that wisdom teeth can ruin their current or previous dental work. There are a number of other factors that have led to this. Around 20 years old, the jaw performs its last growth spurt, which can leave teeth crooked. This is also the age when many former braces wearers begin to neglect their retainers at night.

Many people have their wisdom teeth emerge as healthy, effective back molars. In this case, the tooth has grown in straight and is not affecting the person’s bite and any dental work will be unaffected. There is nothing stopping a person with healthy wisdom teeth from getting braces either.

At Quest Johnson Orthodontics we offer orthodontic treatment to patients of all ages. Whether you’re looking for braces, Invisalign or other orthodontic options, we can help you get the smile you want. Contact Quest Johnson Orthodontics today to schedule your consultation. We can answer any questions you may have, including how wisdom teeth affect your treatment.




Monday, July 3, 2017

July Charity of the Month

Each month, Quest Johnson Orthodontics gives back to different charities with our Check-in 4 Charity membership. We believe strongly in supporting meaningful causes in our community and worldwide to help raise awareness and work together with our patients to donate funds monthly. This month, we are excited to announce our efforts are going to benefit July’s featured charity, the SPCA International.

Learn More About the SPCA International
Quest Johnson Orthodontics is excited to encourage patients to check-in at our office this month to support the SPCA International. This charity has a mission to improve the lives of animals around the world and advance the safety and well-being of animals. With generous donations the SPCA International works to save animals from cruelty and neglect. Won’t you check-in to help us support this cause?

Need Help Checking-In?
If you have any questions about checking-in on Facebook at Quest Johnson Orthodontics, please ask us at your next orthodontic appointment. Also, don’t forget to LIKE us on Facebook, and follow @questjohnsonorthodontics on Instagram.

Friday, June 9, 2017

Braces Aren't Just For Cosmetic Purposes

Did you know orthodontic treatment is not just for cosmetic purposes?

Having a good bite not only makes it easier to eat and speak but will enhance your dental and overall health as well. Straight teeth aren’t just pretty, they’re healthy too. Teeth that are properly aligned are easier to clean reducing the risk of gingivitis and periodontal disease.

With locations in Mooresville and Elwood, our practices’ top priority is to provide you the highest quality orthodontic care. We utilize the latest technological advances in the industry, such as Clarity Ceramic Braces and Invisalign, along with the latest in computer technology to ensure that you receive the most effective care possible. Give us a call at our convenient locations to schedule your complimentary consultation today!

Tuesday, May 23, 2017

All You Need To Know About Mouthwash

Mouthwash is an essential part of your oral hygiene routine, especially when being treated by an orthodontist. The process of using mouthwash seems pretty simple: swig, swish, gargle and spit. But, what most people misunderstand is not all mouthwash is created equal. In fact, do you know if you’re using the right kind of mouthwash while being treated at Quest Johnson Orthodontics?

Mouthwash Differences
The next time you’re ready to buy mouthwash, make sure you know your mouthwash and the differences between cosmetic mouthwashes and therapeutic mouthwashes. Just like toothpaste, there are different types of mouthwashes to do different things for your mouth. This is why it’s important to know the key differences between cosmetic & therapeutic mouthwashes.

Cosmetic mouthwashes act as a mask for bad breath or help whiten teeth. Similar to a mint, cosmetic mouthwashes will merely cover your bad breath and give you a more agreeable taste in your mouth. Aside from that, there are also some cosmetic mouthwashes that help give you a brighter whiter smile.

Therapeutic
mouthwashes, however, have clinical purposes for oral hygiene that go beyond masking the smell of your breath. Therapeutic mouthwashes serve to fight plaque, attack bacteria, and strengthen teeth with fluoride making them a better choice for our patients at Quest Johnson Orthodontics.

What to Look For
When buying therapeutic mouthwash, be sure to look for the American Dental Association “Seal of Acceptance” logo on the bottle. All products that feature this logo have been evaluated by experts and approved to meet the safety and standards of effectiveness. Also, be sure to read the instructions very thoroughly and choose the best one for your specific needs.

Fluoride-based mouthwash: Fluoride exists in most toothpaste and in some tap water. For this reason, it is usually an unnecessary ingredient. Nevertheless, it protects against cavities and strengthens enamel.

Alcohol–based mouthwash: Alcohol kills bacteria and viruses harshly. It dries out the mouth, aggravates cuts or burns, and exacerbates inflammation. Anyone with sensitivities should avoid alcohol-based mouthwashes and seek natural ingredients like aloe.

Antibacterial mouthwash: Without alcohol—or with a smaller quantity—antibacterial mouthwash fights infections and minimizes the risk of gum disease. Some patients will receive a prescription for such rinses after surgery.

If you are uncertain what therapeutic mouthwash applies to your needs, ask Dr. Quest or Dr. Johnson for help at your next appointment and they will give you a recommendation. Making sure you gargle and rinse with mouthwash as an additional part of your oral hygiene routine is an essential step to getting the smile of your dreams.



Friday, May 12, 2017

Braces & Oral Health

If you’re a patient at Quest Johnson Orthodontics you are used to visiting us for your regular adjustment appointment every 6-8 weeks. While our hygienist is in your mouth making those adjustments, it’s important for you to remember our team is working on your braces and trips to your general dentist are still very much needed.

When we work on your braces, we are not looking specifically for any cavities and anything we do notice is a by-product of monitoring your oral health from an orthodontic perspective. Even if we did find something suspicious we don’t have the facilities to correct it.

For this reason, we tell you to maintain your regular dental checkup schedule of once every 6 months.

Another important thing to remember is that your oral hygiene needs to be flawless. The appliances that are in your mouth are, unfortunately, a magnet for plaque buildup. If you are a bit lax with brushing and rinsing out your mouth after eating, you may just find that you have a beautiful straight smile with stained teeth.

While having braces does not increase the risk of cavities, not caring for your teeth and having braces does.

If you have any questions regarding your oral hygiene click here to visit our website or contact Quest Johnson Orthodontics at our Mooresville or Elwood office.

Wednesday, May 3, 2017

Tips To Avoid Crooked Teeth

There are a number of reasons that cause crooked teeth, ranging from genetics to mouth deformities and serious oral diseases. When extra teeth or abnormally large teeth create a malocclusion (crookedness), it’s usually genetic in nature. Other inherited traits involve jaws that are too small to accommodate a full set of teeth and misaligned jaws that did not form properly in the womb.

Can crooked teeth be prevented?

In most cases, underbites, overbites, and crooked teeth are genetically derived and can’t be avoided. Orthodontic treatment with braces will be necessary to correct the condition once the child is old enough to wear them. However, certain early childhood behaviors may also contribute to the development of crooked teeth that can be avoided.

These include:

Thumb sucking and tongue thrusting
Losing baby teeth to decay before permanent teeth have naturally pushed them out of their sockets
Allowing pacifier use to continue after front teeth have erupted.  Permanent teeth underneath baby teeth are directly affected by the health of baby teeth. If baby teeth are prematurely lost due to decay or trauma, permanent teeth will shift when they start moving upward. Baby teeth are like anchors for permanent teeth that help guide them as they erupt through the gums.

When to Start Orthodontic Treatment for Crooked Teeth
Our team suggests that parents bring their child to Quest Johnson Orthodontics around age seven to rule out potential issues with permanent teeth eruption. If problems are discovered, it is not unusual to begin orthodontic treatment at that age. In fact, specific conditions such as crowding and gaps between teeth are easier to correct at an early age.

Early treatment also benefits from the growth process of the jaw, which helps move teeth to normal positions. For more information or to schedule your first visit, give us a call at our Mooresville location 317-834-4933 or our Elwood location 765-552-5461. 

Tuesday, April 18, 2017

Easy Raspberry Peach Smoothie Recipe

Making this Raspberry Peach Smoothie is super easy. All you need is some frozen raspberries, peaches, vanilla greek yogurt and vanilla almond milk. Blend it all together and you have a creamy, tasty smoothie to start your day! Enjoy!

Ingredients
  • 1 cup frozen raspberries
  • ¾ cup chopped fresh peaches
  • ¼ cup vanilla greek yogurt
  • ⅓ cup vanilla almond milk
Instructions
  • Place all ingredients in blender and blend until smooth, adding a bit more almond milk as needed if the smoothie is too thick. Serve and enjoy!
For more braces-friendly recipes, tips, and tricks with braces subscribe to our blog or connect with Quest Orthodontics on Facebook!

Tuesday, March 7, 2017

Orthodontics For Children & Adults

Our orthodontic office is not your regular dental facility as we specialize in treatments that you cannot have done at your regular dentist. We help patients with teeth that are misaligned, have eating difficulties, and also treat patients for cosmetic reasons. Almost all age groups need to visit an orthodontist for one reason or another.

Below Dr. Quest and Dr. Johnson have listed the most common reasons each age group might have to visit an orthodontist.

Children
A lot of pediatricians refer children to orthodontists for a variety of reasons. The first and foremost reason is crooked teeth, leading to 'bad bites' or difficulty in chewing. However the age by which referred to an orthodontist is considered is usually after 7 years as the jaw is still developing and teeth are setting in accordingly.

Another reason is crooked or overlapping teeth, which can cause the child to be bullied in school, and thus lead to a lot of distress. This is when we start to consider what interventions should be taken and at what age.

Adults

Adults up to the age of 60 and sometimes even up to 70 years are treated by orthodontists. Here the presenting complaint may either be chronic misaligned teeth since childhood, or smaller issues like recurring mouth ulcers or gum diseases among others.

The most popular reason for most adults is cosmetic as many people wish for their teeth to be straightened, and the growing gaps to be lessened. Other reasons adults seek orthodontists is due to overbiting due to crowded teeth resulting in oral injuries, gingivitis and miscellaneous issues presented at times of adulthood.

Do you want to know more about getting started at the orthodontist? Make sure you visit us at Quest Johnson Orthodontics as we have good reviews about our treatments and friendly staff.

Thursday, January 26, 2017

Do You Have Loose Wires and Bands?

The wires and bands on your braces may come loose. If this happens, please contact Quest Johnson Orthodontics as soon as possible so that we can check and repair your appliance. If any piece of your appliance comes off, be sure to save it and bring it to the office with you.

You can temporarily fix the loose wire by using the back of a spoon or the eraser end of a pencil to carefully and gently push the wire back into place. If the loose wire is causing irritation to your lips or cheeks, put wax or a wet cotton ball over the broken wire to relieve the pain.

Thursday, January 19, 2017

Eating With Braces

Now that you have your braces, how do you take care of them? It's important for you to know how to properly take care of your braces throughout your entire orthodontic treatment at Quest Johnson Orthodontics.

Don't worry, you'll be eating popcorn and snacking on potato chips again in no time! However, before you can start enjoying some of the treats you love, you will need to take special care to avoid any foods that could damage your new appliances.

Foods to AVOID with braces:
  • Chewy foods — bagels, licorice
  • Crunchy foods — popcorn, chips, ice
  • Sticky foods — caramel candies, chewing gum
  • Hard foods — nuts, hard candies
  • Foods that require biting into — corn on the cob, apples, carrots
Foods you CAN eat with braces:
  • Dairy — soft cheese, pudding, milk-based drinks
  • Breads — soft tortillas, pancakes, muffins without nuts
  • Grains — pasta, soft cooked rice
  • Meats/poultry — soft cooked chicken, meatballs, lunch meats
  • Seafood — tuna, salmon, crab cakes
  • Vegetables — mashed potatoes, steamed spinach, beans
  • Fruits — applesauce, bananas, fruit juice
  • Treats — ice cream without nuts, milkshakes, Jell-O, soft cake

Tuesday, January 10, 2017

Do You Want To Take Better #Selfies?

#Selfies have been popular for a few years now, but do you know how to take the perfect one? We know, at first it may have seemed a little ridiculous, all these people taking photos of themselves and posting them online. But did you know that taking selfies is a great way to show off your personality and confidence?

Taking a selfie is an art form in itself. A great selfie is more than just a quick camera click, it actually takes a level of skill to capture and edit the perfect one. After some practice and a few hundred captured pictures (we're only joking) these simple techniques we just know will make you a selfie master in no time at all.
  • Capture Your Best Angle. Instead of taking the picture head-on, turn your head a little to the right or left, or maybe hold your camera a little higher.  Try different angles to show off your best features.
  • Show Off Something New. If you decide to take a selfie to show off something new, like…oh we don’t know, maybe your braces, make sure that you frame the photo in a way that highlights the new accessory that has you so excited.
  • Have Expression. You can never go wrong with smiling! Play around with different smiles and expressions and have fun! No matter what, a smile is the best expression you can wear.
  • Focus on Lighting. A great light source is an essential part of taking any photograph. Natural light is best, so start taking those selfies near a window or outdoors.
  • Don't Use a Mirror. Just stretch your arm out, point the camera toward your face and click.You can use your face forward camera to make it easier!

Ok, now you’re ready! Upload those selfies to all of your feeds…Instagram, Facebook, anywhere and everywhere. Are you a patient of Quest Johnson Orthodontics? Then tag us in your selfies, we'd love to see your smiling faces! Use #QuestJohnsonOrtho!


Wednesday, January 4, 2017

More On Clarity Ceramic Braces

Are you nervous about getting braces? Are you looking for a clear braces option instead of traditional brackets and wires?

At Quest Johnson Orthodontics, we offer Clarity Ceramic Braces by 3M Unitek. These transparent, ceramic braces combine durability and comfort into one compact, subtle design.

Not only does Clarity match the color of your teeth, it also helps reduce stains throughout your treatment, so you can smile with confidence before, during, and after your braces come off.

For more information, contact our office in Mooresville or Elwood.

Thursday, December 15, 2016

New Recipe Alert: Peppermint Chocolate Thumbprint Cookies

Peppermint Chocolate Thumbprint Cookies
Ingredients
  • 1/2 cup butter
  • 1/2 cup sugar
  • 1/2 cup brown sugar
  • 2 eggs
  • 1 teaspoon mint extract
  • 1 1/2 cups all-purpose flour
  • 2/3 cup cocoa
  • 1/4 teaspoon salt
  • 1/4 teaspoon baking powder
  • 1/4 teaspoon baking soda
  • 28 unwrapped peppermint kisses
Instructions
  1. Preheat oven to 350 degrees.
  2. Cream butter & both sugars with mixer. Add eggs one at a time and mix just until incorporated. Mix in mint extract.
  3. Combine flour, cocoa, salt, baking powder and baking soda in a medium bowl. Add 1/2 cup dry mixture to butter mixture. Blending after each addition just until combined and scraping the side of mixer bowl as needed. Remove bowl from mixer and refrigerate for 10 minutes.
  4. Butter hands and roll dough into 1 inch balls. Place on cookie sheet covered with parchment paper.
  5. Bake for 10 minutes. Allow to cool for 5 minutes only. Press one peppermint kiss into the top of each cookie. Move to cookie cooling racks being very careful not to the touch the kiss.
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