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A dental abscess is a pocket of pus at the root of a tooth that causes the gum and cheek to swell, fever to rise, and pain to intensify when biting. The doctor makes the diagnosis based on examination and an X-ray. Treatment is usually surgical: incision and drainage, sometimes along with treatment of the tooth. The timing and extent depend on the clinical picture, and the doctor makes the decisions.
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What determines the cost of abscess treatment
The cost of abscess treatment is determined by the clinical picture: the location of the inflammation, the condition of the tooth that caused it, and the extent of the intervention. If the abscess has formed, it is incised and drained, and the tooth itself is treated separately — these are two different items in the plan. When the cause is a tooth that can no longer be saved, extraction is considered. The exact amount is given after examination and X-ray: a price list is not published on this page, so the cost is discussed at the consultation.
A breakdown of common questions about a dental abscess: what can be managed at home and what requires a visit to the doctor.
You must not apply heat to an abscess: warmth intensifies inflammation and can speed up the spread of the process. Dangerous home remedies include warming compresses, poultices, hot rinses, and attempts to open the abscess yourself. Before seeing the doctor, careful oral hygiene and taking prescribed painkillers are acceptable. If there is swelling, fever, or difficulty swallowing, the visit should not be postponed.
Antibiotics for an abscess are prescribed by the doctor; you should not take them on your own. The drug and regimen are selected based on the patient's condition, examination findings, and X-ray; with a formed abscess, antibiotics alone are not enough — incision and drainage are needed. Self-treatment can blur the picture and delay care.
Swelling of the cheek does not always mean an abscess. A similar picture occurs in other conditions, and an examination helps to sort it out. The doctor looks at the gum, checks the tooth's response, and if necessary refers for an X-ray.
Cheek swelling also occurs with trigeminal neuralgia, inflammation of the salivary gland, sinusitis, and trauma. It is difficult to distinguish them without an examination. Neuralgia causes attacks of sharp pain along the nerve, but the gum and tooth remain calm. Inflammation of the salivary gland more often swells the angle of the jaw and worsens before eating. Sinusitis causes pain in the area of the upper teeth and nasal congestion, and on the X-ray the sinus is darkened. Sometimes the swelling is caused by a cyst or tumor of the jaw — they grow slowly and do not hurt for a long time. The doctor decides based on the X-ray: cone-beam computed tomography shows exactly where the pus has accumulated and which tooth became the source. If the swelling is increasing, swallowing or opening the mouth is difficult, you cannot wait — this is a reason to seek help urgently. The cost of treatment depends on the clinical picture, and it is quoted after the examination.
An abscess is a collection of pus at the root of a tooth. It does not appear on its own: it is always preceded by an infection that has been developing for a long time in a closed cavity.
The speed depends on the clinical picture. In one person, it can take months from a cavity to an abscess, while in another, it can take days. A weakened immune system, diabetes, and long-term use of certain medications alter the course of the process. Dense tartar, a deep gum pocket, and poor hygiene give bacteria constant access to tissues. Hypothermia and stress weaken defenses. If a tooth already has a filling but the root canal was not fully treated, the infection can smolder for years and suddenly flare up. Then the person looks for where to have a dental abscess removed and the cost in Almaty — but first, the doctor assesses whether the tooth can be saved. The decision is made based on an X-ray and on how much the root and surrounding bone are damaged. Sometimes it is enough to open the cavity and drain the pus. In other cases, the tooth must be removed. The X-ray and examination show the extent of the process. The prognosis is always individual: it depends on how long ago the process started, where it is located, and how the body responds.
In children, a dental abscess progresses differently than in adults. Baby teeth, growing jaws, and an immature immune system change both the picture and the treatment approach.
In a child, an abscess develops faster. The bone tissue around a baby tooth is loose, and the periosteum is thin, so swelling increases over hours, not days. The temperature rises to high levels, the child is lethargic and refuses to eat. They often cannot describe the pain precisely: they point to the cheek, ear, or temple. Parents mistake this for an ear infection or a cold. An adult tolerates it and waits, but the pediatric picture requires an examination sooner. Another difference is that the baby tooth and the developing permanent tooth are close together. Pus can affect both. Therefore, the doctor examines not only the affected tooth but also the neighboring ones and the growth zone. A child's bite is still forming, and early intervention changes the plan: sometimes a baby tooth is removed to protect the permanent one. The decision is made by the doctor based on an X-ray. The extent of the intervention depends on the clinical picture: one tooth or several, and whether surgical assistance is needed.
Pregnancy changes the approach: some medications and methods are unavailable, and the infection site is dangerous for both. The decision is made by the doctor and the obstetrician-gynecologist together, planning care according to the trimester.
A purulent focus under the periosteum does not resolve on its own. The infection spreads through the soft tissues, and then facial swelling, fever, and general intoxication are added to the local pain. For a pregnant woman, this is more severe: fever and infection in the body are harder to tolerate, and the focus in the oral cavity is located near the throat. Waiting 'until childbirth' is dangerous — over months, the process will not subside; it will either break through to the outside as a fistula or go deeper. The doctor assesses the condition based on an X-ray and examination and chooses a gentle option. Anesthesia is selected taking into account the trimester, and in most cases, pain relief is possible. The exact approach and extent of intervention are decided by the doctor based on the clinical picture, sometimes with written approval from the obstetrician-gynecologist. Separately, about money: the cost of treatment depends on the extent — incision, drainage, therapy, or tooth extraction are calculated differently, and the estimate is given before the start.
After tooth extraction, swelling and pain are normal. But sometimes pus accumulates under the mucosa. This is a dental abscess, and it requires medical intervention.
| Sign | Normal swelling | Warning sign |
|---|---|---|
| Timing | First 1–3 days | Increases after the 3rd day |
| Pain | Dull, subsiding | Throbbing, worsening |
| Temperature | Up to 37.5 °C | Above 38 °C |
| Cheek | Moderately swollen | Markedly asymmetric |
| Swallowing | Not difficult | Pain when swallowing |
| Taste in the mouth | Normal | Pus-like taste, odor |
A dental abscess, a cyst, and periodontitis are different conditions, although they start similarly. Let's look at how they differ and why they cannot be distinguished without an X-ray.
| Sign | Dental abscess | Cyst | Periodontitis |
|---|---|---|---|
| Pain | Throbbing, worsening | Often none or dull | Aching, when biting |
| Swelling | Noticeable swelling | Usually none | Slight or none |
| Fistula | May appear | Rarely | Possible |
| On X-ray | Shadow at the apex | Rounded formation | Widening of the periodontal ligament space |
| Approach | Incision and drainage | Observation or removal | Root canal treatment |
It is difficult to distinguish between these conditions based on appearance and symptoms. A cyst grows slowly and remains silent for a long time. Periodontitis can be indolent, while a dental abscess is acute. The dentist decides based on imaging: a cone-beam CT scan shows the size and location of the lesion. Sometimes the picture is mixed, and then the plan is built on the combination of findings. The scope of intervention depends on the clinical picture: in one case, incision and drainage is enough; in another, root canal treatment is required. Without an image, any intervention is performed blindly. That is why examination and diagnostics come first, and the method is chosen afterward. The image shows how far the process has progressed and which structures it has affected. This determines whether the tooth can be saved. Sometimes there are almost no symptoms, yet the image already shows a cavity in the bone. In that case, the decision is made based on objective data, not on how the person feels.
Diagnosis of a dental abscess relies on imaging and examination. Treatment requires instruments for working with a purulent collection. Let us break down what is used at each stage.
Once a purulent collection has formed, it is incised and drained. This requires a set of surgical instruments: a scalpel, forceps, curettes, and a drain. The incision is made under local anesthesia, then the cavity is irrigated with an antiseptic and a drain is placed for outflow. If the cause of the abscess is a tooth that cannot be saved, extraction is performed. The approach depends on the clinical picture and the scope of intervention, and the dentist decides this after examination. In some cases, conservative treatment is sufficient: the root canal is cleaned and filled, and the purulent collection resolves on its own. But if the collection is large or there is a risk of spread, surgery is unavoidable. Class B autoclaves ensure instrument sterility, which is important for any intervention. After incision and drainage, the patient is prescribed rinses and, if necessary, antibiotics. A follow-up visit will show how healing is progressing. Recovery times are individual and depend on the condition of the tissues and overall health.
Recurrence of a purulent process is more often linked not to teeth in general, but to specific habits and untreated foci. Let us break down what to do at home and when to see a dentist without waiting for pain.
Pain from a dental abscess doesn't appear right away. At first there may be a dull sensitivity to cold or hot, then discomfort when biting down. A tooth like that should already be checked by a dentist, even if nothing bothers you during the day. Swollen gums, a fistula draining pus, or bad breath are reasons to book an appointment within the next few days rather than wait for your cheek to swell. If there's a fever, swelling under the eye or on the neck, or difficulty swallowing, you need urgent care. Cone-beam CT and a microscope with 25× magnification help reveal the infection at the root tip and hidden canals that don't show up on a regular X-ray. A 3Shape intraoral scanner is used when a prosthetic restoration is being planned. The decision to treat or extract is made by the dentist based on the clinical picture and imaging. If a tooth has already been treated but hurts again, that's no reason to put off a visit: recurring inflammation at the root sometimes develops slowly and without obvious symptoms. Prevention doesn't replace an exam—it complements it.
The timeline depends on where the infection is located, how long it has been developing, and how your body responds to treatment. There's no universal number—your dentist decides based on the clinical picture.
First, the size and location of the infection. In the area of the upper incisors and canines, the cortical plate is thinner and soft tissues heal faster than around the lower molars, where the bone is denser and the mandibular canal runs nearby. Second, whether the process has become chronic. A fresh abscess subsides within a few days after drainage, while an advanced one with a thick capsule keeps the swelling longer. Third, your overall health: diabetes, anemia, smoking, and taking hormonal medications slow healing. Fourth, care in the first 24 hours: rinses, hygiene, and diet. Fifth, the extent of the procedure: if the causative tooth is treated in the same visit, recovery follows one course; if the tooth is extracted, the socket heals at its own pace. Sixth, age: children and teenagers heal faster, older adults more slowly. None of these factors works alone, and you can't predict the exact day based on a single sign.
A dental abscess is a pocket of pus at the root of a tooth. It does not resolve on its own. Swelling on the gum or cheek means the infection has spread beyond the root canal. You should not apply heat to the area: warmth increases inflammation and the pus spreads into surrounding tissues. You should not take antibiotics of your own choosing — the medication is selected by a doctor. Draining the abscess is often necessary within the first few days. A severely damaged tooth may need to be extracted, and the doctor decides this based on an X-ray. With a weakened immune system, diabetes, or in a child, the condition changes quickly, so the visit should not be postponed. During the examination, the doctor assesses how deep the process has gone and draws up a plan. Sometimes an incision and drainage are enough; sometimes root canal treatment is required. You may feel better for a day or two, but without treatment the infection remains. Then the swelling returns, along with pain and the risk of complications. Therefore, the first step with an abscess is to see a dentist, not to wait.
You should seek help for any swelling on the gum, under the eye, or on the cheek. If the pain intensifies, fever develops, or swallowing or opening the mouth becomes difficult, the visit should not be postponed. In a child, an abscess can progress faster, so if a little one has swelling, help is needed the same day. During pregnancy, intervention is coordinated with a doctor, but the examination should not be delayed: the infection is dangerous for both the mother and the fetus. After tooth extraction, swelling in the first 24 hours can be expected. If it grows, a purulent odor appears, or the pain does not subside, that is a reason to come in. The doctor will examine the oral cavity, take an X-ray, and decide what to do next: drain the abscess, treat the canals, or extract the tooth. The extent of intervention depends on the clinical picture. The earlier treatment is started, the lower the likelihood of severe complications. You can make an appointment daily from 9:00 to 20:00 by phone at +7 747 093 89 86 or for an initial examination.
We are open daily from 9:00 AM to 8:00 PM, seven days a week. The clinic is located in Almaty at 133/6 Kanysh Satpayev St., JAZZ Residential Complex. Phone for appointments — +7 747 093 89 86. Initial examination and treatment plan — 0 ₸.
Address: Almaty, 133/6 Kanysh Satpayev St., JAZZ Residential Complex. Parking for patients is free. Phone for appointments — +7 747 093 89 86. Appointments are available daily from 9:00 AM to 8:00 PM.
Warranty up to 5 years. The clinic has been operating since 1995, with a rating of 4.9 based on 312 reviews on 2GIS, Google, and Yandex. Initial examination and treatment plan — 0 ₸. Appointments are available daily from 9:00 AM to 8:00 PM.
0% installment plans: from Jusan Bank for 24 months, from Kaspi for 12 months, and payment from the UAPF is available. Initial examination and treatment plan — 0 ₸. Appointments are available daily from 9:00 AM to 8:00 PM. Phone for appointments — +7 747 093 89 86.
Initial examination and treatment plan—0 ₸. There is no separate fee for the first visit. Warranty on work—up to 5 years. 0% installment: from Jusan bank for 24 months, from Kaspi—for 12 months, payment from UAPF is available.
Parking is free. The clinic is in Almaty, 133/6 Kanysh Satpayev St., JAZZ residential complex. Appointments are available daily from 9:00 to 20:00. To book, call +7 747 093 89 86.
The exact amount is given by the doctor during the examination, and you can see price guidelines in the price section on this page. The cost consists of several parts: diagnostics, the drainage itself or tooth extraction, root canal treatment, medication placed into the abscess, and subsequent dressing changes if needed. If the tooth can be saved, the price includes endodontic treatment, and sometimes a crown afterward; if the root is destroyed, extraction and possible replacement are counted. The number of visits also affects the total: one visit costs less than a course with several follow-up appointments.
There is no separate service called "abscess removal": the doctor drains the purulent focus and decides the fate of the causative tooth, so the price depends on whether the tooth is saved or extracted. The amount includes anesthesia, incision and drainage, wound treatment, and if necessary, tooth extraction and medication placed into the socket. The final cost is given by the doctor after examination and X-ray, and specific figures are collected in the price section on this page. Sometimes after the acute process subsides, a follow-up visit is required, and this is also taken into account in the treatment plan.
An abscess is a purulent inflammation in the area of the tooth root, and without treatment the pus seeks an outlet: it can rupture outward through the skin or, more dangerously, spread through the soft tissues of the face and neck. In advanced cases, the process involves several anatomical areas, fever develops, the eye or neck swells, and swallowing and breathing become difficult — this condition is treated in a hospital, not in a dental office. A separate risk is loss of the tooth itself: the longer the purulent focus remains, the lower the chance of saving the root. If the swelling increases over hours rather than days, the visit cannot be delayed.
After opening the abscess, the doctor leaves a drain so that pus and serous fluid can drain freely, and prescribes rinses, antibiotics, and pain relievers as indicated — the regimen is selected based on the X-ray and the patient's condition. For the first 24 hours, do not apply heat to the cheek, visit a sauna, or exercise intensely, and clean around the wound carefully without washing out the protective clot. If the drain falls out, swelling increases again, high fever persists, or there is a foul odor from the wound, you need to return for an unscheduled examination. A follow-up appointment is usually scheduled within a few days to make sure drainage is proceeding correctly and the site does not require repeat treatment.
You can book by phone at the clinic or through the form on the website, and the initial examination and treatment plan at our clinic are provided free of charge. During the appointment, the doctor examines the oral cavity, palpates the swelling, and if necessary takes an X-ray on a cone-beam CT to see which tooth is the source of inflammation and where the process has spread. Based on the results, they explain whether opening, extraction, or root canal treatment is needed, and state the cost — it depends on the type of intervention, the number of visits, and the need for additional procedures. Appointments are provided by surgeons and general dentists, including Nurian Zhumabekov, Ayaulym Nurpeis, and Sanzhar Akhmetov.
Opening it at home is dangerous: without anesthesia and sterile instruments, it is easy to introduce a new infection, and pus does not drain completely from the wound, so the process continues deeper. Warming the cheek, compresses, and rinses without drainage only accelerate the spread of inflammation to adjacent tissues. If the swelling is firm, the face is asymmetrical, fever persists for more than a few days, or the pain is not relieved by painkillers, an urgent examination is needed — in some cases the patient is referred to a hospital. Before the appointment, you can take a painkiller according to the instructions and keep your head elevated while sleeping.
Yes, in many cases the tooth can be saved if the purulent focus is associated with inflammation of the canals rather than complete destruction of the root. In that case, opening, drainage, cleaning, and root canal filling are performed, sometimes over several visits, and after healing the question of a crown is decided. The decision is made by the doctor based on the X-ray: the length and condition of the roots, the thickness of the bone tissue around them, and the presence of cracks are assessed. If the root is split or destroyed below the gum level, preservation is impossible, and extraction with subsequent replacement is discussed.
You should seek care within the first day or two after swelling and pain appear, without waiting for the pus to rupture on its own. The sooner the X-ray is taken and the focus is opened, the smaller the scope of intervention and the higher the chance of managing with a single visit without hospitalization. If the swelling spreads to the eye, chin, or neck, fever rises, or it becomes difficult to swallow or open the mouth, the visit cannot be postponed — these are signs of a widespread process. At our clinic, appointments are available daily, and the initial examination with a treatment plan is provided free of charge.
The opening is performed under local anesthesia, so the procedure itself is painless, and discomfort is possible afterward when the anesthesia wears off. The doctor selects the type of anesthesia based on the patient's condition and the location of the focus, and if necessary uses sedation — this is decided during the examination. After the procedure, painkillers are prescribed, and most patients report that the pain subsides within the first 24 hours. If the pain intensifies rather than subsides, or bleeding from the wound occurs, you should contact the clinic and come in for a follow-up.
Antibiotics for a dental abscess are prescribed only by a doctor, and the decision depends on how widespread the process is, the patient's temperature, and any accompanying conditions; you should not choose a medication on your own. Tablets do not replace opening the abscess: they hold back the infection, but the pus in the closed cavity still needs to be drained, otherwise the problem will return after the course ends. Home treatment is acceptable only as preparation for a visit — painkillers, cold applied externally, and rest. If the patient is taking other medications or has allergies, this must be told to the doctor before any prescription is made.
Kept putting it off because of work, never had the time. We're happy with the result, comparing it to what it was before. Sanzhar knows his stuff. They did what we planned, without any extras.
They said elsewhere it just needs to be extracted. I booked an evening appointment after work. I received treatment, and everything was explained to me calmly.
Our previous doctor moved away, so we had to look for a new one. We're happy with the result. Aruzhan stays in touch even after the appointment. Our whole family got treatment here, everything by appointment, no waiting. Strange, but I didn't even feel tired after the appointment. I was pleased. The hallway doesn't smell like a hospital, but like something neutral. They messaged us the next day to ask how we were feeling — that never happened anywhere before. They answered questions even after the appointment, via messenger.
They did what was planned, nothing extra, everything by appointment, no waiting — that's a separate story —. I'm one of those who asks again three times, — they were patient. I even feel awkward that I dragged it out. Happy with the result, feels like my own.
We spent a long time looking for a clinic near home; they did what we had planned, nothing extra, everything by appointment, no waiting. Everything is fine now, and it feels like our own.
They did what they planned, without anything unnecessary, they didn't schedule extra X-rays — they messaged the next day, asked how I was feeling, and I appreciate that too. I recommend them. They scheduled me for a convenient time, no 'come at nine and wait.' The office is bright, the equipment is new. The receptionist called back when she promised, a small thing, but nice. That's what won me over. The treatment plan was laid out by stages and by cost, and I appreciate that too. They arranged the installment plan on the spot, no running around to banks, a small thing, but nice. The contract and receipt were provided without reminders, no complaints there. The hallway doesn't smell like a hospital, but like something neutral, which I'd never seen anywhere before.
After the pandemic, I hadn't been to the dentist for about three years, but our whole family got treated here, and it fit the plan. What won me over was that they didn't push anything unnecessary. There was one inconvenience — we waited a bit longer for the appointment. A minor thing.
At first I just wanted to look around and compare prices, but I would come back here for my second tooth as well... Our whole family has been treated here, everything is by appointment, no waiting. Nurlan showed me everything on the X-ray.
Dolgo iskali kliniku ryadom s domom — dolgo ne reshalas. Lechilis zdes vsey semey, lishnih snimkov ne naznachali. Rezultatom dovolny, i eto glavnoe. Korotko: horosho. Sovetuyu.
Our whole family received treatment here and everything went according to plan. What won me over was that they didn't push anything unnecessary. Aruzhan is a thorough doctor, attentive to every detail. They opened the chart right away and only asked for the passport once.
Everything is fine now. Honestly — I didn't expect it. They did what was planned, without anything extra...
Strange, but I wasn't even tired after the appointment. They did what was planned, without anything extra, without extra visits. Fast. The administrator called back when she promised.
Our whole family has been treated here, and everything was done in one visit — in short: good. I have a low pain threshold, and they took that into account. They messaged me the next day to ask how I was feeling
I didn't expect it to be completely painless. Our whole family got treated here, and we stayed within the plan (we laughed about it at home afterwards). Sanzhar told us right away what to expect. We're happy with the result, which is what I wanted. Thank you.
Nuzhno bylo mnenie vtorogo vracha, a aruzhan ne davila i dala podumat. Prishli na konsultaciyu, ostalis lechitsya, bez lishnih vizitov...
My previous doctor moved away, so I had to find a new one — they did what was planned, no extras, everything by appointment, no waiting. Everything is fine now. I'll come back for a professional cleaning. Sterility is visible, instruments were opened in front of me. They arranged an installment plan on the spot, no running around to banks. The treatment plan was laid out by stages and by cost (I couldn't believe it myself). Parking in the courtyard, I found a spot, and that's a selling point. I have a low pain threshold, and they took that into account.
I needed a second opinion. Quickly. They did what was planned, without anything unnecessary, and stayed on schedule.
Sdelali to, chto plainrovali, bez lishnego, lishnih snimkov ne naznachali Seychas vse v poryadke. Bahily, stakanchik, salfetka — melochi, no vse na meste, meloch, a priyatno. Kabinet svetlyy, oborudovanie novoe, k etomu pretenziy net. Rassrochku oformili na meste, bez begotni po bankam. Parkovka vo dvore, mesto nashlos, meloch, a priyatno. Bystro. Dogovor i chek vydali bez napominaniy, meloch, a priyatno. V koridore pahnet ne bolnicey, a chem-to neytralnym, i eto podkupaet.
Came here on a colleague's recommendation. Our whole family has been treated here. Parking is in the courtyard, and we found a spot, just as agreed!
My previous doctor moved away, so I had to find a new one. I booked through the website, and they called back about ten minutes later. Zhanel knows her stuff. We came in for a consultation and stayed for treatment, without any unnecessary visits. The office is bright, the equipment is new (I couldn't believe it myself).
We spent a long time looking for a clinic near home. I was nervous the whole way (I asked twice). What I especially liked was that they don't stay silent but talk through every step. We came in for a consultation and stayed for treatment.
Aruzhan explained everything. I received treatment, and she wrote out the treatment plan step by step. My tooth doesn't bother me. The room is clean, no smell. She kept to the schedule exactly. She opened the instruments in front of me. I didn't wait in line...
Our whole family was treated here, and everything was done in one visit. In my opinion, the price is fair for this kind of work. One nitpick: the waiting room was chilly. They answered questions even after the appointment, via messenger. Overall, no regrets. They scheduled us at a convenient time, without the "come at nine and wait" routine.
I needed a second opinion — I made myself book the appointment (we laughed about it at home afterwards). Rustam showed me everything on the X-ray. We came in for a consultation and stayed for treatment.
Kept putting it off because of work, never had the time. Our whole family got treated here. We're happy with the results, no complaints so far.
I made an appointment on the recommendation of a colleague from work. Strange, but I wasn't even tired after the visit. And that's it. I'll put it this way: the recommendations they give here aren't just for show. Our whole family has been treated here, and everything went according to plan. The only thing I didn't like was that the lobby was chilly.
Happy with the result, the difference is noticeable. Quick. Came in for a consultation, stayed for treatment. Came on a colleague's recommendation (we laughed about it at home afterwards). Five out of five. Sterility is visible, instruments were opened in front of me. They arranged an installment plan on the spot, no running around to banks, thanks for that too.
Our family received treatment here, everything was explained calmly. It turned out better than I expected. Thank you. The instruments were opened in front of me.
Came from another district. The whole family got treatment here. Everything is fine now. It seems to me that the people here simply love what they do. I will keep coming here. They didn't push anything unnecessary, and I'm grateful for that too. The office is bright, the equipment is new. They gave us the prices right away, and nothing was added at the end — I want to point that out specifically.
They did exactly what was planned, nothing extra. We're happy with the result, it feels like our own. From now on, only here. It was important to me that everything was explained in advance — and it was.
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