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Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Research

Disinfection of 3D-printed surgical guides using virgin coconut oil (in vitro study)

Authors: Rania T. Khalil, Ahmed Alshimy, Eglal Elsherbini, Mervat E. Abd-Ellah

Published in: BMC Oral Health | Issue 1/2023

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Abstract

Background/objective

Disinfection of a 3D-printed surgical guide is of utmost importance as it comes into contact with hard and soft tissue during implant placement so it poses a potential risk of pathogenic transmission. Methods used for disinfection in the surgical field should be reliable, practical, and safe for the instruments and the patients. The objectives of this study were to compare the antimicrobial potential of 100% Virgin Coconut Oil, 2% Glutaraldehyde, and 70% Ethyl Alcohol used to decontaminate 3D-printed surgical guides.

Materials and methods

Thirty identical surgical guides were printed and cut into two halves (N = 60). Both halves were then contaminated with a defined amount of human saliva samples (2 ml). The first half (n = 30) was sub-grouped into three study groups which were immersed in one of the three disinfectants for 20 min as follows; group VCO was immersed in 100% Virgin Coconut Oil, group GA was immersed in 2% Glutaraldehyde, and group EA was immersed in 70% Ethyl Alcohol. The second half (n* = 30) was sub-grouped into three control groups which were immersed in sterile distilled water as follows group VCO*, group GA*, and group EA*. The microbial count was expressed as colony-forming units per plate and the comparison of the antimicrobial potential of the three tested disinfectants between the three study and three control groups was done using the One-Way ANOVA test.

Results

The culture results of three study groups revealed no bacterial growth with the highest % of reduction in the mean microbial count of the oral microorganisms (about100%) and an uncountable bacterial growth was shown between the three control groups (more than 100 CFU/plate) representing the baseline of the oral microorganisms. Therefore; statistically significant differences were found between the three control and three study groups (P < .001).

Conclusion

The antimicrobial potential of Virgin Coconut Oil was comparable and equivalent to Glutaraldehyde and Ethyl Alcohol with a significant inhibitory action against oral pathogens.
Literature
1.
go back to reference Halawani R, Aboalshamat K, Alwsaidi R, Sharqawi S, Alhazmi R, Abualsaud Z, Alattallah A, Alamri M. Awareness and Practices of Dental Students and Dentists Regarding Infection Control in Prosthodontic Clinics. The Open Dent J 2020;16:184-90. Halawani R, Aboalshamat K, Alwsaidi R, Sharqawi S, Alhazmi R, Abualsaud Z, Alattallah A, Alamri M. Awareness and Practices of Dental Students and Dentists Regarding Infection Control in Prosthodontic Clinics. The Open Dent J 2020;16:184-90.
2.
go back to reference Abinaya K, Muthu Kumar B, Ahila SC. Evaluation of Surface Quality of Silicone Impression Materials after Disinfection with Ozone Water: An In vitro Study. Contemp Clin Dent. 2018;9:60–4.CrossRefPubMedPubMedCentral Abinaya K, Muthu Kumar B, Ahila SC. Evaluation of Surface Quality of Silicone Impression Materials after Disinfection with Ozone Water: An In vitro Study. Contemp Clin Dent. 2018;9:60–4.CrossRefPubMedPubMedCentral
4.
go back to reference K.S, Sumanth & Poovani, Shwetha & Shetty, Gautam & Sonnahalli, Nithin & Kumararama, Sindhu. Infection Control Protocol in Prosthodontics - A Review. Inter J Sci Res. 2019;8:1–3. K.S, Sumanth & Poovani, Shwetha & Shetty, Gautam & Sonnahalli, Nithin & Kumararama, Sindhu. Infection Control Protocol in Prosthodontics - A Review. Inter J Sci Res. 2019;8:1–3.
5.
go back to reference Ashtiani RE, Ghasemi Z, Nami M, Mighani F, Namdari M. Accuracy of static digital surgical guides for dental implants based on the guide system: A systematic review. J Stomatol Oral Maxillofac. 2021;122:600–7.CrossRef Ashtiani RE, Ghasemi Z, Nami M, Mighani F, Namdari M. Accuracy of static digital surgical guides for dental implants based on the guide system: A systematic review. J Stomatol Oral Maxillofac. 2021;122:600–7.CrossRef
7.
go back to reference Marei HF, Alshaia A, Alarifi S, Almasoud N, Abdelhady A. Effect of Steam Heat Sterilization on the Accuracy of 3D Printed Surgical Guides. Implant Dent. 2019;28:372–7.CrossRefPubMed Marei HF, Alshaia A, Alarifi S, Almasoud N, Abdelhady A. Effect of Steam Heat Sterilization on the Accuracy of 3D Printed Surgical Guides. Implant Dent. 2019;28:372–7.CrossRefPubMed
9.
go back to reference Chidambaranathan AS, Balasubramanium M. Comprehensive Review and Comparison of the Disinfection Techniques Currently Available in the Literature. J Prosthodont. 2019;28:e849–56.CrossRefPubMed Chidambaranathan AS, Balasubramanium M. Comprehensive Review and Comparison of the Disinfection Techniques Currently Available in the Literature. J Prosthodont. 2019;28:e849–56.CrossRefPubMed
12.
go back to reference Nasir NAMM, Abllah Z, Jalaludin AA, Shahdan IA, Manan WNHWA. Virgin Coconut Oil and Its Antimicrobial Properties against Pathogenic Microorganisms: A Review. International Dental Conference of Sumatera Utara 2017 (IDCSU 2017) 2018;8:192–9. Nasir NAMM, Abllah Z, Jalaludin AA, Shahdan IA, Manan WNHWA. Virgin Coconut Oil and Its Antimicrobial Properties against Pathogenic Microorganisms: A Review. International Dental Conference of Sumatera Utara 2017 (IDCSU 2017) 2018;8:192–9.
13.
go back to reference Dayrit FM. The properties of lauric acid and their significance in coconut oil. J Am Oil Chem Soc. 2015;92:1–5.CrossRef Dayrit FM. The properties of lauric acid and their significance in coconut oil. J Am Oil Chem Soc. 2015;92:1–5.CrossRef
14.
go back to reference Umate N, Kuchewar V, Parwe S. A narrative review on the use of virgin coconut oil in dermatology. J Indian SysMedicine. 2022;10:86–9. Umate N, Kuchewar V, Parwe S. A narrative review on the use of virgin coconut oil in dermatology. J Indian SysMedicine. 2022;10:86–9.
15.
go back to reference Wiyani L, Aladin A, Juniar ME. Antioxidant activity of Virgin Coconut Oil and Virgin Coconut Oil Emulsion. Syst Rev Pharm. 2020;11:973–6. Wiyani L, Aladin A, Juniar ME. Antioxidant activity of Virgin Coconut Oil and Virgin Coconut Oil Emulsion. Syst Rev Pharm. 2020;11:973–6.
17.
go back to reference Wiyani L, Aladin A, Putra B. Antidiabetic effect of the virgin coconut oil and the virgin coconut oil emulsions. Syst Rev Pharm. 2020;11:243–6. Wiyani L, Aladin A, Putra B. Antidiabetic effect of the virgin coconut oil and the virgin coconut oil emulsions. Syst Rev Pharm. 2020;11:243–6.
19.
go back to reference Thahir H, Irawaty Djais A, Nasir M, Rahayu Feblina A, Annisa A, Etriyani N, Achmad H. Virgin coconut oil as a new concept for periodontal tissue regeneration via expressions of TNF-α and TGF-β1. Int J Biomater. 2022;8:7562608. Thahir H, Irawaty Djais A, Nasir M, Rahayu Feblina A, Annisa A, Etriyani N, Achmad H. Virgin coconut oil as a new concept for periodontal tissue regeneration via expressions of TNF-α and TGF-β1. Int J Biomater. 2022;8:7562608.
20.
go back to reference Narayanankutty A, Illam SP, Raghavamenon AC. Health impacts of different edible oils prepared from coconut (Cocos nucifera): A comprehensive review. Trends Food Sci Technol. 2018;80:1–7.CrossRef Narayanankutty A, Illam SP, Raghavamenon AC. Health impacts of different edible oils prepared from coconut (Cocos nucifera): A comprehensive review. Trends Food Sci Technol. 2018;80:1–7.CrossRef
21.
go back to reference do Couto MV, da Costa Sousa N, Abe HA, Dias JA, Cordeiro CA, Paixão PE, Santos TB, dos Santos Cunha F, Meneses JO, Bomfim CN, Honorato CA. Benefits of Virgin Coconut Oil in Diet to Colossoma macropomum (Cuvier, 1818). Aquacult Nutr. 2022;19;2022. https://doi.org/10.1155/2022/4387692. do Couto MV, da Costa Sousa N, Abe HA, Dias JA, Cordeiro CA, Paixão PE, Santos TB, dos Santos Cunha F, Meneses JO, Bomfim CN, Honorato CA. Benefits of Virgin Coconut Oil in Diet to Colossoma macropomum (Cuvier, 1818). Aquacult Nutr. 2022;19;2022. https://​doi.​org/​10.​1155/​2022/​4387692.
22.
go back to reference Udensi, Justina & Umeh, Sarah & Mgbemena, Ifeyinwa & Emeka-Nwabunnia, Ijeoma & Ebe, Tochukwu & Aroh, Kenechukwu & O, Anyanwu. Antifungal Activities of Virgin Coconut Oil on Candida albicans, Aspergillus niger and Mould Species. Afr J Health Sci. 2021;7:889–93. Udensi, Justina & Umeh, Sarah & Mgbemena, Ifeyinwa & Emeka-Nwabunnia, Ijeoma & Ebe, Tochukwu & Aroh, Kenechukwu & O, Anyanwu. Antifungal Activities of Virgin Coconut Oil on Candida albicans, Aspergillus niger and Mould Species. Afr J Health Sci. 2021;7:889–93.
23.
go back to reference Siripaiboonpong N, Matangkasombut O, Pengcharoen H, Boonchaiyapluk B, Rujiraprasert P, Srithanyarat SS. Microbiological Effects of Virgin Coconut Oil Pulling in Comparison with Palm Oil Pulling as an Adjunctive Oral Hygiene Care for Patients with Gingival Inflammation: A Randomized Controlled Clinical Trial. J Indian Soc Periodontol. 2022;26:58.CrossRefPubMed Siripaiboonpong N, Matangkasombut O, Pengcharoen H, Boonchaiyapluk B, Rujiraprasert P, Srithanyarat SS. Microbiological Effects of Virgin Coconut Oil Pulling in Comparison with Palm Oil Pulling as an Adjunctive Oral Hygiene Care for Patients with Gingival Inflammation: A Randomized Controlled Clinical Trial. J Indian Soc Periodontol. 2022;26:58.CrossRefPubMed
25.
go back to reference Kaliamoorthy S, Pazhani A, Nagarajan M, Meyyappan A, Rayar S, Mathivanan S. Comparing the effect of coconut oil pulling practice with oil pulling using sesame oil in plaque-induced gingivitis: A prospective comparative interventional study. J Nat Sc Biol Med. 2018;9:165–8.CrossRef Kaliamoorthy S, Pazhani A, Nagarajan M, Meyyappan A, Rayar S, Mathivanan S. Comparing the effect of coconut oil pulling practice with oil pulling using sesame oil in plaque-induced gingivitis: A prospective comparative interventional study. J Nat Sc Biol Med. 2018;9:165–8.CrossRef
26.
go back to reference Khor Y, Koh S, Long K, Long S, Ahmad S, Tan C. A comparative study of the physicochemical properties of a virgin coconut oil emulsion and commercial food supplement emulsions. Molecules. 2014;19:9187–202.CrossRefPubMedPubMedCentral Khor Y, Koh S, Long K, Long S, Ahmad S, Tan C. A comparative study of the physicochemical properties of a virgin coconut oil emulsion and commercial food supplement emulsions. Molecules. 2014;19:9187–202.CrossRefPubMedPubMedCentral
27.
go back to reference Parfene G, Horincar V, Tyagi AK, Malik A, Bahrim G. Production of medium chain saturated fatty acids with enhanced antimicrobial activity from crude coconut fat by solid state cultivation of Yarrowia lipolytica. Food Chem. 2013;136:1345–9.CrossRefPubMed Parfene G, Horincar V, Tyagi AK, Malik A, Bahrim G. Production of medium chain saturated fatty acids with enhanced antimicrobial activity from crude coconut fat by solid state cultivation of Yarrowia lipolytica. Food Chem. 2013;136:1345–9.CrossRefPubMed
28.
go back to reference Shino B, Peedikayil FC, Jaiprakash SR, Ahmed Bijapur G, Kottayi S, Jose D. Comparison of antimicrobial activity of chlorhexidine, coconut oil, probiotics, and ketoconazole on Candida albicans isolated in children with early childhood caries: An in vitro study. Scientifica (Cairo). 2016;2016:7061587.PubMed Shino B, Peedikayil FC, Jaiprakash SR, Ahmed Bijapur G, Kottayi S, Jose D. Comparison of antimicrobial activity of chlorhexidine, coconut oil, probiotics, and ketoconazole on Candida albicans isolated in children with early childhood caries: An in vitro study. Scientifica (Cairo). 2016;2016:7061587.PubMed
29.
go back to reference Reddy U, Khijmatgar S, Hegde MN, Fabbro MD. Effects of coconut oil on oral health status of patients with poor oral hygiene: Systematic review and meta-analysis. J Int Oral Health. 2021;13:519–32. Reddy U, Khijmatgar S, Hegde MN, Fabbro MD. Effects of coconut oil on oral health status of patients with poor oral hygiene: Systematic review and meta-analysis. J Int Oral Health. 2021;13:519–32.
30.
go back to reference Dafriani P, Nur SA, Morika HD, Marlinda R. Virgin coconut oil (VCO) accelerated wound healing process in diabetes mellitus (DM) patients with diabetic ulcer in dr. Rasidin Hospital, Padang, Indonesia. Jurnal Aisyah: Jurnal Ilmu Kesehatan. 2020;5:221–4. Dafriani P, Nur SA, Morika HD, Marlinda R. Virgin coconut oil (VCO) accelerated wound healing process in diabetes mellitus (DM) patients with diabetic ulcer in dr. Rasidin Hospital, Padang, Indonesia. Jurnal Aisyah: Jurnal Ilmu Kesehatan. 2020;5:221–4.
36.
go back to reference Galo R, Maluta I, Contente MM, Torres CP, Borsatto MC. Effect of Saliva/Blood Contamination on Enamel Bond Strength. J Health Sci. 2021;23:277–81.CrossRef Galo R, Maluta I, Contente MM, Torres CP, Borsatto MC. Effect of Saliva/Blood Contamination on Enamel Bond Strength. J Health Sci. 2021;23:277–81.CrossRef
37.
go back to reference Seher F, Hosein M, Ahmed J. Role of coconut oil pulling on oral health–an overview. J Pakistan Dental Asso. 2018;27:94–9.CrossRef Seher F, Hosein M, Ahmed J. Role of coconut oil pulling on oral health–an overview. J Pakistan Dental Asso. 2018;27:94–9.CrossRef
38.
go back to reference Zope SA. Effect of coconut oil pulling on plaque-induced gingivitis: A prospective clinical study. Int J Green Pharm. 2018;11:S750–5. Zope SA. Effect of coconut oil pulling on plaque-induced gingivitis: A prospective clinical study. Int J Green Pharm. 2018;11:S750–5.
39.
go back to reference Shanbhag VK. Oil pulling for maintaining oral hygiene-A review. J Tradit Complement Med. 2017;7:106.CrossRefPubMed Shanbhag VK. Oil pulling for maintaining oral hygiene-A review. J Tradit Complement Med. 2017;7:106.CrossRefPubMed
42.
go back to reference Török G, Gombocz P, Bognár E, Nagy P, Dinya E, Kispélyi B, Hermann P. Effects of disinfection and sterilization on the dimensional changes and mechanical properties of 3D printed surgical guides for implant therapy a pilot study. BMC Oral Health. 2020;20:102.CrossRef Török G, Gombocz P, Bognár E, Nagy P, Dinya E, Kispélyi B, Hermann P. Effects of disinfection and sterilization on the dimensional changes and mechanical properties of 3D printed surgical guides for implant therapy a pilot study. BMC Oral Health. 2020;20:102.CrossRef
44.
go back to reference Saher F, Hosein M, Ahmed J. Role of coconut oil pulling on oral health - an overview. J Pak Dent Assoc. 2018;27(3):94–9.CrossRef Saher F, Hosein M, Ahmed J. Role of coconut oil pulling on oral health - an overview. J Pak Dent Assoc. 2018;27(3):94–9.CrossRef
45.
go back to reference B, Webber, R. Canova & L.M. Esper, et al. The Use of Vortex and Ultrasound Techniques for the in vitro Removal of Salmonella spp. Biofilms Acta Scientiae Veterinariae. 2015;43:1332. B, Webber, R. Canova & L.M. Esper, et al. The Use of Vortex and Ultrasound Techniques for the in vitro Removal of Salmonella spp. Biofilms Acta Scientiae Veterinariae. 2015;43:1332.
47.
go back to reference Menaka V, Kavya G, Bhuvaneshwari R, Azali AS, Aparna S, Kumar PD. Effectiveness of coconut oil pulling as an adjuvant to oral hygiene procedure on plaque-induced gingivitis among middle-aged adults – An interventional study. J Global Oral Health. 2019;2(2):102–7. Menaka V, Kavya G, Bhuvaneshwari R, Azali AS, Aparna S, Kumar PD. Effectiveness of coconut oil pulling as an adjuvant to oral hygiene procedure on plaque-induced gingivitis among middle-aged adults – An interventional study. J Global Oral Health. 2019;2(2):102–7.
49.
go back to reference Patel P, Deshpande N. Comparative clinical evaluation of olive oil and coconut oil rinse on plaque levels in gingivitis patients. A Randomized clinical trial. J Orofac Res. 2020;7:63–7. Patel P, Deshpande N. Comparative clinical evaluation of olive oil and coconut oil rinse on plaque levels in gingivitis patients. A Randomized clinical trial. J Orofac Res. 2020;7:63–7.
50.
go back to reference Dewi RS, Gita F, Bahtiar B, Kasim HB. Effect Of 12.5% Virgin Coconut Oil on Porphyromonas Gingivalis and Treponema Denticola Bacterial Colonization. Int J Appl Pharm. 2017;9:32–5. Dewi RS, Gita F, Bahtiar B, Kasim HB. Effect Of 12.5% Virgin Coconut Oil on Porphyromonas Gingivalis and Treponema Denticola Bacterial Colonization. Int J Appl Pharm. 2017;9:32–5.
51.
go back to reference Ogbolu DO, Oni AA, Daini OA, Oloko AP. In vitro antimicrobial properties of coconut oil on Candida species in Ibadan. Nigeria J Med Food. 2007;10:384.CrossRefPubMed Ogbolu DO, Oni AA, Daini OA, Oloko AP. In vitro antimicrobial properties of coconut oil on Candida species in Ibadan. Nigeria J Med Food. 2007;10:384.CrossRefPubMed
52.
go back to reference Shilling M, Matt L. Antimicrobial effects of virgin coconut oil and its medium-chain fatty acids on Clostridium difficile. J Med Food. 2013;16:1079–85.CrossRefPubMed Shilling M, Matt L. Antimicrobial effects of virgin coconut oil and its medium-chain fatty acids on Clostridium difficile. J Med Food. 2013;16:1079–85.CrossRefPubMed
53.
go back to reference Abbas AA, Assikong EB, Akeh M, Upla P, Tuluma T. Antimicrobial activity of coconut oil and its derivative (lauric acid) on some selected clinical isolates. Int J Med Sci Clin Invent. 2017;4:3173–7. Abbas AA, Assikong EB, Akeh M, Upla P, Tuluma T. Antimicrobial activity of coconut oil and its derivative (lauric acid) on some selected clinical isolates. Int J Med Sci Clin Invent. 2017;4:3173–7.
55.
go back to reference Horas Rajagukguka, Sumaryati Syukurb, Sanusi Ibrahimc, Syafrizayantid. Beneficial Effect of Application of Virgin Coconut Oil (VCO) Product from Padang West Sumatra, Indonesia on Palatoplasty Wound Healing. Am Sci Res J Eng Technol Sci. 2017;34(1):231–6. Horas Rajagukguka, Sumaryati Syukurb, Sanusi Ibrahimc, Syafrizayantid. Beneficial Effect of Application of Virgin Coconut Oil (VCO) Product from Padang West Sumatra, Indonesia on Palatoplasty Wound Healing. Am Sci Res J Eng Technol Sci. 2017;34(1):231–6.
56.
go back to reference Silalahi J, Yuandani Y, Meliala DIPB, Margata L, Satria D. The Activity of Hydrolyzed Virgin Coconut Oil to Increase Proliferation and Cyclooxygenase-2 Expression towards on NIH 3T3 Cell Line in Wound Healing Process. Open Access Maced J Med Sci. 2019;7(19):3164–3168. Published 2019 Oct 14 Silalahi J, Yuandani Y, Meliala DIPB, Margata L, Satria D. The Activity of Hydrolyzed Virgin Coconut Oil to Increase Proliferation and Cyclooxygenase-2 Expression towards on NIH 3T3 Cell Line in Wound Healing Process. Open Access Maced J Med Sci. 2019;7(19):3164–3168. Published 2019 Oct 14
57.
go back to reference Kamalaldin et al., Does Inhalation of Virgin Coconut Oil Accelerate Reversal of Airway Remodelling in an Allergic Model of Asthma? Int J Inflammation. 2017;Article ID 8741851, 11. Kamalaldin et al., Does Inhalation of Virgin Coconut Oil Accelerate Reversal of Airway Remodelling in an Allergic Model of Asthma? Int J Inflammation. 2017;Article ID 8741851, 11.
58.
go back to reference Luiz Henrique C. Vasconcelos, Maria da Conceição C. Silva, Alana C. Costa, Giuliana A. de Oliveira, Iara Leão Luna de Souza, Renato F. Righetti, Fernando R. Queiroga, Glêbia A. Cardoso, Alexandre S. Silva, Patrícia M. da Silva, Giciane C. Vieira, Iolanda de F. L. C. Tibério, Marta S. Madruga, Fabiana de A. Cavalcante, Bagnólia A. da Silva. Virgin Coconut Oil Supplementation Prevents Airway Hyperreactivity of Guinea Pigs with Chronic Allergic Lung Inflammation by Antioxidant Mechanism. Oxidative Med Cell Longevity. 2020; 2020Article ID 5148503:16. https://doi.org/10.1155/2020/5148503. Luiz Henrique C. Vasconcelos, Maria da Conceição C. Silva, Alana C. Costa, Giuliana A. de Oliveira, Iara Leão Luna de Souza, Renato F. Righetti, Fernando R. Queiroga, Glêbia A. Cardoso, Alexandre S. Silva, Patrícia M. da Silva, Giciane C. Vieira, Iolanda de F. L. C. Tibério, Marta S. Madruga, Fabiana de A. Cavalcante, Bagnólia A. da Silva. Virgin Coconut Oil Supplementation Prevents Airway Hyperreactivity of Guinea Pigs with Chronic Allergic Lung Inflammation by Antioxidant Mechanism. Oxidative Med Cell Longevity. 2020; 2020Article ID 5148503:16. https://​doi.​org/​10.​1155/​2020/​5148503.
59.
go back to reference Dayrit FM, Angeles-Agdeppa I, Nacis JS, Capanzana MV, Tanda KV. Virgin coconut oil is effective in lowering C-reactive protein levels among suspect and probable cases of COVID-19. J Funct Foods. 2021;24: 104557. Dayrit FM, Angeles-Agdeppa I, Nacis JS, Capanzana MV, Tanda KV. Virgin coconut oil is effective in lowering C-reactive protein levels among suspect and probable cases of COVID-19. J Funct Foods. 2021;24: 104557.
62.
go back to reference Gold NA, Mirza TM, Avva U. Alcohol Sanitizer. In: StatPearls. Treasure Island: StatPearls Publishing; 2022. Gold NA, Mirza TM, Avva U. Alcohol Sanitizer. In: StatPearls. Treasure Island: StatPearls Publishing; 2022.
Metadata
Title
Disinfection of 3D-printed surgical guides using virgin coconut oil (in vitro study)
Authors
Rania T. Khalil
Ahmed Alshimy
Eglal Elsherbini
Mervat E. Abd-Ellah
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-03092-x

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