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Cosmetic Dentistry 2026 – Treatments, Costs, Pros, Risks & Smile Makeovers
ToothCalculator.com • 2026 Smile & Aesthetic Dentistry Guide

Cosmetic Dentistry

Explore the most common ways dentists improve tooth color, shape, alignment, symmetry and gum appearance. This guide compares professional teeth whitening, bonding, veneers, tooth contouring, crowns, gum contouring and broader smile makeovers, including current U.S. cost benchmarks, treatment longevity, tooth preparation, risks, insurance and how to choose the most conservative option that can achieve your goal.

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Match The Treatment To The Problem

Cosmetic Dentistry — Visual Smile Treatment Map

Different cosmetic treatments change different things. Whitening changes natural tooth color; bonding and veneers change visible shape and shade; contouring changes small amounts of enamel; gum contouring changes the gum line; restorative treatments may be needed when a tooth is damaged rather than simply unattractive.

One Smile — Several Possible Treatments

The safest plan starts with healthy teeth and gums, then uses the least invasive treatment capable of meeting the aesthetic goal.

Bonding Whitening Gum contouring Veneer
ColorWhitening or restorative shade change
ShapeBonding, veneers or contouring
1Whitening

Best suited to natural teeth with bleach-responsive discoloration. It will not whiten existing crowns, veneers or fillings.

2Bonding

Composite resin can close small gaps, repair chips and change tooth shape with relatively conservative treatment.

3Veneers

Thin porcelain or composite coverings change the front surface of teeth. Porcelain veneers typically require irreversible enamel removal.

4Gum / Tooth Contouring

Small shape changes can rebalance the visible tooth-gum relationship when anatomy and enamel thickness permit.

Bonding Avg.$431 / Tooth
Laser Whitening Avg.$792
Porcelain Veneer Avg.$1,765–$1,817
Current CareCredit U.S. planning averages. Treatment complexity, number of teeth, material, location and provider can substantially change the final fee.

Key principle: cosmetic treatment should not cover up untreated disease. Active cavities, gum disease, infection or unstable teeth should be diagnosed and treated before elective aesthetic work.

What Is Cosmetic Dentistry?

Cosmetic dentistry, also called aesthetic dentistry, focuses primarily on improving the appearance, balance and symmetry of the smile. Cleveland Clinic lists professional teeth whitening, dental bonding, veneers, tooth contouring and gum contouring among common cosmetic dental treatments.

Some procedures are almost entirely cosmetic, such as whitening healthy teeth. Others sit between cosmetic and restorative dentistry. A crown can improve appearance but may primarily be needed to protect a structurally damaged tooth. A dental implant can improve the smile but is fundamentally a tooth-replacement treatment. The diagnosis determines whether a procedure is elective cosmetic care, medically necessary restorative care or a combination of both.

Common Cosmetic Dentistry Treatments

Professional Teeth Whitening

Uses peroxide-based bleaching agents to lighten natural tooth structure. In-office or dentist-supervised take-home options are common.

Dental Bonding

Tooth-colored composite resin is sculpted onto teeth to hide chips, close small gaps or change tooth shape and color.

Porcelain Veneers

Thin custom ceramic shells cover front tooth surfaces to change shape, shade, size and symmetry.

Composite Veneers

Composite resin is directly or indirectly formed over visible tooth surfaces, often with less enamel removal than porcelain.

Tooth Contouring

Small amounts of enamel are reshaped to correct minor uneven edges or irregular tooth form.

Gum Contouring

Excess or uneven gum tissue is reshaped to create a more balanced visible gum line.

Dental Crowns

Crowns can improve shape and color, but their main purpose is often restorative when a tooth is damaged or weakened.

Dental Implants

Implants replace missing tooth roots and can support highly natural-looking crowns, bridges or full-arch restorations.

Smile Makeover

A coordinated plan may combine whitening, bonding, veneers, gum treatment, orthodontics or restorative dentistry in stages.

Cosmetic Dentistry Cost in 2026

Cosmetic dentistry costs vary from a few hundred dollars for conservative single-tooth treatment to many thousands for multiple veneers or a comprehensive smile makeover. Current CareCredit U.S. dental procedure data provide useful planning benchmarks, but they are not price guarantees.

Cosmetic TreatmentCurrent U.S. Planning AverageImportant Cost Note
Dental bondingAbout $431 per toothNumber of surfaces, amount of reshaping and finishing can change the fee.
Cosmetic tooth contouringAbout $215 per toothOnly small enamel changes are appropriate because removed enamel does not grow back.
Laser whiteningAbout $792Whitening only changes natural tooth structure, not crowns, veneers or fillings.
UV professional whiteningAbout $583Technique and product vary by practice.
Porcelain veneerAbout $1,765–$1,817 eachPreparation, temporary veneers and laboratory fees affect cost.
Composite veneer, office-madeAbout $872 eachComposite generally stains and wears more than porcelain.
Full set porcelain veneers, 6–8 teethAbout $15,486The number of teeth and laboratory customization strongly affect the total.
Gum contouringAbout $129 per tooth / $2,485 full mouthExtent of tissue reshaping and whether bone recontouring is needed can change complexity.

Do not compare only headline cosmetic prices. A veneer quote may exclude temporary restorations, whitening or gum treatment. A smile-makeover quote may include several separate procedures. Ask for an itemized plan by tooth and treatment stage.

Teeth Whitening

Teeth whitening uses bleaching agents such as hydrogen peroxide or carbamide peroxide to break down stains and lighten natural teeth. The American Dental Association explains that both in-office and dentist-supervised at-home bleaching are common options, with temporary tooth sensitivity and gum irritation among the most common adverse effects.

Whitening is not equally effective for every kind of discoloration. ADA MouthHealthy notes that yellow teeth often respond better than gray-toned teeth and that whitening will not change the color of crowns, veneers or fillings. This matters if you are planning veneers or crowns, because dentists often finalize the desired natural-tooth shade before matching restorations.

Good Whitening Candidate

Healthy natural teeth with discoloration that is likely to respond to peroxide-based bleaching.

Needs Another Plan

Existing restorations that look too dark, certain internal stains or teeth with structural defects may require bonding, veneers or restorative care instead.

See the ADA teeth whitening overview.

Dental Bonding

Dental bonding uses tooth-colored composite resin to alter the visible form of a tooth. Cleveland Clinic's January 2026 update describes bonding as a common cosmetic procedure for changing shape, closing spaces, concealing chips and minor cracks and hiding discoloration.

One major advantage is conservatism: Cleveland Clinic notes that bonding generally does not require enamel removal in the same way porcelain veneers do and can be reversible. It can often be completed in one office visit. The trade-off is that composite is less stain-resistant than porcelain and can chip over time.

Best use: bonding is often useful for small-to-moderate shape corrections when preserving tooth enamel is a priority. Large changes or heavy bite forces may require a different material or treatment design.

Porcelain Veneers

Veneers are custom coverings bonded to the front surface of teeth. ADA MouthHealthy says veneers can improve chipped, broken, stained, crooked or misshapen teeth and can mask gaps. Porcelain veneers are strong, natural-looking and generally more expensive than composite veneers.

Porcelain veneer treatment is usually irreversible because some enamel is removed. The ADA specifically advises that decay or gum disease should be treated before veneers because placing veneers over unhealthy teeth can worsen existing problems. Veneers can also chip, crack, wear or loosen and may eventually need repair or replacement.

Veneers Are Not A Substitute For Healthy Teeth

If a tooth has extensive decay, a major fracture or inadequate structural support, a veneer may not be the right treatment. A crown or another restorative option may be needed instead.

Composite Veneers vs Porcelain Veneers

FactorComposite VeneersPorcelain Veneers
MaterialTooth-colored resin.Custom ceramic shell.
Enamel removalOften less, depending on case.Usually some irreversible enamel preparation.
RepairabilityOften easier to repair directly.May require laboratory repair or replacement if fractured.
Stain resistanceLower than porcelain.Generally better stain resistance.
Initial costUsually lower.Usually higher.
LongevityVaries; bonding-type resin may last several years.Cleveland Clinic cites veneers overall at roughly 5–15 years.

Tooth Contouring and Enameloplasty

Tooth contouring removes very small amounts of enamel to smooth uneven edges or improve minor differences in shape. Cleveland Clinic notes that there is a strict biological limit: enamel is finite, and too much removal can damage the tooth or create sensitivity.

Contouring can be useful for a slightly long edge, tiny overlap or uneven corner, but it cannot safely transform a severely crooked or structurally compromised tooth. It is permanent because removed enamel does not regenerate.

Gum Contouring

Gum contouring reshapes excess or uneven gum tissue to create a more balanced gum line. Cleveland Clinic includes it among common cosmetic dentistry services and describes the result as permanent because removed gum tissue does not simply regrow to its original contour in a routine case.

Some “gummy smile” cases involve more than soft tissue. Tooth position, lip movement, bone level and tooth eruption can all influence how much gum shows. A periodontist or appropriately trained dentist can determine whether simple soft-tissue contouring is enough or whether more complex treatment would be needed.

Cosmetic Dental Crowns

Crowns can improve tooth color and form, but a crown covers the entire tooth and usually requires more tooth preparation than a veneer. For that reason, crowns are generally better justified when a tooth also needs structural protection—not simply because someone wants a whiter front surface.

ADA MouthHealthy notes that crowns can cover badly shaped or discolored teeth while also strengthening them. If a healthy tooth only needs a small aesthetic change, ask whether whitening, bonding, contouring or a veneer can achieve the goal more conservatively.

Dental Implants in Cosmetic Dentistry

A dental implant is primarily a tooth-replacement treatment, but aesthetics are central when replacing a visible front tooth. Implant position, gum contour, bone volume, crown shape and shade all influence whether the result blends naturally with neighboring teeth.

An implant should not be used to replace a healthy natural tooth solely for cosmetic convenience. If a tooth is restorable, preserving it may avoid extraction and surgery. Implant treatment becomes relevant when a tooth is missing or cannot be predictably retained.

What Is a Smile Makeover?

A smile makeover is not one standardized procedure. It is a coordinated aesthetic treatment plan based on the patient's goals, oral health and existing restorations. One person may need only whitening and minor bonding; another may require gum contouring followed by whitening and veneers; someone with missing or damaged teeth may need restorative treatment first.

1

Diagnose

Check teeth, gums, bite, existing restorations and oral health before planning elective work.

2

Define Goals

Identify whether the concern is color, tooth shape, spacing, alignment, gum display or missing teeth.

3

Sequence

Whitening, gum changes, bonding, veneers and restorative work must be performed in a logical order.

4

Maintain

Protect results with hygiene, professional care, stain control and a night guard when recommended.

Whitening Before Veneers or Bonding

Because whitening changes natural teeth but not tooth-colored restorations, sequence matters. If you plan to whiten and also receive bonding, veneers or crowns, your dentist may recommend whitening first and then matching the restorations to the stabilized tooth shade.

Otherwise, you could whiten your natural teeth later and end up with restorations that look darker. The exact waiting period after whitening depends on the material and bonding protocol used by the dentist.

Cosmetic Dentistry for Gaps Between Teeth

Small gaps can sometimes be closed with bonding or veneers. Larger spacing may be better treated with orthodontics, especially when moving teeth produces a healthier proportion and avoids adding excessive restorative width.

The most conservative solution depends on tooth size, bite, gum shape and how much space exists. Closing a large gap with bonding alone can make front teeth appear too wide; veneers can create the same problem if proportions are not carefully planned.

Cosmetic Dentistry for Chipped or Cracked Teeth

Minor chips can often be repaired with bonding. Veneers may be considered for more extensive aesthetic changes when enough healthy structure remains. A crown may be needed when a fracture compromises the strength of the tooth.

A visible crack should be diagnosed before it is cosmetically covered. Some cracks are superficial; others extend into deeper tooth structure and change the prognosis. Cosmetic appearance should not take priority over structural diagnosis.

Cosmetic Dentistry for Crooked Teeth

Veneers and bonding can visually camouflage mild shape or alignment differences, but they do not actually move teeth. More significant crowding, rotation or bite problems may be better addressed with orthodontic treatment before cosmetic restorations.

Ask the key question: are we changing the position of the tooth, or just changing how the front surface looks? The answer affects tooth preparation, long-term maintenance and whether the result is truly conservative.

Cosmetic Dentistry for Stained Teeth

Whitening is often the least invasive starting point for natural teeth, but it does not work equally on all discoloration. ADA MouthHealthy notes that brown and gray discoloration can respond differently from yellow staining, and restorations will not whiten.

For discoloration that does not respond to bleaching, bonding or veneers may mask the color. If the discoloration is caused by decay, trauma or pulpal disease, diagnosis comes before cosmetic masking.

How Long Do Cosmetic Dentistry Results Last?

Cleveland Clinic provides useful general longevity ranges for common cosmetic services. These are planning estimates, not guarantees, because diet, hygiene, grinding, smoking, material, bite and maintenance all matter.

ProcedureApproximate LongevityWhat Changes It
Teeth whiteningAbout 6 months to 3 yearsCoffee, tea, tobacco, diet, enamel color and maintenance whitening.
Dental bondingAbout 5–8 yearsChipping, staining, bite forces and amount of composite.
VeneersAbout 5–15 yearsMaterial, preparation, clenching/grinding, decay and margin health.
Tooth contouringPermanent shape changeRemoved enamel does not grow back.
Gum contouringGenerally permanent contour changeUnderlying diagnosis and periodontal stability matter.

Risks and Trade-Offs of Cosmetic Dentistry

  • Whitening sensitivity: temporary tooth sensitivity and gum irritation can occur.
  • Bonding chips and stains: composite does not resist staining or wear as well as porcelain.
  • Veneer irreversibility: porcelain veneers commonly require enamel removal.
  • Future replacement: veneers, bonding and crowns are not lifetime restorations.
  • Decay still matters: cavities can develop around or underneath veneers and crowns.
  • Grinding damage: bruxism can chip restorations or make veneers a poor choice without protection.
  • Over-treatment: aggressive preparation of healthy teeth can create lifelong restorative maintenance.
  • Uneven color: whitening natural teeth does not lighten existing restorations.
  • Gum changes: recession can expose veneer or crown margins over time.
  • Expectation mismatch: unrealistic goals can lead to unnecessary treatment even when the dentistry is technically successful.

Who Should Delay Cosmetic Dentistry?

Elective aesthetic treatment should usually wait until oral health is stable. The ADA specifically says decay and gum disease should be treated before veneers. The same principle applies broadly to other cosmetic procedures.

  • Active cavities: decay should be treated before cosmetic restorations are bonded.
  • Untreated gum disease: unstable gums can change margins and compromise aesthetic results.
  • Dental infection: pain, swelling or infection needs diagnosis before cosmetic treatment.
  • Uncontrolled grinding: heavy bite forces can shorten restoration lifespan.
  • Unstable bite: significant alignment or bite problems may require orthodontic or restorative planning first.
  • Unrealistic expectations: digital previews and consultations should clarify what treatment can and cannot achieve.

Does Dental Insurance Cover Cosmetic Dentistry?

Purely elective cosmetic treatment is commonly excluded from dental insurance. ADA MouthHealthy notes that veneers are considered cosmetic and may not be covered unless deemed medically necessary. Whitening is also generally considered elective.

Procedures with restorative benefits may be treated differently. For example, a crown on a badly broken tooth may qualify for plan benefits even though it also improves appearance. The insurer usually evaluates the procedure based on its clinical purpose, plan rules, frequency limits, deductibles and annual maximum.

Cosmetic Appearance Does Not Automatically Mean “Not Covered”

A treatment can have both cosmetic and restorative benefits. Ask the dental office to explain the diagnosis and procedure code and request a pre-treatment estimate when a major restoration is involved.

How To Compare Cosmetic Dentistry Quotes

Ask ThisWhy It MattersPossible Cost Difference
How many teeth are included?A “smile makeover” may treat 4, 6, 8, 10 or more visible teeth.Major effect on veneer/bonding total.
What material is used?Composite and porcelain have different lab, stain and repair characteristics.Porcelain generally costs more.
How much enamel is removed?Preparation determines reversibility and future maintenance.More complex preparation may add temporary and laboratory stages.
Are temporaries included?Porcelain veneer and crown treatment may need provisional restorations.Can be bundled or separate.
Is whitening included?Natural teeth may be whitened before matching restorations.Separate procedure in many plans.
What repairs are covered?Bonding and veneers can chip or need maintenance.Warranty/remake policies vary.

How To Choose a Cosmetic Dentist

Cosmetic dentistry requires clinical diagnosis as well as aesthetic judgment. ADA veneer guidance urges patients to use licensed dentists and warns against unlicensed “veneer technician” services because treatment can involve irreversible enamel removal and risks such as infection or nerve damage.

  • Verify dental license: make sure the provider is legally licensed to practice dentistry in your state.
  • Ask about diagnosis: healthy teeth and gums should be confirmed before elective work begins.
  • Review similar cases: look for before-and-after examples involving problems like yours.
  • Ask about alternatives: a good consultation should include conservative options, not only veneers.
  • Discuss maintenance: understand staining, chipping, replacement and night-guard needs.
  • Clarify laboratory materials: know what ceramic or composite system will be used.
  • Review mock-ups: complex cases may use digital previews, wax-ups or trial smiles to confirm goals.
  • Get an itemized estimate: whitening, gum treatment, temporaries and repairs should be clear.

Cosmetic Dentistry vs Restorative Dentistry

Cosmetic dentistry primarily improves appearance. Restorative dentistry primarily repairs disease, damage or missing teeth. In real treatment, the categories overlap. A crown on a broken front tooth can restore strength and improve appearance at the same time.

Mostly Cosmetic

Whitening healthy teeth, minor contouring and elective veneers performed mainly to change appearance.

Restorative + Cosmetic

Crowns, bridges, implants and bonding used to repair fractures, decay or missing teeth while also improving the smile.

Conservative Cosmetic Dentistry: Start With the Least Invasive Option

A useful aesthetic planning principle is to solve the problem with the least irreversible treatment that can predictably achieve the goal. If a stain will respond to whitening, it may not need a veneer. If a small chip can be repaired with bonding, a full crown may remove more tooth structure than necessary.

Conservative does not always mean cheapest or easiest. Sometimes orthodontic movement followed by small restorations preserves more enamel than placing multiple veneers. The best plan balances appearance, biology, function and future maintenance.

Cosmetic Dentistry Maintenance

  • Brush twice daily: healthy gums and clean restoration margins preserve appearance.
  • Clean between teeth: floss or interdental tools reduce plaque around veneers, crowns and bonding.
  • Limit stain exposure: coffee, tea, tobacco and red wine can darken natural teeth and composite.
  • Do not bite hard objects: fingernails, ice and pens can chip bonding and veneers.
  • Use a mouthguard for sports: protect natural teeth and cosmetic restorations from trauma.
  • Consider a night guard: people who grind may need protection for veneers, bonding or crowns.
  • Keep routine dental visits: dentists can detect decay, gum recession, loose restorations and bite changes early.
  • Plan for replacement: many aesthetic restorations require maintenance or renewal over a lifetime.

Cosmetic Dentistry Sources and Methodology

This guide separates clinical information from cost planning. Clinical treatment descriptions and longevity ranges are based mainly on Cleveland Clinic and American Dental Association patient resources. Cost benchmarks come from CareCredit's current dental procedure cost table. These averages are used only as U.S. planning references and should not be treated as local quotes.

SourceUsed ForImportant Limitation
Cleveland Clinic – Cosmetic DentistryTreatment categories, general benefits and longevity ranges.General patient education, not an individualized treatment plan.
Cleveland Clinic – Dental Bonding, updated Jan. 5, 2026Bonding uses, reversibility, one-visit treatment and limitations.Bonding longevity and suitability vary by bite and case.
ADA MouthHealthy – VeneersVeneer indications, enamel removal, disease control and licensed-provider safety.Does not set local fees.
American Dental Association – WhiteningWhitening methods, bleaching agents, sensitivity and restoration color limitations.Product protocols differ.
CareCredit – Dental Procedure CostsCurrent U.S. cosmetic dentistry planning averages.Actual local provider fees, materials and treatment scope vary.

Cosmetic Dentistry FAQ

Common questions about cosmetic dental treatments, costs, veneers, bonding, whitening, insurance, longevity and smile makeovers.

What is cosmetic dentistry?

Cosmetic dentistry focuses on improving smile appearance, including tooth color, shape, size, symmetry and gum contours. Whitening, bonding, veneers and contouring are common examples.

How much does cosmetic dentistry cost?

It varies by procedure. Current CareCredit averages include about $431 per tooth for bonding, $215 per tooth for contouring, $792 for laser whitening, roughly $1,765–$1,817 per porcelain veneer and about $2,485 for full-mouth gum contouring.

What is the cheapest cosmetic dental treatment?

Minor contouring or limited bonding can cost less than veneers, but the appropriate treatment depends on the actual cosmetic concern and tooth health.

What is the most conservative cosmetic treatment?

Whitening, small bonding repairs and minor contouring can be very conservative in appropriate cases. The least invasive option depends on what needs to change.

Are veneers cosmetic dentistry?

Yes. Veneers primarily change the visible appearance of teeth and are generally considered cosmetic.

Are crowns cosmetic dentistry?

Crowns can improve appearance but are often primarily restorative because they cover and protect damaged or weakened teeth.

Are dental implants cosmetic?

Implants primarily replace missing tooth roots, but appearance is an important part of implant crown and front-tooth treatment planning.

How long does teeth whitening last?

Cleveland Clinic gives a broad range of about six months to three years depending on diet, habits and maintenance.

How long does dental bonding last?

Cleveland Clinic lists approximately five to eight years as a general range, though bite, staining and maintenance can change longevity.

How long do veneers last?

Cleveland Clinic reports a general range of about five to 15 years. Material, tooth preparation, grinding, oral hygiene and maintenance affect lifespan.

Does whitening work on crowns or veneers?

No. ADA guidance says whitening works on natural tooth structure, not tooth-colored restorations such as crowns, veneers or fillings.

Should I whiten before veneers?

Often, whitening natural teeth first can help the dentist match veneers to the final desired shade. Your dentist should plan the sequence.

Is dental bonding reversible?

Cleveland Clinic notes that bonding can be reversible because it usually does not require significant enamel removal in the same way porcelain veneers do.

Are porcelain veneers reversible?

Usually not. ADA MouthHealthy states that enamel is removed for porcelain veneer placement, making treatment irreversible.

Can veneers damage healthy teeth?

Veneer preparation removes enamel and creates a lifelong restoration. The procedure should therefore be carefully planned and performed by a licensed dentist.

Can I get veneers if I have gum disease?

Active gum disease should be treated first. ADA guidance specifically recommends treating dental issues before veneer placement.

Can cosmetic dentistry fix crooked teeth?

Bonding or veneers can camouflage mild alignment issues, but orthodontics actually moves teeth and may be more appropriate for significant crowding or bite problems.

Can cosmetic dentistry close gaps?

Yes. Small gaps may be closed with bonding or veneers, while larger spacing may benefit from orthodontic treatment.

Can bonding fix a chipped tooth?

Yes. Bonding is commonly used for minor chips and shape defects when the tooth is otherwise healthy and structurally suitable.

Is gum contouring permanent?

Cleveland Clinic describes gum contouring results as permanent in general, though the underlying periodontal diagnosis still matters.

Does cosmetic dentistry hurt?

Experience varies. Whitening can cause temporary sensitivity, veneers may require local anesthesia during preparation and gum procedures can involve surgical recovery.

Does insurance cover cosmetic dentistry?

Purely elective treatment is usually not covered, but restorative procedures that also improve appearance may qualify for benefits depending on the dental plan.

What is a smile makeover?

It is a coordinated treatment plan that may combine whitening, bonding, veneers, gum contouring, orthodontics or restorative dentistry to address several smile concerns.

Should I use a veneer technician instead of a dentist?

No. ADA guidance warns against unlicensed veneer services and recommends treatment by a licensed dentist because veneer placement can cause serious complications if performed improperly.

How do I choose a cosmetic dentist?

Verify licensing, review similar cases, ask about conservative alternatives, understand material choices and obtain a written treatment and maintenance plan.

Is this cosmetic dentistry guide medical advice?

No. It is educational information. A licensed dentist must examine your teeth and gums to determine which aesthetic treatments are appropriate.

Related Dental Cost Calculators

Cosmetic plans often overlap with restorative dentistry. These three calculators can help you explore common restorative costs separately from this guide.

Improve The Smile Without Sacrificing Healthy Tooth Structure

A good cosmetic dentistry plan starts with diagnosis, healthy teeth and gums, realistic goals and the most conservative predictable treatment. Compare how much tooth structure each option changes, how long it is likely to last and what maintenance it creates before choosing the final smile design.

Review Cosmetic Treatments
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