{"id":4237,"date":"2025-12-09T08:36:44","date_gmt":"2025-12-09T08:36:44","guid":{"rendered":"https:\/\/clinicasacedodental.com\/?p=4237"},"modified":"2026-04-10T04:27:09","modified_gmt":"2026-04-10T04:27:09","slug":"ortodoncia-durante-la-infancia","status":"publish","type":"post","link":"https:\/\/clinicasacedodental.com\/en\/ortodoncia-durante-la-infancia\/","title":{"rendered":"Orthodontics during childhood: the essential guide every parent should know"},"content":{"rendered":"<p class=\"wp-block-paragraph\">The <strong>orthodontics during childhood<\/strong> It is one of the most important decisions for a child&#039;s facial, functional, and emotional development. Although many parents believe it&#039;s simply a matter of &quot;straightening the teeth,&quot; the truth is that timely intervention can influence a child&#039;s breathing, speech, chewing, jaw posture, and future health.<br>Before going deeper, you can also consult this reference: <a href=\"https:\/\/www.mayoclinic.org\/\">Mayo Clinic<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"482\" data-src=\"https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2025\/11\/ortodoncia-en-ninos-1024x482.webp\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" alt=\"ortodoncia durante la infancia\" class=\"wp-image-4238 lazyload\"\/><noscript><img decoding=\"async\" width=\"1024\" height=\"482\" src=\"https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2025\/11\/ortodoncia-en-ninos-1024x482.webp\" alt=\"ortodoncia durante la infancia\" class=\"wp-image-4238\" srcset=\"https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2025\/11\/ortodoncia-en-ninos-1024x482.webp 1024w, https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2025\/11\/ortodoncia-en-ninos-300x141.webp 300w, https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2025\/11\/ortodoncia-en-ninos-768x362.webp 768w, https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2025\/11\/ortodoncia-en-ninos-18x8.webp 18w, https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2025\/11\/ortodoncia-en-ninos.webp 1366w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/noscript><\/figure>\n<\/div>\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"ortodoncia-durante-la-infancia-por-que-el-tratamiento-temprano-marca-la-diferencia\" class=\"wp-block-heading\">Orthodontics during childhood: why early treatment makes a difference<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The <strong>orthodontics during childhood<\/strong> It&#039;s not just a matter of aesthetics. When jaw growth is still active, possibilities open up that no longer exist in adulthood. During these early stages, skeletal abnormalities can be corrected, respiratory function improved, and problems prevented that, if left untreated, require longer or more invasive treatments.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Many parents come to the consultation after reading articles or recommendations on reference websites, but they still have doubts about the right time to start treatment. This is where a professional assessment, such as the one carried out in <strong>centers specializing in children&#039;s orthodontics<\/strong> like the <strong><a href=\"https:\/\/clinicasacedodental.com\/en\/\">Dental Clinic<\/a> Acedo<\/strong>, is key to establishing an accurate diagnosis.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"ortodoncia-durante-la-infancia-senales-que-indican-que-un-nino-puede-necesitar-tratamiento\" class=\"wp-block-heading\">Orthodontics during childhood: signs that indicate a child may need treatment<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The signs aren&#039;t always obvious. Many parents wait until &quot;all the baby teeth&quot; have fallen out, when in reality early detection is much more effective. Signs that warrant a consultation include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Teeth that are slow to erupt.<\/li>\n\n\n\n<li>Difficulty chewing hard foods.<\/li>\n\n\n\n<li>Frequent breathing through the mouth.<\/li>\n\n\n\n<li>Snoring or nocturnal breathing pauses.<\/li>\n\n\n\n<li>Jaw that \u201cclicks\u201d or deviates when opening.<\/li>\n\n\n\n<li>Prolonged habits such as thumb sucking.<\/li>\n\n\n\n<li>Very crowded teeth from an early age.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">If you notice any of these signs, it is advisable to have a consultation. <em>assessment<\/em>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"ortodoncia-durante-la-infancia-que-edad-es-la-mas-adecuada\" class=\"wp-block-heading\">Orthodontics during childhood: what age is most appropriate<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Experts agree on one point: <strong>the <a href=\"https:\/\/clinicasacedodental.com\/en\/primera-visita-y-diseno-de-sonrisa\/\">first visit<\/a> The orthodontic evaluation should be done around age 6-7<\/strong>, This coincides with the eruption of the first permanent molars. At this time, it is possible to analyze:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The relationship between the maxilla and mandible.<\/li>\n\n\n\n<li>The presence of dysfunctional habits.<\/li>\n\n\n\n<li>The way the child breathes.<\/li>\n\n\n\n<li>The appearance of early malocclusions.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Although not all children need treatment at that age, this initial assessment allows for planning the best time to intervene and prevent future problems.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"ortodoncia-durante-la-infancia-beneficios-reales-que-aporta-un-tratamiento-temprano\" class=\"wp-block-heading\">Orthodontics during childhood: real benefits of early treatment<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The benefits of <strong>orthodontics during childhood<\/strong> They have been extensively documented and extend far beyond aesthetics. The most relevant include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Correction of bone growth.<\/li>\n\n\n\n<li>Improvement of breathing pattern, especially in children with mouth breathing.<\/li>\n\n\n\n<li>Reduction of the risk of cavities due to crowding.<\/li>\n\n\n\n<li>Proper guide to tooth eruption.<\/li>\n\n\n\n<li>Reduced risk of dental trauma.<br>Preventing future ATM problems.<br>Better self-esteem at an early age.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">In some cases, early treatment prevents the need for maxillofacial surgery in adulthood. This is especially common in Class III malocclusions or in underdeveloped jaws.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"ortodoncia-durante-la-infancia-tipos-de-tratamientos-mas-comunes\" class=\"wp-block-heading\">Orthodontics during childhood: most common types of treatments<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Depending on the age, the problem, and the objective, there are different devices that are used in the <strong>orthodontics during childhood<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Functional appliances that guide mandibular growth.<\/li>\n\n\n\n<li>Palatal expanders to improve maxillary width.<\/li>\n\n\n\n<li>Removable appliances to correct habits.<\/li>\n\n\n\n<li>Orthodontics with braces for children.<\/li>\n\n\n\n<li><a href=\"https:\/\/clinicasacedodental.com\/en\/ortodoncia-invisible\/\">invisible braces<\/a> pediatric (a technique that is being used more and more).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">One of the most common treatments is maxillary expansion, which corrects breathing problems and helps permanent teeth to erupt correctly. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" width=\"1024\" height=\"684\" data-src=\"https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2025\/11\/ortodoncia-ninos-1024x684.jpg\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" alt=\"ortodoncia durante la infancia\" class=\"wp-image-4239 lazyload\"\/><noscript><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"684\" src=\"https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2025\/11\/ortodoncia-ninos-1024x684.jpg\" alt=\"ortodoncia durante la infancia\" class=\"wp-image-4239\" srcset=\"https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2025\/11\/ortodoncia-ninos-1024x684.jpg 1024w, https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2025\/11\/ortodoncia-ninos-300x201.jpg 300w, https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2025\/11\/ortodoncia-ninos-768x513.jpg 768w, https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2025\/11\/ortodoncia-ninos-18x12.jpg 18w, https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2025\/11\/ortodoncia-ninos.jpg 1200w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/noscript><\/figure>\n<\/div>\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"ortodoncia-durante-la-infancia-como-influye-en-la-salud-respiratoria-y-del-sueno\" class=\"wp-block-heading\">Orthodontics during childhood: how it influences respiratory and sleep health<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">One of the most studied areas is the relationship between <strong>orthodontics during childhood<\/strong> and improved breathing. In many children, a narrow jaw causes mouth breathing, snoring, sleep apnea, and sleep problems that directly affect their school performance and cognitive development.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">By widening the upper jaw or improving mandibular posture, the airways can be enlarged and healthy nasal breathing promoted. These treatments are usually coordinated with professionals in pediatrics, respiratory physiotherapy, or speech therapy.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"ortodoncia-durante-la-infancia-relacion-entre-habitos-y-maloclusiones\" class=\"wp-block-heading\">Orthodontics during childhood: relationship between habits and malocclusions<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Some prolonged habits have a direct impact on facial and dental development:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sucking your thumb.<\/li>\n\n\n\n<li>Excessive use of pacifier.<\/li>\n\n\n\n<li>Tongue interposition.<\/li>\n\n\n\n<li>Mouth breathing.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The <strong>orthodontics during childhood<\/strong> It allows you to control these habits before they cause bigger problems. In many cases, treatment involves simple devices that improve tongue position and guide tooth eruption.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"ortodoncia-durante-la-infancia-cuanto-dura-un-tratamiento-infantil\" class=\"wp-block-heading\">Orthodontics during childhood: how long does a child&#039;s treatment last<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The duration depends on the type of malocclusion. Interceptive treatments typically last between 6 and 18 months. Afterward, a follow-up period is conducted until the permanent dentition is complete.<br>In some cases, the child needs a second phase of orthodontics around the age of 12, but this phase is much shorter thanks to early intervention.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"ortodoncia-durante-la-infancia-diferencias-con-la-ortodoncia-en-adolescentes-y-adultos\" class=\"wp-block-heading\">Orthodontics during childhood: differences with orthodontics in adolescents and adults<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Intervening before the age of 10 has clear advantages:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Work is done on developing bone.<\/li>\n\n\n\n<li>Skeletal problems are corrected.<\/li>\n\n\n\n<li>The teeth move faster.<\/li>\n\n\n\n<li>Unnecessary extractions are avoided.<\/li>\n\n\n\n<li>The results are more stable.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Therefore, when working on <strong>orthodontics during childhood<\/strong>, the therapeutic possibilities are much greater.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"ortodoncia-durante-la-infancia-cuidados-esenciales-durante-el-tratamiento\" class=\"wp-block-heading\">Orthodontics during childhood: essential care during treatment<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Care requires the involvement of the whole family:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Careful hygiene.<\/li>\n\n\n\n<li>Regular visits.<\/li>\n\n\n\n<li>Avoid sticky sweets.<\/li>\n\n\n\n<li>Constant use of the device if it is removable.<\/li>\n\n\n\n<li>Oral habit control.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">When treatment is well explained to parents, adherence is usually very good. At this point, professionals at clinics such as <strong>Acedo<\/strong> They always emphasize the importance of family support.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"ortodoncia-durante-la-infancia-impacto-emocional-y-autoestima\" class=\"wp-block-heading\">Orthodontics during childhood: emotional impact and self-esteem<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Many children who are teased for their smiles experience significant improvements after starting treatment. Proper dental alignment and a balanced bite have a direct impact on:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Confidence when speaking.<\/li>\n\n\n\n<li>Participation in social activities.<\/li>\n\n\n\n<li>The confidence of smiling.<\/li>\n\n\n\n<li>School adaptation.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Therefore, the <strong>orthodontics during childhood<\/strong> It is not just a clinical process; it is also an emotional process.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"opinion-de-un-paciente\" class=\"wp-block-heading\">Patient&#039;s opinion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><em>\u00ab&quot;My daughter started orthodontic treatment as a child at seven years old because she had a very narrow palate and always breathed through her mouth. After the expansion and the first phase, she sleeps better, no longer snores, and her jaw position has been corrected. The change has been enormous, both in her health and in her confidence when smiling.&quot;\u00bb<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"preguntas-frecuentes-sobre-ortodoncia-durante-la-infancia\" class=\"wp-block-heading\">Frequently asked questions about orthodontics during childhood<\/h2>\n\n\n\n<h3 id=\"a-que-edad-se-debe-hacer-la-primera-revision-de-ortodoncia\" class=\"wp-block-heading\">At what age should the first orthodontic check-up be done?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">According to most scientific societies, around 6-7 years old.<\/p>\n\n\n\n<h3 id=\"la-ortodoncia-durante-la-infancia-duele\" class=\"wp-block-heading\">Does orthodontics hurt during childhood?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">It usually generates a slight initial pressure, but it is not significant pain.<\/p>\n\n\n\n<h3 id=\"es-necesario-poner-brackets-tan-pequenos\" class=\"wp-block-heading\">Is it necessary to use such small braces?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Only if the malocclusion requires it; many treatments are performed without braces.<\/p>\n\n\n\n<h3 id=\"los-aparatos-infantiles-dificultan-hablar\" class=\"wp-block-heading\">Do children&#039;s hearing aids make it difficult to speak?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">There may be some adjustment during the first few days, but it disappears quickly.<\/p>\n\n\n\n<h3 id=\"la-ortodoncia-durante-la-infancia-evita-tratamientos-en-la-adolescencia\" class=\"wp-block-heading\">Does orthodontics during childhood prevent the need for treatment in adolescence?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">In many cases yes, or it considerably reduces the second phase.<\/p>\n\n\n\n<h3 id=\"se-puede-usar-ortodoncia-invisible-en-ninos\" class=\"wp-block-heading\">Can invisible orthodontics be used on children?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes, in selected cases it is a very effective option.<\/p>\n\n\n\n<h3 id=\"los-tratamientos-infantiles-son-mas-rapidos\" class=\"wp-block-heading\">Are treatments for children faster?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">They tend to be more effective because they take advantage of bone growth.<\/p>\n\n\n\n<h3 id=\"que-pasa-si-no-se-corrigen-los-problemas-a-tiempo\" class=\"wp-block-heading\">What happens if the problems are not corrected in time?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Severe malocclusions, breathing problems, or the need for future surgeries may occur.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"un-ultimo-impulso-por-que-es-el-mejor-momento-para-actuar\" class=\"wp-block-heading\">One last push: why now is the best time to act<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The <strong>orthodontics during childhood<\/strong> It&#039;s a unique opportunity to correct problems before they become entrenched. A child&#039;s growth allows for results that would be more complex, time-consuming, or costly in adulthood. If you notice any symptoms or have any concerns, a professional evaluation is the wisest course of action.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udccd Tirso de Molina Street, 22, Sese\u00f1a<br>\ud83d\udccd Calle Abanico, 10, Local 1, El Barco de \u00c1vila<br>\ud83d\udcde 669 95 66 58<br>\ud83d\udcde 606 886 468<br>\ud83d\udce7 <a href=\"mailto:info@acedodental.com\">info@acedodental.com<\/a><br>\ud83c\udf10 <a href=\"https:\/\/clinicasacedodental.com\/en\/\">clinicasacedodental.com<\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-fe48e5de wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button\" href=\"https:\/\/clinicasacedodental.com\/en\/contacto\/\" style=\"border-radius:28px;background-color:#2458abe6\" target=\"_blank\" rel=\"noreferrer noopener\">ASK FOR A DATE<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Make your appointment today and discover the power of a well-groomed smile.<\/strong><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><a href=\"https:\/\/clinicasacedodental.com\/en\/contacto\/\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" data-src=\"https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2024\/02\/14-FEBRERO-1-1024x1024.jpg\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" alt=\"dentista en sese\u00f1a\" class=\"wp-image-1368 lazyload\"\/><noscript><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2024\/02\/14-FEBRERO-1-1024x1024.jpg\" alt=\"dentista en sese\u00f1a\" class=\"wp-image-1368\" srcset=\"https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2024\/02\/14-FEBRERO-1-1024x1024.jpg 1024w, https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2024\/02\/14-FEBRERO-1-300x300.jpg 300w, https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2024\/02\/14-FEBRERO-1-150x150.jpg 150w, https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2024\/02\/14-FEBRERO-1-768x768.jpg 768w, https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2024\/02\/14-FEBRERO-1-12x12.jpg 12w, https:\/\/clinicasacedodental.com\/wp-content\/uploads\/2024\/02\/14-FEBRERO-1.jpg 1080w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/noscript><\/a><\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>A complete guide to orthodontics during childhood: advantages, warning signs, and recommended treatments for children.<\/p>","protected":false},"author":1,"featured_media":4240,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4237","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-servicios-acedo-dental","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Ortodoncia durante la infancia - Cl\u00ednica Dental Acedo | Dentista en Sese\u00f1a y El Barco de \u00c1vila<\/title>\n<meta name=\"description\" content=\"Ortodoncia durante la infancia: beneficios, edades clave y tratamientos para una sonrisa sana. 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