Finding an Experienced Dentist in Monroe, North Carolina

2020-07-16T16:55:10+00:00June 17th, 2019|Adam Brown DDS, Carolina's Dental Choice, Dental Crowns, Dental Insurance, Dental Trends, General, Oral Health, Teeth Whitening|

There are fewer things more stressful than finding a new health provider, much less finding an office and staff to trust you and your family’s smile with. Whether you’re searching for the right dentist to advise your oral health regimen, or are simply in the market for a new dentist, Carolina’s Dental Choice wants to equip you with the right knowledge to find an experienced dentist suited for your treatment needs.

 

Find an Experienced Dentist—Don’t Get Unnecessary Treatments

In need of a second opinion after getting a hefty price estimate for a procedure, you’re not sure you really need? Had a bad experience with a previous dentist and searching for a new practice to rebuild trust with? Waited so long for a dental visit that you’re just ready for a fresh start and motivation? No judgments and no worries! Finding an experienced dentist does not have to be an ordeal.

It is easy to get overwhelmed by your search for the right dentist. From Google searches, Yelp reviews, to scouring websites and seeking out word of mouth recommendations, there are many ways in which we try to find a great dentist. If you’ve moved recently or switched insurance companies, it can also be difficult to move on from a long-time dentist and find another that meets all of your expectations.

Where should you even start? We have laid out the most important considerations in your search for the right experienced dentist.

 

Question 1: What makes a good dental practice?

You have probably asked yourself this before. What makes a good dentist? Is it a staff of gentle hygienists? A dentist who spends time in the room with the patient? The cheapest treatment options around? Let’s discuss it!

 

Expectations should be met with every point of contact, including staff

Whether you are making your first call to inquire about services, scheduling an appointment, or entering the practice, the staff should be welcoming to patients. Practices that leave patients in the waiting room without greeting and without respect for patients’ time are red flags that the dental practice does not respect the time of their clients. A friendly, punctual staff ensures that the visit is great from start to finish.

 

Active listening

Between the hygienists and the dentist, you need a practice that listens to what you say. As the patient, you are the best advocate and knowledge base of your own health, and a good dental practice values that. By listening to your concerns and requests, and acting on what they hear, rather than talking over the patient or not spending and giving the time to the patient to speak their concerns, the patient will collaborate with the dental practice to ensure they are receiving the best treatment options.

 

Attempts to know the patient

In a larger practice, we do not expect our dentists to know the patient’s entire history, but no patient wants to feel like another file on the shelf. A dentist taking the time to know you can affect the level of care that the patient gets. Whether that’s making friendly conversation or taking a few minutes to read your chart, attempting to know the patient can make all the difference in your dental care.

 

Question 2: What are the warning signs of a bad dentist?

Fraudulent dentists certainly are not the norm, but more often than you would think, dishonest practices have impacted patients in their long-term trust in dentistry and their own oral health. The wrong dentist is more concerned with his pocketbook rather than the overall health of your mouth, meaning he may recommend and perform unnecessary treatments. Procedures that aren’t necessary can wreak havoc on your mouth and lead to further problems down the road.

 

Signs of Fraudulent Practice

  1. Urgency without explanation:

If your dentist identifies an issue that is not a dental emergency and tells you a procedure needs to be done immediately, you should start by asking why and for full disclosure on the procedure itself. If you are in a new dentist’s chair for a regular cleaning and suddenly you’re bombarded with procedures of a type you’ve never needed before, or that you did not enter the practice asking for help with, then it may be a red flag. When the dentist is vague on the reasoning for procedures, he may be pressuring you into going forward without understanding all of your options.

  1. If it sounds too good to be true, then it probably is:

Some dentists offer very discounted, or even free cleanings as a way to get patients in the door. Once in the chair, they may either hit you with fees that were never mentioned as part of the deal or as mentioned before, pressure you into procedures with intensity.

  1. Lack of Patient Education:

As we mentioned before, the sign of a great dentist is one who educates patients and ensures that decisions are made collectively between the patient and dentist. It is not good practice when dentists and hygienists are not willing to take time and explain the dental issues and recommended procedures to the patient. Even the act of not showing patients their x-rays can be a red flag. Your dentist should take the time to discuss what is shown in your x-rays, point out any lesions or unhealthy teeth, and talk through the treatment plan with the findings.

 

Question 3: How does dentistry become susceptible to fraud, and how can I determine if I am part of fraudulent dentistry?

We know that for the majority of dentists out there, it took years of hard work and building trust among their patients to make a successful dental practice. But, as in any profession, there are a small number of professionals out there who turn to taking shortcuts for financial gain. For the medical profession in general, medical diagnoses can be subjective. Because of this, we have a number of suggestions to improve patient advocacy.

 

Understand how your insurance works with the dental practice.

Beyond having a sense of your general dental coverage, you may not know how the dental practices interact before and after your dental visit. After scheduling your appointment, the staff at the dental practice will reach out to your dental insurance company to find out everything that is covered under your provider. So before you even enter the office, the experienced dentist will know everything that can be billed to you during your dental visit. Unfortunately, this can leave the patient vulnerable to receiving treatments that are more likely to be reimbursed by the insurance company, rather than what’s truly right for the teeth.

 

For example, a dentist may be choosing between a filling and a root canal for a patient. Taking the path with the root canal and crown is more lucrative for the dental practice. This is because it is common knowledge that root canals are easier to pass through an insurance company than a filling, and by receiving a root canal, you’re automatically approved for a crown. Root canals are easier to pass simply because the dentist can justify the root canal by claiming that the patient was in pain. The problem here is that the dentist may have just been able to perform a filling, which is a cheaper procedure and less invasive for the patient.

 

Now that there are some ways of identifying fraud, let’s talk about active ways to prevent getting in those situations in the first place.

 

  1. Choose your dentist based on referrals

Your insurance company may be telling you which dentists to see, but take time to do your own research. Seek out others with the same insurance and ask for a recommendation. Or, if you have a current dentist in the same area but you have switched insurance policies, ask your dentist for a recommendation, or ask for a recommendation from a local dentist society or health professional. Just because the insurance company covers a dentist does not make it a suitable referral. Plus, seeking out opinions from family, friends, and co-workers can give recommendations backed by real experiences.

  1. Consider going family-owned rather than corporate

Chain-dentistry practices drive patients through the door with heavy advertising and discounts, quick cleanings, free exams, and of course, hundreds or thousands of dollars in unnecessary dental work. Corporate dental chains can run on a quota-based model that can sometimes lead to practices working on the side of pushing unnecessary treatments.

  1. Ask for the appointment time

Generally, a new patient appointment should take around an hour and a half. If the office tells you that appointment should only last about a half hour, they may be trying to rush you through what should be a thorough cleaning and appointment, rather than give you the time you deserve as a patient. If you’re an established patient, appointment time can vary, but a cleaning should take at least 45 minutes. If it lasts only 15 minutes, it’s time to start asking questions.

  1. Always check your bill

In a true dental scam, a dentist might inflate claims or bill insurers for procedures that the patient didn’t receive. The best way to avoid this from happening is to ensure communication with your dentist, ask for an estimated price upfront (prior to sitting in the dental chair), and always checking your bill at checkout. According to the National Health Care Anti-Fraud Association, it is estimated that Americans lose about $68 billion dollars each year to healthcare fraud. Don’t be a victim of dental fraud; know the signs and do not be afraid to advocate for yourself as a patient.

  1. Check the market rate for common procedures.

There are common procedures you have had before that you know the price for, but when dental pain strikes, sometimes you are willing to pay anything for it to get fixed. It’s at these times when it is most important to ensure that you are being offered a fair, market-rate price, and not just being offered the most expensive procedure that your insurance may or may not cover.

  1. Seek other opinions.

If you have ever had a major dental procedure, it is likely that you might have sought out another opinion. One dentist may recommend that you need it, while another may not. This is totally normal, and encouraged, especially if you feel that any of the signs above are occurring.

  1. Feel out the culture of the office.

While how you feel as a patient is important, seeing how the experienced dentist treats the staff can also impact the care you receive. The best doctors are attentive to patients and staff. If you have a bad feeling with your interaction from the front desk to the dental chair, how can you trust your oral health to the practice? You should feel safe and welcome at the dentist from the moment you walk in the door. 

 

Find a dental provider who’s right for you and your family

Carolina’s Dental Choice is here to make you feel right at home, whether you’re new to the area or a longtime resident. Give us a call today if you’re in need of a welcoming, friendly face in the dental practice world at 704-289-9519.

 

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Why Dental Implants May Be the Right Choice for Your Oral Health

2020-07-16T16:59:46+00:00June 28th, 2018|Carolina's Dental Choice, Dental Bonding, Dental Crowns, Dental Implants, Dental Trends, Dentures, Fixed Bridges, Implants, Teeth Whitening, Veneers|

Carolina’s Dental Choice is committed to the philosophy of restorative dentistry, which is reproducing or repairing teeth and adjoining bones and tissue, through the use of metal and ceramic materials. Though dental implants have been around, in some form, for more than 40 years, it’s surprising how many people today don’t know the procedure is an option to replace a missing tooth or even multiple teeth. Implants are the closest in comparison to natural teeth. They are just as secure, long lasting, and easy to manage.

 

DENTAL IMPLANTS AND HOW THEY WORK

An implant is a titanium “root” which is placed into the jawbone in order to support a crown, bridge or denture. Ceramic crowns, onlays or veneers address the appearance of the “new tooth.” Over time, the human body completes the process, by growing bone and tissue around the tooth. This provides the artificial implanted tooth with even more stability and permanence.

Treatment generally is a three-part process that takes several months, according to the American Dental Association:

Step 1) The dentist surgically places the implant in the jaw, with the top of the implant slightly above the top of the bone. A screw is inserted into the implant to prevent gum tissue and other debris from entering. The gum then is secured over the implant. The implant will remain covered for approximately three to six months while it fuses with the bone, a process called “osseointegration.” There may be some swelling, tenderness or both for a few days after the surgery, so pain medication usually is prescribed to alleviate the discomfort. A diet of soft foods, cold foods and warm soup often is recommended during the healing process.

Step 2) The implant is uncovered and the dentist attaches an extension, called a post, to the implant. The gum tissue is allowed to heal around the post. Some implants require a second surgical procedure in which a post is attached to connect the replacement teeth. With other implants, the implant and post are a single unit placed in the mouth during the initial surgery. Once healed, the implant and post can serve as the foundation for the new tooth.

Step 3) The dentist makes a crown, which has a size, shape, color and fit that will blend with your other teeth. Once completed, the crown is attached to the implant post.

 

TOP ORAL CARE TIPS FOR DENTAL IMPLANTS

Dental implants can be an option at just about any age, as long a patient has healthy gums and adequate bone to support the implant and is committed to maintaining basic oral care. Implants do not require any further care than one would provide for natural teeth, such as rinsing, flossing, and brushing a few times a day.

“Dental implants are very successful and long lasting but as with any surgical procedure, there might be complications,” writes Dr. Anveeta Agarwal, a consultant oral pathologist. “The best way to avoid dental implant failure is to make sure you practice good dental hygiene and visit your dentist regularly for dental check-ups and cleanings.”

Dental implant care tips include:

Practice good oral hygiene – brush twice a day and floss once daily. Using interdental brushes, brushes that slide between teeth, can help clean the hard to reach areas around your implant.

  • Quit smoking – smoking can weaken the bone structure and can contribute to implant failure.
  • Visit your dentist – cleanings and exams every six months can help ensure your implant is in good condition, and that it stays that way.
  • Avoid chewing on hard foods – don’t chew on hard items such as ice and hard candy because they can break the crown and your natural teeth.

The American Dental Association considers two types of implants to be safe. They are:

Endosteal implants — these are surgically implanted directly into the jawbone. Once the surrounding gum tissue has healed, a second surgery is needed to connect a post to the original implant. Finally, an artificial tooth (or teeth) is attached to the post-individually, or grouped on a bridge or denture.

Subperiosteal implants — these consist of a metal frame that is fitted onto the jawbone just below the gum tissue. As the gums heal, the frame becomes fixed to the jawbone. Posts, which are attached to the frame, protrude through the gums. As with endosteal implants, artificial teeth are then mounted to the posts.

Though some patients may be reluctant to undergo dental surgery — as well as the idea of having titanium pieces implanted to the jaw — dental implants offer a viable tooth replacement option when other attempts have failed. Patients may have tried bridges or dentures and been unhappy with the results, but dental implants are a healthy alternative.

“For some people, ordinary bridges and dentures are simply not comfortable or even possible, due to sore spots, poor ridges or gagging,” states Colgate. “In addition, ordinary bridges must be attached to teeth on either side of the space left by the missing tooth. An advantage of implants is that no adjacent teeth need to be prepared or ground down to hold your new replacement tooth/teeth in place.”

Additionally, implants serve a cosmetic function. Missing teeth may impact a person’s ability to get a job. 

How Dental Implants Can Improve Your Ability to Get a Job

“Poor oral health can significantly diminish quality of life in a number of ways – the most obvious being a person’s ability to eat, sleep and speak,” according to a 2016 report from the North Carolina Oral Health Collaborative. “However, there are also social and economic consequences that can impact a person’s job readiness and performance, and ultimately the economic stability of communities. A survey of North Carolina adults revealed that the impact of oral health on job readiness is greatest among those from low-income households.”

 

DENTAL IMPLANTS AND COST

Because dental implants can be used for one or more teeth, and the replacement teeth can vary in size and complexity, assigning a cost-point for the procedure can be challenging. At Carolina’s Dental Choice we usually see prices fluctuating anywhere from the $1,000 to the $3,000 range. Before making any final decisions on payment though, it is a good idea for a potential patient to consult with a dental practice and insurance company in order to clarify how much of the cost may be covered. 

At Carolina’s Dental Choice we provide information about payment, including insurance, Medicaid, and our in-house saving program online, and we are happy to discuss this information with you in person or over the phone.

 

OTHER OPTIONS TO DENTAL IMPLANTS

In addition to dental implants, Carolina’s Dental Choice offers traditional dentures, bridges, partials, which replace teeth. Cosmetic options we offer include teeth whitening and veneers, which are porcelain and permanently bonded to your natural teeth. They can enhance tooth shape, color, length and size. Dental bonding repairs teeth with a tooth-colored resin (stable plastic material) that enhances your smile and can be done in one quick and easy visit.

 

CAROLINA’S DENTAL CHOICE IS HERE FOR YOU

It is our practice to have private consultations with our patients to discuss your teeth, your options, and your treatment. Our dental practice embodies family dentistry by treating our patients like family and working with you to make you smile!

You may find information including new patient forms on our website. Contact us today at 704.239.9519 to schedule your appointment!

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The History Of Dental Crowns: From Gold To Porcelain

2021-02-05T18:06:15+00:00April 30th, 2018|Dental Crowns|

At Carolina’s Dental Choice, our goal is to make sure that you have a happy, healthy, and beautiful smile. To do that, many patients need a crown to cover one of their teeth but they aren’t exactly sure what the purpose of the crown is or what the procedure entails. Don’t worry; we can answer any questions you have about dental crowns and provide you with a little more information on the history of crowns.

First things first: What is a crown? A crown is essentially a cap that covers a tooth. Crowns are placed over a tooth to improve its shape, size, strength, and even help its appearance. A dental crown can be needed for many reasons, such as:

  • Protecting a Tooth – If a tooth is cracked or even decaying, a crown can protect a weak tooth from further damage.
  • Restoring a Tooth – A broken tooth needs a crown to restore the functionality of the tooth.
  • Covering a Filling – Sometimes, if a tooth has a large filling and there is not a lot of tooth left, a crown will be used to cover and support the tooth and filling.
  • Holding a Dental Bridge in Place – A dental bridge is something that dentists use to bridge a gap between teeth when a tooth is missing. A crown may be used to cover this gap.

Dental crowns actually have a very interesting history that dates back thousands of years. Four thousand years ago, Luzon, an island in the Philippines, gold was used to modify teeth. Skeletons have been found with gold caps and gold tooth replacements. Evidence suggests that this practice was popular with the chiefs of the time and was a symbol of wealth and power in society. An ancient Italian civilization, the Etruscans, have also been discovered as using gold for dental crowns as far back as 700 B.C. It is thought that wealth and luxury were important to these people and they put gold dental crowns to cover their teeth. Some skeletons were also found with what are essentially the first dental bridges: artificial teeth were held in place with a gold wire which then banded the fake teeth to real teeth. Pretty cool!

Europeans didn’t start utilizing modern dental practices until around the 1400s. They started by carving dentures from bone or ivory and around the 1700s, human teeth were actually the most popular tooth replacement. But this practice did not work well so it quickly fell out of practice. Porcelain dentures became the most successful way to replace teeth and by the 1800’s, porcelain was the standard material for crowns. The first modern dental crown was created by Dr. Charles Land in 1903. He created an all-porcelain jacket by taking a broken tooth and reconstructing it with a porcelain cover. This essentially made the tooth look brand new. This dental crown practice was used until the 1950s, which is when dental technologies started developing into what we now use as dental crowns.

Today, dental crowns can be made with four different types of materials:

  • Ceramics – These crowns are made with materials that are porcelain based. The benefit to these fillings are the natural look they give teeth, as the color blends well with natural teeth. Porcelain crowns are best for restoring the front teeth because of this. These crown resist wear-and-tear but can become brittle in cases with heavy biting.
  • Porcelain Fused to Metal – These crowns are attached to the tooth with a metal base and porcelain is then fused to the metal. These crowns make the restoration stronger than if a crown is made of only porcelain. These crowns also better prevent dental decay from recurring. Porcelain fused metal crowns are very durable.
  • Gold Alloys – While there are commonly called gold crowns, these crowns are made up of gold, copper, and other metals. This creates a strong material that supports the tooth. This is a strong material that doesn’t wear or fracture easily. This material also works well with natural gum tissue.
  • Base Metal Alloys – These crowns are made with metals that are strong and resist corrosion. When preparing for crowns made with this material, the dentist is able to remove the least amount of healthy tooth. Additionally, this material is gentle on other teeth that touch the crown.

A question that comes up a lot when discussing crowns is “How long will my crown last?” Depending on the material used to make the crown and the dental care of a person, a crown can have a varying lifespan. On average, dental crowns can last from ten to thirty years. However, there are factors such as dental hygiene practices that affect how long a crown can last. Some crowns may crack after some time due to trauma and sometimes the problem is with the tooth itself. Also, some crowns are simply not fitted properly.

Some tips to prolonging the life of a crown:

  • Brush Your Teeth – It’s always the first thing on the list but brushing your teeth is the most important way to take care of your teeth and your crowns.
  • Avoid Hard Foods – If you regularly bite into hard foods or ice, your crown is at risk of cracking.
  • Wear a Mouth Guard – If you are prone to grinding your teeth in your sleep or participate in sports, wearing a mouth guard protects your teeth and your crowns.
  • Pick the Best Material for You – There are many choices for which material to use for a dental crown, make sure you talk with your dentist and pick the best material for your teeth.

Carolina’s Dental Choice wants to help you understand how dental crowns work. There are a lot of questions to ask if you need a crown: What is it? How long will it take? How much will it cost? We at Carolina’s Dental Choice are happy to answer any questions you may have. If you have questions about replacing current dental crowns or are just ready for a dental checkup, give us a call at 704-289-9519.

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Seven Ways To Get Your Smile Ready For Summer!

2020-07-16T17:11:15+00:00April 30th, 2017|Dental Bonding, Dental Crowns, Dental Implants, Fixed Bridges, Implants, Teeth Cleaning, Teeth Whitening, Veneers|

With a whole season of fun events ahead you’ll want to make sure you look your best. Whether you are posing for that summer beach picture or smiling at a wedding you want your teeth to look their best. Make an appointment at Carolina’s Dental Choice to have your teeth cleaned or perhaps get a quick fix for a problem tooth.

Teeth Whitening Wilmington

 

Here are quick ways to improve your smile for the summer:
1   Teeth Whitening
Do you drink several cups of coffee in the morning or eat foods that stain your teeth?  Dr. Vaghani or Dr. Luckhardt can remove those stains with a simple, inexpensive teeth whitening procedure within a few weeks.  Using a carbamide peroxide gel that stays active for up to 6 hours you should notice a dramatic difference within a day.  Our dentist use Opalescence tooth whiten gel.  It has a good track record and can safely be administered at home.  The gel can stay on for short periods of time or over night. Patients often find this form of teeth whitening easy to use. The Opalescence gel comes in three different flavors and prevents dehydration. The gel works by bleaching your teeth to get rid of stains or discoloration.
2   Teeth Cleaning
Sometimes all it takes is a deep clean to do the trick! A deep clean at Carolina’s Dental Choice is an easy way to give your teeth a lift and help prevent dental issues. It is recommended that patients make it a routine to have their teeth cleaned regularly.

During a routine clean, patient’s teeth are brushed diligently, flossed, and examined for cavities and other dental formalities. This teeth cleaning removes plaque and tar that form on the teeth that can be hard to see and difficult to remove. The dentist will clean each individual tooth and remove all unwanted materials on the tooth through brushing, flossing, scrapping, and special dental techniques.

3   Dental Crowns

Uneven teeth? Discolored teeth? Or a week tooth? That’s where dental crowns can help. Dental crowns are designed to help restore the shape, color, and strength of a tooth. This is a considerable option for dental and cosmetic reasons. One of our experienced dentists will examine your teeth to see if a dental crown is necessary and to identify which crown would bet fit your dental needs.  A dental crown is a tooth shaped, porcelain crown that goes over the tooth. This is best for weak teeth that are predicted to crack or break or for teeth that have already cracked. The dental crown can also help support dental bridges or be used for cosmetic purposes. 

As a bonus, most insurance companies cover dental crowns if the procedure is necessary.  

4   Veneers

Looking for that perfect Hollywood Smile?  Veneers are a great choice to cosmetically enhance your smile.  The veneer is a thin custom made cover that can be placed over the teeth. They are made of porcelain and look identical to natural teeth. The veneer is permanently bonded to your tooth to keep your smile looking great!

Veneers change the shape, size and color of your teeth.  First, a small portion of the original enamel is removed, this allows for room for the veneer to be placed on the tooth and function just like the natural tooth.  Veneers may even be placed on the same day with minimally prepped veneers. This type of veneer requires no enamel to be grinded down.

5   Implants

If you have thought about dental implants before, take a second look. This procedure and the products associated with it have changed dramatically over the last six months.  Implants are the latest innovation in cosmetic dentistry.  If you are missing a tooth or two dental implants are a recommended way to replace missing teeth. The implant is a permanent replacement that is durable and looks natural. It can also be an alternative to getting dentures. Dental implants are embedded into the jaw and covered with an artificial tooth that matches other teeth.

There are two types of dental implants; endosteal implants and subperiosteal implants. Endosteal implants are directly implanted through a surgical procedure that implants directly into the jawbone. After the gum tissue is healed another surgery is needed to connect a post to the original implant. After these surgeries have taken place am artificial tooth is placed on the post. The subperiosteal implants are metal frames that are placed on to the jawbone just below the gum tissue. When the gum heals, the frame is secured into the jawbone. Then a post is attached to the frame and an implant is attached.

6   Fixed Bridges

The fixed dental bridge is another method done at Carolina’s Dental Choice to help repair missing teeth. A fixed bridge is a procedure used to replace one or more missing teeth. A bridge consists of two or more crowns. These artificial teeth can be made using gold, alloys, porcelain, or a mixture. The bridges are supported by natural teeth or implants. Dental bridges have many benefits that can help you obtain the perfect smile, create a proper way of speaking and eating, create structure, and prevent teeth from moving out of place.

There are three main types of dental bridges; Traditional Bridges, Cantilever Bridges, and Maryland Bonded Bridges. Traditional Bridges uses a crown for the tooth or implant on either side of the missing tooth. This is the most often form of bridge and is usually mad in ceramics or a porcelain fused to metal. Cantilever bridges are used when there are adjacent teeth on one side only of the missing teeth. This is not a very common form of bridge. Finally, there is the Maryland Bonded Bridge, these are gums supported by a framework of metal or porcelain and use porcelain, porcelain fused to metal, or plastic teeth. The wings are often on one side of the bridge and bond to natural teeth.

7  Dental Bonding

Dental bonding is a very quick and easy way to repair teeth that have cavities, cracks, chips, or to alter the shape and size. Dental bonding is a one-trip visit that makes it quick and easy. The bond is very cost effective. The bond is done by using a tooth-colored resin that is a durable plastic material. The dental bond can last anywhere from three to ten years!

To book an appointment before your spring event call Carolina’s Dental Choice at 704-289-9519. Dr. Brown and his team of wonderful dental experts would love to help enhance your smile so you can be confident and smile with pride!

  

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