D3 Fall OMS Final Review 2010\nUploaded by newmexicoomfs\nNote Oct 10, 2013\nD3 Fall OMS Final Review 2010 (Course #8240) Patterns of Horizontal Bone Loss (10/19/10) Only purpose of alveolar\nlar one is !o "ol# !"e #en!i!ion o $i!"ou! alveolar one% #isuse a!rop"y o&&urs '(plan! sur)ery is ase# on an in&reasin) #ia(e!er of #rills es!a lis"e# y *rane(ar+ '((e#ia!e ,oa#in) '(plan!s o Mus! "ave a surfa&e &on#u&ive !o os!eoin!e)ra!ion (i-e- rou)"er surfa&e was foun# !o e e!!er an# s&rew s"ape o .a!ien! pressure on #o&!or !o as+ w"y !"ey "ave !o wai! so lon) o /se# !o e a rou!ine pro&e#ure 304 (on!"s for os!eoin!e)ra!ion in (an#i le 401 (on!"s for os!eoin!e)ra!ion in (a2illa (lon)er in!e)ra!ion !i(e for (a2illa) *e!!er resul!s in (an#i le (espe&ially an!erior (an#i le rela!ive !o an!erior (a2illa) Final res!ora!ion pla&e# 304 (on!"s af!er i(plan! pla&e(en! 'n!ernal an# 32!ernal roo! resorp!ion e2!ra&!ions are no! )oo# &an#i#a!es for i((e#ia!e loa# 4raf! w5 Free6e Drie# *one 7llo)raf! Resul!s #epen# on8 o 4raf! e# vas&ulari!y o Confine(en! wi!"in alveolar ar&"i!e&!ure envelope o 9u( er of ony walls surroun#in) )raf! o S!a ili!y of )raf! fro( (ove(en! o .ri(ary &losure an# "y)iene o .os!0)raf! (ana)e(en! of e#en!ulous area o Mana)e(en! of nu!ri!ion an# &o0(or i#i!ies\nGrogan Impaction Lectures (10/26/10 an 11/2/10) '(pa&!ion8 a !oo!" !"a! is &o(ple!ely or par!ially unerup!e# an# posi!ione# so !"a! i! is a)ains! ano!"er !oo!"% one% or sof! !issue% so !"a! fur!"er erup!ion or fun&!ion is unli+ely Fre:uen&y of '(pa&!ion o Mos! fre:uen!8 ;"ir# (olars (Mn < M2) Cuspi#s (M2 < Mn) ,ess fre:uen!\n*i&uspi#s Cen!rals% ,a!erals (se&on#ary !o (esio#ens) $"y !ee!" e&o(e i(pa&!e#= o Se:uen&e of erup!ion #is!ur an&es o 3arly loss of pri(ary #en!i!ion o C"an)in) s+ele!al pa!!erns Mo#ern (an "as a 10> #e&rease in ra(us "ei)"! 41> #e&rease in &oronoi# "ei)"! 21> in (an#i ular len)!"\n11> #e&rease in si6e of #en!al ar&" ;"ir# Molar Con!roversy o Real pro le( is !"ere is no prospe&!ive s!u#ies availa le nor li+ely !o e&o(e availa le o ,a!e ?0@s an# early 80@s series of ar!i&les% non0s&ien!ifi& suppor!e# y (ana)e#0&are or)ani6a!ions (so(e (e( ers were DDS@s !"a! "a# never pra&!i&e#A !"ey were only poli&y (a+ers) 'n#i&a!e# !"a! !"ere was no reason !o re(ove i(pa&!e# !ee!" o 1B80 C 9'D Consensus Develop(en! Conferen&e for Re(oval of ;"ir# Molars o 9o &onsensus ase# on s&ien&e 77OMS\nOverw"el(in) o#y of &lini&al evi#en&e s"ows !"a! pa!ien!s w5 i(pa&!e# !ee!" w"o wai! un!il sy(p!o(s !o appearEsuffer !"e ris+s of un#ue #is&o(for!% prolon)e# re&overy perio#s% in&rease# &os! of !rea!(en!% an# #an)er !o !"eir )eneral "eal!" ;i(ely re(oval of i(pa&!e# an# unerup!e# !ee!" is a vali# an# s&ien!ifi&ally soun# !rea!(en! ra!ionale F$"i!e .aperG on ;"ir# Molar Da!a (77OMS ;as+ For&e 200?) o Da!a ase# on review of li!era!ure on !"e re(oval of !"ir# (olars Ovi#% .u Me#% 4oo)le S&"olar% an# Co&"rane Da!a ase ;"e 9a!ural Dis!ory of ;"ir# Molars o Mos! si)nifi&an! varia le asso&ia!e# w5 !"ir# (olar i(pa&!ion is inadequate hard tissue space wi!" !"e vas! (aHori!y of i(pa&!e# !"ir# (olars "avin) space/crown width ratios of less than one o '! is possi le !o (easure spa&e for erup!ion !o !"e o&&lusal plane usin) a varie!y of ra#io)rap"i& !e&"ni:ues o /nerup!e# !ee!" &an &"an)e posi!ion even eyon# !"e (i##le of !"e !"ir# #e&a#e of life o *e&ause !"ere is no &o(ple!ely relia le way !o pre#i&! pa!"olo)i& &"an)es asso&ia!e# w5 i(pa&!e# !ee!"% !"e life &y&le of i(pa&!e# !ee!" s"oul# e (oni!ore# perio#i&ally w5 ra#io)rap"s o 3rup!ion !o !"e o&&lusal plane #oes no! ensure proper perio#on!al suppor!% !"a! is% a#e:ua!e osseous spa&e #oes no! )uaran!ee a#e:ua!e p"ysiolo)i& spa&e for !"e (ain!enan&e of a !oo!" in )oo# "eal!" Con&lusionE o $"ile i! is no! possi le !o pre#i&! erup!ion of !"ir# (olars in all &ases% adequate space between the anterior border of the ramus of the mandible and the distal of the mandibular second molar seems to be necessary to allow successful eruption to the occlusal plane- 7ssess(en! of !"is spa&e &an e #e!er(ine# usin) a varie!y of ra#io)rap"i& !e&"ni:ues32!ra&!ion of !"e Man#i ular ;"ir# Molars w5 3vi#en&e of 32is!in) .erio#on!al Disease o ;"e re(oval of i(pa&!e# !"ir# (olars &an ne)a!ively i(pa&! !"e perio#on!iu( an# &an ne)a!ively i(pa&! !"e perio#on!iu( of a#Ha&en! se&on# (olars- ;"e preopera!ive e2is!en&e of an intrabony defect, age of the patient, and level of plaque control (ay serve !o pre#i&! a#verse ou!&o(es Does Flap Desi)n an# 32!ra&!ion ;e&"ni:ue 'nfluen&e ,on)0!er( .erio#on!al 'ssues= o 9o sin)le sur)i&al approa&" !o !"e re(oval of !"ir# (olars !"a! will (ini(i6e loss of perio#on!al a!!a&"(en! was i#en!ifie# o 4ui#e# ;issue Re)enera!ion (4;R) an# 5or De(inerali6e# *one .ow#er (D*.) (ay e enefi&ial in ins!an&es w"ere !"ere is evi#en&e of si)nifi&an! pre0e2is!in) a!!a&"(en! loss o S&alin)% roo! plannin)% an# pla:ue &on!rol "ave !"e po!en!ial !o re#u&e pos!0opera!ive loss of a!!a&"(en! o Fur!"er resear&" is nee#e# !o &larify un#er w"a! &on#i!ions 4;R an#5or D*. &an &on!ri u!e !o\n(ini(i6in) pos!0opera!ive perio#on!al #efe&!s3ffe&! of 7)e on 32is!in) ;"ir# Molars o .erio#on!al #efe&!s% as assesse# y po&+e! #ep!"s% #e!eriora!e w5 in&reasin) a)e in !"e presen&e of re!aine# !"ir# (olars o Caries in erup!e# !"ir# (olars in&reases in prevalen&e w5 in&reasin) a)eo ;"e in&i#en&e of pos!opera!ive (or i#i!y followin) !"ir# (olar re(oval is "i)"er in pa!ien!s <21 years o 4er(e&!o(y (ay e asso&ia!e# w5 a lower in&i#en&e of pos!opera!ive (or i#i!y Or!"o#on!i& Consi#era!ion for Re(oval of ;"ir# Molars o Despi!e )oo# in!en!ions% we are no! a le !o e2plain% pre#i&!% or preven! #en!al &row#in)% no (a!!er w"a! !"e &ause o $"ile i! is li+ely !"a! !"ir# (olars play a role in !"e e!iolo)y of &row#in)% !"ey are only one fa&!or !o &onsi#er in (a+in) a &lini&al #e&ision a ou! !"ir# (olar (ana)e(en!o Ew"ile !"ir# (olars (ay play a si)nifi&an! role in so(e pa!ien!s% !"e &urren! s!a!e of +nowle#)e #oes no! allow us !o i#en!ify wi!" a&&ura&y w"o is a! ris+ .ros!"o#on!i& Consi#era!ions an# !"e Re(oval of ;"ir# Molars o ;"e na!ural &ourse of an asy(p!o(a!i& !"ir# (olar is un&er!ain% wi!" &"an)e in posi!ion or erup!ion repor!e# even w5 a#van&in) a)e o ;"e po!en!ial for !"e #evelop(en! of pa!"olo)y asso&ia!e# w5 i(pa&!e# !ee!" is well #o&u(en!e# o 9o! all asy(p!o(a!i& i(pa&!e# !ee!" un#er re(ova le pros!"esis will #evelop pa!"olo)y if lef! in pla&e o ;"ere is in&rease# #iffi&ul!y an# ris+ of &o(pli&a!ions asso&ia!e# w5 re(oval of i(pa&!e# !ee!" if #eferre# un!il la!er in life o *e&ause !"ere is no relia le way !o pre#i&! pa!"olo)i& &"an)es asso&ia!e# w5 i(pa&!e# !ee!"% !"ey s"oul# e (oni!ore# wi!" perio#i& &lini&al an# ra#io)rap"i& e2a(ina!ion Iali# 'n#i&a!ions for ;"ir# Molar Re(oval o .ar!ial erup!ion C peri&oroni!is o Malpose# w5 early folli&le &"an)es o Caries o .erio#on!al en#an)er(en! of 2n# (olars o 'nfe&!ions or "is!ory of infe&!ions o Supererup!e#% (alposi!ione#% (alo&&lu#e# o .reven!ion of spor!s inHuries o Or!"o5.ros!" ;rea!(en! plans o .reirra#ia!ion% pre!ransplan!% an# i((unosuppresse# o ;oo!" in line of fra&!ure 'nvali# Reasons for ;"ir# Molar Re(oval o Causin) or!"o#on!i& !rea!(en! !o relapse Mul!iple ar!i&les on o!" si#es of !"e issue% u! !"e ar!i&les w5 !"e es! s&ien!ifi& evi#en&e s"ow no i(pa&! on or!"o relapse Si!ua!ions !"a! &all for .ru#en! Ju#)(en! o Re(oval of M2 3r# (olars in pa!ien!s K 14 years ol# o Re(oval of 3r# (olars in pa!ien!s < 10 years o Re(oval of 3r# (olars in asso&ia!ion w5 lar)e &ys!s or o!"er pa!"olo)i& lesions Refer\nRe(oval of 2n# (olars !o allow 3r# (olars !o erup! Re(oval of 3r# (olars in presen&e of a&u!e infe&!ions\nDe a!a le o Re(oval in i((unosuppresse# or (e#i&ally &o(pro(ise# pa!ien!s o Re(oval of 3r#s in e2!re(e ana!o(i& lo&a!ions Classifi&a!ion Sys!e(s of '(pa&!e# ;ee!" o ;o #e!er(ine !"e #e)ree of #iffi&ul!y preopera!ively o Ra#io)rap"i& analysis De)ree of #iffi&ul!y is pri(arily #e!er(ine# y a&&essi ili!y 3ase of e2posure *one re(oval (avoi#in) a#Ha&en! #en!i!ion)\nDe!er(inin) pa!"way for #elivery Me&"ani&al a#van!a)e (pur&"ase poin!s) *asis of Classifi&a!ion Sys!e( Rela!ions"ip !o an!erior or#er of ra(us Rela!ions"ip !o o&&lusal plane 7n)ula!ion Roo! Morp"olo)y Si6e of folli&ular sa& Rela!ions"ip !o '7 n Densi!y of surroun#in) one Rela!ions"ip !o 2n# (olar .ell an# 4re)ory Sys!e( *ase# on !"e a(oun! of (an#i ular !"ir# (olar !"a! is &overe# y !"e one of !"e (an#i ular ra(us ;oo!" !o an!erior or#er of ra(us Ier!i&al posi!ion in rela!ion !o !"e a#Ha&en! !ee!" Rela!ions"ip !o o&&lusal plane 7n)ula!ion Mesioan)ular Dis!oan)ular Ier!i&al Dori6on!al ' Crown &o(ple!ely an!erior !o !"e an!erior or#er !o !"e (an#i ular ra(us 7ppro2i(a!ely one0"alf of !"e &rown is &overe# y !"e ra(us ;oo!" is &o(ple!ely lo&a!e# wi!"in !"e ra(us O&&lusal surfa&e level or nearly level w5 !"e o&&lusal plane of !"e 2n# (olar O&&lusal surfa&e e!ween !"e o&&lusal surfa&e an# C3J of 2n# (olar O&&lusal surfa&e elow !"e C3J of 2n# (olar\nRela!ions"ip !o 7n!erior *or#er of Ra(us\n'' ''' 7\nRela!ions"ip !o !"e O&&lusal .lane\nLess !ifficult "actors Mesioan)ular Class ' ra(us Class 7 #ep!" Roo!s 153 !o 253 for(e# Fuse# &oni&al roo!s $i#e .D, ,ar)e folli&le 3las!i& one Separa!e# fro( 2n# (olar Separa!e# fro( '7 n Sof! ;issue '(pa&!ion $left Lip an Palate (11/9/10 an 11/16/10)\n#ore !ifficult "actors Dis!oan)ular Class ''' ra(us Class C #ep!" ,on)% !"in roo!s Diver)en! &urve# roo!s 9arrow .D, ;"in folli&le Dense% inelas!i& one Con!a&! w5 2n# (olar &lose !o '7 nCo(ple!e ony i(pa&!ion\nDi)" Liel# Fa&!s o Clef! lip an# pala!e affe&!s 18?00 live ir!"s o IL .us" a&+ fi2es !"e pala!e o ,ip is fi2e# a! 10 wee+s or 10 l s or 10 )5#, D (Rule of 10 C any of !"e 3 &an apply !o #o sur)ery) o ,ip is fi2e# firs!% followe# y !"e pala!e% followe# y !"e alveolar &res! 3( ryolo)y o %&'( )H* PI$)+,*- '" .LL )H* -).G*- '& )H* -LI!*- .&! B* .BL* )' I!*&)I"/ 0*,/ (*LL111 o Du(an e( ryo "as 1 pairs of p"aryn)eal ar&"es w"i&" are &o(pose# of Mus&le &o(ponen!s Car!ila)e &o(ponen!s Cranial nerves 7r!eries s! 1 7r&" (Ma2illo0Man#i ular) C9 I (;ri)e(inal) Ma2illary pro&ess Mus&les of Mas!i&a!ion% an!erior #i)as!ri&s% (ylo"yoi#% !ensor veli pali!ini% !ensor !y(pani Me&+el@s Car!ila)e ( e&o(es sp"eno(an#i ular li)a(en!)% in&us% an# (alleus Clef! ,ip an# .ala!e is pri(arily #ue !o pro le(s of 1s! ar&"MMM n# 2 7r&" (Dyoi# 7r&") C9 I'' (Fa&ial) Mus&les of fa&ial e2pression% pos!erior elly of #i)as!ri&s% s!ape#ius% an# s!ylo"yoi# Rei&"ar!@s Car!ila)e (s!yloi# pro&ess of !e(poral one)% lesser "orn of !"e "yoi# one an# por!ion of !"e "yoi# o#y% s!apes S!yloi# pro&ess of !"e &raniu( an# s!ylo"yoi# li)a(en! 7uri&ular ((r# 3 7r&" (pro#u&es s!ylop"aryn)eus (-) C9 'N (4lossop"aryn)eal) 4rea!er "orn of "yoi# one 'nferior par! of "yoi# one\n's !"e &o((on &aro!i# an# roo!s of !"e 'n!ernal Caro!i# aa4 7r&"\nC9 N (Ia)us) Mus&les of !"e laryn2 an# lower p"aryn2 (inferior &ons!ri&!ors)% &ri&o!"yroi#% leva!or veli pala!ine ,aryn)eal Car!ila)es% !"yroi# &ar!ila)e Right su &lavian a- an# !"e ar&" of !"e aor!a\n1!" $ee+ o ;wo fas! )rowin) ri#)es8 la!eral an# (e#ial nasal swellin)s ,a!eral for( alae of nose Me#ial for(8 (i##le par! of nose% (i##le upper lip% (i##le of (a2illa% an# en!ire pri(ary pala!e\nO!" $ee+ o Si(ul!aneously !"e Ma2illary swellin)s will approa&" !"e (e#ial an# la!eral nasal swellin)s% u! re(ain separa!e# fro( !"e( y well (ar+e# )rooveso .ala!ine s"elves appear in !"e O!" wee+ an# are #ire&!e# o li:uely #ownwar# on ei!"er si#e of !"e !on)ue !" ? $ee+ o Ma2illary swellin)s &on!inue !o )row in a (e#ial #ire&!ion an# &o(press !"e (e#ial nasal swellin)s !owar# !"e (i#line- Su se:uen!ly !"ese swellin)s si(ul!aneously (er)e wi!" ea&" o!"er an# wi!" !"e Ma2illary swellin)s la!erally- ;"e upper lip is for(e# y !"e !wo (e#ial nasal swellin)s an# !"e !wo (a2illary swellin)s y !"e 10!" wee+ "ailure of fusion of t2e lateral an me ial nasal s3ellings uring 4t2 3ee5 is 32at causes cleft lip an palate111 o ;"e pala!ine s"elves as&en# !o a!!ain a "ori6on!al posi!ion a ove !"e !on)ue an# fuse w5 ea&" o!"er for(in) !"e se&on#ary pala!e ;"e pri(ary pala!e for(s as a s"elf% )rowin) pos!eriorly fro( !"e in!er(a2illary pro&ess !o for( !"e floor of !"e pri(i!ive nasal &avi!y ;"e an!erior por!ion of !"e se&on#ary pala!e ossifies !o for( !"e "ar# pala!e 10!" wee+ o $"ole pala!e is fuse# .ala!e o .ri(ary .ala!e (.re(a2illa) Superior ,ip 7lveolar one Dar# pala!e (an!erior !o fora(en) Se&on#ary .ala!e Dar# pala!e (pos!erior !o fora(en) Sof! pala!e .ri(ary .ala!e Clef! 2n# (on!" of )es!a!ion Failure of (eso#er( !o pene!ra!e in!o )rooves 5w !"e (e#ial nasal an# (a2illary pro&esses w"i&" pro"i i!s !"eir (er)in) w5 one ano!"er Se&on#ary .ala!e Clef! 3r# (on!" of )es!a!ion Failure of !"e pala!ine s"elves !o fuse w5 one ano!"er\nClef! ,ip an# .ala!e O&&urren&e o Di)"er in Japanese o /nila!eral is (ore &o((on !"an ila!eral an# (ore #iffi&ul! !o fi2 o More &o((on in (ales o More &o((on on lef! si#e o 'sola!e# &lef! on pala!e is )rea!er in fe(ales 3!iolo)y o 4ene!i&s < 40> C,. an# < 20> C. o .osi!ion of !on)ue% environ(en!al fa&!ors% &i)are!!es% #ru)s% vi!a(ins% al&o"ol% viral infe&!ions% &or!i&os!eroi#s% e!&Classifi&a!ion o /nila!eral5*ila!eral 'n&o(ple!e5Co(ple!e Repair o Rule of 10 o Lip 7S7. (10 wee+s) o -oft palate6 a! 8018 (on!"s !o pro#u&e velop"aryn)eal (e&"anis( w"en or efore spee&" s+ills are #evelopin) o Har palate8 no! un!il all of !"e #e&i#uous #en!i!ion "as erup!e# e&ause a si)nifi&an! por!ion of (a2illary )row!" "as alrea#y o&&urre# y 401 years o Or#er of sur)ery for a 0/ Pus27ac5 for pala!e (Pnow !"e se:uen&e)\n1- Close nasal (u&osa 2- Close (us&les 3- Close (u&osa of pala!e Principles of Biops8 (11/90/10 an 12/4/10) Many #iseases5lesions loo+ &lini&ally si(ilar *iopsy8 !"e re(oval of sa(ple !issue for !"e purpose of #ia)nosis o 'n&isional o 32&isional $"y *iopsy= o Confir( eni)ni!y or (ali)nan&y of suspi&ious lesions o Confir( a #ia)nosis e!ween 2 si(ilar lesions o De!er(ine &lear (ar)ins o Me#i&ole)al #o&u(en!a!ion ;"e Clini&ian@s Dile((a o ;"ere are (any oral a nor(ali!ies o Mos! are eni)n% u! (any are no! o Clini&al inspe&!ion &anno! #ifferen!ia!e e!ween eni)n an# (ali)nan! &an&erous an# pre&an&erous lesions o .ra&!i!ioners are of!en relu&!an! !o su (i! pa!ien!s !o s&alpel iopsy% relu&!an! !o a#(i! !"ey #o no! +now% an# relu&!an! !o refer !o so(eone else o On !"e o!"er "an#E o '! is illo)i&al !o &on!inue wa!&"in) a lesion pro)ressively )e! lar)er an# lar)er w"ile no! re&o((en#in) #efini!ive #ia)nos!i& an# !rea!(en! s!eps !o !"e pa!ien!o '! is &ri!i&al !o !"e pa!ien!@s survival &"an&es !"a! (ali)nan! lesions are #e!e&!e# an# (ana)e# 7S7.M\n.re0*iopsy Moni!orin) o /n#ia)nose# lesions s"oul# e o serve# for ?014 #ays% !"en iopsie# o ,esions wi!" #ysplasia s"oul# e a la!e#% no! o serve# o 'f no! iopsie#% pa!ien!s (us! e fully infor(e# of !"e ris+s 7ssure .roper Follow0up o Ma+e appoin!(en!s for follow0up evalua!ion o 'f lesion s!ill presen! an#5or lar)er appoin! or refer for iopsy o 4e! a##i!ional pi&!ures% ra#io)rap"s as in#i&a!e# a! follow0up visi!s o Consi#er wri!!en pro!o&ol (pla&e a &opy in pa!ien!@s &"ar!) ;"orou)" Do&u(en!a!ion o Measure% s+e!&"% an# re&or#MM o ,a!er you won@! re(e( er o /se a! leas! 2 #i(ensions o ."o!os o .i&!ures wi!" la els 3le(en!s of 3ffe&!ive Do&u(en!a!ion o 7nno!a!e# "eal!" "is!ory (!o a&&o5al&o"ol) o De!aile# ini!ial e2a( no!es o Dia)nos!i& !es! resul!s o S+e!&"% p"o!o% (easure(en!s of lesion o Differen!ial i(pression #2 o 9o!es on #is&ussion wi!" p! o De!ails of plans for follow0up o Re&or# of any se&on# opinion p"one &alls o Su se:uen! pro le(s o Se&on# opinion re:ues!s5referrals in wri!in) o 7u2iliary en!ries s"oul# e si)ne# y !"e( *iopsy or Refer= o Do you "ave !"e !rainin)5e2perien&e= o 's !"ere &ri!i&al ana!o(y involve#= o Do you "ave !"e ins!ru(en!s= o Do you reasona ly feel i! is eni)n= o Do you "ave arran)e(en!s wi!" an oral pa!"olo)is!= o Do you "ave spe&i(en &on!ainers% e!&-= *enefi!s (us! ou!wei)" !"e ris+s ;"e ;ene!s of .roper Referral o 9o! #is&usse# in (os! pa!"olo)y oo+s o 'f i! isn@! in wri!in)% i! #i#n@! "appen o Don@! e afrai# !o see+ se&on# opinion if unsure o 7ny!"in) !"a! #oesn@! )o away in an e2pe&!e# perio# of !i(e s"oul# &ause &on&ern o Don@!@ follow lesions in#efini!ely% espe&ially if !"ey enlar)e% e&o(e fi2e#% e!&.a!"olo)y Referrals o 7rran)e !"e appoin!(en! now (unless pa!ien! o He&!s) o Don@! Hus! )ive a lis! of spe&ialis!s C #is&uss an# arran)e o 'nsis! on )oo# #o&!or0!o0#o&!or &o((uni&a!ion\nFollow0up all appoin!(en!s wi!" le!!er5fa25e0(ail\n.u! &opy in pa!ien! &"ar! o Ma+e sure referral sur)eons un#ers!an# you e2pe&! a repor! a&+ !"a! you will pla&e in !"e pa!ien!@s &"ar! o 'f repor! #oesn@! &o(e a&+% &"e&+ i! ou!M o Co((on sense #oesn@! o&&ur &o((onlyM o $"en you refer% you #on@! relin:uis" &on!rol C you are s!ill !"e )a!eway DDS 'n#i&a!ions for *iopsy o 7ny persis!en! pa!"olo)i&al &on#i!ion !"a! &an@! e #ia)nose# &lini&ally 3nlar)in) in!ra ony lesions 7ny lesion wi!" no i#en!ifia le e!iolo)y% !"a! persis!s for 10014 #ays or (ore% #espi!e !ypi&al lo&al !"erapy ;o &onfir( &lini&al #ia)nos!i& suspi&ions ;o #efini!ely i#en!ify lesions !"a! are a &on&ern !o !"e pa!ien! 7ny lesion wi!" (ali)nan! or pre0(ali)nan! &"ara&!eris!i&s% in&lu#in)8\nRapi#ly )rowin) lesions Re#5w"i!e5pi)(en!e# lesions or &o( ina!ions of sa(e 7ny lesion asso&ia!e# wi!" "ar#ene#% fi2e#% or enlar)e# ly(p" no#es 7ny un+nown lesion in "i)" ris+ area (la!eral !on)ue% "ar#5sof! pala!e) o *e suspi&iousEw"en in #ou ! C !a+e i! ou!M So(e .rin&iples o *iopsies are no! foolproof .a!"olo)is!s &an only rea# w"a! you sen# in $"en in #ou ! C #o i! a)ainM Dile((a8 s"oul# all !issues e su (i!!e#=\n7&a#e(i&ally8 yes Clini&ally5pra&!i&ally8 no! ne&essarily o *iopsy !"e perip"ery% no! !"e &en!erM o Consi#er iopsyin) fro( (ore !"an one area w"en #ealin) wi!" lar)er lesions *iopsy 7voi#sMMM o Cri!i&al ana!o(y areas o Cen!ral areas of ne&rosis o .i)(en!e# lesions o Mis"an#lin) spe&i(ens o ;a+in) ina#e:ua!e sa(ple ;ypes o 32folia!ive Cy!olo)y *rus" For (ass s&reenin)s% for lesions wi!" a low in#e2 of suspi&ion 9o! as relia le as a iopsy in +era!ini6e# !issue 9o! a su s!i!u!e for iopsy ;"e a&!ion is a! !"e ase(en! (e( rane Cy!olo)y !e&"s no! e2perien&e# wi!" oral pa!"olo)y $"a! a ou! !"e new oral CDN +i!s= Only surfa&e &ells are &ap!ure# S&reenin) !ool for oral &an&er\n32folia!ive &y!olo)y no! all !"a! useful e&ause un#erlyin) &ells are no! &ap!ure# *rus" iopsy allows for !ransepi!"elial &ap!ure *rus" is ro!a!e# over !"e suspe&!e# area un!il sli)"! lee#in) o&&urs *lee#in) ensures &ap!ure of ase(en! (e( rane /seful only as a s&reenin) !ool Cos! effe&!ive *roa# s&ope% li!!le sur)i&al s+ill re:uire# in !e&"ni:ue 'f a!ypi&al &ells are foun#% in&isional iopsy follow up is ne&essary Oral CDN +i!s Pi! in&lu#es8 s!erile rus"% )lass sli#es% fi2a!ive% (ailin) o2% paperwor+ ;e&"ni:ue o 1) .la&e !opi&al o 2) Mois!en rus" wi!" wa!er5saliva o 3) .la&e rus" on lesion o 4) Ro!a!e rus" on lesion o 1) S(ear rus" on sli#eA fi2a!ive o O) Sen# !o &o(pany ;"e Repor! o 9e)a!ive8 no a nor(ali!ies no!e#A follow &lini&ally o .osi!ive8 #efini!ive &ellular evi#en&e of epi!"elial #ysplasia or &an&er presen!A refer or iopsy o 7!ypi&al8 a nor(al &"an)es presen! (pre0&an&erous or infla((a!ory) (i-eli&"en planusA refer or iopsy) o 'na#e:ua!e Sa(ple8 #en!is! nee#s !o re#o pro&e#ure (an# you ea! !"e &os!) .ros an# Cons of Oral CDN o 1011> of pa!ien!s e2a(ine# (ay "ave suspi&ious lesions o Solves !"e #ile((a wi!" !"ese lesions8 wa!&" or iopsy= o May en&oura)e fur!"er #ia)nos!i& s!eps y relu&!an! DDSs o 'n s!u#y of B41 pa!ien!s% !e&"ni:ue &orre&!ly i#en!ifie# 100> of &an&erous lesionsA foun# unsuspe&!e# &an&er in 4-1> of Finno&en!G lesions o Suspi&ious lesions in "i)" ris+ areas s!ill nee# !o e iopsie# o ;"e &os! is "i)" o 'nsuran&e won@! pay #ia)nos!i& pro&e#ures !wi&e o S!ill possi le !o (iss areas of (ali)nan&y o ;"e rus" a rasion &oul# e (ore painful !"an su!ure# in&ision 'n&isional8 re(oval of a por!ion or sa(ple of !issue 32&isional8 re(oval of !"e en!ire lesion 'f !"e #ifferen!ial #ia)nosis in&lu#es as !"e four (os! realis!i& possi ili!ies% lesions !"a! are &ura le y re(oval s"oul# e e2&ise# (Mar2) Marsupiali6a!ion For lar)e &ys!s espe&ially ranula Cys! linin) su!ure# !o oral (u&osa w"i&" &rea!es per(anen! #e&o(pression pa!" On&e &ys! is s(aller% #e&ision &an e (a#e a ou! iopsy Disa#van!a)e8 i((e#ia!e iopsy is no! #one 7spira!ion5.un&"59ee#le\nFro6en /se# #urin) sur)ery !o assess (ar)ins of rese&!e# !issue Can e use# !o &onfir( a suspe&!e# #ia)nosis or rela!e !o !"e sur)eon !"e !ype of !issue (i-e- nerve vs- s&ar) Fro6en se&!ions (ay e o !aine# fro( one u! #e&al&ifi&a!ion (us! e #one prior !o pro&essin) Mos! oney !u(ors a#van&e !"rou)" !"e (arrow &avi!y ra!"er !"an !"e &or!e2% !"erefore !"is area is (os! useful for iopsy Cure!!a)e is )enerally a#e:ua!e% no #e&al&ifi&a!ion is re:uire# .ro&essin) .araffin lo&+ Fi2a!ive% usually 10> for(alin% lar)e se&!ions s"oul# e se&!ione# in 0-1 &( in&re(en!s Spe&i(en prepare# !"rou)" #e)ra#e# al&o"ols (?0> !o a solu!e) !o #e"y#ra!e 7f!er 24 "r pro&essin) in 7u!o0!e&"ni&ian% (i&ro!o(e se&!ions paraffin !o 10O (i&ro(e!ers S!ainin) wi!" "e(a!o2ylin ( asop"ili& i-e- D97) an# eosin (a&i#op"ili& i-e&olla)en% (us&le% an# nerve) DQ3 are a:ueous% paraffin in !issues (us! e re(ove# Nylene an# al&o"ols Dar# !issues #one in a si(ilar (anner u! DCl #e&al&ifi&a!ion is ne&essary af!er fi2a!ion Dis!olo)i& 'n!erpre!a!ion .ri(ary (e!"o# of in!erpre!a!ion is DQ3 s!ainin) wi!" li)"! (i&ros&ope 7llows for 'D of &ells y pa!!ern% su s!an&e pro#u&e# an# s"ape an# si6e ,ow power R pa!!ern (i-e- s!ra!ifie# s:ua(ous epi!"eliu() Di)" power R &ell (orp"olo)y '((unofluores&en&e /seful #ia)nos!i& !ool in i((une ase# #iseases (vesi&ulo ul ous) Dire&! '((unofluores&en&e8 perilesional !issue is e2&ise# an# in&u a!e# wi!" fluores&en! la ele# an!i o#ies a)ains! "u(an i((uno)lo ulins% &o(ple(en!% an# fi rin Fi2a!ive8 Mi&"ael@s 90e!"yl (ale(i#e an# M)SO4 in a &i!ra!e uffer 7n!i o#ies usually &o(e fro( ra i!s !"a! "ave een i((uni6e# wi!" i((uno)lo ulins !a+en fro( "u(an (yelo(as Dire&! is (ore sensi!ive !"an in#ire&! 'n#ire&!8 presen&e an# &on&en!ra!ion of &ir&ula!in) an!i o#ies wi!"in !"e pa!ien!@s seru( are assaye# Seru( is in&u a!e# wi!" a !issue su s!ra!e fro( ano!"er spe&ies Of!en "u(an lip or (on+ey esop"a)us is &"osen% an!i o#ies fro( !"e pa!ien!s seru( !"a! !ar)e! spe&ifi& an!i)ens in !"e su s!ra!e will in# 9e2! s!ep is !o a## fluores&en! la ele# an!i0"u(an i((uno)lo ulin so !"e oun# )lo ulin &an e seen un#er !"e (i&ros&ope /seful in #iseases li+e pe(p"i)us Mis!a+es Sa(ple nee#s !o e sen! in Mi&"ael@s (e#iu( Dalf life of Mi&"ael@s is s"or!% i((une ase# #iseases no! as &o((on% (any\nsur)eons sen# sa(ples in for(alin ins!ea# Re0appoin! pa!ien! an# &all pa!" la !o "ave !"e( supply you wi!" Mi&"ael@s for proper s!u#y\no F97 Mis!a+es o $"en !a+in) sa(ples fro( areas wi!" !"in (u&osa li+e FOM% sa(ple will s"rin+ an# roll up on i!self (a+in) i! "ar# !o orien!- ;a+e !issue sa(ple an# pla&e on &ar# oar# (fro( su!ure &on!ainer) for 1 (inu!es !"en pla&e in fi2!ure o 'na#e:ua!e sa(ple si6e o 'n&isin) lesion an# sen#in) a se&!ion fro( !"e (i##le an# !"en su!urin) ;"is s"ows pa!"olo)is! only !"e !u(or o Sen# sa(ple wi!" nor(al !issue in !"e sa(ple ((isse# !"e lesion) o Desi&&a!ion wi!" ele&!ro0sur)ery or laser o Crus" inHuries Di)" Ris+ ,o&a!ions o Lateral 7ase of tongue (90:) o "loor of mout2 (29:) o 'rop2ar8n; (24:) o 4in)iva (8>) o *u&&al (u&osa (1>) o ,ips (4>) o .ala!e (3>) $ays you &an (ess up a spe&i(enE o ,os! spe&i(en o '(proper (ailin) o Free6in) ar!ifa&!s o 'nsuffi&ien! wri!!en infor(a!ion Dan#lin) (ul!iple spe&i(ens5si!es o ;"e use of 75*5C spe&i(ens an# o!!les o ;"e use of su!ure !a)s S!a)es of .a!"olo)y $or+up o 1) ;"e Dis!ory o o o 4eneral survey% vi!als% "is!ory !a+in) 2) ;"e Clini&al 32a( Sys!e(a!i& DQ9 e2a( (#o i! !"e sa(e way every !i(eM) 3) ,a S!u#ies5N0rays 4) Clini&al '(pression Dia)nosis\n;en!a!ive #ifferen!ial Co((on !"in)s o&&ur &o((only /se an oral pa!"olo)is! if possi le o 1) Dis!opa!"olo)i& Dia)nosis 'n!ra ony *iopsies o 'n&isional iopsy (soli# !u(ors) o 3nu&lea!ion (&ys!i& lesions) Re#5$"i!e Mi2e# ,esions o *ewareM .o!en!ially worse !"an w"i!eM\no 40O> or (ore &an e (ali)nan! or pre0&an&erousA "i)"er in s(o+ers5#rin+ers o Re# lesions a! "i)" ris+ C up !o 30> &oul# !ransfor( !o &an&er o Mos! of !"ese lesions are seen in (ales (M8F 281) ol#er !"an 11 years ol# .i)(en!e# ,esions re:uire wide (ar)ins on e2&ision\nMore From newmexicoomfs\nPeriodontal Reevaluation 2\n01. Nose and Paranasal Sinuses\n2. Modul gangguan diges_Epidemiologi penyakit digestif dan hati masyarakat.pptx\nInterpretasi Urine Rutin\nReducing the Risk of Sexual HIV Transmission .7\nLecture 1 & 2.pdf\nMicroimplantes Para Intrusion Ant-Inf\nFossil Watch 11.19.10\nOfficial playstation april\nHulata-Genetic Manipulations in Aquaculture


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wF 9u Vine a Lleida amb els Eskapulats! - ceeuropa.cat\nVine a Lleida amb els Eskapulats!\n14 Setembre 2021\tRedacció\nCartell d'Eskapulats anunciant el desplaçament\nEl grup d'animació Eskapulats organitza un autocar per a veure, el proper diumenge dia 19, el partit Lleida Esportiu-Europa.\nAvantmatx: 24 d'octubre


Goodie Ochaco Uraraka - Nendoroid Hero's Edition - Manga news\nManga news > Univers goodies > Goodies > Ochaco Uraraka - Nendoroid Hero's Edition\nCode EAN: 4580416908672\nPrix fabricant: 5000 yen. Fournie avec trois expressions (standard/confiante, souriant avec énergie, et en train de rougir), des parties permettant de reproduire son Alter 'Gravité Zéro', sa visière, et une onomatopée "FLOAT!".


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Texas A&M Aggies 52oz. Stainless Steel Macho Travel Mug with Bottle Opener | Fanzz\nShare | Texas A&M Aggies 52oz. Stainless Steel Macho Travel Mug with Bottle Opener\nItem Number: V000248535


Family tree of Claude LEVI-STRAUSS - Geneastar\nFamily tree of Claude LEVI-STRAUSS\nBorn Claude LEVI-STRAUSS\nBorn on November 28, 1908 in Brussels, Belgium , Belgium\nDied on October 30, 2009 in Paris, France\nBorn on november 28 33\nThis form allows you to report an error or to submit additional information about this family tree: Claude LEVI-STRAUSS (1908)\nRaymond Urbain Elie\n? ? , Ephraïm Abraham SCHREIBER\nJean - Pierre KAHN\nEsther LÉVY , Aron LÉVY\n? ? , Eliezer Lippmann Ashkenazi


Why I stopped Doing Busness With Advance Auto Parts Jan 19, 2017 @ Pissed Consumer\nNext review WHY I STOPPED DOING BUSINESS WITH ADVANCE AUTO PARTS\nWhy I stopped Doing Busness With Advance Auto Parts\nWHY I STOPPED DOING BUSINESS WITH ADVANCE AUTO PARTS\nOn October 18, 2015 I made a claim of a defective and leaking Radiator at the Advance Auto Parts located at #1 Munoz Marin Caguas, PR 002751. I explained to the manager MS Alexandra Rivera that I had purchase the radiator a little over two years ago and that I had misplaced the sales receipt and that the radiator had a lifetime guarantee. I explained to the manager that I was a long time customer and had made all my purchases with an Advance credit card and that over the course of the last six years I had spend a substantial amount of money performing all of the maintenance to my Jeep Liberty and auto parts purchases. That if she would check my account on the computer records she could confirm the radiator purchase and installation. MS Rivera stated to me "that after two years time the computer records are purged and deleted from the system. That the only way that she could replace the defective radiator under the life time guarantee was if I could provide a store sales receipt. Told her that I was angry and dissatisfied with that fact that my purchase credit account records had been intentionally deleted from the system so that my radiator purchase could not be verified. Not only that I will no longer patronize Advance Auto Parts but that I will file a complaint with DACO the consumer protection agency in Puerto Rico and that I will be posting my complain on all internet social media\nAdvance Auto Parts Cons: Being totally disregarded, Part and customer service, Quality of part.\nReview #721598 is a subjective opinion of Dondra of San Juan, Puerto Rico.\nAnonymous Jun 11, 2016 #1171964\nFrom what you stated, I take your are a Commercial customer, as Advance does not have a credit card for DIY customers. As to the history, the APAL system was never designed to store warranty info for more than two years for either DIY or DIFM (commercial) customers and it is on the customers to maintain copies.\nAnonymous Jan 19, 2017 #1273487


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watching England haikus 1-12 | Football Poets\nwatching England haikus 1-12\n¶ 1 Leave a comment on verse 1 0 ~~~~~~~~~~~~~~~~~~~~\n¶ 2 Leave a comment on verse 2 0 would it be England\n¶ 3 Leave a comment on verse 3 0 if we weren’t all on the edge?\n¶ 4 Leave a comment on verse 4 0 time to breathe again\n¶ 5 Leave a comment on verse 5 0 ~~~~~~~~~~~~~~~~~~~~~\n¶ 6 Leave a comment on verse 6 0 look me in the eye\n¶ 7 Leave a comment on verse 7 0 tell me that you always knew\n¶ 8 Leave a comment on verse 8 0 we’d get through the group\n¶ 9 Leave a comment on verse 9 0 ~~~~~~~~~~~~~~~~~~~~~~~\n¶ 10 Leave a comment on verse 10 0 when we think of stress\n¶ 11 Leave a comment on verse 11 0 just remember all those shacks\n¶ 12 Leave a comment on verse 12 0 out there down the road\n¶ 13 Leave a comment on verse 13 0 ~~~~~~~~~~~~~~~~~~~~~~~~~~\n¶ 14 Leave a comment on verse 14 0 swapping nerves for joy\n¶ 15 Leave a comment on verse 15 0 not quite like watching Brazil\n¶ 16 Leave a comment on verse 16 0 bottom line we’re through!\n¶ 17 Leave a comment on verse 17 0 ~~~~~~~~~~~~~~~~~~~~~~~\n¶ 18 Leave a comment on verse 18 0 in red cross and mail\n¶ 19 Leave a comment on verse 19 0 would you spend an evening with\n¶ 20 Leave a comment on verse 20 0 just one of those knights?\n¶ 21 Leave a comment on verse 21 0 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\n¶ 22 Leave a comment on verse 22 0 I’d just like to say\n¶ 23 Leave a comment on verse 23 0 watching England’s always fun\n¶ 24 Leave a comment on verse 24 0 but I’d be lying\n¶ 25 Leave a comment on verse 25 0 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\n¶ 26 Leave a comment on verse 26 0 always great to see\n¶ 27 Leave a comment on verse 27 0 passion pride and sheer belief\n¶ 28 Leave a comment on verse 28 0 shame we often don’t !\n¶ 29 Leave a comment on verse 29 0 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\n¶ 30 Leave a comment on verse 30 0 let us not pretend\n¶ 31 Leave a comment on verse 31 0 it won’t always be like this\n¶ 32 Leave a comment on verse 32 0 for an England fan\n¶ 33 Leave a comment on verse 33 0 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\n¶ 34 Leave a comment on verse 34 0 like a swallow’s dive\n¶ 35 Leave a comment on verse 35 0 or some rocket on the ground\n¶ 36 Leave a comment on verse 36 0 JT’s crazy leap\n¶ 37 Leave a comment on verse 37 0 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\n¶ 38 Leave a comment on verse 38 0 have you seen him scream?\n¶ 39 Leave a comment on verse 39 0 would you question who he picks?\n¶ 40 Leave a comment on verse 40 0 Fabio scares me\n¶ 41 Leave a comment on verse 41 0 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\n¶ 42 Leave a comment on verse 42 0 all these flipping years\n¶ 43 Leave a comment on verse 43 0 I’m in bits when they’re out there\n¶ 44 Leave a comment on verse 44 0 don’t you love this game?\n¶ 45 Leave a comment on verse 45 0 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\n¶ 46 Leave a comment on verse 46 0 what support we have\n¶ 47 Leave a comment on verse 47 0 those who travel those from there\n¶ 48 Leave a comment on verse 48 0 how they drove us on\n¶ 49 Leave a comment on verse 49 0 ~~~~~~~~~~~~~~~~~~~~~~~~~~


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Markus Molonoff MP3 & Music Downloads at Juno Download\nAlma Techno Vol 2\nAlberto Costas - "Nebulosa" - (8:07) 128 BPM\nAlberto Costas - "Corrupt Condition" - (10:08) 124 BPM\nAlberto Costas - "La Vega Baja" - (7:19) 128 BPM\nAlberto Costas - "Il Capo" - (7:44) 124 BPM\nAlberto Costas - "Las Salinas" - (7:34) 128 BPM\nAlberto Costas - "Only Disco" - (7:37) 124 BPM\nAlberto Costas & Markus Molonoff - "Clandestinos" - (8:04) 125 BPM\nAlberto Costas - "Nikola Tesla" - (7:37) 124 BPM\nAlberto Costas - "Gangsters" - (7:21) 124 BPM\nAlberto Costas/Cdr/Markus Molonoff/Fabio Obifa\nbuy whole release (4 tracks) from $9.92 $7.48\nAlberto Costas - "Pegasus" - (6:48) 127 BPM\nCDR - "Afterlife Voices" - (8:32) 125 BPM\nMarkus Molonoff - "Paranormal Sounds" - (8:11) 125 BPM\nFabio Obifa - "Witmitchu" - (6:29) 128 BPM\nAlberto Costas/J Tello/Markus Molonoff/Rispetto Musiq\nbuy whole release (5 tracks) from $7.25 $8.72\nAlberto Costas - "The Streets Will Always Be Our" - (8:03) 125 BPM\nJ Tello & Markus Molonoff - "DJ" (Markus Molonoff remix) - (8:42) 125 BPM\nRispetto Musiq & Alberto Costas - "The Mood" (Alberto Costas remix) - (7:25) 125 BPM\nAlberto Costas - "Independence Day" - (9:06) 130 BPM\nAlberto Costas - "Not A Step Back" - (8:49) 125 BPM\nbuy whole release (2 tracks) from $4.96 $4.36\nCentauro - (9:08) 128 BPM\nParanoia (original mix) - (5:42) 125 BPM\nAndrea Ghirotti & Kozzoa - "Paranoia" (Kozzoa remix) - (9:11) 127 BPM\nAndrea Ghirotti & Markus Molonoff - "Paranoia" (Markus Molonoff remix) - (8:02) 128 BPM\nbuy whole release (3 tracks) from $7.44 $5.98\nInfinite Options - (6:50) 134 BPM\nAnthony Kasanc & Alberto Costas - "Infinite Options" (Alberto Costas remix) - (6:34) 134 BPM\nAnthony Kasanc & Markus Molonoff - "Infinite Options" (Markus Molonoff remix) - (7:03) 134 BPM\nBoby Samples & Alberto Costas - "Techno Ib?rico" - (8:42) 125 BPM\nStones - (7:03) 125 BPM\nMechanized Future - (6:08) 128 BPM\nBoby Samples & Big Man Pro - "Poisoned Languajes" - (7:14) 125 BPM\n1975 - (8:04) 124 BPM\nWhen The Tide Rises - (7:13) 124 BPM\nBoby Samples & Patrick Van Tropen - "Human Power" - (6:37) 130 BPM\nLa Sombra - (6:47) 125 BPM\nBoby Samples & Markus Molonoff - "Refugiados" - (8:34) 125 BPM\nBoby Samples & Alberto Costas - "Hard House" - (6:35) 124 BPM\nNi Olvido Ni Perdon - (7:37) 128 BPM\nGuillotina - (8:30) 128 BPM\nAlaska - (7:48) 125 BPM\nBelladonna - (6:21) 125 BPM\nRicino - (7:29) 124 BPM\nAntifascistas - (7:17) 125 BPM\nCachorro - (7:30) 128 BPM\nBipolar - (7:12) 125 BPM\nBoby Samples & Piluka - "Personality" - (7:14) 125 BPM\nBoby Samples & The Synth Proyect - "Green Mamba" - (7:25) 125 BPM\nBoby Samples - "Hipnotik Sounds" (Re-Work) - (7:05) 128 BPM\nBonita - (7:33) 125 BPM\nDJ - (8:17) 125 BPM\nJ Tello & Markus Molonoff - "DJ" (Markus Molonoff remix) - (8:19) 125 BPM\nWithout More - (8:22) 128 BPM\nJ Tello & Piluka - "Without More" (Piluka remix) - (8:35) 125 BPM\nStrong (original mix) - (6:39) 125 BPM\nJounes & Markus Molonoff - "Strong" (Markus Molonoff remix) - (7:56) 125 BPM\nJounes & Rispetto Musiq - "Strong" (Rispetto Musiq remix) - (6:39) 125 BPM\nJounes & Kamcken - "Strong" (Kamcken remix) - (4:04) 130 BPM\nSubculture 4.0 - (7:07) 128 BPM\nYoung - (7:44) 125 BPM\nMarkus Molonoff - "Grow Shop" - (7:48) 125 BPM\nMarkus Molonoff - "AK-47" - (7:41) 125 BPM\nMarkus Molonoff - "Tavarishch" - (9:32) 125 BPM\nMarkus Molonoff - "Young" - (7:45) 125 BPM\nPiluka - "The Nightmare Of His Look" (Markus Molonoff remix) - (6:37) 128 BPM\nMarkus Molonoff - "Etnico" - (9:06) 124 BPM\nMarkus Molonoff - "Falcon" - (7:29) 130 BPM\nMarkus Molonoff - "The Great Station" - (7:48) 125 BPM\nMarkus Molonoff & Piluka - "The Dog" - (7:19) 128 BPM\nMarkus Molonoff & Piluka - "The Cat" - (6:10) 125 BPM\nMarkus Molonoff - "Gulag" - (7:01) 130 BPM\nHola Chacho (feat Markus Molonoff) - (6:48) 127 BPM\nTavArrishch (original mix) - (9:32) 125 BPM\nMarkus Molonoff & Miota - "TavArrishch" (Miota remix) - (6:56) 128 BPM\nMarkus Molonoff & Anthony Kasanc - "TavArrishch" (Anthony Kasanc remix) - (6:01) 125 BPM\nMarkus Molonoff & Zioo - "TavArrishch" (Zioo remix) - (6:00) 128 BPM\nVagabundos - (8:42) 125 BPM\nElA©ctriko - (8:08) 124 BPM\nStalingrado - (6:24) 130 BPM\nIce - (7:56) 126 BPM\nBass Bit - (7:29) 125 BPM\nBass Bit (Voice mix) - (7:14) 125 BPM\nMarkus Molonoff feat Mc Bass\nHola Chacho (feat Mc Bass) - (6:48) 127 BPM\nHola Chacho (radio edit) - (4:32) 127 BPM\nMarkus Molonoff/Patrick Van Tropen\nPata Negra - (7:18) 125 BPM\nBlack Wolf - (7:02) 125 BPM\nWhite Wolf - (7:22) 126 BPM\nThe Dog - (7:18) 128 BPM\nThe Cat - (6:10) 125 BPM\nMarkus Molonoff/Synthtetizer Project/Alberto Costas\nCrazy Underground Techno\nSynthtetizer Project - "Mestizo" - (6:25) 126 BPM\nAlberto Costas - "Nitroglicerine" - (7:18) 125 BPM\nRed Albert/Carlo Trapone & Piluka/Fabio Obifa & Alberto Costas/Boby Samples/Patrick Van Tropen & Markus Molonoff\nbuy whole release (5 tracks) from $12.40 $8.72\nRed Albert - "Waterdeep Cats" - (7:14) 126 BPM\nCarlo Trapone & Piluka - "Underground Revolution" - (6:47) 125 BPM\nFabio Obifa & Alberto Costas - "Basic Techno" - (7:41) 127 BPM\nBoby Samples - "Self-Defense" - (7:30) 130 BPM\nPatrick Van Tropen & Markus Molonoff - "Black Wolf" - (7:02) 125 BPM\nOne Vol 3\nAlberto Costas & Sandrah & Bob Ray - "I Think Of You" (Bob Ray remix) - (7:03) 127 BPM\nAlberto Costas & Boby Samples - "La Almadraba" (Boby Samples remix) - (7:48) 125 BPM\nAndrea Ghirotti - "Paranoia" - (5:42) 125 BPM\nAnthony Kasanc & Peter Wok - "Looking For Axions" (Peter Wok remix) - (8:03) 128 BPM\nBob Ray & Petri Petro - "Berlin Nights" (Petri Petro remix) - (6:10) 125 BPM\nJounes - "Iberica" - (6:31) 125 BPM\nMarkus Molonoff & Miota - "Tavarishch" (Miota remix) - (6:56) 128 BPM\nPatrick Van Tropen - "Obsession" - (7:49) 125 BPM\nPeter Wok - "Body & Soul" - (9:16) 125 BPM\nPeter Wok - "Going Strong" - (7:57) 130 BPM\nPiluka & Peter Wok - "B-52" (Peter Wok remix) - (7:34) 128 BPM\nSynthtetizer Project - "Permanent Corruption" - (8:19) 128 BPM\nZioo - "Ooiz" - (5:18) 121 BPM\nbuy whole release (12 tracks) from $29.76 $16.21\nAlberto Costas & The Synth Proyect & Anthony Kasanc - "Dark Moon" (Anthony Kasanc remix) - (6:11) 124 BPM\nMiota & Boby Samples - "Arles" (Boby Samples remix) - (6:47) 125 BPM\nZioo - "Kiribati" - (6:24) 130 BPM\nBoby Samples & Miota - "Bipolar" (Miota remix) - (6:22) 126 BPM\nZioo & Alberto Costas - "DGB" (Alberto Costas remix) - (7:12) 125 BPM\nAlberto Costas - "Veteran In Thousand Battles" - (8:15) 125 BPM\nMarkus Molonoff & Piluka - "The Dog" - (7:18) 128 BPM\nZioo - "Omuh" - (6:09) 130 BPM\nChico Perez - "La Tormenta" - (9:14) 130 BPM\nBig Man Pro - "The Kitchen Of The Hell" - (7:49) 128 BPM\nWenping Monkeys - "Synthtetik" - (7:52) 128 BPM\nbuy whole release (7 tracks) from $17.36 $11.22\nAlberto Costas & Markus Molonoff - "Minotauro" - (7:37) 130 BPM\nBur - "Bairro Alto" - (5:35) 122 BPM\nDJ Johan Weiss - "Angel Of War" - (7:19) 125 BPM\nJ.A.G.C. & Piluka - "Time Of Revolution" (Base mix) - (8:11) 125 BPM\nMiss Pony - "Eyes All Over" - (7:48) 125 BPM\nFunkythowdj - "Spider Eyes" - (7:44) 126 BPM\nFabio Obifa - "Bad Love" - (6:21) 126 BPM\nPeter Wok - "Creeps" - (12:00) 130 BPM\nAlicia Trapone - "My Baby" (feat Lobo Jones & Mc Bass) - (7:45) 125 BPM\nPiluka - "Katana" - (8:03) 125 BPM\nFighters Of The Techno\nAnthony Kasanc - "The Effect 2038" (original mix) - (6:20) 126 BPM\nPeter Wok - "Octopus" (original mix) - (8:34) 135 BPM\nKozzoa - "Technocrat" (original mix) - (8:11) 126 BPM\nMarkus Molonoff - "Grow Shop" (original mix) - (7:48) 125 BPM\nMiota - "Senador Y Martir" (original mix) - (9:08) 125 BPM\nBoby Samples - "Accursed Poet" (original mix) - (8:07) 128 BPM\nPatrick Van Tropen - "Love Barcelona" (original mix) - (7:59) 126 BPM\nRispetto Musiq - "On Way Street" (original mix) - (7:00) 125 BPM\nMarkus Molonoff & Anthony Kasanc - "Tavarishch" (Anthony Kasanc remix) - (6:01) 125 BPM\nBob Ray & Moduless - "Berlin Nights" (Moduless remix) - (6:46) 126 BPM\nMiota - "Solemnidad" (original mix) - (9:43) 124 BPM\nAnthony Kasanc & Peter Wok - "The Effect 2038" (Peter Wok remix) - (7:28) 130 BPM\nSynthtetizer Project - "Permanent Corruption" (original mix) - (8:19) 128 BPM\nJJ Coltman & Tonikattitude - "Join The Fist" (Tonikattitude remix) - (7:37) 130 BPM\nPetri Petro - "Exoplanet" - (6:02) 128 BPM\nAnthony Kasanc - "Hope Me" - (6:35) 129 BPM\nJJ Coltman - "Saint Of The Breast" - (6:10) 127 BPM\nKamcken - "Acid Rain" - (4:48) 147 BPM\nJJ Coltman - "Join The Fist" - (6:51) 130 BPM\nInside Out & Alberto Costas - "Omega" (Alberto Costas remix) - (6:13) 126 BPM\nAnthony Kasanc & Ikttus - "Impasse" (Ikttus remix) - (6:00) 133 BPM\nAlberto Costas - "My Name Is Liberty" - (6:52) 128 BPM\nPetri Petro - "It's An Ilusion" - (6:03) 128 BPM\nAnthony Kasanc - "Cigarrete" - (6:43) 129 BPM\nJJ Coltman - "De Toda Madre Un Desmadre" - (6:06) 125 BPM\nInside Out & Luca Bellini - "Omega" (Luca Bellini remix) - (7:07) 128 BPM\nAnthony Kasanc & Alberto Costas - "Impasse" (Alberto Costas remix) - (7:31) 130 BPM\nAlberto Costas - "Rabia" - (8:30) 128 BPM\nBig Man Pro - "Purple" - (8:08) 127 BPM\nMiota - "CanAcula" - (8:51) 126 BPM\nRispetto Musiq - "RDX15" - (7:23) 130 BPM\nRispetto Musiq - "Listen To Techno" - (6:52) 130 BPM\nAnthony Kasanc - "Theoretical Problem" - (7:16) 127 BPM\nJ Tello - "El PescAoo" - (8:03) 128 BPM\nJ Tello & Alberto Costas - "El PescAoo" (Alberto Costas remix) - (7:45) 128 BPM\nAnthony Kasanc - "Unknown Ways" - (8:31) 120 BPM\nZioo - "Onik" - (8:36) 130 BPM\nZioo - "Repeat" - (6:16) 130 BPM\nAnthony Kasanc - "Impasse" - (6:00) 133 BPM\nJmNogueras - "To Keep At Bay" - (8:17) 125 BPM\nJmNogueras & Alberto Costas - "To Keep At Bay" (Alberto Costas remix) - (5:57) 125 BPM\nAnthony Kasanc - "Uncertainty" - (8:57) 125 BPM\nMarco Caetano - "Meridianam" - (8:15) 124 BPM\nMarco Caetano - "Summitatem" - (6:05) 126 BPM\nAnthony Kasanc - "Infinite Options" - (6:50) 134 BPM\nPeter Wok & Miss Pony - "Stairs" (Miss Pony remix) - (8:28) 130 BPM\nPeter Wok & Woktrax - "Stairs" (Woktrax remix) - (8:26) 130 BPM\nAnthony Kasanc - "Alternate Plan" - (5:34) 124 BPM\nIkttus - "Corrupted Memories" - (6:32) 118 BPM\nIkttus - "Extraction" - (6:05) 128 BPM\nAnthony Kasanc - "Illogical Result" - (7:39) 128 BPM\nPatrick Dandoczi - "Acid Rain" - (9:32) 133 BPM\nPatrick Dandoczi - "Toxic Trip" - (7:24) 132 BPM\nAnthony Kasanc - "No Solutions" - (6:10) 131 BPM\nPaolo Doldo - "Happy" - (6:39) 130 BPM\nPaolo Doldo - "Sunday" - (6:38) 130 BPM\nAnthony Kasanc - "Unfinished" - (6:47) 130 BPM\nPablo Berezhnoy - "Conciencia Elevada" - (9:03) 126 BPM\nPablo Berezhnoy - "EnergAa Alegre" - (8:42) 125 BPM\nAnthony Kasanc & Rispetto Musiq - "Infinite Options" (Rispetto Musiq remix) - (6:27) 134 BPM\nPablo Berezhnoy & Anthony Kasanc - "Astral & Safari" (Anthony Kasanc remix) - (7:18) 126 BPM\nPablo Berezhnoy - "Astral & Safari" - (7:41) 125 BPM\nAnthony Kasanc & Peter Wok - "Infinite Options" (Peter Wok remix) - (8:22) 134 BPM\nMarkus Molonoff - "Stalingrado" - (6:24) 130 BPM\nMarkus Molonoff - "Ice" - (7:56) 126 BPM\nPablo Berezhnoy - "Maddie" - (8:03) 125 BPM\nPablo Berezhnoy & Kozzoa - "Astral & Safari" (Kozzoa remix) - (9:03) 125 BPM\nAnthony Kasanc & J.J. Coltman - "Infinite Options" (J.J. Coltman remix) - (6:50) 134 BPM\nPablo Berezhnoy - "SimultAnneo" - (8:04) 125 BPM\nPablo Berezhnoy - "En El Top" - (9:43) 126 BPM\nPeter Wok - "The Great Escape" - (10:51) 127 BPM\nPeter Wok - "Madness" - (8:25) 130 BPM\nPablo Berezhnoy - "Head Shot" - (8:35) 125 BPM\nPablo Berezhnoy & Andrea Ghirotti - "Astral & Safari" (Andrea Ghirotti remix) - (5:57) 125 BPM\nT.O.L.O.K.O. - "Classic Techno" - (6:13) 130 BPM\nT.O.L.O.K.O. - "Mental Problem" - (7:19) 135 BPM\nPablo Berezhnoy & Boby Samples - "Astral & Safari" (Boby Samples remix) - (7:33) 125 BPM\nPablo Berezhnoy - "House Man" - (6:28) 125 BPM\nIberico Christmas 2019\nElias Saura - "Eridu" - (7:31) 125 BPM\nPeter Wok - "Out Of Hand" - (7:55) 123 BPM\nAlberto Costas & Piluka - "Running" - (7:48) 125 BPM\nMarkus Molonoff - "Dead Zar" - (8:00) 132 BPM\nBoby Samples - "Belladonna" - (6:21) 125 BPM\nDJ Joys - "Mistery Sound" (909 mix) - (7:02) 128 BPM\nElias Saura - "Eridu" (Red Albert remix) - (7:52) 124 BPM\nPeter Wok - "Boundaries" (I Know You Want Me) - (7:56) 132 BPM\nAlberto Costas - "H2O" - (8:35) 124 BPM\nMarcus Molonoff - "Vagabundos" - (8:42) 125 BPM\nDJ Joys - "Mistery Sound" (Booth mix) - (7:11) 128 BPM\nPeter Wok - "Disco Cuts" - (9:24) 125 BPM\nCrazy Christmas 2019 Vol 2\nAlberto Costas - "Black Future" (Rispetto Musiq remix) - (6:40) 130 BPM\nElias Saura - "Disgusto" - (6:19) 122 BPM\nRed Albert - "Ishtar" (Alberto Matsumura aka TT remix) - (6:46) 130 BPM\nThe Viking - "Trust" - (7:25) 127 BPM\nKasanc - "Nubes Noctilucentes" - (5:52) 128 BPM\nAlberto Costas & Piluka - "Virus" - (8:19) 125 BPM\nBoby Samples - "Ricino" - (7:29) 124 BPM\nPablo Berezhnoy - "Sinergy" - (5:55) 125 BPM\nMiss Pony - "Zusammen" - (7:53) 125 BPM\nPeter Wok - "Schmutzigi" - (8:12) 129 BPM\nPetri Petro - "Perception" (Soyuz 38 remix) - (6:31) 130 BPM\nDJ Joys - "Mistery Sound" - (7:25) 131 BPM\nRispetto Musiq - "Heart Attack" (Kasanc remix) - (6:08) 126 BPM\nUncle & Nephew - "Moms & Dad Sleeping" (feat J.J. Coltman) - (4:53) 122 BPM\nAlberto Costas & Piluka - "La Stravaganzza" - (7:51) 124 BPM\nMarkus Molonoff - "El?ctriko" - (8:08) 124 BPM\nPablo Berezhnoy - "Vision" - (6:08) 125 BPM\nPiluka - "Katana" (Alicia Trapone remix) - (8:04) 125 BPM\nPiluka & Synthtetizer Project - "Jaleo" (radio edit) - (4:15) 130 BPM\nCrazy Friends History 3 Anniversary\nJj Coltman & FunkythowDJ - "Trouble Love" (FUNKYTHOWDJ remix) - (8:06) 128 BPM\nIvox Garcia - "Confusion" - (6:38) 126 BPM\nThe Class - "Thunder" - (6:31) 130 BPM\nKasanc - "Distorting" - (6:08) 126 BPM\nRed Albert - "Secuela" - (7:44) 120 BPM\nThe Viking - "Magic Energy" - (8:37) 128 BPM\nZioo - "Just The Way" - (7:45) 128 BPM\nAlberto Matsumura aka TT - "New York Snow" - (6:04) 130 BPM\nPeter Wok - "Future" - (8:56) 130 BPM\nSoyuz 38 - "Nuestra America" - (7:44) 122 BPM\nDJ Joys - "84" - (5:13) 130 BPM\nJJ Coltman - "Trouble Love" - (7:00) 128 BPM\nAlberto Costas & Rispetto Musiq - "Only Disco" (Rispetto Musiq remix) - (8:23) 124 BPM\nBoby Samples - "Antifascistas" - (7:17) 125 BPM\nThe Max - "I Believed" - (6:23) 126 BPM\nJAGC - "Revolution 4.0" - (7:56) 135 BPM\nPeter Wok - "NSQR" - (9:04) 128 BPM\nZioo - "Menea" - (8:22) 130 BPM\nBoby Samples - "Amnistia" - (7:16) 130 BPM\nHoly - "Madness Sidechain" - (7:00) 130 BPM\nKSNC - "Tears Become Beats" - (6:36) 130 BPM\nDJ Johan Weiss - "Hipnotic Poison" - (7:06) 126 BPM\nPablo Berezhnoy - "Namaste" - (6:25) 122 BPM\nPiluka - "Tar?ntula" - (8:04) 125 BPM\nDJ Joys - "Techno Cat" - (5:56) 125 BPM\nNephilim - "Iceventura" - (5:49) 132 BPM\nKAD - "Rotation" - (6:03) 132 BPM\nMontanelli Leonardo - "Biscuites" - (6:17) 125 BPM\nAdrian Bilt - "Battle Horn" - (7:09) 123 BPM\nAndry Cristian - "Focus" - (8:03) 126 BPM\nPablo Berezhnoy - "Be Yourself" - (6:21) 124 BPM\nJounes - "Darknes" - (6:43) 125 BPM\nJm Nogueras - "To Keep At Bay" - (8:17) 125 BPM\nJ Tello - "DJ" - (8:17) 125 BPM\nJJ Coltman - "Trouble Love" (FUNKYTHOWDJ remix) - (8:06) 128 BPM\nBoby Samples - "I Remember My Dreams" - (7:33) 125 BPM\nBob Ray - "Humanoid" - (7:48) 125 BPM\nAdriano Reis - "Outsider" - (8:27) 122 BPM\nAlberto Costas & Markus Molonoff - "Centauro" - (9:08) 128 BPM\nJ.J. Coltman & Tonikattitude - "Space Destination" - (7:05) 132 BPM\nFabio Obifa - "Dark Generation" - (8:00) 128 BPM\nSynthtetizer Project - "Ilusion Time" - (6:08) 125 BPM\nBBR Special Techno Selection\nRispetto Musiq - "Heart Attack" (Alberto Costas remix) - (7:09) 137 BPM\nAlberto Costas - "Corrupt Condition" (Red Albert remix) - (6:50) 124 BPM\nBoby Samples - "Voices For The Change" - (6:16) 125 BPM\nCrazy Friends Colective - "Bases Techno 1" - (6:46) 128 BPM\nDJ Joys - "System" - (4:30) 130 BPM\nDuck Sandoval - "El Reino De Los Muertos" - (9:47) 128 BPM\nPetri Petro - "Circuit" - (4:59) 130 BPM\nPeter Wok - "Cumpleanos" - (8:06) 136 BPM\nMasoBt - "Overdrive" - (7:30) 128 BPM\nPatrick Van Tropen - "Techno Flow" (feat Mc Bass) - (6:47) 125 BPM\nMarkus Molonoff - "Bass Bit" - (7:29) 125 BPM\nMax Darmagnac - "No Return" - (6:54) 130 BPM\nFabio Obifa - "Templario" - (7:14) 125 BPM\nJ.J. Coltman & Tonikatittude - "Space Destination" (Kasanc remix) - (6:49) 132 BPM\nAlberto Costas - "My Enemy" (feat Lobo Jones) - (7:56) 125 BPM\nDJ Joys - "Experimentalism" - (6:29) 125 BPM\nJ.A.G.C. - "Popen" - (7:56) 127 BPM\nJ.J. Coltman & Tonikattitude - "Space Destination" (Peter Wok remix) - (9:45) 132 BPM\nMarkus Molonoff - "Hola Chacho" (feat Mc Bass) - (6:48) 127 BPM\nPeque?o Activo - "Rob?tiko" - (6:10) 127 BPM\nSynthtetizer Project - "Reward" - (6:37) 127 BPM\nXarnego - "Multi Bits" - (7:30) 130 BPM\nReality - (5:09) 127 BPM\nJounes & Zioo - "Darknes" (Zioo remix) - (11:48) 130 BPM\nEscape To The Sky - (7:15) 130 BPM\nAlicia Trapone & Zioo - "Chichipan" (Zioo remix) - (6:08) 120 BPM\nOoiz - (5:18) 121 BPM\nAlberto Costas & Zioo - "Live Free Or Die" (Zioo remix) - (7:26) 127 BPM\nGuten Tag - (7:30) 128 BPM\nDutch - (7:00) 128 BPM\nPienso - (6:24) 120 BPM\nAnthony Kasanc & Zioo - "The Effect 2038" (Zioo remix) - (4:57) 129 BPM\nSubmarine - (6:46) 130 BPM\nPetri Petro & Zioo - "Exoplanet" (Zioo remix) - (5:47) 130 BPM\nTight - (6:46) 130 BPM\nDetroUser - (6:03) 127 BPM\nJ.J. Coltman & Zioo - "Brains Tourmented" (Zioo remix) - (6:56) 127 BPM\nOmuh - (6:09) 130 BPM\nRed Albert & Zioo - "Marduk" (Zioo remix) - (7:30) 128 BPM\nKiribati - (6:24) 130 BPM\nPetri Petro & Zioo - "Existence" (Zioo remix) - (6:24) 130 BPM\nRepeat - (6:16) 130 BPM\nOnik - (8:36) 130 BPM\nEternity - (7:15) 130 BPM\nEntreaty - (7:16) 130 BPM\nZioo/Alberto Costas/Markus Molonoff/Piluka\nSpartans Of The Techno Vol 2\nZioo - "DGB" - (6:09) 130 BPM\nZioo - "DGB" (Alberto Costas remix) - (7:12) 125 BPM\nPiluka - "Special K" - (7:48) 125 BPM


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VY oW דופק החדשות של ישראל - דניאל הרשקוביץ\n1. מהפך בשיבוץ לשירות הלאומי: בקו"ם ומיון מקצועי\n2. מהומה בכנסת: הליכוד הפיל את החוק למען בנייה בהתנחלויות\n3. ישיבת הסדר חדשה הוקמה בראש העין\n4. למה ללמוד מתמטיקה? סדרת הרצאות תסביר כמה זה פשוט\nנוצר ב-26.12.2011 07:12\n5. קרית מלאכי: הגרעין התורני חונך מרכז פעילות חדש\n6. מועצת יש"ע להרשקוביץ ואורבך: "הגיע הזמן לאיום פוליטי מפורש"\n7. פסטיבל הכליזמרים נפתח בצפת\n8. בימין דורשים: לפתור את משבר הדיור - בהתנחלויות\n10. ישראל ורוסיה ישתפו פעולה בחלל


Virginia Poe Miller\nHenry & E l f i d a U. Suazo\nGo. Ct. #*\nE l f i d a U. t>uazo, Albert & 9889 54\nRichard A. Guerrero et/al (Ramana Archuleta\nA 3 ? * V\n6/3/68 Dtn Ct/^el\n6/10/68 WD j t 6/7/68\nf ( - 7 - 6 7\nFull-Text VOUCHER NO. NAME OF GRANTEE BOOK PAGE DATE FILED INSTRUMENT KIND DATE MEMO. OR NAME OF GRANTOR 78 XZ2X IX 78 78 (Alice Render) Virginia Poe Miller Henry & E l f i d a U. Suazo 7969 8195 9054 288 216 12-4-56 6-9-58 6 28 63 Dec of Hrshp 11-20-56 Go. Ct. #* 57 4951 Stanley Kas-der aka XX* Stanley W. Kinder WD WD j t 6-6-58 10 1 58 59 E l f i d a U. t>uazo, Albert & 9889 54 Richard A. Guerrero et/al (Ramana Archuleta 714 A 3 ? * V •?7 £ ) 6/3/68 Dtn Ct/^el 63 68 6/10/68 WD j t 6/7/68 f ( - 7 - 6 7 68 7 a