GITNUXSOFTWARE ADVICE
Healthcare MedicineTop 10 Best Endodontic Software of 2026
Top 10 endodontic software ranked with criteria and tradeoffs for practices and clinics, including Eaglesoft and Dentrix.
How we ranked these tools
Core product claims cross-referenced against official documentation, changelogs, and independent technical reviews.
Analyzed video reviews and hundreds of written evaluations to capture real-world user experiences with each tool.
AI persona simulations modeled how different user types would experience each tool across common use cases and workflows.
Final rankings reviewed and approved by our editorial team with authority to override AI-generated scores based on domain expertise.
Score: Features 40% · Ease 30% · Value 30%
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Eaglesoft is the best fit for endodontic practices that need tooth-level documentation and imaging review within their everyday EDR workflow, while for the lowest-cost entry iDentalSoft is a workable choice and Apteryx XrayVision stands out when imaging annotation drives the process.
Editor’s top 3 picks
Three quick recommendations before you dive into the full comparison below — each one leads on a different dimension.
Eaglesoft
Tooth-level endodontic charting with visit-linked documentation keeps case history consistent from entry to recall.
Built for fits when endodontic practices need tooth-level documentation and imaging review within day-to-day EDR workflows..
Dentrix
Editor pickAppointment-centered clinical documentation keeps endodontic encounter notes and history aligned to visits.
Built for fits when clinics need consistent endodontic documentation inside a general practice record..
Apteryx XrayVision
Editor pickEndodontic-focused radiograph annotation workflow built around case reads and repeatable clinical markup.
Built for fits when imaging-heavy endodontic teams want standardized radiograph annotation without replacing EHR charting..
Comparison Table
Eaglesoft
enterpriseDental practice management and imaging software by Patterson Dental.
Tooth-level endodontic charting with visit-linked documentation keeps case history consistent from entry to recall.
Eaglesoft is built around an appointment and clinical record model where endodontic documentation can be entered per tooth and per visit, then reused in later visits through saved clinical templates. Imaging workflows support common endodontic use cases such as capturing and reviewing periapical radiographs during case progression, with imported digital images available in the same chart context. For clinics coordinating endodontic referrals, patient and visit records provide the backbone for referral documentation and follow-up tracking.
A tradeoff appears in automation depth for external systems because Eaglesoft’s integration surface is more oriented to practice workflow and file-based imaging flows than developer-first API extensibility. The best fit is an endodontic-heavy clinic that wants structured documentation, consistent per-tooth records, and clinic governance through user permissions rather than custom integrations.
- +Tooth-level charting supports repeatable endodontic documentation across visits
- +Clinical templates reduce re-entry for procedure notes and forms
- +Imaging review stays tied to the patient record workflow
- +User permission controls support day-to-day governance in busy clinics
- –Developer-grade automation and API depth are limited versus integration-first products
- –Some endodontic workflow automation requires more configuration effort than expected
- –Advanced reporting for narrow endodontic metrics can require extra setup
- –Imaging import patterns may not match every DICOM-heavy clinic workflow
Endodontic-heavy specialty clinics
Track multi-visit canal cases
Faster recall documentation
General practices with endodontists
Coordinate referrals and follow-ups
Reduced handoff friction
Show 2 more scenarios
Clinic operations teams
Standardize endodontic documentation
Less re-entry work
Clinical templates and configuration support consistent forms for endodontic case documentation across providers.
Imaging-focused practices
Maintain radiograph context
Clearer case progression
Periapical radiography workflows keep review and record linkage in the same chart context.
Best for: Fits when endodontic practices need tooth-level documentation and imaging review within day-to-day EDR workflows.
Dentrix
enterpriseDental practice management platform by Henry Schein used across specialties.
Appointment-centered clinical documentation keeps endodontic encounter notes and history aligned to visits.
Dentrix fits practices that want one operational record for endodontic encounters, including procedure documentation and ongoing patient history tied to visits. Endodontic workflows work best when the office standardizes charting conventions and templates so clinicians capture diagnosis notes and instrumentation and obturation details consistently.
The tradeoff is that Dentrix depth for endodontic-specific charting structures and treatment planning steps is not as specialized as tools focused on endodontic diagramming and canal-level documentation. Dentrix works well when endodontic cases are managed through general dental charting plus imaging import workflows, and when staff need predictable throughput across multiple provider types.
- +Clinical documentation stays organized around patient and encounter history
- +Charting workflows support consistent note capture across providers
- +Imaging workflow aligns with routine appointment-driven operations
- +Operational modules reduce handoffs between front desk and clinicians
- –Endodontic canal-level data modeling is less granular than endodontics-only tools
- –Advanced automation requires tighter internal process discipline
- –Referral and treatment-plan workflows can feel generic for specialized endodontics
General dental practices
Document endodontic visits in chart
Faster continuity across visits
Multi-provider clinics
Standardize clinician documentation habits
More uniform endodontic records
Show 2 more scenarios
Imaging-focused teams
Manage radiographs within appointments
Reduced image-document mismatch
Imported imaging supports endodontic review during the same visit workflow used for chart updates.
Referral-heavy practices
Track endodontic follow-up logistics
Fewer missed follow-ups
Dentrix supports operational follow-up scheduling around endodontic case management workflows.
Best for: Fits when clinics need consistent endodontic documentation inside a general practice record.
Apteryx XrayVision
vertical specialistDental imaging acquisition and management software supporting multiple sensor brands.
Endodontic-focused radiograph annotation workflow built around case reads and repeatable clinical markup.
XrayVision is positioned for radiographs inside endodontic treatment planning and diagnosis, where clinicians need consistent zoom, contrast controls, and annotation tied to case review. It supports DICOM imaging workflows and digital radiograph import, which reduces manual re-keying when images originate from scanners, sensors, or CBCT workflows. The software also supports documentation outputs that map to how endodontic teams record findings during assessment and during post-treatment follow-up.
A key tradeoff is that XrayVision is image-first rather than a full endodontic practice management system, so it does not replace charting and appointment workflows handled by practice-management systems. It fits clinics that already run electronic dental records and want stronger radiograph viewing and annotation to standardize endodontic reads across clinicians.
- +DICOM-first imaging workflow for consistent radiograph handling
- +Endodontic-specific markup tools for interpretation and documentation
- +Digital radiograph import reduces duplicate image handling
- +Workflow oriented around treatment planning reads
- –Less coverage for endodontic charting and treatment record entry
- –Integration depth depends on existing practice-management image routing
- –Annotation-to-record linkage can feel limited versus full chart systems
Endodontic clinicians
Standardize radiograph reads across associates
More consistent case documentation
Endodontic specialty clinics
Attach radiographic findings to reviews
Faster case presentations
Show 1 more scenario
Practice administrators
Reduce duplicate image rework
Lower manual handling time
Administrative staff route DICOM images into a single viewing and annotation workflow.
Best for: Fits when imaging-heavy endodontic teams want standardized radiograph annotation without replacing EHR charting.
Dexis
vertical specialistDental imaging suite including intraoral sensors, CBCT, and software viewers.
Endodontic documentation stays attached to imaging review so canal and instrumentation records build from the same case context.
Dexis focuses on endodontic documentation inside imaging-first workflows, with charting and procedure capture designed around radiograph review. The software supports digital radiograph import and DICOM-friendly imaging handling, then carries imaging context into endodontic records such as canal and instrumentation notes.
Dexis also supports clinical template use so common endodontic steps can be repeated consistently across patients. Administration centers on managing user access and auditability around clinical document changes.
- +Imaging-first workflow keeps endodontic documentation tied to reviewed radiographs
- +DICOM-focused radiograph import reduces manual rework during case builds
- +Clinical templates speed repeatable endodontic documentation without custom coding
- +Procedure record capture supports consistent canal and instrumentation histories
- –Workflow depth depends on consistent imaging setup for every case
- –Some endodontic referral and patient communication steps require extra configuration
- –Advanced automation needs more administrator time than chart-only systems
- –Integration depth varies by the clinic’s existing practice-management stack
Best for: Fits when imaging drives endodontic workflow and the clinic needs structured records tied to radiographs.
Carestream Dental
vertical specialistDental imaging and practice management solutions including CS Imaging software.
Imaging-linked clinical records help keep endodontic documentation attached to captured radiographs across visits.
Carestream Dental ties digital imaging and clinical documentation into an endodontic workflow that centers on treatment records tied to captured radiographs. It supports electronic dental records workflows that can be used for charting, diagnosis capture, and procedure documentation that align with endodontic visits.
The integration focus is on clinical data continuity across imaging acquisition and downstream documentation, which reduces manual re-entry between sessions. Endodontic execution depends on how well Carestream Dental’s imaging and practice-management components fit an existing clinic deployment and image interchange routine.
- +Clinical documentation stays attached to imaging work so fewer fields need re-keying
- +Imaging-to-record continuity supports consistent endodontic visit capture
- +Works well when Carestream imaging is already part of the daily routine
- +Endodontic procedure documentation fits structured charting workflows
- –Endodontic workflow depth can depend on which modules are deployed in the clinic
- –Reporting for narrow endodontic metrics may be less granular than dedicated endodontic tools
- –Cloud versus on-prem choices can affect integration paths with existing systems
- –Customization may require more admin work than charting-only systems
Best for: Fits when endodontic charting relies on Carestream imaging continuity and clinic documentation is centralized in one record.
Open Dental
SMBOpen-source dental practice management with customizable clinical features.
Clinical note and procedure history can remain tightly linked to the same tooth and visit context over time.
Open Dental is a dental practice management system that supports endodontic charting workflows inside electronic dental records. It tracks tooth and canal documentation through its charting and clinical notes area, with structured visit entries for procedures and observations.
The system also supports imaging interoperability through DICOM-capable pathways for importing and attaching radiographs to patient records. For endodontic teams, the practical differentiator is how widely the charting, notes, and clinical history can be reused across visits without forcing a separate endodontic-only chart format.
- +Endodontic charting data stays in the main patient record across visits
- +Procedure documentation is captured as part of routine visit workflows
- +Imaging attachments support clinical context inside the chart history
- +Local control options fit clinics with existing on-premises needs
- –Endodontic-specific chart templates require careful setup to stay consistent
- –Advanced endodontic planning workflows can depend on add-ons or integrations
- –Charting and imaging screens can feel heavy for high-throughput entry
- –Automation depth for cross-system messaging relies on integration work
Best for: Fits when clinics want endodontic documentation inside existing electronic dental records, not a separate endodontic module.
CareStack
enterpriseCloud-based dental practice management and patient engagement platform.
Visit-level endodontic documentation ties diagnosis, imaging, and procedure notes into a single case timeline view.
CareStack positions endodontic charting and workflow around structured clinical notes tied to visits, rather than treating endodontics as generic charting. Its core capabilities center on endodontic diagnosis and documentation, imaging attachment workflow, and guided clinical templates for consistent clinician entries.
The system supports patient communication artifacts and referral-related documentation so endodontic cases stay traceable across encounters. CareStack’s differentiator is how it keeps endodontic records organized around visit-level execution steps.
- +Structured endodontic note capture reduces free-text variability across clinicians
- +Visit-linked imaging attachment keeps records aligned to procedure timing
- +Clinical templates standardize documentation for diagnosis, canals, and treatment records
- +Referral and patient communication artifacts help maintain case continuity
- –API and automation surface coverage is limited versus broader dental practice systems
- –Endodontic charting depth depends on template configuration and clinical discipline
Best for: Fits when mid-size endodontic-heavy practices need consistent visit-level documentation and imaging traceability.
Sensei Cloud
enterpriseCloud dental practice management software with patient records, scheduling, charting, imaging, and billing.
Canal-centric charting ties diagnostic notes to instrumentation and obturation records per tooth and per visit.
Sensei Cloud targets endodontic documentation workflows with a cloud deployment model that keeps patient-case records accessible across visits. The charting flow is designed for canal-level inputs and generates repeatable case documentation from configured templates. It also connects imaging uploads to the same case record so clinicians can reference periapical findings during ongoing treatment. Automation focuses on reusing chart structures and generating visit-ready documentation rather than replacing office scheduling or broader practice-management functions.
- +Canal-level charting keeps instrumentation and obturation records consistent
- +Clinical templates reduce repeated data entry across multi-visit cases
- +Imaging import supports keeping periapical references attached to the case
- +Referral handoff workflows standardize documentation for receiving clinicians
- –Integration depth with practice-management systems varies by setup
- –Chart and documentation automation focuses on case notes more than scheduling
- –Advanced governance controls for large groups are limited
- –DICOM and imaging interoperability is not comprehensive across all import sources
Best for: Fits when endodontic teams need consistent case documentation and reusable templates in a cloud workflow.
tab32
SMBCloud dental software with electronic records, imaging, scheduling, billing, and patient communication.
Tooth- and canal-level documentation is captured through guided charting steps tied to visit templates.
tab32 records endodontic case data in a dedicated workflow that links diagnosis, charting inputs, and treatment documentation for each tooth. The system organizes endodontic specifics like canal-level status and procedural notes into repeatable templates for common visit types.
Integration depth is focused on imaging intake for documentation rather than broad EHR replacement features. Automation centers on guided charting steps and structured exportable records for clinic continuity.
- +Endodontic documentation stays structured from charting to visit notes
- +Template-driven visit flows reduce manual data entry for routine cases
- –Workflow coverage feels endodontics-first and less general than full EHR suites
- –Deeper interoperability depends on how imaging and records are configured
Best for: Fits when endodontic teams want structured charting and repeatable case documentation with imaging intake.
iDentalSoft
SMBCloud dental practice software covering patient records, charting, scheduling, billing, and communication.
Endodontic chart-driven templates tie diagnosis inputs to instrumentation, obturation, and irrigation documentation in one case record.
iDentalSoft targets endodontic practice management with workflows that center on tooth and canal charting, endodontic diagnosis capture, and structured treatment documentation. It supports endodontic recordkeeping across the sequence of working-length determination, instrumentation records, obturation records, and irrigation protocol notes to keep cases audit-ready for clinician review.
The product includes interoperability hooks for importing digital radiographs and mapping imaging inputs into the patient chart. Admin visibility and control are geared toward clinic operations, but the automation and integration surface for imaging devices and apex locator workflows appears narrower than the top-tier options in this rank set.
- +Case records connect chart entries to documentation across instrumentation and obturation
- +Structured irrigation protocol notes reduce free-text variation during charting
- +Digital radiograph import supports continued case documentation from existing images
- +Endodontic templates help standardize pulpal and periapical diagnosis fields
- –Automation for multi-site workflows and provisioning appears limited versus higher-ranked systems
- –API and extensibility details are less explicit than leading integration-focused competitors
- –Apex locator and cone-beam imaging integration is not as workflow-native as top-ranked tools
- –Governance controls such as granular RBAC and audit log depth are less detailed
Best for: Fits when clinics need consistent endodontic documentation with chart-driven templates, and accept lighter integration automation.
Conclusion
After evaluating 10 healthcare medicine, Eaglesoft stands out as our overall top pick — it scored highest across our combined criteria of features, ease of use, and value, which is why it sits at #1 in the rankings above.
Use the comparison table and detailed reviews above to validate the fit against your own requirements before committing to a tool.
How to Choose the Right endodontic software
Endodontic software for clinic workflows connects endodontic charting, imaging handling, and procedure documentation so records remain consistent from diagnosis through instrumentation and obturation. This buyer’s guide covers Eaglesoft, Dentrix, Dexis, Curve Dental, Open Dental, and other top endodontic-focused products ranked for endodontic case documentation.
The tool-by-tool reviews emphasize how each system attaches documentation to visits and imaging review, rather than treating charting as a standalone form set. The comparison also highlights where integrations and automation surface depth differ between Eaglesoft, Dentrix, and Dexis.
Endodontic software for canal-level documentation, imaging-linked records, and visit traceability
Endodontic software is a practice workflow layer that turns endodontic charting steps into structured records tied to tooth, canal, and encounter context. Systems such as Eaglesoft build repeatable, tooth-level endodontic documentation across visits, so case history stays aligned as radiographs are reviewed.
Dexis takes an imaging-first approach that keeps endodontic documentation attached to radiographs during case build, with DICOM-focused radiograph import used to reduce manual rework. Dentrix emphasizes appointment-centered clinical documentation, so endodontic encounter notes remain organized around patient and encounter history inside a general practice record.
Endodontic workflow requirements that drive day-to-day chart accuracy
Endodontic software succeeds when endodontic charting stays attached to the same tooth, canal, and encounter context that clinicians see in imaging review. Eaglesoft leads here with tooth-level endodontic charting that is linked to visit documentation so case history remains consistent from entry to recall.
The next differentiators are how each product structures clinical notes and guided charting steps during a case build. Dexis ties endodontic documentation directly to imaging review, while Dentrix keeps encounter notes aligned to appointments inside a general practice record.
Tooth-level charting tied to visit documentation
Eaglesoft supports tooth-level endodontic charting with documentation that stays visit-linked across time for repeatable case history. Open Dental also keeps endodontic charting in the main patient record across visits, but it depends on template setup for consistent endodontic coverage.
Imaging-first documentation linked to radiograph import and review
Dexis keeps endodontic documentation attached to radiographs during case builds and uses DICOM-focused radiograph import to reduce manual rework. Apteryx XrayVision targets DICOM-first imaging workflow with endodontic-focused radiograph annotation, but it offers less coverage for charting and treatment record entry.
Appointment-centered clinical documentation inside general practice records
Dentrix organizes endodontic encounter notes around patient and encounter history so clinicians capture documentation consistently across providers. Carestream Dental similarly keeps clinical records attached to captured radiographs across visits, but endodontic workflow depth depends on which modules are deployed in the clinic.
Visit-level case timelines for diagnosis-to-procedure traceability
CareStack provides a visit-level endodontic documentation view that ties diagnosis, imaging attachment, and procedure notes into one timeline view. tab32 captures tooth- and canal-level documentation through guided charting steps tied to visit templates, which improves repeatability for routine cases.
Clinical templates that reduce re-entry during multi-visit cases
Eaglesoft uses clinical templates to reduce re-entry for procedure notes and forms while still keeping records attached to tooth-level charting. Dentrix and Open Dental also rely on charting workflows and endodontic templates, but Dentrix requires internal process discipline to manage advanced automation.
Choose by the workflow object that must stay connected across visits
The fastest way to narrow endodontic software is to identify what clinicians treat as the primary workflow anchor during an endodontic encounter. If radiographs drive case build, Dexis and Apteryx XrayVision prioritize imaging-first routines, so documentation follows what is reviewed.
If endodontic documentation must live inside a general practice record, Dentrix and Open Dental center encounter history and tooth context in the broader EDR workflow. If endodontic records must become a repeatable end-to-end case timeline, CareStack and tab32 lean into guided visit-level or template-driven flows that reduce free-text variability.
Anchor on imaging review or anchor on tooth charting
Select Dexis if endodontic documentation must remain attached to reviewed radiographs during the case build process. Select Eaglesoft if the charting object that must persist through recalls is tooth-level endodontic documentation linked to visit records.
Map clinical documentation to encounter structure
Select Dentrix when endodontic encounter notes must stay aligned to appointments and provider-facing encounter history inside a general practice record. Select Open Dental when endodontic charting must remain in the main patient record across visits and procedure documentation must ride along routine visit workflows.
Use guided flows when template consistency is the main failure mode
Select CareStack when diagnosis, imaging attachment, and procedure notes must appear together as a single visit timeline view that reduces narrative drift. Select tab32 when routine cases repeatedly need structured tooth- and canal-level documentation delivered through guided charting steps.
Confirm how much of endodontic charting is native versus integrated
Select Apteryx XrayVision when standardized radiograph annotation and DICOM-first imaging workflow are the priority and charting requirements are secondary. Select Eaglesoft when multi-step endodontic documentation across diagnosis through instrumentation and obturation must be supported as a cohesive chart-driven case record.
Validate setup and configuration expectations for endodontic templates
Select Open Dental when template setup discipline is acceptable because endodontic-specific chart templates require careful configuration to stay consistent. Select Sensei Cloud when canal-centric template-driven charting fits the clinic pattern, while integration depth and workflow breadth depend on how imaging and scheduling are set up.
Who benefits from endodontic software that keeps records tied to charting and imaging
Practices benefit most when endodontic documentation stays tied to the same case context used by clinicians during imaging review and procedure documentation. Eaglesoft fits endodontic-heavy workflows that require tooth-level documentation that persists cleanly across multi-visit cases.
Other practices benefit when the product reduces variability by constraining how notes and markup are captured. Dexis fits imaging-led teams that want documentation built from the radiographs they review, and CareStack fits teams that need visit timeline traceability for diagnosis-to-procedure sequencing.
Endodontic specialty practices that prioritize tooth-level documentation consistency
Eaglesoft supports tooth-level endodontic charting with visit-linked documentation that keeps case history consistent from entry to recall. Sensei Cloud also provides canal-centric charting tied to instrumentation and obturation records per tooth and per visit.
Imaging-led clinics that build endodontic cases during radiograph review
Dexis attaches endodontic documentation to imaging review so canal and instrumentation records build from the same case context. Apteryx XrayVision focuses on DICOM-first radiograph handling with endodontic-specific radiograph annotation workflows.
General practices that need endodontic notes inside an appointment-centered record
Dentrix keeps endodontic encounter notes organized around patient and encounter history so documentation stays consistent across providers. Open Dental keeps endodontic charting and procedure history in the main patient record across visits.
Mid-size endodontic-heavy clinics that need visit timeline traceability
CareStack ties diagnosis, imaging attachment, and procedure notes into a structured visit-level timeline view. tab32 provides template-driven visit flows that guide structured tooth and canal documentation for routine cases.
Common buying mistakes that break endodontic charting consistency
The most common failure is picking software based on charting screens without checking how documentation remains attached to imaging review and visit context. Eaglesoft ties tooth-level documentation to visit records, while Dexis ties documentation to radiographs during case build, so a mismatch can force clinicians to re-key information.
Another failure is assuming automation depth is automatic. Dentrix and Eaglesoft both depend on internal process discipline for advanced automation, and Open Dental requires careful endodontic template setup to keep charting consistent across providers.
Evaluating charting capability without validating how records attach to the clinical anchor used in the clinic
If radiographs drive the case, Dexis keeps endodontic documentation attached to imaging review, while Eaglesoft keeps consistency through tooth-level visit-linked charting. Run a workflow test that follows a single case from radiograph import to procedure documentation and verify the attachment points match how clinicians work.
Assuming guided templates prevent variability without checking configuration and setup effort
Open Dental can require careful setup of endodontic-specific chart templates to maintain consistency over time. Eaglesoft reduces re-entry with clinical templates, but some endodontic workflow automation requires more configuration effort than expected.
Overestimating integration and automation surfaces without checking what is explicitly covered
Eaglesoft has limited developer-grade automation and API depth versus integration-first products, which can matter for advanced interoperability. CareStack also has limited API and automation surface coverage versus broader dental practice systems.
Buying imaging annotation tools when the clinic needs full endodontic charting depth
Apteryx XrayVision provides endodontic-focused radiograph annotation built around case reads and repeatable clinical markup, but it has less coverage for endodontic charting and treatment record entry. Dexis and Eaglesoft better support structured records tied to imaging review and endodontic documentation across procedures.
How We Selected and Ranked These Tools
We evaluated each endodontic software tool on feature depth, ease of endodontic workflow execution, and end-to-end value for clinic operations, with features taking 40% of the score, and ease and value taking 30% each. We separated imaging-first routines from tooth-level documentation workflows because Dexis ties endodontic records to imaging review while Eaglesoft keeps case consistency through tooth-level charting linked to visit documentation.
We scored Eaglesoft highest because its standout tooth-level endodontic charting supports repeatable documentation across visits and clinical templates reduce re-entry for procedure notes and forms. We also reviewed tool-specific constraints, including limited developer-grade automation and API depth in Eaglesoft, and template setup and workflow discipline requirements in general-practice record systems like Dentrix and Open Dental.
Frequently Asked Questions About endodontic software
How do Dexis and Eaglesoft differ in tying documentation to imaging context?
Which systems support a dedicated endodontic-focused imaging workflow versus general EDR imaging workflows?
How does data migration typically work when moving endodontic charts from Dentrix or Open Dental into a different endodontic workflow?
What breaks if audit traceability and configuration governance are weak in clinic deployments?
How do SSO and RBAC show up in day-to-day administration for clinic staff?
When does a clinic choose Open Dental over a clinic that already runs a specialized endodontic record system?
How do apex locator and device workflows integrate with iDentalSoft compared with iDentalSoft’s imaging intake surface?
What tradeoff appears when adopting template-heavy charting workflows in tab32 versus using a more general EDR-centered charting system?
How should teams get started with consistent endodontic referral and case handoff documentation across tools like CareStack and Eaglesoft?
Tools reviewed
Primary sources checked during evaluation.
Referenced in the comparison table and product reviews above.
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