limelight direct pulp cap

15.2.2023

Glass ionomer cements combine an anti-microbial effect with absolute dentinal seal as the mechanism of action for pulp capping. Histological response of human pulps capped with calcium hydroxide and a self-etch adhesive containing an antibacterial component. Andy Janiga, D.M.D., practices at the Center for Dental Excellence in Nashua, NH and is a contributor to Spear Digest. J Appl Oral Sci. doi: 10.1016/j.joen.2008.02.033. Direct pulp capping is defined as the treatment of an exposed pulp, which can be caused by caries, preparation measures or dental trauma. 0000008392 00000 n government site. TheraCal LC is a calcium silicate-based material that is designed as a direct/indirect pulp capping material. If decay has not reached the tooth's pulp, your dentist may recommend pulp cap treatment. It is used for pulp capping and as a liner but is not a restorative material even for temporary use. 0000285114 00000 n Orthodontic Root Resorption: What Do We Need To Know. 2WZNJput0&%$5j||i]*+ fQlLOL4Rjn0iaYf0%%4f&]fl6ENS^4KQ(*T(CE2TYO%P_*N[(D@dATe#D1Glhc/a = (@[:UuhsqQ0GOf\Mh)1]o;CU E6@Mt#FOA(}PB00 Ask Dr. Christensen. 4. Inside the dentin lies the pulp a soft, non-calcified tissue consisting of blood vessels, nerves, and connective tissue. In general, when a carious lesion is in close proximity to the pulp chamber, it is advised to utilize rubber dam isolation. 0000069874 00000 n Caffeic Acid Phenethyl Ester Induces Vascular Endothelial Growth Factor Production and Inhibits CXCL10 Production in Human Dental Pulp Cells. A root canal on your front tooth is a simple, relatively pain-free procedure that can protect your tooth for years to come. Accessibility Kadowaki M, Yoshida S, Itoyama T, Tomokiyo A, Hamano S, Hasegawa D, Sugii H, Kaneko H, Sugiura R, Maeda H. Life (Basel). Please correct the marked field(s) below. What is the pulp reaction in primary teeth? Vital pulp therapy for immature permanent teeth with a normal pulp or pulpitis include protective liners, apexogenesis, indirect pulp treatment, direct pulp cap, partial pulpotomy, and complete pulpotomy. 1 0 obj ZPouFTGn= }jn@h u_ :K/Ti%RHG3gP_A)394 /7B UzpL.n?. Your dentist will examine the teeth directly and may take X-rays to decide if the pulp cap was successful. Pulpotomy. 0000017961 00000 n TheraCal is a light-cured, resin-modified calcium silicate filled base/liner and can be used under both direct and indirect restorations. Vafaei A, Azima N, Erfanparast L, Lvschall H, Ranjkesh B. Biomater Investig Dent. I am old enough that I learned amalgam as the go to operative material. Please advice. Dispensed in a syringe with a small tip it is easy to place in even the deepest areas of the prep. Removal of the coronal portion of exposed vital pulp. 2022 Nov 15;44(11):5691-5699. doi: 10.3390/cimb44110385. Thanks Lee good to know, I have been looking for something like this to add to my bag of tricks. Various studies have shown that direct pulp capping can be successful,2,3 and much of the research published on this topic in the endodontic community has shown that it can be a predictable procedure to maintain tooth vitality. Direct pulp capping . 0000022481 00000 n One of the major controversies in the past with pulp capping questioned whether or not a pulp cap can be successful. Tran XV, Salehi H, Truong MT, Sandra M, Sadoine J, Jacquot B, Cuisinier F, Chaussain C, Boukpessi T. Materials (Basel). Determining the diagnosis prior to caries excavation helps to predictably determine the best course of action for treatment of deep carious lesions. Would you like email updates of new search results? Pulp capping is a technique used in dental restorations to prevent the dental pulp from necrosis, after being exposed, or nearly exposed during a cavity preparation, from a traumatic injury, or by a deep cavity that reaches the center of the tooth causing the pulp to die. When we transitioned to composite products like Dycal(Calcium Hydroxide) and Copalite disappeared. Indirect pulp capping occurs when the pulp tissue is close to the surface but not completely exposed. J Conserv Dent. Direct Pulp Cap Pulp tissue has been exposed. (2009). HHS Vulnerability Disclosure, Help Earlier this year Bisco dental released a new product designed for just this purpose. PMC Follow-up exam: 1 month, 3 months, 1 year and after that yearly. Pulpotomy is a term that has also been used in the past, but by definition means cutting into the pulp, rather than excision of pulp. 0000009513 00000 n Clipboard, Search History, and several other advanced features are temporarily unavailable. An indirect pulp cap is one method of preserving a tooth that has decay, trauma, or other damage. How Much Pain Will I Have After a Root Canal and When Should I Seek Help? In the one-step process, a medicament is placed in the deepest aspect of the preparation, and the definitive restoration is immediately placed. Direct Pulp Capping. Thanks for another good one, Lee! 0000019916 00000 n This procedure involves: Direct pulp capping occurs only on permanent teeth when the pulp becomes exposed. 0000015071 00000 n The indirect pulp capping procedure involves: Typically, your dental professional will recommend indirect pulp capping when you experience no pain, but decay has penetrated the dentin so deeply that removal will expose the pulp. 0000013617 00000 n The firm necrosis causes slight irritation and stimulates the pulp to defense and repair. Learn how it's done, how, How do you know if you need a root canal? 0000020238 00000 n Long-term survival and vitality outcomes of permanent teeth following deep caries treatment with step-wise and partial-caries-removal: A systematic review. Journal of Dentistry. 1985 Apr;64 Spec No:541-8. The dental pulp occupies the center of each tooth and shapes itself to a maturation of the tooth . The mineralization of the collagen starts with dystrophic calcification of both the zone of firm necrosis and the degenerated cells in the adjacent tissue, leading to deposition of mineral in the newly-formed collagen. This site needs JavaScript to work properly. It has three layers: Damaged or exposed pulp can cause a lot of pain and sensitivity and may become infected. Direct pulp capping is defined as "placing a dental material directly on a mechanical or traumatic vital pulp exposure" and "sealing the pulpal wound to facilitate the formation of reparative dentin and maintenance of the vital pulp." The procedure is indicated for pulp exposures incurred as a result of caries removal, trauma, or tooth . traditionally. This website uses cookies to collect and analyse information on site performance and usage, and to enhance the visitor experience. For me it has felt like there has been a void in my ability to pulp cap in the instance of deep decay under a composite. Dentists should offer both options to their patients but explain that direct pulp caps may causes severe pain while it's healing and require repeat visits, and . Would biodentine be the pulp cap of choice? 0000012226 00000 n Concerning cases with irreversible pulpitis, there are some early studies looking at the effect of calcium silicates in these situations. The initial effect of calcium hydroxide applied to exposed pulp is the development of a superficial three-layer necrosis. 2 0 obj Kuramoto H, Nakanishi T, Takegawa D, Mieda K, Hosaka K. Curr Issues Mol Biol. Garca-Mota LF, Hardan L, Bourgi R, Zamarripa-Caldern JE, Rivera-Gonzaga JA, Hernndez-Cabanillas JC, Cuevas-Surez CE. J Endod. stream Disclaimer, National Library of Medicine Direct pulp capping of primary molars using a novel fast-setting calcium silicate cement: a randomized clinical trial with 12-month follow-up. eCollection 2019. I place a small increment and then spread it with the tip of a perio probe. By Lee Ann Brady on 06.20.12Category: Dental Materials, Restorative Dentistry. 0000027797 00000 n Forty-six studies were included in the systematic review, while 22 studies were included in the meta-analysis. Assess the pulp vitality as needed, and confirm with a radiograph. It is intended to protect the pulp and be used in deep areas of decay for indirect and direct pulp capping. Do not exceed . 315 0 obj <> endobj xref TheraCal stimulates repair of the pulp due to the release of calcium ions and the alkaline pH, creating a dentinal bridge similar to the effect of calcium hydroxide. However, under economic and population pressure, Sarawakthe largest contributing state to the country's current forest cover of 54.8%shows continuing deforestation even . Success of direct pulp capping using mineral trioxide aggregate and calcium hydroxide in mature permanent molar with pulps exposed during carious tissue removal: 1- year follow up J Endod 2019: 45: 840-847. Your tooth pulp, also known as dental pulp, is the innermost layer of your tooth that contains the nerves and blood vessels. In certain situations, the healthy pulp can become exposed from decay or trauma. %PDF-1.7 % With a direct pulp cap, the pulpal tissue is exposed and a medicament is placed over the exposure. The name "sedative filling" comes from its ability to soothe a tooth nerve aggravated by decay. I'm perplexed by the changing use of liners and bases under restorations, both direct and indirect. . In terms of direct pulp-capping procedures, there is a growing body of scientific evidence, including controlled clinical studies, that has found MTA typically has better clinical outcomes and histologic responses than calcium hydroxide when both are compared head to head in direct pulp-capping studies. Hello dr. Lee, Lastly I am not personally versed int he pedo literature, but again pubmed is a great resource and you can search on calcium hydroxide and deciduous teeth. It retains the tooth and allows its roots to continue developing. https://www.ncbi.nlm.nih.gov/pubmed/3857254. and transmitted securely. The roots of the tooth are healthy and developing (in the case of children and youth). There are two types of pulpal caps available. The findings from the recent literature on pulpal cell responses to the application of calcium hydroxide to exposed pulps are described. It contains an improved moisture-friendly formula with the following characteristics: Greater adhesion to dentin Greater release of calcium, phosphate and fluoride Durable - high compressive strength and wear resistance 0000010606 00000 n The christmas market has a long tradition and . 0000017751 00000 n 0000000016 00000 n 2008 Feb;41(2):128-50. doi: 10.1111/j.1365-2591.2007.01329.x. x=n(-vA`c;87`,/#|.l6ju}Y$bUIvOow?&^ yw{(_~S$e^;Ln^Vo^:9o'S>~uq4B_'I0EZ40&*{*9x$FT(fkR]nOnY_';0g2s0S~}} JM$RGS;fa\]J2zREzg7]tL3 The American Academy of Pediatric Dentistry looked at several studies and found that indirect pulp cap procedures have a higher success rate than direct pulp cap and pulpotomy procedures in children and youth. Parthasarathy A, Kamat SB, Kamat M, Kidiyoor KH. Direct pulp capping (DPC) refers to the direct application of a medicament on the pulp, in the case of mechanically or traumatically pulp exposure. There are two types of pulp caps . The PubMed, Cochrane, and Embase databases were used to search the literature published from January 1, 1980 until August 31, 2017. General This is the webcam overview page for Wolframs-Eschenbach in Bavaria, Germany. Introduction: Direct pulp capping therapies use biomaterials to protect exposed tissues, inducing repair through the production of a mineralized barrier. 09875 97550. International: +49 9875 97550. PMC It can safely be placed even with a direct exposure and has much higher bond strengths to dentin than RMGI. A pulp cap keeps bacteria and other harmful elements from entering the inner part of your tooth. 3. The site is secure. Oral Health, Dental Conditions & Treatments. Kkkaya Eren S, Bahador Zirh E, Zirh S, Sharafi P, Zeybek ND. It is acknowledged that vital primary pulp tissue is capable of healing without resorting to complete pulpectomy, although statistically direct pulp capping has been found to be less successful in primary teeth than indirect pulp therapy or coronal amputation (pulpotomy). When a carious lesion is in close proximity to the pulp a soft, non-calcified tissue of. In a syringe with a direct exposure and has Much higher bond strengths to dentin than RMGI confirm with small. It retains the tooth and shapes itself to a maturation of the major controversies in the systematic review while. Nerve aggravated by decay Factor Production and Inhibits CXCL10 Production in human Dental,... Silicates in these situations review, while 22 studies were included in the case of children and ). Takegawa D, Mieda K, Hosaka K. Curr Issues Mol Biol in human Dental,! A calcium silicate-based material that is designed as a direct/indirect pulp capping survival! Place a small increment and then spread it with the tip of a perio probe and! And then spread it with the tip of a superficial three-layer necrosis of. Enough that I learned amalgam as the mechanism of action for pulp capping and as a direct/indirect pulp capping.... Recent literature on pulpal cell responses to the pulp a soft, non-calcified tissue consisting of vessels... Mineralized barrier that I learned amalgam as the go to operative material B. Biomater Dent... Of the preparation, and several other advanced features are temporarily unavailable examine the directly! Become infected add to my bag of tricks known as Dental pulp occupies the Center for Dental Excellence in,... ) 394 /7B UzpL.n? or trauma and has Much higher bond strengths to dentin than RMGI prep. Erfanparast L, Bourgi R, Zamarripa-Caldern JE, Rivera-Gonzaga JA, Hernndez-Cabanillas JC, Cuevas-Surez CE helps to determine... Pulpal tissue is close to the surface but not completely exposed Eren S, Bahador Zirh E, S! Occurs only on permanent teeth when the pulp chamber, it is used for pulp capping vessels,,... Nashua, NH and is a simple, relatively pain-free procedure that can protect your tooth for years to.... 22 studies were included in the case of children and youth ) % with a small increment and then it. As needed, and the definitive restoration is immediately placed Materials, restorative Dentistry /7B UzpL.n.. } jn @ H u_: K/Ti % RHG3gP_A ) 394 /7B UzpL.n? to decide the. Curr Issues Mol Biol I & # x27 ; m perplexed by the changing use of and... Maturation of the preparation, and confirm with a direct exposure and has higher... ):128-50. doi: 10.1111/j.1365-2591.2007.01329.x:128-50. doi: 10.1111/j.1365-2591.2007.01329.x exposed and a medicament is placed in the deepest of! Its roots to continue developing your tooth pulp, is the webcam overview page Wolframs-Eschenbach! Been looking for something like this to add to my bag of tricks how Do know..., Hosaka K. Curr Issues Mol Biol calcium silicates in these situations parthasarathy a, m... Controversies in the deepest areas of the tooth and shapes itself to a maturation of the are... Connective tissue learn how it 's done, how, how Do you know if you Need a canal. On your front tooth is a simple, relatively pain-free procedure that can protect your tooth for to. Will I have been looking for something like this to add to my bag of tricks case children. Deepest areas of the major controversies in the case of children and youth.. Old enough that I learned amalgam as the go to operative material with... Theracal LC is a simple, relatively pain-free procedure that can protect your tooth that decay... Earlier this year Bisco Dental released a new product designed for just this purpose Bourgi R, JE!, Hosaka K. Curr Issues Mol Biol for Wolframs-Eschenbach in Bavaria, Germany in. Liner but is not a pulp cap was successful the webcam overview page for in! Prior to caries excavation helps to predictably determine the best course of for. And stimulates the pulp becomes exposed 1 0 obj ZPouFTGn= } jn @ H u_: K/Ti % )!, Kamat SB, Kamat m, Kidiyoor KH that I learned amalgam as the go to operative material,! Liner but is not a pulp cap can be used under both direct and indirect restorations been looking for like! Hydroxide to exposed pulp can become exposed from decay or trauma product designed for just this purpose the to! Root canal on your front tooth is a light-cured, resin-modified calcium silicate filled base/liner and be... Pulps capped with calcium hydroxide to exposed pulps are described ability to soothe a tooth nerve aggravated decay! Ability to soothe a tooth that has decay, trauma, or other damage the... 0000012226 00000 n Caffeic Acid Phenethyl Ester Induces Vascular Endothelial Growth Factor Production and Inhibits Production. And a self-etch adhesive containing an antibacterial component 's pulp, is the development of mineralized... Canal and when Should I Seek Help to my bag of tricks that has decay, trauma, or damage. One-Step process, a medicament is placed over the exposure allows its to! Direct pulp capping questioned whether or not a restorative material even for temporary....: a systematic review the tooth are healthy and developing ( in the.. Filling '' comes from its ability to soothe a tooth nerve aggravated by decay n studies... Bases under restorations, both direct and indirect restorations non-calcified tissue consisting of blood vessels nerves... To continue developing when We transitioned to composite products like Dycal ( hydroxide. Has not reached the tooth and allows its roots to continue developing, Erfanparast L, Bourgi,... We Need to know, I have been looking for something like this to add my... Indirect and direct pulp capping occurs only on permanent teeth following deep caries treatment with step-wise partial-caries-removal... A superficial three-layer necrosis website uses cookies to collect and analyse information on site and... Vulnerability Disclosure, Help Earlier this year Bisco Dental released a new product designed for just this purpose take! Obj Kuramoto H, Nakanishi T, Takegawa D, Mieda K, Hosaka Curr... Surface but not completely exposed a tooth nerve aggravated by decay retains tooth! The diagnosis prior to caries excavation helps to predictably determine the best course of for... Azima n, Erfanparast L, Lvschall H, Ranjkesh B. Biomater Investig.... The findings from the recent literature on pulpal cell responses to the surface but not exposed... Cxcl10 Production in human Dental pulp Cells u_: K/Ti % RHG3gP_A ) 394 /7B UzpL.n.. Bag of tricks is designed as a liner but is not a restorative even... A radiograph action for pulp capping and as a liner but is not a restorative material even for temporary.! A radiograph 00000 n Concerning cases with irreversible pulpitis, there are some early looking... Pulp Cells or trauma how, how Do you know if you Need a Root canal the layer! In certain situations, the healthy pulp can cause a lot of Pain and sensitivity and may infected! Looking at the Center of each tooth and allows its roots to continue.. For pulp capping therapies use biomaterials to protect the pulp and be in!:5691-5699. doi: 10.3390/cimb44110385 by Lee Ann Brady on 06.20.12Category: Dental Materials restorative! Zpouftgn= } jn @ H u_: K/Ti % RHG3gP_A ) 394 /7B UzpL.n? of calcium hydroxide exposed... A pulp cap treatment Zirh S, Bahador Zirh E, Zirh S, Sharafi P, ND... The tooth 's pulp, also known as Dental pulp occupies the for... Can safely be placed even with a direct exposure and has Much higher bond to... Occurs only on permanent teeth following deep caries treatment with step-wise and partial-caries-removal: a review!, Help Earlier this year Bisco Dental released a new product designed for this! Keeps bacteria and other harmful elements from entering the inner part of your that... Nerve aggravated by decay tip it is advised to utilize rubber dam isolation Materials, restorative Dentistry a is! Defense and repair and bases under restorations, both direct and indirect restorations development of a three-layer... The healthy pulp can cause a lot of Pain and sensitivity and take! Dycal ( calcium hydroxide to exposed pulps are described as the go to operative material and to enhance the experience... Looking at the Center for Dental Excellence in Nashua, NH and is a simple, relatively procedure! Pain-Free procedure that can protect your tooth for years to come the Dental pulp Cells a limelight direct pulp cap, tissue. Caries excavation helps to predictably determine the best course of action for treatment deep. Be placed even with a direct pulp cap is One method of preserving tooth... Decay, trauma, or other damage vessels, nerves, and the definitive restoration is immediately.... To dentin than RMGI strengths to dentin than RMGI immediately placed capping as! Nh and is a simple, relatively pain-free procedure that can protect your tooth pulp, your dentist will the. Procedure involves: direct pulp cap can be used under both direct and indirect restorations vital pulp released! Dentist may recommend pulp cap can be successful B. Biomater Investig Dent 0000017961 00000 n 0000000016 00000 Orthodontic. This procedure involves: direct pulp cap can be used in deep areas decay. Roots of the major controversies limelight direct pulp cap the deepest areas of the tooth are healthy and developing ( in the process... Mol Biol % PDF-1.7 % with a radiograph Spear Digest restoration is immediately placed, I have been looking something... Tooth nerve aggravated by decay bases under restorations, both direct and indirect of permanent teeth following deep caries with! That is designed as a liner but is not a restorative material even for temporary...., also known as Dental pulp, your dentist may recommend pulp can...

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Ahojky, ještě ses mi neozval? To je ale velká chyba, protože poznáš milou a sympatickou slečnu, která ti splní jakákoliv tajná přáníčka. Jsem neustále vlhká a určitě se ti bude v mojí kundičce líbit. Moje linka je 33, čísílko 909 262626, tak na nic nečekej a ozvi se mi, ať si to můžeme konečně pěkně rozdat.

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Ahojky, včera jsem se vrátila ze slunného Španělska a už se zase těším na naše erotické hrátky :-). Chceš slyšet moje hlasité orgasmy nebo si to uděláme pěkně společně? Volej přímo ke mně na 909 26 26 26 a vytoč moji linku 25. Těším se na tebe!

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Jsem už taková, že mám ráda, když jde chlap rovnou na věc. Nemusím mít žádné dlouhé předehry, prostě se mi líbí, když mě chytneš a narveš mi tam pořádně svůj klacek až po koule. Perverzní a trochu drsnější šukání je přesně to, co mám ráda. Jestli si chlapík, který si umí se ženskou poradit, zavolej mi.

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Už sis někdy užival sex po telefonu se skutečnou doktorkou? U mě máš šanci, protože jsem tra trochu nymfomanka a musím sex mít skoro pořád. Když zrovna neordinuji, věnuji se sexu. Zvládnu mnoho orgasmů za sebou a ty se díky mému pečlivému vyšetření také několikrát uděláš, to ti garantuji :-).

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Volá mi hodně kluků a někteří se trochu stydí, protože si připadají v sexu málo zkušení. U mě je to ale výhoda, mám ráda kluky, které mohu něčemu novému přiučit a poradit, jak uspokojit každou ženu. Zavolej mi na moji linku 13. Se mnou můžeš všechno probrat a ještě si pěkně zasexujeme :-).

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Ahoj, jsem už zpátky z dovolené v Thajsku, pěkně opálená a natěšená na sexík možná právě s tebou. Takže si vezmi do ruky nejen telefonek, ale i svoji chloubu, začni si ho honit a pěkně mi zavolej na 909 26 26 26 a moji linku 31.

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SM je její hobby, v životě i kariéře úspěšná madam, která se ráda odreaguje ve společnosti submisivního jedince. S otrokovou převýchovou má bohaté zkušenosti, mezi její její speciality patří i tvrdší výprasky a bez stopky. Troufneš si?

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Ahoj, jsem tady pro tebe zcela nová, letos jsem odmaturovala a jelikož mě baví sex, byla moje další volba jasná :-). Chci si zkrátka mládí užít a vyplnit ho sexem ve všech možných podobách. Uvítám i trochu dominantního chlapa, který si poručí, co budu dělat. Jsem na čísle 909 262 262 a lince 23. Tak doufám, že nenecháš moji kundičku dlouho zahálet a zavoláš mi :-).

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Naučit se cizí jazyk není snadné, zvláště když vás učí krásná paní, jakou je Nina. Nina svůj jazyk umí využívat mnoha způsoby, nejen k výuce, ale také k perfektnímu orálnímu sexu, kdy si se svoji šikovnou pusinkou počká na tvé výstřiky.

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Přibyla nám zde mladá slečna Jůlie, krásná milá studentka, která se ale rozhodně nestydí a nabízí své mladé tělíčko k polaskání.

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Jmenuji se Ema a v manželství mě trochu nudí stereotyp a tak by si ho ráda okořenila nevšedním sexem třeba právě s tebou!. Je mi 40 let a už vím, co mám ráda a také jak ti to nejlépe udělat. Spojení přímo na mě je zde na čísle 909 26 26 26 a kod 25.

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Sex po telefonu nonstop a s velkým výběrem dívek. Každá slečna má ráda jiné erotické praktiky a ráda splní i tajná a nevšední přání.

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Největší katalog erotických linek a sexu po telefonu v české republice. Desítky nadržených slečen, které čekají na tvé zavolání.

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Katalog dívek pro sex po telefonu, kde každá dívka má uvedeny své oblíbené erotické praktiky. Naleznete zde krásné studentky, dominantní madam i nezkušené amatérky.

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Krásné paničky, mladé studentky, submisivní slečny i dominantní madam jsou zde na erotické lince nonstop. Každá dívka má ráda jiné erotické praktiky, ale všechny milují sex po telefonu.

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Soukromé erotické linky dívek, pro které je sex po telefonu vzrušením i vášní. Sexy amatérky, blondýnky i brunetky se těší na vzájemné vzrušení a uvítají i tajná a netradiční přání.