{"id":19643,"date":"2023-04-13T11:24:55","date_gmt":"2023-04-13T04:24:55","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=19643"},"modified":"2023-04-14T12:39:43","modified_gmt":"2023-04-14T05:39:43","slug":"viem-quanh-rang-muc-do-aap-2017","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/viem-quanh-rang-muc-do-aap-2017\/","title":{"rendered":"Ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 vi\u00eam quanh r\u0103ng – H\u1ed9i Nha Chu M\u1ef9"},"content":{"rendered":"

N\u0103m 2017, Hi\u1ec7p h\u1ed9i Nha Chu M\u1ef9 (AAP) \u0111\u00e3 \u0111\u01b0a ra m\u1ed9t h\u01b0\u1edbng d\u1eabn ph\u00e2n lo\u1ea1i cho c\u00e1c b\u1ec7nh vi\u00eam quanh r\u0103ng v\u00e0 vi\u00eam quanh implant. N\u1eafm r\u00f5 ph\u00e2n lo\u1ea1i giai \u0111o\u1ea1n v\u00e0 m\u1ee9c \u0111\u1ed9 b\u1ec7nh l\u00e0 m\u1ed9t y\u00eau c\u1ea7u c\u01a1 b\u1ea3n cho c\u00e1c b\u00e1c s\u0129 tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd cung c\u1ea5p th\u00f4ng tin li\u00ean quan \u0111\u1ebfn ph\u00e2n lo\u1ea1i b\u1ec7nh quanh r\u0103ng theo m\u1ee9c \u0111\u1ed9 d\u1ef1a tr\u00ean b\u00e1o c\u00e1o c\u1ee7a h\u1ed9i ngh\u1ecb n\u0103m 2017 c\u1ee7a AAP.<\/strong><\/p>\n

\"viem-quanh-rang-muc-do\"
Ph\u00e2n lo\u1ea1i vi\u00eam quanh r\u0103ng theo m\u1ee9c \u0111\u1ed9 c\u1ee7a AAP (2017)<\/figcaption><\/figure>\n

 <\/p>\n

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  1. \n

    T\u1ea1i sao c\u1ea7n ph\u00e2n lo\u1ea1i theo m\u1ee9c \u0111\u1ed9?<\/h2>\n<\/li>\n<\/ol>\n

    Vi\u1ec7c ph\u00e2n lo\u1ea1i theo giai \u0111o\u1ea1n ph\u1ee5 thu\u1ed9c ch\u1ee7 y\u1ebfu v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh khi c\u00f3 tri\u1ec7u ch\u1ee9ng ban \u0111\u1ea7u c\u0169ng nh\u01b0 s\u1ef1 ph\u1ee9c t\u1ea1p c\u1ee7a qu\u1ea3n l\u00fd b\u1ec7nh, trong khi \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 cung c\u1ea5p th\u00f4ng tin b\u1ed5 sung v\u1ec1 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m sinh h\u1ecdc c\u1ee7a b\u1ec7nh, bao g\u1ed3m ph\u00e2n t\u00edch d\u1ef1a tr\u00ean l\u1ecbch s\u1eed t\u1ed1c \u0111\u1ed9 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh, \u0111\u00e1nh gi\u00e1 nguy c\u01a1 ti\u1ebfn tri\u1ec3n ti\u1ebfp theo, d\u1ef1 \u0111o\u00e1n k\u1ebft qu\u1ea3 kh\u00f4ng t\u1ed1t c\u1ee7a \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 r\u1eb1ng b\u1ec7nh ho\u1eb7c \u0111i\u1ec1u tr\u1ecb c\u1ee7a n\u00f3 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng ti\u00eau c\u1ef1c \u0111\u1ebfn s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n. Ph\u00e2n lo\u1ea1i giai \u0111o\u1ea1n g\u1ed3m b\u1ed1n h\u1ea1ng m\u1ee5c (giai \u0111o\u1ea1n 1 \u0111\u1ebfn 4) v\u00e0 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh sau khi xem x\u00e9t nhi\u1ec1u bi\u1ebfn s\u1ed1 bao g\u1ed3m m\u1ea5t b\u00e1m d\u00ednh l\u00e2m s\u00e0ng, l\u01b0\u1ee3ng v\u00e0 t\u1ef7 l\u1ec7 m\u1ea5t x\u01b0\u01a1ng, \u0111\u1ed9 s\u00e2u th\u0103m kh\u00e1m, s\u1ef1 hi\u1ec7n di\u1ec7n v\u00e0 ph\u1ea1m vi c\u1ee7a m\u1ea5t x\u01b0\u01a1ng \u1ed5 r\u0103ng v\u00e0 t\u1ed5n th\u01b0\u01a1ng li\u00ean quan ch\u1ebd r\u0103ng, \u0111\u1ed9 di \u0111\u1ed9ng c\u1ee7a r\u0103ng v\u00e0 m\u1ea5t r\u0103ng do vi\u00eam nha chu. Ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 bao g\u1ed3m ba m\u1ee9c \u0111\u1ed9 (m\u1ee9c \u0111\u1ed9 A \u2013 ti\u1ebfn tri\u1ec3n ch\u1eadm, m\u1ee9c \u0111\u1ed9 B – ti\u1ebfn tri\u1ec3n trung b\u00ecnh, m\u1ee9c \u0111\u1ed9 C – ti\u1ebfn tri\u1ec3n nhanh) v\u00e0 bao g\u1ed3m, ngo\u00e0i c\u00e1c kh\u00eda c\u1ea1nh li\u00ean quan \u0111\u1ebfn s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a vi\u00eam nha chu, t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ed5ng qu\u00e1t v\u00e0 c\u00e1c t\u00e1c nh\u00e2n kh\u00e1c nh\u01b0 h\u00fat thu\u1ed1c ho\u1eb7c m\u1ee9c ki\u1ec3m so\u00e1t chuy\u1ec3n h\u00f3a trong ti\u1ec3u \u0111\u01b0\u1eddng. Do \u0111\u00f3, ph\u00e2n lo\u1ea1i giai \u0111o\u1ea1n cho ph\u00e9p b\u00e1c s\u0129 l\u00e2m s\u00e0ng t\u00edch h\u1ee3p c\u00e1c y\u1ebfu t\u1ed1 \u0111\u1eb7c bi\u1ec7t c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0o ch\u1ea9n \u0111o\u00e1n, \u0111\u00f3 l\u00e0 y\u1ebfu t\u1ed1 c\u1ea7n thi\u1ebft cho qu\u1ea3n l\u00fd to\u00e0n di\u1ec7n c\u1ee7a tr\u01b0\u1eddng h\u1ee3p.<\/p>\n

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    1. \n

      \u00dd ngh\u0129a<\/h2>\n<\/li>\n<\/ol>\n

      B\u1ea5t ch\u1ea5p giai \u0111o\u1ea1n ch\u1ea9n \u0111o\u00e1n, b\u1ec7nh l\u00fd nha chu c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n v\u1edbi t\u1ed1c \u0111\u1ed9 kh\u00e1c nhau \u1edf t\u1eebng c\u00e1 nh\u00e2n, c\u00f3 th\u1ec3 ph\u1ea3n \u1ee9ng \u00edt d\u1ef1 \u0111o\u00e1n \u0111\u01b0\u1ee3c h\u01a1n v\u1edbi \u0111i\u1ec1u tr\u1ecb \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n v\u00e0 c\u00f3 th\u1ec3 ho\u1eb7c kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 ho\u1eb7c b\u1ec7nh l\u00fd h\u1ec7 th\u1ed1ng. Th\u00f4ng tin n\u00e0y r\u1ea5t quan tr\u1ecdng cho y h\u1ecdc ch\u00ednh x\u00e1c nh\u01b0ng l\u00e0 m\u1ed9t m\u1ee5c ti\u00eau kh\u00f3 \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng.<\/p>\n

      Trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, c\u00e1c c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 r\u1ee7i ro \u0111\u01b0\u1ee3c x\u00e1c th\u1ef1c v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 r\u1ee7i ro \u0111\u01b0\u1ee3c x\u00e1c th\u1ef1c t\u1eebng c\u00e1 nh\u00e2n \u0111\u00e3 li\u00ean h\u1ec7 t\u1edbi m\u1ea5t r\u0103ng, cho th\u1ea5y r\u1eb1ng c\u00f3 th\u1ec3 \u01b0\u1edbc t\u00ednh nguy c\u01a1 ti\u1ebfn tri\u1ec3n nha chu v\u00e0 m\u1ea5t r\u0103ng.<\/p>\n

      Trong qu\u00e1 kh\u1ee9, m\u1ee9c \u0111\u1ed9 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh l\u00fd nha chu \u0111\u00e3 \u0111\u01b0\u1ee3c t\u00ednh v\u00e0o h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i b\u1eb1ng c\u00e1ch \u0111\u1ecbnh ngh\u0129a c\u00e1c d\u1ea1ng c\u1ee5 th\u1ec3 c\u1ee7a nha chu v\u1edbi t\u1ed1c \u0111\u1ed9 ti\u1ebfn tri\u1ec3n cao h\u01a1n ho\u1eb7c c\u00f3 ph\u00e1 h\u1ee7y nghi\u00eam tr\u1ecdng h\u01a1n \u1edf \u0111\u1ed9 tu\u1ed5i s\u1edbm. Tuy v\u1eady, gi\u1edbi h\u1ea1n l\u1edbn trong vi\u1ec7c th\u1ef1c thi ki\u1ebfn th\u1ee9c n\u00e0y l\u00e0 gi\u1ea3 \u0111\u1ecbnh r\u1eb1ng c\u00e1c d\u1ea1ng nha chu nh\u01b0 v\u1eady \u0111\u1ea1i di\u1ec7n cho c\u00e1c th\u1ef1c th\u1ec3 kh\u00e1c nhau v\u00e0 do \u0111\u00f3 t\u1eadp trung v\u00e0o vi\u1ec7c x\u00e1c \u0111\u1ecbnh d\u1ea1ng ch\u1ee9 kh\u00f4ng ph\u1ea3i c\u00e1c y\u1ebfu t\u1ed1 g\u00f3p ph\u1ea7n v\u00e0o ti\u1ebfn tri\u1ec3n.<\/p>\n

      Trong b\u1ed1i c\u1ea3nh n\u00e0y, c\u00f3 v\u1ebb h\u1eefu \u00edch \u0111\u1ec3 cung c\u1ea5p m\u1ed9t khung cho vi\u1ec7c th\u1ef1c thi h\u1ea1ng sinh h\u1ecdc (r\u1ee7i ro ho\u1eb7c b\u1eb1ng ch\u1ee9ng th\u1ef1c t\u1ebf v\u1ec1 ti\u1ebfn tri\u1ec3n) c\u1ee7a nha chu. C\u00e1c y\u1ebfu t\u1ed1 r\u1ee7i ro \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn, ch\u1eb3ng h\u1ea1n nh\u01b0 h\u00fat thu\u1ed1c l\u00e1 ho\u1eb7c ki\u1ec3m so\u00e1t ti\u1ec3u \u0111\u01b0\u1eddng, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u1ed1c \u0111\u1ed9 ti\u1ebfn tri\u1ec3n c\u1ee7a nha chu v\u00e0 do \u0111\u00f3 c\u00f3 th\u1ec3 t\u0103ng s\u1ef1 chuy\u1ec3n \u0111\u1ed5i t\u1eeb giai \u0111o\u1ea1n n\u00e0y sang giai \u0111o\u1ea1n<\/p>\n

      M\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh t\u1ea1i th\u1eddi \u0111i\u1ec3m ch\u1ea9n \u0111o\u00e1n l\u00e0 m\u1ed9t \u0111\u00e1nh gi\u00e1 gi\u00e1n ti\u1ebfp quan tr\u1ecdng v\u1ec1 m\u1ee9c \u0111\u1ed9 d\u1ec5 b\u1ecb t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u00e1 nh\u00e2n. M\u1eb7c d\u00f9 kh\u00f4ng l\u00fd t\u01b0\u1edfng, kh\u00e1i ni\u1ec7m n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng v\u00e0 c\u00e1c c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 r\u1ee7i ro \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c c\u00e1 nh\u00e2n d\u1ec5 b\u1ecb t\u00e1c \u0111\u1ed9ng ho\u1eb7c kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb t\u01b0\u01a1ng \u0111\u1ed1i.<\/p>\n

      M\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ea5t x\u01b0\u01a1ng li\u00ean quan \u0111\u1ebfn \u0111\u1ed9 tu\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n b\u1eb1ng c\u00e1ch \u0111o m\u1ea5t x\u01b0\u01a1ng tr\u00ean XQuang chia t\u1ec9 l\u1ec7 ph\u1ea7n tr\u0103m so v\u1edbi chi\u1ec1u d\u00e0i ch\u00e2n r\u0103ng chia cho tu\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ban \u0111\u1ea7u \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong \u0111\u00e1nh gi\u00e1 ti\u1ebfn tri\u1ec3n b\u1ec7nh theo d\u00f5i \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 tr\u00ean c\u00e1c b\u1ee9c \u1ea3nh ch\u1ee5p Xquang trong mi\u1ec7ng v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c t\u00ednh v\u00e0o kh\u00e1i ni\u1ec7m l\u00fd thuy\u1ebft d\u1eabn \u0111\u1ebfn ph\u00e1t tri\u1ec3n h\u1ec7 th\u1ed1ng \u0111\u00e1nh gi\u00e1 r\u1ee7i ro nha chu (PRA).<\/p>\n

      G\u1ea7n \u0111\u00e2y h\u01a1n, m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a m\u1ea5t b\u00e1m d\u00ednh l\u00e2m s\u00e0ng (CAL) c\u1ee7a t\u1eebng c\u00e1 nh\u00e2n \u0111\u01b0\u1ee3c so s\u00e1nh v\u1edbi nh\u00f3m tu\u1ed5i c\u1ee7a h\u1ecd. Th\u00f4ng tin n\u00e0y t\u1eeb c\u00e1c qu\u1ea7n th\u1ec3 \u0111\u00f4ng v\u00e0 \u0111a d\u1ea1ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c coi l\u00e0 ti\u00eau chu\u1ea9n tu\u1ed5i cho CAL, v\u1edbi gi\u1ea3 \u0111\u1ecbnh r\u1eb1ng c\u00e1c c\u00e1 nh\u00e2n v\u01b0\u1ee3t qua ng\u01b0\u1ee1ng CAL trung b\u00ecnh cho m\u1ed9t ph\u1ea7n tr\u0103m cao trong nh\u00f3m tu\u1ed5i s\u1ebd l\u00e0 m\u1ed9t th\u00f4ng tin kh\u00e1c m\u1ed9t m\u1ea3nh gh\u00e9p b\u1ed5 sung c\u00f3 th\u1ec3 \u0111\u1ea1i di\u1ec7n cho nguy c\u01a1 t\u0103ng l\u00ean ti\u00ean tri\u1ec3n. CAL ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh theo c\u00e1ch n\u00e0o \u0111\u00f3 d\u1ef1a tr\u00ean s\u1ed1 r\u0103ng b\u1ecb m\u1ea5t \u0111\u1ec3 tr\u00e1nh \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn CAL d\u1ef1a tr\u00ean vi\u1ec7c \u0111o ch\u1ec9 c\u00f2n l\u1ea1i nh\u1eefng r\u0103ng sau khi nh\u1ed5 r\u0103ng c\u00f3 vi\u00eam quanh r\u0103ng n\u1eb7ng nh\u1ea5t.<\/p>\n

      Nh\u1eefng th\u00e1ch th\u1ee9c nh\u01b0 v\u1eady l\u1ea1i \u0111\u00f2i h\u1ecfi m\u1ed9t khung \u0111\u1ec3 th\u00edch nghi v\u1edbi thay \u0111\u1ed5i khi c\u00e1ch ti\u1ebfp c\u1eadn ch\u00ednh x\u00e1c h\u01a1n \u0111\u1ec3 \u01b0\u1edbc t\u00ednh s\u1ef1 d\u1ec5 b\u1ecb t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u00e1 nh\u00e2n tr\u1edf n\u00ean c\u00f3 s\u1eb5n \u0111\u1ec3 thu th\u1eadp c\u00e1c b\u1eb1ng ch\u1ee9ng c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 li\u1ec7u li\u1ec7u \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 cho m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p nha chu c\u00f3 \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn b\u1ec7nh l\u00fd h\u1ec7 th\u1ed1ng hay kh\u00f4ng.<\/p>\n

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      1. \n

        Vi\u00eam quanh r\u0103ng m\u1ee9c \u0111\u1ed9 A: ti\u1ebfn tri\u1ec3n ch\u1eadm<\/h2>\n<\/li>\n<\/ol>\n
          \n
        • C\u00e1c ti\u00eau ch\u00ed \u0111\u00e1nh gi\u00e1 ch\u00ednh<\/li>\n<\/ul>\n

          – B\u1eb1ng ch\u1ee9ng tr\u1ef1c ti\u1ebfp c\u1ee7a ti\u1ebfn tri\u1ec3n b\u1ec7nh:
          \nKh\u00f4ng c\u00f3 h\u00ecnh \u1ea3nh m\u1ea5t x\u01b0\u01a1ng tr\u00ean XQuang ho\u1eb7c m\u1ea5t b\u00e1m d\u00ednh l\u00e2m s\u00e0ng th\u00eam trong 5 n\u0103m g\u1ea7n \u0111\u00e2y<\/p>\n

          – B\u1eb1ng ch\u1ee9c gi\u00e1n ti\u1ebfp c\u1ee7a ti\u1ebfn tri\u1ec3n:<\/p>\n

          % m\u1ea5t x\u01b0\u01a1ng\/ tu\u1ed5i: nh\u1ecf h\u01a1n 0.25<\/p>\n

          \u0110\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng c\u1ee7a ca b\u1ec7nh: nhi\u1ec1u m\u00e0ng biofilm v\u1edbi m\u1ee9c \u0111\u1ed9 ph\u00e1 h\u1ee7y th\u1ea5p<\/p>\n

            \n
          • C\u00e1c y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh<\/li>\n<\/ul>\n

            – H\u00fat thu\u1ed1c: Kh\u00f4ng<\/p>\n

            – Ti\u1ec3u \u0111\u01b0\u1eddng: Kh\u00f4ng c\u00f3 ch\u1ea9n \u0111o\u00e1n ti\u1ec3u \u0111\u01b0\u1eddng<\/p>\n

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            1. \n

              Vi\u00eam quanh r\u0103ng m\u1ee9c \u0111\u1ed9 B: ti\u1ebfn tri\u1ec3n trung b\u00ecnh<\/h2>\n<\/li>\n<\/ol>\n
                \n
              • C\u00e1c ti\u00eau ch\u00ed \u0111\u00e1nh gi\u00e1 ch\u00ednh<\/li>\n<\/ul>\n

                –\u00a0\u00a0\u00a0\u00a0\u00a0 B\u1eb1ng ch\u1ee9ng tr\u1ef1c ti\u1ebfp c\u1ee7a ti\u1ebfn tri\u1ec3n b\u1ec7nh:
                \nH\u00ecnh \u1ea3nh m\u1ea5t x\u01b0\u01a1ng tr\u00ean XQuang ho\u1eb7c m\u1ea5t b\u00e1m d\u00ednh l\u00e2m s\u00e0ng th\u00eam trong 5 n\u0103m g\u1ea7n \u0111\u00e2y \u00edt h\u01a1n 2mm<\/p>\n

                –\u00a0\u00a0\u00a0\u00a0\u00a0 B\u1eb1ng ch\u1ee9c gi\u00e1n ti\u1ebfp c\u1ee7a ti\u1ebfn tri\u1ec3n:<\/p>\n

                % m\u1ea5t x\u01b0\u01a1ng\/ tu\u1ed5i: t\u1eeb 0.25-1.0<\/p>\n

                \u0110\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng c\u1ee7a ca b\u1ec7nh: S\u1ef1 ph\u00e1 h\u1ee7y x\u01b0\u01a1ng t\u01b0\u01a1ng \u1ee9ng v\u1edbi m\u1ee9c \u0111\u1ed9 t\u00edch t\u1ee5 c\u1ee7a m\u00e0ng biofilm<\/p>\n

                  \n
                • C\u00e1c y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh<\/li>\n<\/ul>\n

                  –\u00a0\u00a0\u00a0\u00a0\u00a0 H\u00fat thu\u1ed1c: \u00edt h\u01a1n 10 \u0111i\u1ebfu\/ng\u00e0y<\/p>\n

                  –\u00a0\u00a0\u00a0\u00a0\u00a0 Ti\u1ec3u \u0111\u01b0\u1eddng: B\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng v\u1edbi ch\u1ec9 s\u1ed1 HbA1c < 7%<\/p>\n

                    \n
                  1. \n

                    Vi\u00eam quanh r\u0103ng m\u1ee9c \u0111\u1ed9 C: ti\u1ebfn tri\u1ec3n nhanh<\/h2>\n<\/li>\n<\/ol>\n
                      \n
                    • C\u00e1c ti\u00eau ch\u00ed \u0111\u00e1nh gi\u00e1 ch\u00ednh<\/li>\n<\/ul>\n

                      –\u00a0\u00a0\u00a0\u00a0\u00a0 B\u1eb1ng ch\u1ee9ng tr\u1ef1c ti\u1ebfp c\u1ee7a ti\u1ebfn tri\u1ec3n b\u1ec7nh:<\/p>\n

                      H\u00ecnh \u1ea3nh m\u1ea5t x\u01b0\u01a1ng tr\u00ean XQuang ho\u1eb7c m\u1ea5t b\u00e1m d\u00ednh l\u00e2m s\u00e0ng th\u00eam trong 5 n\u0103m g\u1ea7n \u0111\u00e2y l\u1edbn h\u01a1n 2mm<\/p>\n

                      –\u00a0\u00a0\u00a0\u00a0\u00a0 B\u1eb1ng ch\u1ee9c gi\u00e1n ti\u1ebfp c\u1ee7a ti\u1ebfn tri\u1ec3n:<\/p>\n

                      % m\u1ea5t x\u01b0\u01a1ng\/ tu\u1ed5i: l\u1edbn h\u01a1n 1.0<\/p>\n

                      \u0110\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng c\u1ee7a ca b\u1ec7nh: S\u1ef1 ph\u00e1 h\u1ee7y v\u01b0\u1ee3t qu\u00e1 mong \u0111\u1ee3i d\u1ef1a tr\u00ean l\u01b0\u1ee3ng m\u00e0ng vi sinh v\u00e0 c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee5 th\u1ec3 g\u1ee3i \u00fd v\u1ec1 c\u00e1c giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n nhanh v\u00e0\/ho\u1eb7c b\u1ec7nh l\u00fd b\u1eaft \u0111\u1ea7u s\u1edbm<\/p>\n

                        \n
                      • C\u00e1c y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh<\/li>\n<\/ul>\n

                        –\u00a0\u00a0\u00a0\u00a0\u00a0 H\u00fat thu\u1ed1c: nhi\u1ec1u h\u01a1n 10 \u0111i\u1ebfu\/ng\u00e0y<\/p>\n

                        –\u00a0\u00a0\u00a0\u00a0\u00a0 Ti\u1ec3u \u0111\u01b0\u1eddng: B\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng v\u1edbi ch\u1ec9 s\u1ed1 HbA1c > 7%<\/p>\n

                        Ngu\u1ed3n tham kh\u1ea3o:<\/p>\n

                          \n
                        1. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. Maurizio S. Tonetti, Henry Greenwell, Kenneth S. Kornman. 2017<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

                          N\u0103m 2017, Hi\u1ec7p h\u1ed9i Nha Chu M\u1ef9 (AAP) \u0111\u00e3 \u0111\u01b0a ra m\u1ed9t h\u01b0\u1edbng d\u1eabn ph\u00e2n lo\u1ea1i cho c\u00e1c b\u1ec7nh vi\u00eam quanh r\u0103ng v\u00e0 vi\u00eam quanh implant. N\u1eafm r\u00f5 ph\u00e2n lo\u1ea1i giai \u0111o\u1ea1n v\u00e0 m\u1ee9c \u0111\u1ed9 b\u1ec7nh l\u00e0 m\u1ed9t y\u00eau c\u1ea7u c\u01a1 b\u1ea3n cho c\u00e1c b\u00e1c s\u0129 tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb. B\u00e0i vi\u1ebft n\u00e0y […]<\/p>\n","protected":false},"author":35,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[3],"yoast_head":"\nPh\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 vi\u00eam quanh r\u0103ng - H\u1ed9i Nha Chu M\u1ef9 - Vinmec<\/title>\n<meta name=\"description\" content=\"N\u0103m 2017, h\u1ed9i th\u1ea3o c\u1ee7a AAP \u0111\u00e3 th\u1ed1ng nh\u1ea5t v\u00e0 \u0111\u01b0a ra m\u1ed9t ph\u00e2n lo\u1ea1i m\u1edbi v\u1ec1 vi\u00eam quanh r\u0103ng theo m\u1ee9c \u0111\u1ed9. 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