{"id":20920,"date":"2023-04-16T11:39:07","date_gmt":"2023-04-16T04:39:07","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=20920"},"modified":"2023-05-02T15:16:03","modified_gmt":"2023-05-02T08:16:03","slug":"thoi-diem-dieu-tri-chinh-nha-chi-dinh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/thoi-diem-dieu-tri-chinh-nha-chi-dinh\/","title":{"rendered":"Th\u1eddi \u0111i\u1ec3m \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha – Ch\u1ec9 \u0111\u1ecbnh."},"content":{"rendered":"

M\u1ed9t s\u1ed1 ca \u0111i\u1ec1u tr\u1ecb s\u1edbm \u0111ang khai th\u00e1c h\u1ee3p l\u00fd ti\u1ec1m n\u0103ng ph\u00e1t tri\u1ec3n c\u1ee7a r\u0103ng v\u00e0 x\u01b0\u01a1ng, t\u1eadn d\u1ee5ng \u0111\u01b0\u1ee3c s\u1ef1 di d\u1eddi v\u1ecb tr\u00ed c\u1ee7a r\u0103ng, c\u1ea3i thi\u1ec7n s\u1ef1 b\u1ea5t h\u00e0i h\u00f2a c\u1ee7a x\u01b0\u01a1ng, lo\u1ea1i b\u1ecf c\u00e1c sai l\u1ec7ch ch\u1ee9c n\u0103ng, qu\u1ea3n l\u00fd s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a cung r\u0103ng, \u0111em l\u1ea1i l\u1ee3i \u00edch v\u1ec1 m\u1eb7t t\u00e2m l\u00fd, gi\u00fap tr\u1ebb t\u1ef1 tin h\u01a1n, gi\u1ea3m thi\u1ec3u c\u00e1c ch\u1ea5n th\u01b0\u01a1ng v\u00e0 gi\u1ea3i quy\u1ebft c\u00e1c y\u1ebfu t\u1ed1 nguy\u00ean nh\u00e2n ban \u0111\u1ea7u . B\u00e0i vi\u1ebft n\u00e0y s\u1ebd n\u00f3i s\u00e2u h\u01a1n v\u1ec1 th\u1eddi \u0111i\u1ec3m n\u00ean \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha.<\/strong><\/p>\n

1. Ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha can thi\u1ec7p trong tr\u01b0\u1eddng h\u1ee3p r\u0103ng m\u1ecdc l\u1ec7ch v\u1ecb tr\u00ed<\/h2>\n

C\u00e1c v\u1ea5n \u0111\u1ec1 c\u1ea7n ph\u00f2ng ng\u1eeba l\u00e0 nh\u1eefng v\u1ea5n \u0111\u1ec1, n\u1ebfu kh\u00f4ng gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c n\u00f3 ngay trong qu\u00e1 tr\u00ecnh tr\u01b0\u1edfng th\u00e0nh, c\u00f3 th\u1ec3 tr\u1edf n\u00ean t\u1eeb kh\u00e1 nghi\u00eam tr\u1ecdng cho \u0111\u1ebfn ph\u1ee9c t\u1ea1p v\u00e0 kh\u00f3 x\u1eed l\u00fd, d\u1eabn \u0111\u1ebfn ph\u1ea3i b\u00f3 tay v\u1edbi v\u1ea5n \u0111\u1ec1 \u0111\u00f3 v\u00e0 \u0111\u1ec3 c\u00e1 nh\u00e2n \u0111\u1ed1i m\u1eb7t v\u1edbi c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 t\u00e2m l\u00fd trong khi ch\u1edd \u0111\u1ee3i m\u1ed9t gi\u1ea3i ph\u00e1p kh\u1eafc ph\u1ee5c.<\/p>\n

Ch\u1eafc ch\u1eafn gi\u1eefa c\u00e1c h\u1ecdc gi\u1ea3 c\u0169ng t\u1ed3n t\u1ea1i c\u00e1c b\u1ea5t \u0111\u1ed3ng quan \u0111i\u1ec3m li\u00ean quan \u0111\u1ebfn c\u00e1c t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha s\u1edbm n\u00e0y. Danh s\u00e1ch c\u00e1c v\u1ea5n \u0111\u1ec1 \u0111\u01b0\u1ee3c H\u1ed9i \u0111\u1ed3ng Nha khoa Nhi Hoa K\u1ef3 k\u1ec3 ra c\u00f3 th\u1ec3 m\u1edf \u0111\u1ea7u cho h\u01b0\u1edbng d\u1eabn n\u00e0y.<\/p>\n

D\u1ef1a tr\u00ean danh s\u00e1ch c\u1ee7a h\u1ecd, c\u00e1c t\u00ecnh hu\u1ed1ng sau c\u00f3 th\u1ec3 l\u00e0 \u1ee9ng vi\u00ean cho ca \u0111i\u1ec1u tr\u1ecb s\u1edbm: :<\/p>\n

1) ph\u00f2ng ng\u1eeba v\u00e0 can thi\u1ec7p th\u00f3i quen r\u0103ng mi\u1ec7ng;<\/p>\n

2) qu\u1ea3n l\u00fd kho\u1ea3ng tr\u1ed1ng;<\/p>\n

3) can thi\u1ec7p \u0111\u1ed9 sai l\u1ec7ch khi r\u0103ng m\u1ecdc;<\/p>\n

4) kh\u1edbp c\u1eafn xu\u00f4i;<\/p>\n

5) kh\u1edbp c\u1eafn ng\u01b0\u1ee3c;<\/p>\n

6) v\u1ea9u h\u00e0m;<\/p>\n

7) sai l\u1ec7ch kh\u1edbp c\u1eafn Lo\u1ea1i II, k\u00e8m theo \u0111\u00f3 l\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 m\u1eb7t t\u00e2m l\u00fd, t\u0103ng nguy c\u01a1 ch\u1ea5n th\u01b0\u01a1ng t\u00e2m l\u00fd v\u00e0 ho\u00e0n to\u00e0n b\u1ecb c\u00f4 l\u1eadp;<\/p>\n

8) Sai l\u1ec7ch kh\u1edbp c\u1eafn Lo\u1ea1i III.<\/p>\n

 <\/p>\n

\"dieu-tri-chinh-nha\"
H\u00ecnh 1.1 a, b) B\u00e9 g\u00e1i ch\u00edn tu\u1ed5i cho th\u1ea5y kh\u1edbp c\u1eafn s\u00e2u. S\u1ef1 sai l\u1ec7ch n\u00e0y\u00a0kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u c\u1ee7a can thi\u1ec7p ch\u1ec9nh h\u00ecnh tr\u1eeb khi quan s\u00e1t th\u1ea5y m\u00f4 m\u1ec1m c\u1ee7a v\u00f2m mi\u1ec7ng, hay m\u1ed1i quan t\u00e2m ch\u00ednh l\u00e0 v\u1ec1 m\u1eb7t th\u1ea9m m\u1ef9. c, d) C\u00f4 n\u0103m n\u0103m sau \u0111\u00f3 v\u1edbi s\u1ef1 c\u1ea3i thi\u1ec7n t\u1ef1 nhi\u00ean \u0111\u00e1ng k\u1ec3 \u0111\u1ed1i v\u1edbi kh\u1edbp c\u1eafn s\u00e2u v\u00e0 s\u1ef1 sai l\u1ec7ch v\u1ec1 kho\u1ea3ng c\u00e1ch m\u00e0 kh\u00f4ng ph\u1ea3i th\u00f4ng qua \u0111i\u1ec1u tr\u1ecb giai \u0111o\u1ea1n I.<\/figcaption><\/figure>\n

 <\/p>\n

\"dieu-tri-chinh-nha\"
H\u00ecnh 1.2 a\u2013c) B\u00e9 ch\u00edn tu\u1ed5i c\u00f3 h\u00e0m h\u1ed7n h\u1ee3p v\u00e0 l\u1ec7ch kh\u1edbp c\u1eafn Lo\u1ea1i II\/I, nh\u01b0ng kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi v\u1ea5n \u0111\u1ec1 t\u00e2m l\u00fd. \u0110\u00e1nh gi\u00e1 cho th\u1ea5y l\u00e0 r\u1ee7i ro cho c\u00e1c ch\u1ea5n th\u01b0\u01a1ng \u1edf r\u0103ng tr\u01b0\u1edbc h\u00e0m tr\u00ean \u1edf m\u1ee9c \u0111\u1ed9 v\u1eeba\/th\u1ea5p v\u00e0 ho\u00e3n \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha giai \u0111o\u1ea1n \u0111\u1ea7u d\u2013f) B\u1ec7nh nh\u00e2n 12 tu\u1ed5i, trong giai \u0111o\u1ea1n r\u0103ng v\u0129nh vi\u1ec5n m\u1edbi m\u1ecdc. Kh\u00f4ng qua \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh h\u00ecnh can thi\u1ec7p. Sau 5 th\u00e1ng s\u1eed d\u1ee5ng thi\u1ebft b\u1ecb headgear, b\u1ec7nh nh\u00e2n \u0111ang \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha v\u00e0 \u0111eo ni\u1ec1ng r\u0103ng m\u1eafc c\u00e0i to\u00e0n th\u1eddi gian t\u1eeb 12 – 18 th\u00e1ng
Hi\u1ec7u qu\u1ea3 \u0111\u1ea1t \u0111\u01b0\u1ee3c nh\u1edd vi\u1ec7c tr\u00ec ho\u00e3n ch\u1ec9nh s\u1eeda Lo\u1ea1i II \u0111\u1ec3 ti\u1ebfp c\u1eadn m\u1ed9t l\u1ea7n duy nh\u1ea5t.<\/figcaption><\/figure>\n

2 Th\u1eddi \u0111i\u1ec3m l\u00fd t\u01b0\u1edfng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha s\u1edbm<\/h2>\n

C\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng ph\u1ea3i c\u00e2n nh\u1eafc nhi\u1ec1u kh\u00eda c\u1ea1nh \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh th\u1eddi \u0111i\u1ec3m l\u00fd t\u01b0\u1edfng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb s\u1edbm. B\u1ed1n c\u00e2n nh\u1eafc c\u0103n b\u1ea3n g\u1ed3m c\u00f3:<\/p>\n

1) c\u00e1c kh\u00eda c\u1ea1nh v\u1ec1 t\u00e2m l\u00fd x\u00e3 h\u1ed9i;<\/p>\n

2) m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng v\u00e0 nguy\u00ean nh\u00e2n c\u1ee7a sai l\u1ec7ch kh\u1edbp c\u1eafn;<\/p>\n

3) c\u00e1c kh\u00e1i ni\u1ec7m v\u1ec1 \u0111\u1ed9 ch\u00ednh x\u00e1c v\u00e0 t\u00ednh hi\u1ec7u qu\u1ea3;<\/p>\n

4) giai \u0111o\u1ea1n ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

2.1 C\u00e1c kh\u00eda c\u1ea1nh v\u1ec1 t\u00e2m l\u00fd li\u00ean quan \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha<\/h3>\n

Kh\u00f4ng may thay c\u00e1c b\u00e1c s\u0129 ch\u1ec9nh h\u00ecnh r\u0103ng h\u00e0m m\u1eb7t th\u01b0\u1eddng hay b\u1ecf qua c\u00e1c kh\u00eda c\u1ea1nh v\u1ec1 m\u1eb7t t\u00e2m l\u00fd v\u00e0 kh\u00f4ng hay c\u00e2n nh\u1eafc th\u01b0\u1eddng xuy\u00ean trong qu\u00e1 tr\u00ecnh \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb s\u1edbm.<\/p>\n

T\u1ea1i th\u1eddi \u0111i\u1ec3m khi b\u1eaft n\u1ea1t \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t v\u1ea5n \u0111\u1ec1 \u0111\u01b0\u1ee3c b\u00e0n b\u1ea1c m\u1ed9t c\u00e1ch r\u1ed9ng r\u00e3i v\u00e0 \u0111\u01b0\u1ee3c \u0111em ra nghi\u00ean c\u1ee9u b\u1edfi nhi\u1ec1u nh\u00e0 t\u00e2m l\u00fd h\u1ecdc, c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng ph\u1ea3i li\u00ean t\u1ee5c nh\u1eadn th\u1ee9c \u0111\u01b0\u1ee3c th\u1ef1c t\u1ebf r\u1eb1ng, v\u1edbi t\u01b0 c\u00e1ch l\u00e0 c\u00e1c nh\u00e0 cung c\u1ea5p, h\u1ecd ho\u00e0n to\u00e0n c\u00f3 kh\u1ea3 n\u0103ng gi\u00fap \u0111\u1ee1 c\u00e1c b\u1ec7nh nh\u00e2n c\u1ee7a m\u00ecnh c\u00f3 \u0111\u01b0\u1ee3c s\u1ef1 t\u1ef1 tin v\u00e0 t\u1ef1 c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a m\u00ecnh (CLCS).<\/p>\n

V\u1edbi nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, t\u1ea7m quan tr\u1ecdng gi\u1eefa s\u1ee9c kh\u1ecfe b\u1ec7nh nh\u00e2n v\u00e0 v\u1ea5n \u0111\u1ec1 l\u1ec7ch kh\u1edbp c\u1eafn c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f9ng nhi\u1ec1u v\u1ea5n \u0111\u1ec1 c\u00f3 li\u00ean quan kh\u00e1c ch\u1ec9 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 r\u1ea5t nh\u1ecf. CLCS v\u00e0 c\u00e1c t\u00e1c \u0111\u1ed9ng c\u00f3 li\u00ean quan c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc \u0111\u1ec3 \u00e1p d\u1ee5ng vi\u1ec7c ho\u00e3n ho\u1eb7c tr\u00e1nh \u0111i\u1ec1u tr\u1ecb. M\u1eb7c d\u00f9 c\u00f3 ph\u1ea7n m\u01a1 h\u1ed3 v\u00e0 tr\u1eebu t\u01b0\u1ee3ng nh\u01b0ng kh\u00e1i ni\u1ec7m v\u1ec1 CLCS v\u1eabn \u0111ang t\u1ed3n t\u1ea1i v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c xem tr\u1ecdng trong ng\u00e0nh ch\u1ec9nh nha. Tuy nhi\u00ean, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p lu\u1eadn c\u1ee7a h\u1ecdc thuy\u1ebft CLCS kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u1ed3ng nh\u1ea5t v\u00e0 c\u00e1c v\u00ed d\u1ee5 th\u01b0\u1eddng \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng \u0111\u1ec3 d\u1ec5 h\u00ecnh dung, n\u00ean kh\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0a ra m\u1ed9t s\u1ef1 ph\u00e2n t\u00edch \u0111\u00e1ng tin c\u1eady. Vi\u1ec7c thi\u1ebfu c\u00e1c v\u00ed d\u1ee5 ng\u1eabu nhi\u00ean c\u1ea3n tr\u1edf vi\u1ec7c ph\u00e2n t\u00edch c\u00e1c b\u1eb1ng ch\u1ee9ng.<\/p>\n

C\u00e1c b\u1ea1n nh\u1ecf \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch t\u00ecm \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha v\u00ec v\u1ebb ngo\u00e0i kh\u00f4ng \u0111\u01b0\u1ee3c \u01b0a nh\u00ecn, l\u1eddi khuy\u00ean t\u1eeb c\u00e1c nha s\u0129, m\u1ed1i quan t\u00e2m t\u1eeb ph\u1ee5 huynh, v\u00e0 \u1ea3nh h\u01b0\u1edfng t\u1eeb c\u00e1c b\u1ea1n \u0111\u1ed3ng trang l\u1ee9a. \u0110i\u1ec1u tr\u1ecb ch\u1ec9nh nha ch\u1eafc ch\u1eafn s\u1ebd c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c CLCS, nh\u01b0ng qua th\u1eddi gian th\u00ec l\u1ee3i th\u1ebf n\u00e0y c\u0169ng d\u1ea7n m\u1ea5t \u0111i. Khi vi\u1ec7c l\u1ec7ch kh\u1edbp c\u1eafn khi\u1ebfn b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y kh\u00f4ng tho\u1ea3i m\u00e1i v\u00e0 ti\u1ec1m \u1ea9n nguy c\u01a1 tinh th\u1ea7n kh\u00f4ng \u1ed5n \u0111\u1ecbnh, ch\u1eafc ch\u1eafn s\u1ebd c\u00f3 d\u1ea5u hi\u1ec7u \u0111\u1ec3 nh\u1eadn bi\u1ebft cho c\u00e1c ca c\u1ea7n \u0111i\u1ec1u tr\u1ecb, m\u1eb7c d\u00f9 tr\u00ean th\u1ef1c t\u1ebf hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 mang t\u00ednh b\u1ea5t l\u1ee3i.<\/p>\n

\"\"
H\u00ecnh 1.3 a) Kh\u1edbp c\u1eafn ng\u01b0\u1ee3c v\u00e0 l\u1ec7ch \u1edf h\u00e0m d\u01b0\u1edbi, b) Kh\u1edbp c\u1eafn ng\u01b0\u1ee3c nh\u01b0ng kh\u00f4ng b\u1ecb l\u1ec7ch \u1edf h\u00e0m d\u01b0\u1edbi.<\/figcaption><\/figure>\n

2.2 M\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a sai kh\u1edbp c\u1eafn<\/h3>\n

Sai kh\u1edbp c\u1eafn \u1edf m\u1ed7i b\u1ec7nh nh\u00e2n l\u1ea1i kh\u00e1c nhau ch\u00ednh v\u00ec v\u1eady m\u00e0 c\u00f3 nhi\u1ec1u ki\u1ec3u m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng. Do \u0111\u00f3, s\u1ebd l\u00e0 h\u1ee3p l\u00fd n\u1ebfu ngh\u0129 r\u1eb1ng, vi\u1ec7c l\u1ec7ch kh\u1edbp c\u1eafn kh\u00f4ng \u0111\u00e1ng k\u1ec3 khi v\u1eabn c\u00f2n l\u00e0 m\u1ed9t \u0111\u1ee9a tr\u1ebb ho\u1eb7c trong giai \u0111o\u1ea1n tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean th\u00ec s\u1ebd kh\u00f4ng \u0111\u01b0\u1ee3c \u01b0u ti\u00ean can thi\u1ec7p nh\u01b0 \u0111\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng. V\u00ed d\u1ee5 nh\u01b0, kh\u1edbp c\u1eafn ng\u01b0\u1ee3c v\u00e0 s\u1ef1 thay \u0111\u1ed5i \u1edf h\u00e0m d\u01b0\u1edbi (H\u00ecnh 1.3) \u0111\u00e1ng l\u1ebd ra n\u00ean \u0111\u01b0\u1ee3c \u01b0u ti\u00ean \u0111i\u1ec1u tr\u1ecb so v\u1edbi sai l\u1ec7ch kh\u1edbp c\u1eafn r\u1ea5t nh\u1ecf ho\u1eb7c kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng. Trong kh\u1ea3 n\u0103ng \u0111\u1ea7u ti\u00ean, s\u1ef1 l\u1ec7ch \u0111i n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi\u1ec7c m\u1eb7t ph\u00e1t tri\u1ec3n kh\u00f4ng \u0111\u1ed1i x\u1ee9ng, khi\u1ebfn cho gi\u1ea3i ph\u00e1p trong t\u01b0\u01a1ng lai ng\u00e0y c\u00e0ng ph\u1ee9c t\u1ea1p h\u01a1n.<\/p>\n

\u0110i\u1ec1u tr\u1ecb kh\u1edbp c\u1eafn ng\u01b0\u1ee3c r\u0103ng c\u1eeda b\u00ean th\u00ec \u00edt kh\u1ea9n c\u1ea5p h\u01a1n so v\u1edbi hai r\u0103ng c\u1eeda gi\u1eefa, m\u1eb7c d\u00f9 c\u00f3 r\u1ea5t \u00edt b\u1eb1ng ch\u1ee9ng tr\u00ean s\u00e1ch v\u1edf \u0111\u1ec3 ch\u1ee9ng minh \u0111i\u1ec1u n\u00e0y (H\u00ecnh 1.4). B\u1ea1n ph\u1ea3i hi\u1ec3u \u0111\u01b0\u1ee3c r\u1eb1ng m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a s\u1ef1 sai l\u1ec7ch kh\u1edbp c\u1eafn kh\u00f4ng ph\u1ea3i l\u00e0 ti\u00eau ch\u00ed duy nh\u1ea5t \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb can thi\u1ec7p. V\u00ed d\u1ee5 nh\u01b0, trong tr\u01b0\u1eddng h\u1ee3p l\u1ec7ch kh\u1edbp c\u1eafn Lo\u1ea1i III r\u1ea5t nghi\u00eam tr\u1ecdng v\u1edbi m\u1ed9t \u0111\u1ee9a tr\u1ebb, v\u1edbi th\u00e0nh ph\u1ea7n x\u01b0\u01a1ng ch\u1ec9 ra r\u1eb1ng c\u00f3 kh\u1ea3 n\u0103ng ph\u1ea3i c\u1ea7n \u0111\u1ebfn ph\u1eabu thu\u1eadt ch\u1ec9nh h\u00ecnh trong trong t\u01b0\u01a1ng lai th\u00ec vi\u1ec7c c\u00e2n nh\u1eafc tr\u00ec ho\u00e3n \u0111i\u1ec1u tr\u1ecb cho \u0111\u1ebfn cu\u1ed1i giai \u0111o\u1ea1n tr\u01b0\u1edfng th\u00e0nh l\u00e0 m\u1ed9t \u0111i\u1ec1u h\u1ee3p l\u00fd \u0111\u1ec3 gi\u1ea3m b\u1edbt \u0111i\u1ec1u tr\u1ecb can thi\u1ec7p qu\u00e1 l\u00e2u. Hay n\u00f3i c\u00e1ch kh\u00e1c, trong m\u1ed9t v\u00e0i t\u00ecnh hu\u1ed1ng, vi\u1ec7c tr\u00ec ho\u00e3n ch\u1ec9nh s\u1eeda c\u00e1c s\u1ef1 sai l\u1ec7ch kh\u1edbp c\u1eafn l\u00e0 \u0111i\u1ec1u n\u00ean l\u00e0m cho \u0111\u1ebfn khi \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt ch\u1ec9nh h\u00ecnh m\u1ed9t l\u1ea7n c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c. M\u1eb7t kh\u00e1c, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p l\u1ec7ch kh\u1edbp c\u1eafn Lo\u1ea1i III \u1edf tr\u1ebb nh\u1ecf n\u1ebfu \u0111\u01b0\u1ee3c can thi\u1ec7p th\u00ec m\u1edbi c\u00f3 l\u1ee3i.<\/p>\n

2.3 C\u00e1c kh\u00e1i ni\u1ec7m v\u1ec1 t\u00ednh ch\u00ednh x\u00e1c v\u00e0 \u0111\u1ed9 hi\u1ec7u qu\u1ea3<\/h3>\n

Vi\u1ec7c quy\u1ebft \u0111\u1ecbnh th\u1eddi \u0111i\u1ec3m th\u00edch h\u1ee3p nh\u1ea5t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha c\u0169ng ph\u1ea3i c\u00e2n nh\u1eafc \u0111\u1ebfn c\u00e1c kh\u00eda c\u1ea1nh v\u1ec1 t\u00ednh ch\u00ednh x\u00e1c v\u00e0 \u0111\u1ed9 hi\u1ec7u qu\u1ea3. T\u00ednh ch\u00ednh x\u00e1c l\u00e0 m\u1ed9t kh\u00e1i ni\u1ec7m th\u1ec3 hi\u1ec7n kh\u1ea3 n\u0103ng gi\u1ea3i quy\u1ebft v\u1ea5n \u0111\u1ec1 m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c. Li\u1ec7u n\u00f3 c\u00f3 ho\u00e0n to\u00e0n hi\u1ec7u nghi\u1ec7m kh\u00f4ng? M\u1ee9c \u0111\u1ed9 c\u1ea3i thi\u1ec7n l\u00e0 bao nhi\u00eau? Kh\u00e1i ni\u1ec7m n\u00e0y quan tr\u1ecdng trong nghi\u00ean c\u1ee9u s\u1ef1 ho\u00e0n ch\u1ec9nh c\u1ee7a ch\u1ec9nh nha. C\u00e1c h\u00e0nh \u0111\u1ed9ng can thi\u1ec7p ch\u1ec9nh nha n\u00ean \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 b\u1eb1ng ch\u1ee9ng ch\u1ee9ng minh r\u1eb1ng v\u1ea5n \u0111\u1ec1 n\u00e0y n\u1ebfu \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft s\u1ebd, tr\u00ean th\u1ef1c t\u1ebf, ph\u1ea3i gi\u1ea3i quy\u1ebft b\u1eb1ng \u0111i\u1ec1u tr\u1ecb s\u1edbm. N\u1ebfu v\u1ea5n \u0111\u1ec1 n\u00e0y kh\u00f4ng \u0111\u01b0\u1ee3c can thi\u1ec7p, li\u1ec7u n\u00f3 s\u1ebd d\u1eabn t\u1edbi h\u1eadu qu\u1ea3 kh\u00f4ng m\u1ea5y \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn hay s\u1ebd g\u00e2y kh\u00f3 kh\u0103n h\u01a1n trong vi\u1ec7c \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ed9t k\u1ebft qu\u1ea3 nh\u01b0 mong mu\u1ed1n?
\n\u0110\u1ed9 hi\u1ec7u qu\u1ea3 l\u00e0 c\u00f4ng th\u1ee9c t\u01b0\u01a1ng quan k\u1ebft qu\u1ea3 v\u1edbi th\u1eddi gian. C\u1ea7n bao l\u00e2u \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3? Li\u1ec7u g\u00e1nh n\u1eb7ng v\u1ec1 t\u00e0i ch\u00ednh, s\u1ee9c kh\u1ecfe v\u00e0 gi\u1eefa c\u00e1c c\u00e1 nh\u00e2n v\u1edbi nhau c\u00f3 \u0111\u00e1ng \u0111\u1ec3 th\u1eed? Trong th\u1ebf gi\u1edbi c\u1ee7a s\u1ef1 t\u1ea1m th\u1eddi th\u00ec kh\u00e1i ni\u1ec7m v\u1ec1 \u0111\u1ed9 hi\u1ec7u qu\u1ea3 l\u00e0 m\u1ed9t ti\u00eau ch\u00ed quan tr\u1ecdng \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh ti\u1ebfn h\u00e0nh c\u00e1c h\u00e0nh \u0111\u1ed9ng v\u00e0 d\u1ecbch v\u1ee5. N\u1ebfu chi ph\u00ed-l\u1ee3i \u00edch c\u1ee7a giai \u0111o\u1ea1n I kh\u00f4ng \u0111\u01b0\u1ee3c nh\u01b0 mong \u0111\u1ee3i th\u00ec li\u1ec7u c\u00f3 n\u00ean c\u00e2n nh\u1eafc c\u00e1c l\u1ee3i \u00edch c\u1ee7a \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh h\u00ecnh s\u1edbm?<\/p>\n

\"\"
H\u00ecnh 1.4 a) B\u1ec7nh nh\u00e2n nam t\u00e1m tu\u1ed5i, m\u00f4 h\u00ecnh x\u01b0\u01a1ng r\u0103ng Lo\u1ea1i I, t\u1eadt kh\u1edbp c\u1eafn ch\u00e9o r\u0103ng c\u1eeda b\u00ean, b) B\u1ec7nh nh\u00e2n n\u1eef b\u1ea3y tu\u1ed5i, m\u00f4 h\u00ecnh x\u01b0\u01a1ng r\u0103ng Lo\u1ea1i I, t\u1eadt kh\u1edbp c\u1eafn ch\u00e9o hai r\u0103ng c\u1eeda gi\u1eefa. V\u00ec c\u00e1c b\u1ec7nh v\u1ec1 r\u0103ng mi\u1ec7ng v\u00e0 h\u01b0 h\u1ea1i trong th\u1eddi gian ph\u00e1t tri\u1ec3n x\u1ea3y ra \u1edf h\u00ecnh \u201cb,\u201d vi\u1ec7c can thi\u1ec7p l\u00e0 h\u1ee3p l\u00fd v\u00e0 c\u1ea7n tri\u1ec3n khai kh\u1ea9n tr\u01b0\u01a1ng.<\/figcaption><\/figure>\n

N\u00f3i t\u00f3m l\u1ea1i, \u0111i\u1ec1u tr\u1ecb sai l\u1ec7ch kh\u1edbp c\u1eafn \u1edf tr\u1ebb nh\u1ecf n\u00ean \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc nh\u01b0 m\u1ed9t gi\u1ea3i ph\u00e1p ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 b\u1eb1ng ch\u1ee9ng ch\u1ee9ng minh k\u1ebft qu\u1ea3 mang l\u1ea1i t\u1ed1t (t\u00ednh ch\u00ednh x\u00e1c) m\u00e0 l\u1ea1i kh\u00f4ng t\u1ed1n qu\u00e1 nhi\u1ec1u c\u00f4ng s\u1ee9c (\u0111\u1ed9 hi\u1ec7u qu\u1ea3). Ph\u1ea3i \u0111\u1ea3m b\u1ea3o r\u1eb1ng s\u1ebd \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 t\u1ed1t nh\u1ea5t trong th\u1eddi gian s\u1edbm nh\u1ea5t.<\/p>\n

2.4 Qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a giai \u0111o\u1ea1n d\u1eady th\u00ec<\/h3>\n

B\u00e1c s\u0129 ch\u1ec9nh nha n\u00ean c\u00e2n nh\u1eafc c\u00e1c kh\u00eda c\u1ea1nh d\u1eady th\u00ec. S\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a c\u00e1c c\u1ea3m x\u00fac \u1edf tu\u1ed5i d\u1eady th\u00ec d\u00f9 l\u00e0 nh\u1ecf nh\u1ea5t c\u0169ng c\u1ea7n thi\u1ebft \u0111\u1ec3 b\u1eaft \u0111\u1ea7u b\u1ea5t k\u1ef3 ph\u01b0\u01a1ng th\u1ee9c ch\u1ec9nh nha n\u00e0o, th\u1eadm ch\u00ed c\u1ea3 v\u1edbi b\u1ec7nh nh\u00e2n m\u1eafc t\u1eadt sai kh\u1edbp c\u1eafn kh\u00f4ng m\u1ea5y ph\u1ee9c t\u1ea1p. Nh\u1eefng s\u1ef1 c\u00e2n nh\u1eafc n\u00e0y l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n th\u00eam ph\u1ea7n tho\u1ea3i m\u00e1i v\u00e0 tr\u00e1nh c\u00e1c r\u1ee7i ro \u1edf tr\u1ebb nh\u1ecf. Do \u0111\u00f3, vi\u1ec7c h\u1ee3p t\u00e1c c\u1ee7a \u0111\u1ee9a tr\u1ebb khi ki\u1ec3m tra l\u00e2m s\u00e0ng tr\u1edf th\u00e0nh th\u00f4ng s\u1ed1 \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 ch\u1ec9nh nha s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ti\u1ec1m n\u0103ng cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb s\u1edbm. Ph\u1ee5 thu\u1ed9c v\u00e0o h\u00e0nh vi v\u00e0 s\u1ef1 tu\u00e2n th\u1ee7 c\u1ee7a \u0111\u1ee9a tr\u1ebb v\u00e0 c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng s\u1ebd quy\u1ebft \u0111\u1ecbnh li\u1ec7u c\u00f3 n\u00ean ghi l\u1ea1i c\u00e1c b\u00e1o c\u00e1o c\u1ee7a vi\u1ec7c ch\u1ec9nh nha hay kh\u00f4ng. T\u00e2m l\u00fd \u1edf tu\u1ed5i d\u1eady th\u00ec th\u01b0\u1eddng g\u1eafn li\u1ec1n v\u1edbi s\u1ed1 tu\u1ed5i sinh h\u1ecdc. Hi\u1ec7p h\u1ed9i B\u00e1c s\u0129 Ch\u1ec9nh nha Hoa K\u1ef3 (AAO) trong t\u1edd qu\u1ea3ng c\u00e1o v\u1ec1 h\u1ed9i c\u00f3 t\u1ef1a \u0111\u1ec1 B\u00e0i ki\u1ec3m tra \u0111\u1ea7u ti\u00ean c\u1ee7a con b\u1ea1n c\u00f3 khuy\u00ean r\u1eb1ng tr\u1ebb em c\u1ea7n ph\u1ea3i c\u00f3 m\u1ed9t cu\u1ed9c ki\u1ec3m tra v\u1edbi chuy\u00ean gia r\u0103ng h\u00e0m ph\u00eda tr\u01b0\u1edbc khi l\u00ean 7. Tuy nhi\u00ean, c\u00e1c quy\u1ebft \u0111\u1ecbnh v\u1ec1 vi\u1ec7c \u0111i\u1ec1u tr\u1ecb s\u1edbm n\u00ean \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng t\u00f9y tr\u01b0\u1eddng h\u1ee3p. C\u00e1c th\u00f4ng s\u1ed1 d\u1eady th\u00ec kh\u00e1c c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc. \u0110\u00e1nh gi\u00e1 \u0111\u1ed9 tu\u1ed5i c\u1ee7a r\u0103ng n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 cung r\u0103ng ph\u00eda trong \u0111\u01b0\u1ee3c khuy\u00ean n\u00ean \u0111i\u1ec1u tr\u1ecb s\u1edbm. M\u1eb7t kh\u00e1c, \u0111\u1ed9 tu\u1ed5i c\u1ee7a x\u01b0\u01a1ng c\u0169ng n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u00ecm ra th\u1eddi \u0111i\u1ec3m th\u00edch h\u1ee3p nh\u1ea5t \u0111\u1ec3 ng\u0103n ch\u1eb7n c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 cung r\u0103ng l\u1ec7ch theo chi\u1ec1u d\u1ecdc v\u00e0 chi\u1ec1u ngang.<\/p>\n

K\u1ebft lu\u1eadn l\u1ea1i, vi\u1ec7c xem x\u00e9t k\u1ef9 l\u01b0\u1ee1ng to\u00e0n b\u1ed9 c\u00e1c y\u1ebfu t\u1ed1 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 \u1edf \u0111\u00e2y r\u00f5 r\u00e0ng r\u1eb1ng s\u1ebd ph\u1ee5c v\u1ee5 hai m\u1ee5c \u0111\u00edch: 1) \u0111\u00e1nh gi\u00e1 xem li\u1ec7u c\u00f3 n\u00ean \u0111i\u1ec1u tr\u1ecb s\u1edbm hay kh\u00f4ng; 2) cung c\u1ea5p h\u01b0\u1edbng d\u1eabn \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh khi n\u00e0o n\u00ean \u0111i\u1ec1u tr\u1ecb.<\/strong><\/p>\n

Theo: Recognizing and Correcting Developing Malocclusions: A Problem-oriented Approach to Orthodontics, First Edition – 2016 John Wiley & Sons, Inc. Published 2016 by John Wiley & Sons, Inc.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

M\u1ed9t s\u1ed1 ca \u0111i\u1ec1u tr\u1ecb s\u1edbm \u0111ang khai th\u00e1c h\u1ee3p l\u00fd ti\u1ec1m n\u0103ng ph\u00e1t tri\u1ec3n c\u1ee7a r\u0103ng v\u00e0 x\u01b0\u01a1ng, t\u1eadn d\u1ee5ng \u0111\u01b0\u1ee3c s\u1ef1 di d\u1eddi v\u1ecb tr\u00ed c\u1ee7a r\u0103ng, c\u1ea3i thi\u1ec7n s\u1ef1 b\u1ea5t h\u00e0i h\u00f2a c\u1ee7a x\u01b0\u01a1ng, lo\u1ea1i b\u1ecf c\u00e1c sai l\u1ec7ch ch\u1ee9c n\u0103ng, qu\u1ea3n l\u00fd s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a cung r\u0103ng, \u0111em l\u1ea1i l\u1ee3i […]<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[3],"yoast_head":"\nTh\u1eddi \u0111i\u1ec3m \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha - Ch\u1ec9 \u0111\u1ecbnh. - Vinmec<\/title>\n<meta name=\"description\" content=\"M\u1ed9t s\u1ed1 ca \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha s\u1edbm khai th\u00e1c h\u1ee3p l\u00fd ti\u1ec1m n\u0103ng ph\u00e1t tri\u1ec3n r\u0103ng v\u00e0 x\u01b0\u01a1ng, t\u1eadn d\u1ee5ng \u0111\u01b0\u1ee3c s\u1ef1 di d\u1eddi v\u1ecb tr\u00ed c\u1ee7a r\u0103ng. 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