{"id":21847,"date":"2023-04-15T23:53:03","date_gmt":"2023-04-15T16:53:03","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21847"},"modified":"2023-05-02T15:27:12","modified_gmt":"2023-05-02T08:27:12","slug":"khop-thai-duong-ham-dac-diem-thich-nghi","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/khop-thai-duong-ham-dac-diem-thich-nghi\/","title":{"rendered":"Kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m – \u0110\u1eb7c \u0111i\u1ec3m th\u00edch nghi."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y gi\u00fap Nha s\u0129 nh\u00ecn nh\u1eadn c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m gi\u1ea3i ph\u1eabu – th\u00edch nghi v\u1edbi ch\u1ee9c n\u0103ng c\u1ee7a kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m, ph\u00e2n chia c\u00e1c th\u00e0nh ph\u1ea7n kh\u00e1c nhau c\u1ee7a kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m v\u00e0o c\u00e1c ph\u1ea7n d\u1ec5 hi\u1ec3u, b\u1eaft \u0111\u1ea7u v\u1edbi c\u1ea5u tr\u00fac t\u0129nh c\u1ee7a kh\u1edbp v\u00e0 sau \u0111\u00f3 ti\u1ebfn t\u1edbi m\u1ed9t s\u1ef1 hi\u1ec3u bi\u1ebft l\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 c\u00e1c c\u1ea5u tr\u00fac \u0111\u00f3 ho\u1ea1t \u0111\u1ed9ng t\u1ea1o ra h\u1ec7 th\u1ed1ng ch\u1ee9c n\u0103ng. C\u00f9ng \u0111i v\u00e0o t\u00ecm hi\u1ec3u.<\/strong><\/p>\n

1. Y\u00eau c\u1ea7u \u0111\u1ea7u ti\u00ean \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb kh\u1edbp c\u1eafn th\u00e0nh c\u00f4ng<\/h2>\n

Kh\u00f4ng th\u1ec3 hi\u1ec3u h\u1ebft \u0111\u01b0\u1ee3c nh\u1eefng \u0111i\u1ec3m c\u1ed1t l\u00f5i c\u1ee7a kh\u1edbp c\u1eafn n\u1ebfu kh\u00f4ng c\u00f3 nh\u1eadn th\u1ee9c s\u00e2u s\u1eafc v\u1ec1 gi\u1ea3i ph\u1eabu, sinh l\u00fd v\u00e0 c\u01a1 ch\u1ebf sinh h\u1ecdc c\u1ee7a kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m (TMJ). Y\u00eau c\u1ea7u \u0111\u1ea7u ti\u00ean \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb kh\u1edbp c\u1eafn th\u00e0nh c\u00f4ng l\u00e0 TMJs \u1ed5n \u0111\u1ecbnh, tho\u1ea3i m\u00e1i. C\u00e1c kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m ph\u1ea3i c\u00f3 kh\u1ea3 n\u0103ng ch\u1ea5p nh\u1eadn t\u1ea3i l\u1ef1c t\u1ed1i \u0111a c\u1ee7a c\u00e1c c\u01a1 n\u00e2ng h\u00e0m m\u00e0 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u kh\u00f3 ch\u1ecbu.<\/p>\n

M\u1ed9t trong nh\u1eefng quy t\u1eafc quan tr\u1ecdng nh\u1ea5t trong th\u1ef1c h\u00e0nh nha khoa l\u00e0 lu\u00f4n ph\u1ea3i t\u00ecm ra nguy\u00ean nh\u00e2n t\u1ea1i sao TMJs kh\u00f4ng th\u1ec3 ch\u1ea5p nh\u1eadn t\u1ea3i l\u1ef1c \u0111\u1ec3 ho\u00e0n to\u00e0n tho\u1ea3i m\u00e1i tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh b\u1ea5t c\u1ee9 \u0111i\u1ec1u tr\u1ecb kh\u1edbp c\u1eafn kh\u00f4ng h\u1ed3i ph\u1ee5c n\u00e0o.<\/p>\n

Ch\u1ec9 khi hi\u1ec3u ch\u1ee9c n\u0103ng TMJs b\u00ecnh th\u01b0\u1eddng, kh\u1ecfe m\u1ea1nh l\u00e0 nh\u01b0 th\u1ebf n\u00e0o ch\u00fang ta m\u1edbi bi\u1ebft \u0111\u01b0\u1ee3c c\u00e1i g\u00ec sai khi kh\u1edbp kh\u00f4ng th\u1ef1c hi\u1ec7n ch\u1ee9c n\u0103ng tho\u1ea3i m\u00e1i. Hi\u1ec3u v\u1ec1 TMJs l\u00e0 n\u1ec1n t\u1ea3ng trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u1ed1i v\u1edbi nha s\u0129.<\/p>\n

M\u1ed9t s\u1ed1 nh\u1eefng kh\u00eda c\u1ea1nh r\u00f5 r\u00e0ng nh\u1ea5t c\u1ee7a TMJ th\u01b0\u1eddng b\u1ecb b\u1ecf qua, m\u1eb7c d\u00f9 ch\u00fang l\u00e0 v\u00f4 c\u00f9ng quan tr\u1ecdng. Trong th\u1ef1c t\u1ebf, m\u1ed9t s\u1ed1 k\u1ef9 thu\u1eadt ph\u1ed5 bi\u1ebfn nh\u1ea5t cho \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n th\u00e1i d\u01b0\u01a1ng h\u00e0m (TMD) d\u1ef1a tr\u00ean quan ni\u1ec7m sai l\u1ea7m v\u1ec1 ch\u1ee9c n\u0103ng c\u1ee7a kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m v\u00e0 nhi\u1ec1u quy tr\u00ecnh \u0111\u01b0\u1ee3c \u1ee7ng h\u1ed9 cho \u0111i\u1ec1u tr\u1ecb ph\u1ee5c h\u1ed3i ho\u1eb7c ch\u1ec9nh nha l\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft ho\u1eb7c g\u00e2y b\u1ea5t l\u1ee3i cho s\u1ef1 \u1ed5n \u0111\u1ecbnh l\u00e2u d\u00e0i. \u0110\u1ec3 li\u00ean h\u1ec7 t\u1eebng kh\u00eda c\u1ea1nh t\u1eeb h\u00ecnh th\u00e1i \u0111\u1ebfn ch\u1ee9c n\u0103ng, r\u1ea5t h\u1eefu \u00edch khi ph\u00e2n chia c\u00e1c th\u00e0nh ph\u1ea7n kh\u00e1c nhau c\u1ee7a kh\u1edbp v\u00e0o c\u00e1c ph\u1ea7n d\u1ec5 hi\u1ec3u, b\u1eaft \u0111\u1ea7u v\u1edbi c\u1ea5u tr\u00fac t\u0129nh c\u1ee7a kh\u1edbp v\u00e0 sau \u0111\u00f3 ti\u1ebfn t\u1edbi m\u1ed9t s\u1ef1 hi\u1ec3u bi\u1ebft l\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 c\u00e1c c\u1ea5u tr\u00fac \u0111\u00f3 ho\u1ea1t \u0111\u1ed9ng t\u1ea1o ra h\u1ec7 th\u1ed1ng ch\u1ee9c n\u0103ng.<\/p>\n

2. C\u00e1c b\u1ec1 m\u1eb7t c\u1ee7a kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m<\/h2>\n

N\u1ebfu ch\u00fang ta xem x\u00e9t m\u1ed9t h\u1ed9p s\u1ecd kh\u00f4, r\u00f5 r\u00e0ng l\u00e0 c\u00e1c kh\u1edbp n\u1ed1i b\u1ec1 m\u1eb7t c\u1ee7a l\u1ed3i c\u1ea7u v\u00e0 ch\u1ec9 s\u1ef1 qua l\u1ea1i trong \u1ed5 kh\u1edbp ch\u1ec9 cho ph\u00e9p v\u1eadn \u0111\u1ed9ng x\u1ea3y ra. C\u00e1c l\u1ed3i c\u1ea7u th\u01b0\u1eddng \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 nh\u01b0 l\u00e0 m\u1ed9t kh\u1edbp v\u1ea1n n\u0103ng, nh\u01b0ng m\u00f4 t\u1ea3 n\u00e0y kh\u00f4ng \u00e1p d\u1ee5ng v\u00ec m\u1ed7i l\u1ed3i c\u1ea7u ch\u1ecbu nh\u1eefng h\u1ea1n ch\u1ebf c\u1ee7a chuy\u1ec3n \u0111\u1ed9ng tr\u00ean l\u1ed3i c\u1ea7u kia. M\u1ed9t l\u1ed3i c\u1ea7u kh\u00f4ng th\u1ec3 di chuy\u1ec3n theo b\u1ea5t k\u1ef3 c\u00e1ch n\u00e0o m\u00e0 kh\u00f4ng c\u00f3 chuy\u1ec3n \u0111\u1ed9ng \u0111\u1ed1i \u1ee9ng \u1edf b\u00ean \u0111\u1ed1i di\u1ec7n . Trong chuy\u1ec3n \u0111\u1ed9ng m\u1edf \u0111\u00f3ng, hai l\u1ed3i c\u1ea7u t\u1ea1o th\u00e0nh m\u1ed9t tr\u1ee5c chung v\u00e0 v\u00ec v\u1eady, c\u00f3 hi\u1ec7u l\u1ef1c ho\u1ea1t \u0111\u1ed9ng nh\u01b0 m\u1ed9t kh\u1edbp b\u1ea3n l\u1ec1.<\/p>\n

\"khop-thai-duong-ham-1\"
L\u00e1t c\u1eaft ngang qua TMJ. 1: S\u01b0\u1eddn sau l\u1ed3i kh\u1edbp (ch\u00fa \u00fd \u0111\u01b0\u1eddng vi\u1ec1n l\u1ed3i \u0111i\u1ec3n h\u00ecnh). 2: L\u1ed3i c\u1ea7u. 3: \u0110\u0129a (l\u00f5m hai m\u1eb7t \u1ee9ng v\u1edbi hai di\u1ec7n l\u1ed3i c\u1ee7a l\u1ed3i c\u1ea7u v\u00e0 l\u1ed3i kh\u1edbp). 4: B\u00f3 tr\u00ean c\u01a1 ch\u00e2n b\u01b0\u1edbm ngo\u00e0i. 5: B\u00f3 d\u01b0\u1edbi c\u01a1 ch\u00e2n b\u01b0\u1edbm ngo\u00e0i. 6: M\u00f4 ho\u1ea1t d\u1ecbch. 7: C\u1ea3 m\u00f4 sau \u0111\u0129a bao g\u1ed3m d\u00e2y ch\u1eb1ng sau c\u1ee7a \u0111\u0129a kh\u1edbp t\u1edbi x\u01b0\u01a1ng th\u00e1i d\u01b0\u01a1ng. 8. D\u00e2y ch\u1eb1ng sau c\u1ee7a \u0111\u0129a t\u1edbi l\u1ed3i c\u1ea7u. L\u01b0u \u00fd: M\u1ed7i nha s\u0129 n\u00ean v\u1ebd \u0111\u01b0\u1ee3c h\u00ecnh \u1ea3nh n\u00e0y trong tr\u00ed \u00f3c. M\u1ed9t h\u00ecnh dung r\u00f5 r\u00e0ng v\u1ec1 gi\u1ea3i ph\u1eabu c\u1ee7a TMJs l\u00e0 \u0111i\u1ec1u c\u1ea7n thi\u1ebft \u0111\u1ec3 ph\u00e2n t\u00edch c\u00e1c v\u1ea5n \u0111\u1ec1 c\u1ee7a kh\u1edbp. \u0110\u1ecdc ch\u00ednh x\u00e1c \u0111\u01b0\u1ee3c h\u00ecnh \u1ea3nh X quang v\u00e0 c\u00e1c lo\u1ea1i h\u00ecnh \u1ea3nh kh\u00e1c l\u00e0 ph\u1ee5 thu\u1ed9c v\u00e0o kh\u1ea3 n\u0103ng n\u00e0y.<\/figcaption><\/figure>\n

M\u1eb7c d\u00f9 th\u1ef1c t\u1ebf r\u1eb1ng l\u1ed3i c\u1ea7u hi\u1ebfm khi \u0111\u1ed1i x\u1ee9ng, chuy\u1ec3n \u0111\u1ed9ng quay quanh tr\u1ee5c x\u1ea3y ra tr\u00ean m\u1ed9t tr\u1ee5c b\u1ea3n l\u1ec1 c\u1ed1 \u0111\u1ecbnh khi l\u1ed3i c\u1ea7u n\u1eb1m ho\u00e0n to\u00e0n trong h\u00f5m kh\u1edbp. Quay xung quanh m\u1ed9t tr\u1ee5c ngang c\u1ed1 \u0111\u1ecbnh d\u01b0\u1eddng nh\u01b0 kh\u00f4ng th\u1ec3 x\u1ea3y ra v\u00ec t\u01b0\u01a1ng quan g\u1eadp g\u00f3c c\u1ee7a l\u1ed3i c\u1ea7u \u0111\u1ebfn tr\u1ee5c ngang. M\u1ed7i l\u1ed3i c\u1ea7u th\u01b0\u1eddng t\u1ea1o g\u00f3c kho\u1ea3ng 90 \u0111\u1ed9 v\u1edbi m\u1eb7t ph\u1eb3ng ng\u00e0nh l\u00ean x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi, khi\u1ebfn hai l\u1ed3i c\u1ea7u h\u1ee3p l\u1ea1i m\u1ed9t g\u00f3c t\u00f9 . \u0110\u1ec3 hi\u1ec3u l\u00e0m th\u1ebf n\u00e0o l\u1ed3i c\u1ea7u v\u1edbi s\u1ef1 s\u1eafp x\u1ebfp kh\u00e1c nhau c\u00f3 th\u1ec3 xoay quanh m\u1ed9t tr\u1ee5c c\u1ed1 \u0111\u1ecbnh, ch\u00fang ta ph\u1ea3i nh\u00ecn \u0111\u01b0\u1eddng vi\u1ec1n c\u00e1c c\u1ef1c trong v\u00e0 t\u01b0\u01a1ng quan c\u1ee7a ch\u00fang v\u1edbi h\u00f5m kh\u1edbp. V\u00ec g\u00f3c \u0111\u1ed9 kh\u00e1c nhau v\u00e0 kh\u00f4ng \u0111\u1ed1i x\u1ee9ng c\u1ee7a c\u00e1c l\u1ed3i c\u1ea7u, c\u1ef1c trong l\u00e0 \u0111i\u1ec3m quay ph\u1ed5 bi\u1ebfn h\u1ee3p l\u00fd duy nh\u1ea5t m\u00e0 cho ph\u00e9p m\u1ed9t chuy\u1ec3n \u0111\u1ed9ng quay th\u1ef1c s\u1ef1 x\u1ea3y ra tr\u00ean m\u1ed9t tr\u1ee5c c\u1ed1 \u0111\u1ecbnh.<\/p>\n

\"khop-thai-duong-ham-2\"
C\u00e1c c\u1ef1c trong c\u1ee7a l\u1ed3i c\u1ea7u l\u00e0 nh\u1eefng \u0111i\u1ec3m quay duy nh\u1ea5t s\u1ebd cho ph\u00e9p m\u1ed9t tr\u1ee5c c\u1ed1 \u0111\u1ecbnh quay v\u00ec l\u1ed3i c\u1ea7u kh\u00f4ng song song v\u1edbi tr\u1ee5c ngang. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a r\u1eb1ng c\u00e1c c\u1ef1c ngo\u00e0i c\u1ee7a l\u1ed3i c\u1ea7u ph\u1ea3i d\u1ecbch chuy\u1ec3n, th\u1eadm ch\u00ed n\u1ebfu c\u00e1c c\u1ef1c trong \u0111ang quay xung quanh m\u1ed9t tr\u1ee5c c\u1ed1 \u0111\u1ecbnh (Nh\u01b0 x\u1ea3y ra \u1edf t\u01b0\u01a1ng quan t\u00e2m)<\/figcaption><\/figure>\n
\"\"
Ph\u1ee9c h\u1ee3p \u0111\u0129a kh\u1edbp-l\u1ed3i c\u1ea7u \u0111\u01b0\u1ee3c gi\u1eef v\u1ecb tr\u00ed trung t\u00e2m nh\u1ea5t, cao nh\u1ea5t b\u1edfi l\u1ef1c n\u00e9n c\u1ee7a ph\u1ea7n ba trong c\u1ee7a ph\u1ee9c h\u1ee3p \u0111\u0129a kh\u1edbp-l\u1ed3i c\u1ea7u t\u1ef7 l\u00ean \u0111\u1ec9nh trong c\u1ee7a m\u1ed7i h\u1ed1 tam gi\u00e1c. \u0110\u1ec3 ch\u1ecbu \u0111\u01b0\u1ee3c \u00e1p l\u1ef1c v\u00e0o trong, l\u00ean tr\u00ean t\u1eeb c\u00e1c c\u01a1 ch\u00e2n b\u01b0\u1edbm trong, h\u00f5m kh\u1edbp ch\u1ed1ng \u0111\u1ee1 kho\u1ebb b\u1edfi x\u01b0\u01a1ng tr\u00ean \u0111\u01b0\u1eddng truy\u1ec1n l\u1ef1c. C\u00e1c b\u1ec1 m\u1eb7t ph\u00eda tr\u01b0\u1edbc c\u1ee7a m\u1ed7i l\u1ed3i c\u1ea7u b\u1ecb \u00e9p \u0111\u1ed3ng th\u1eddi l\u00ean s\u01b0\u1eddn sau l\u1ed3i kh\u1edbp.<\/figcaption><\/figure>\n

\u0110\u1ec3 c\u1ef1c trong t\u00e1c d\u1ee5ng nh\u01b0 m\u1ed9t \u0111i\u1ec3m quay, h\u1ed5 kh\u1edbp ph\u1ea3i bao quanh \u0111\u1ec3 ti\u1ebfp nh\u1eadn n\u00f3. H\u00ecnh d\u1ea1ng tam gi\u00e1c \u0111\u00e1p \u1ee9ng ch\u1ee9c n\u0103ng c\u01a1 h\u1ecdc n\u00e0y r\u1ea5t t\u1ed1t v\u00e0 ngo\u00e0i ra ph\u1ea7n trong c\u1ee7a h\u1ed1 \u0111\u01b0\u1ee3c gia c\u1ed1 b\u1eb1ng x\u01b0\u01a1ng d\u00e0y v\u00ec v\u1eady n\u00f3 c\u0169ng c\u00f3 th\u1ec3 \u0111\u00e1p \u1ee9ng vai tr\u00f2 nh\u01b0 m\u1ed9t \u0111i\u1ec3m d\u1eebng cho l\u1ef1c h\u01b0\u1edbng l\u00ean c\u1ee7a c\u00e1c c\u01a1 n\u00e2ng h\u00e0m v\u00e0 l\u1ef1c h\u01b0\u1edbng v\u00e0o trong c\u1ee7a c\u00e1c c\u01a1 ch\u00e2n b\u01b0\u1edbm trong. Kh\u00e1c h\u01a1n so v\u1edbi ph\u1ea7n trong \u0111\u01b0\u1ee3c gi\u1eef ch\u1eb7t, tr\u1ea7n h\u00f5m kh\u1edbp lu\u00f4n kh\u00e1 m\u1ecfng. Chi\u1ebfu \u00e1nh s\u00e1ng qua h\u1ed9p s\u1ecd kh\u00f4 v\u00e0 b\u1ea1n s\u1ebd th\u1ea5y r\u1eb1ng c\u00e1c x\u01b0\u01a1ng tr\u00ean tr\u1ea7n h\u00f5m kh\u1edbp c\u1ee7a h\u1ed1 kh\u00e1 m\u1edd, nh\u01b0ng ch\u00fa \u00fd m\u1eadt \u0111\u1ed9 ph\u1ea7n trong c\u1ee7a h\u00f5m kh\u1edbp v\u00e0 li\u00ean quan h\u00ecnh th\u00e1i t\u1edbi ch\u1ee9c n\u0103ng. C\u00e1c TMJ \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf nh\u01b0 m\u1ed9t kh\u1edbp ch\u1ecbu l\u1ef1c v\u00e0 ph\u1ea3i c\u00f3 kh\u1ea3 n\u0103ng ch\u1ed1ng l\u1ea1i c\u00e1c l\u1ef1c h\u00e0ng tr\u0103m pound. C\u00e1c l\u1ed3i c\u1ea7u ph\u1ee5c v\u1ee5 nh\u01b0 m\u1ed9t \u0111i\u1ec3m t\u1ef1a hai b\u00ean cho h\u00e0m d\u01b0\u1edbi v\u00e0 do \u0111\u00f3 c\u00e1c kh\u1edbp lu\u00f4n lu\u00f4n ch\u1ecbu l\u1ef1c n\u00e9n b\u1ea5t c\u1ee9 khi n\u00e0o c\u00e1c c\u01a1 n\u00e2ng h\u00e0m co. C\u00e1c v\u00f9ng ch\u1ecbu l\u1ef1c \u0111\u1eb7c bi\u1ec7t c\u1ee7a h\u00f5m kh\u1edbp \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c l\u1ef1c l\u00ean tr\u00ean, ra tr\u01b0\u1edbc, v\u00e0o trong c\u1ee7a h\u1ec7 th\u1ed1ng c\u01a1. N\u00f3 c\u0169ng gi\u1ea3i th\u00edch t\u1ea1i sao m\u1ed9t chuy\u1ec3n \u0111\u1ed9ng sang b\u00ean t\u1ee9c th\u00ec kh\u00f4ng th\u1ec3 b\u1eaft \u0111\u1ea7u t\u1eeb v\u1ecb tr\u00ed t\u01b0\u01a1ng quan t\u00e2m.<\/p>\n

\"khop-thai-duong-ham\"
B\u1eb1ng ch\u1ee9ng n\u1eefa cho vi\u1ec7c tr\u1ee5c ngang ch\u1ea1y qua c\u1ef1c trong c\u1ee7a l\u1ed3i c\u1ea7u \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong h\u00f5m kh\u1edbp h\u00ecnh tam gi\u00e1c v\u1edbi \u0111\u1ec9nh li\u00ean quan \u0111\u1ebfn c\u1ef1c trong. M\u1ed9t tr\u1ee5c ngang qua b\u1ea5t k\u1ef3 ph\u1ea7n n\u00e0o c\u1ee7a l\u1ed3i c\u1ea7u kh\u00e1c c\u1ef1c trong s\u1ebd g\u00e2y ra x\u00ea d\u1ecbch c\u1ef1c trong theo m\u1ed9t tr\u1ee5c quay c\u1ed1 \u0111\u1ecbnh v\u00e0 \u0111i\u1ec1u n\u00e0y s\u1ebd kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi h\u00ecnh th\u1ec3 ch\u1eef V c\u1ee7a h\u00f5m kh\u1edbp.<\/figcaption><\/figure>\n
\"\"
C\u1ef1c trong \u0111\u01b0\u1ee3c gi\u1eef theo h\u01b0\u1edbng co c\u01a1 ch\u00e2n b\u01b0\u1edbm trong th\u00e0nh l\u1eadp v\u1ecb tr\u00ed trung t\u00e2m nh\u1ea5t t\u1ea1i t\u01b0\u01a1ng quan t\u00e2m. V\u1ecb tr\u00ed neo gi\u1eef n\u00e0y lu\u00f4n \u0111\u1ed3ng th\u1eddi v\u1edbi v\u1ecb tr\u00ed cao nh\u1ea5t. \u0110i\u1ec3m d\u1eebng c\u1ef1c trong n\u00e0y c\u0169ng ng\u0103n c\u1ea3n r\u0103ng sau h\u00e0m d\u01b0\u1edbi di chuy\u1ec3n theo chi\u1ec1u ngang v\u1ec1 ph\u00eda \u0111\u01b0\u1eddng gi\u1eefa – m\u1ed9t thi\u1ebft k\u1ebf gi\u1ea3i ph\u1eabu quan tr\u1ecdng cho \u0111\u01b0\u1eddng cong b\u00ecnh th\u01b0\u1eddng c\u1ee7a kh\u1edbp c\u1eafn.<\/figcaption><\/figure>\n

L\u1ed3i kh\u1edbp t\u1ea1o th\u00e0nh ph\u1ea7n tr\u01b0\u1edbc c\u1ee7a h\u1ed1 kh\u1edbp. V\u00ec c\u00f3 s\u1ef1 k\u00e9o nh\u1eb9 v\u1ec1 ph\u00eda tr\u01b0\u1edbc c\u1ee7a c\u00e1c c\u01a1 n\u00e2ng h\u00e0m, c\u00e1c l\u1ed3i c\u1ea7u lu\u00f4n gi\u1eef v\u1eefng t\u1ef3 l\u00ean c\u00e1c l\u1ed3i kh\u1edbp (v\u1edbi \u0111\u0129a kh\u1edbp xen gi\u1eefa). Quan tr\u1ecdng l\u00e0 c\u00e1c \u0111\u01b0\u1eddng vi\u1ec1n v\u1eefng ch\u1eafc c\u1ee7a l\u1ed3i kh\u1edbp. Khi m\u1eb7t tr\u01b0\u1edbc c\u1ee7a l\u1ed3i c\u1ea7u c\u0169ng l\u00e0 l\u1ed3i, c\u00f3 th\u1ec3 th\u1ea5y m\u1ee5c \u0111\u00edch v\u00e0 t\u1ea7m quan tr\u1ecdng c\u1ee7a \u0111\u0129a kh\u1edbp hai m\u1eb7t l\u00f5m ph\u00f9 h\u1ee3p gi\u1eefa hai b\u1ec1 m\u1eb7t l\u1ed3i. V\u00ec v\u1ecb tr\u00ed gi\u1eefa l\u1ed3i c\u1ea7u v\u00e0 l\u1ed3i x\u01b0\u01a1ng th\u00e1i d\u01b0\u01a1ng c\u00e1c \u0111\u0129a chia kh\u1edbp th\u00e0nh m\u1ed9t ng\u0103n tr\u00ean v\u00e0 m\u1ed9t ng\u0103n d\u01b0\u1edbi. Khoang d\u01b0\u1edbi cho ph\u00e9p l\u1ed3i c\u1ea7u quay, trong khi ng\u0103n tr\u00ean cho tr\u01b0\u1ee3t l\u00ean, xu\u1ed1ng tr\u00ean l\u1ed3i kh\u1edbp. Do \u0111\u00f3, h\u00e0m d\u01b0\u1edbi c\u00f3 th\u1ec3 xoay m\u1ed9t c\u00e1ch t\u1ef1 do v\u1edbi m\u1ed9t ho\u1eb7c c\u1ea3 hai l\u1ed3i c\u1ea7u d\u1ecbch chuy\u1ec3n v\u1ec1 ph\u00eda tr\u01b0\u1edbc.<\/p>\n

M\u1ed7i l\u1ed3i c\u1ea7u ph\u1ee5c v\u1ee5 nh\u01b0 l\u00e0 m\u1ed9t \u0111i\u1ec3m t\u1ef1a v\u00e0 ph\u1ea3i ch\u1ecbu m\u1ed9t l\u1ef1c ch\u1ee7 y\u1ebfu h\u01b0\u1edbng l\u00ean tr\u00ean t\u1eeb c\u00e1c c\u01a1 n\u00e2ng h\u00e0m, h\u00f5m kh\u1edbp cung c\u1ea5p m\u1ed9t \u0111i\u1ec3m d\u1eebng nh\u1ea5t \u0111\u1ecbnh \u0111\u1ec3 ch\u1ed1ng l\u1ea1i l\u1ef1c \u0111\u00f3. Ph\u1ee9c h\u1ee3p \u0111\u0129a kh\u1edbp l\u1ed3i c\u1ea7u c\u00f3 th\u1ec3 tr\u01b0\u1ee3t l\u00ean l\u1ed3i kh\u1edbp cho \u0111\u1ebfn khi c\u1ef1c trong b\u1ecb ch\u1eb7n l\u1ea1i b\u1edfi m\u1ed9t ph\u1ea7n trong \u0111\u01b0\u1ee3c t\u0103ng c\u01b0\u1eddng c\u1ee7a h\u00f5m kh\u1edbp. \u0110i\u1ec1u n\u00e0y x\u1ea3y ra t\u1ea1i \u0111i\u1ec3m cao nh\u1ea5t m\u00e0 ph\u1ee9c h\u1ee3p \u0111\u0129a kh\u1edbp-l\u1ed3i c\u1ea7u s\u1eafp h\u00e0ng \u0111\u00fang c\u00f3 th\u1ec3 di chuy\u1ec3n. N\u00f3 x\u1ea3y ra \u0111\u1ed3ng th\u1eddi v\u1edbi ti\u1ebfp x\u00fac v\u1eabn duy tr\u00ec t\u1ef7 l\u00ean c\u00e1c l\u1ed3i kh\u1edbp. V\u1ecb tr\u00ed cao nh\u1ea5t c\u0169ng l\u00e0 v\u1ecb tr\u00ed m\u00e0 c\u1ef1c trong \u0111\u01b0\u1ee3c gi\u1eef t\u1ef3 l\u00ean g\u1edd kh\u1edbp trong (v\u1edbi \u0111\u0129a xen gi\u1eefa). M\u1ed1i quan h\u1ec7 n\u00e0y \u1ed5n \u0111\u1ecbnh v\u1ecb tr\u00ed trung t\u00e2m nh\u1ea5t c\u1ee7a h\u00e0m d\u01b0\u1edbi \u1edf t\u01b0\u01a1ng quan t\u00e2m v\u00e0 ng\u0103n ch\u1eb7n b\u1ea5t k\u1ef3 d\u1ecbch chuy\u1ec3n sang b\u00ean n\u00e0o x\u1ea3y ra trong khi ph\u1ee9c h\u1ee3p \u0111\u0129a kh\u1edbp l\u1ed3i c\u1ea7u \u1edf v\u1ecb tr\u00ed cao nh\u1ea5t. Sicher \u0111\u00e3 tuy\u00ean b\u1ed1 r\u1eb1ng \u201cch\u1ec9 c\u00f3 g\u00e3y x\u01b0\u01a1ng trong g\u1edd kh\u1edbp ho\u1eb7c s\u1ef1 ph\u00e1 h\u1ee7y m\u1edbi c\u00f3 th\u1ec3 cho ph\u00e9p di d\u1eddi v\u00e0o trong c\u1ee7a c\u00e1c l\u1ed3i c\u1ea7u. S\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a c\u00e1c r\u00eca kh\u1edbp trong c\u0169ng ng\u0103n ng\u1eeba s\u1ef1 d\u1ecbch chuy\u1ec3n ra ngo\u00e0i c\u1ee7a l\u1ed3i c\u1ea7u, v\u00ec \u0111i\u1ec1u \u0111\u00f3 ch\u1ec9 c\u00f3 th\u1ec3 x\u1ea3y ra khi l\u1ed3i c\u1ea7u c\u00f2n l\u1ea1i d\u1ecbch chuy\u1ec3n v\u00e0o trong.<\/p>\n

\"khop-thai-duong-ham-10\"
M\u1ed9t ph\u1ee9c h\u1ee3p \u0111\u0129a kh\u1edbp l\u1ed3i c\u1ea7u c\u00f2n nguy\u00ean v\u1eb9n, kh\u00f4ng b\u1ecb h\u01b0 h\u1ea1i c\u00f3 t\u00e1c d\u1ee5ng t\u1ef1 ch\u1ec9nh t\u00e2m t\u00e1c \u0111\u1ed9ng tr\u00ean \u0111\u0129a. Tr\u00e1i v\u1edbi m\u1ed9t ni\u1ec1m tin ph\u1ed5 bi\u1ebfn r\u1eb1ng l\u1ed3i c\u1ea7u s\u1ebd tr\u01b0\u1ee3t ra kh\u1ecfi bi\u00ean gi\u1edbi sau c\u1ee7a \u0111\u0129a n\u1ebfu TMJ kh\u00f4ng \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 b\u1edfi r\u0103ng, \u0111\u0129a kh\u1edbp kh\u00f4ng th\u1ec3 di d\u1eddi n\u1ebfu d\u00e2y ch\u1eb1ng c\u1ee7a n\u00f3 c\u00f2n nguy\u00ean v\u1eb9n v\u00e0 h\u00ecnh d\u1ea1ng hai m\u1eb7t l\u00f5m c\u1ee7a n\u00f3 kh\u00f4ng b\u1ecb bi\u1ebfn d\u1ea1ng. Ngo\u00e0i vi\u1ec7c h\u00ecnh d\u1ea1ng \u0111\u0129a kh\u1edbp t\u1ef1 \u0111\u1ecbnh t\u00e2m, d\u00e2y ch\u1eb1ng sau k\u00e9o d\u00e0i t\u1eeb \u0111\u0129a v\u00e0 b\u00e1m v\u00e0o m\u1eb7t sau c\u1ee7a l\u1ed3i c\u1ea7u( t\u1ea1i A). N\u00f3 nh\u01b0 m\u1ed9t s\u1ee3i d\u00e2y \u0111\u00e0n h\u1ed3i \u0111\u1ec3 ng\u0103n ch\u1eb7n \u0111\u0129a kh\u1edbp t\u1eeb di d\u1eddi v\u1ec1 ph\u00eda tr\u01b0\u1edbc.<\/figcaption><\/figure>\n

Nh\u01b0 th\u00eam b\u1eb1ng ch\u1ee9ng r\u1eb1ng \u0111\u00e2y l\u00e0 m\u1ed9t kh\u1edbp ch\u1ecbu l\u1ef1c, t\u1ea5t c\u1ea3 c\u00e1c b\u1ec1 m\u1eb7t kh\u1edbp c\u1ee7a l\u1ed3i c\u1ea7u, h\u00f5m kh\u1edbp, v\u00e0 l\u1ed3i kh\u1edbp \u0111\u01b0\u1ee3c bao ph\u1ee7 b\u1edfi l\u1edbp v\u00f4 m\u1ea1ch c\u1ee7a m\u00f4 li\u00ean k\u1ebft s\u1ee3i d\u00e0y \u0111\u1eb7c. S\u1ef1 v\u1eafng m\u1eb7t c\u1ee7a c\u00e1c m\u1ea1ch m\u00e1u l\u00e0 m\u1ed9t d\u1ea5u hi\u1ec7u ch\u1eafc ch\u1eafn cho th\u1ea5y nh\u1eefng khu v\u1ef1c \u0111\u1eb7c bi\u1ec7t \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 ch\u1ecbu \u0111\u01b0\u1ee3c \u00e1p l\u1ef1c \u0111\u00e1ng k\u1ec3. C\u00e1c v\u00f9ng v\u00f4 m\u1ea1ch c\u0169ng kh\u00f4ng c\u00f3 ph\u00e2n b\u1ed1 th\u1ea7n kinh v\u00e0 bao g\u1ed3m c\u00e1c v\u00f9ng ch\u1ecbu l\u1ef1c c\u1ee7a \u0111\u0129a kh\u1edbp, v\u00ec th\u1ebf n\u1ebfu l\u1ed3i c\u1ea7u v\u00e0 \u0111\u0129a \u1edf \u0111\u00fang v\u1ecb tr\u00ed trong h\u00f5m kh\u1edbp, ch\u00fang c\u00f3 th\u1ec3 ti\u1ebfp nh\u1eadn m\u1ed9t \u00e1p l\u1ef1c l\u1edbn m\u00e0 kh\u00f4ng kh\u00f3 ch\u1ecbu.<\/p>\n

B\u1ea3n th\u00e2n \u0111\u0129a kh\u1edbp l\u00e0 m\u1ed9t v\u00ed d\u1ee5 kinh \u0111i\u1ec3n c\u1ee7a thi\u1ebft k\u1ebf cho ch\u1ee9c n\u0103ng. N\u00f3 bao g\u1ed3m c\u00e1c l\u1edbp s\u1ee3i collagen \u0111\u1ecbnh h\u01b0\u1edbng theo c\u00e1c h\u01b0\u1edbng kh\u00e1c nhau \u0111\u1ec3 ch\u1ed1ng l\u1ea1i t\u00e1c \u0111\u1ed9ng c\u1ee7a l\u1ef1c k\u00e9o l\u1edbn c\u00f3 th\u1ec3 x\u1ea3y ra khi kh\u1edbp tr\u01b0\u1ee3t. V\u00f9ng ch\u1ecbu l\u1ef1c l\u00e0 v\u00f4 m\u1ea1ch v\u00e0 v\u00ec v\u1eady n\u00f3 \u0111\u01b0\u1ee3c nu\u00f4i d\u01b0\u1ee1ng b\u1eb1ng ch\u1ea5t ho\u1ea1t d\u1ecbch c\u0169ng nh\u01b0 b\u00f4i tr\u01a1n kh\u1edbp \u0111\u1ec3 ch\u1ee9c n\u0103ng tr\u01b0\u1ee3t \u0111\u01b0\u1ee3c tr\u01a1n tru. L\u00fd do cho vi\u1ec7c s\u1eed d\u1ee5ng s\u1ee3i collagen thay v\u00ec s\u1ee5n hyaline trong TMJ l\u00e0 do s\u1ee5n c\u1ee9ng m\u00e0 ho\u1ea1t \u0111\u1ed9ng t\u1ed1t trong h\u1ea7u h\u1ebft c\u00e1c kh\u1edbp kh\u00e1c s\u1ebd kh\u00f4ng \u0111\u1ee7 m\u1ec1m d\u1ebbo \u0111\u1ec3 thay \u0111\u1ed5i h\u00ecnh d\u1ea1ng cho ph\u00f9 h\u1ee3p v\u1edbi \u0111\u01b0\u1eddng vi\u1ec1n c\u1ee7a l\u1ed3i kh\u1edbp trong c\u00e1c chuy\u1ec3n \u0111\u1ed9ng tr\u01b0\u1ee3t.<\/p>\n

\u0110\u0129a kh\u1edbp \u0111\u01b0\u1ee3c g\u1eafn ch\u1eb7t v\u00e0o c\u1ef1c trong v\u00e0 c\u1ef1c ngo\u00e0i c\u1ee7a l\u1ed3i c\u1ea7u, do \u0111\u00f3 n\u00f3 di chuy\u1ec3n c\u00f9ng v\u1edbi l\u1ed3i c\u1ea7u. D\u00e2y ch\u1eb1ng \u0111\u0129a kh\u1edbp, m\u00e0 bu\u1ed9c \u0111\u0129a kh\u1edbp v\u00e0o c\u00e1c c\u1ef1c, cho ph\u00e9p \u0111\u0129a kh\u1edbp xoay t\u1eeb m\u1eb7t tr\u01b0\u1edbc c\u1ee7a l\u1ed3i c\u1ea7u l\u00ean tr\u00ean v\u00e0 ng\u01b0\u1ee3c l\u1ea1i. Trong ch\u1ee9c n\u0103ng b\u00ecnh th\u01b0\u1eddng, \u0111\u0129a lu\u00f4n \u1edf v\u1ecb tr\u00ed \u0111\u1ec3 \u00e1p l\u1ef1c t\u1eeb l\u1ed3i c\u1ea7u h\u01b0\u1edbng qua khu v\u1ef1c trung t\u00e2m ch\u1ecbu l\u1ef1c. V\u1ecb tr\u00ed c\u1ee7a \u0111\u0129a \u0111\u01b0\u1ee3c \u0111i\u1ec1u khi\u1ec3n b\u1edfi s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a s\u1ee3i \u0111\u00e0n h\u1ed3i g\u1eafn v\u00e0o m\u1eb7t sau c\u1ee7a \u0111\u0129a, m\u00e0 gi\u1eef n\u00f3 nh\u1edd s\u1ef1 c\u0103ng ch\u1ed1ng l\u1ea1i c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u00f3 tr\u00ean c\u01a1 ch\u00e2n b\u01b0\u1edbm ngo\u00e0i b\u00e1m v\u00e0o m\u1eb7t tr\u01b0\u1edbc c\u1ee7a \u0111\u0129a kh\u1edbp. V\u00ec v\u1eady, trong khi d\u00e2y ch\u1eb1ng \u0111\u0129a kh\u1edbp k\u00e9o \u0111\u0129a c\u00f9ng v\u1edbi chuy\u1ec3n \u0111\u1ed9ng l\u1ed3i c\u1ea7u, lu\u00e2n chuy\u1ec3n c\u1ee7a n\u00f3 tr\u00ean l\u1ed3i c\u1ea7u \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1edfi m\u1ee9c \u0111\u1ed9 c\u1ee7a s\u1ef1 co ho\u1eb7c du\u1ed7i c\u1ee7a b\u00f3 tr\u00ean c\u01a1 ch\u00e2n b\u01b0\u1edbm ngo\u00e0i.<\/p>\n

Nhi\u1ec1u quan ni\u1ec7m sai l\u1ea7m v\u1ec1 \u0111\u0129a kh\u1edbp l\u00e0 do s\u1ef1 mi\u00eau t\u1ea3 h\u00ecnh minh ho\u1ea1 nh\u01b0 m\u1ed9t c\u00e1i m\u0169 nh\u1ecf \u0111\u1ed9i tr\u00ean \u0111\u1ec9nh l\u1ed3i c\u1ea7u. N\u00f3 th\u1ef1c s\u1ef1 bao b\u1ecdc quanh l\u1ed3i c\u1ea7u t\u1edbi \u0111i\u1ec3m b\u00e1m d\u00ednh ph\u00eda ngo\u00e0i, ph\u00eda trong v\u00e0 m\u00e9p sau c\u1ee7a n\u00f3 kh\u00e1 d\u00e0y. S\u01b0\u1eddn nghi\u00eang l\u1ed3i kh\u1edbp th\u00e1i d\u01b0\u01a1ng c\u00e0ng d\u1ed1c th\u00ec r\u00eca \u0111\u0129a kh\u1edbp c\u00e0ng d\u00e0y, m\u1ed9t t\u00ednh n\u0103ng m\u00e0 d\u01b0\u1eddng nh\u01b0 ch\u1ec9 ra t\u1ea7m quan tr\u1ecdng c\u1ee7a \u0111\u0129a l\u00e0 m\u1ed9t trong nh\u1eefng c\u1ea5u tr\u00fac k\u1ebft h\u1ee3p \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed cao nh\u1ea5t c\u1ee7a l\u1ed3i c\u1ea7u. C\u00e1c v\u1ecb tr\u00ed ch\u1ee9c n\u0103ng c\u1ee7a \u0111\u0129a l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 quan tr\u1ecdng trong chuy\u1ec3n \u0111\u1ed9ng h\u00e0m d\u01b0\u1edbi v\u00e0 m\u1ed9t s\u1ed1 r\u1ed1i lo\u1ea1n c\u00f3 th\u1ec3 do s\u1ef1 m\u1ea5t ph\u1ed1i h\u1ee3p c\u1ee7a n\u00f3.<\/p>\n

Theo: S\u00e1ch Functional Occlusion From TMJ to Smile Design – Dawson<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y gi\u00fap Nha s\u0129 nh\u00ecn nh\u1eadn c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m gi\u1ea3i ph\u1eabu – th\u00edch nghi v\u1edbi ch\u1ee9c n\u0103ng c\u1ee7a kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m, ph\u00e2n chia c\u00e1c th\u00e0nh ph\u1ea7n kh\u00e1c nhau c\u1ee7a kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m v\u00e0o c\u00e1c ph\u1ea7n d\u1ec5 hi\u1ec3u, b\u1eaft \u0111\u1ea7u v\u1edbi c\u1ea5u tr\u00fac t\u0129nh c\u1ee7a kh\u1edbp v\u00e0 sau \u0111\u00f3 ti\u1ebfn t\u1edbi m\u1ed9t […]<\/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":"\nKh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m - \u0110\u1eb7c \u0111i\u1ec3m th\u00edch nghi. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1eaft \u0111\u1ea7u v\u1edbi c\u1ea5u tr\u00fac t\u0129nh c\u1ee7a kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m, sau \u0111\u00f3 t\u1edbi c\u00e2u h\u1ecfi l\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 c\u00e1c c\u1ea5u tr\u00fac \u0111\u00f3 ho\u1ea1t \u0111\u1ed9ng t\u1ea1o ra h\u1ec7 th\u1ed1ng ch\u1ee9c n\u0103ng?\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m - 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