{"id":2237,"date":"2023-04-08T21:22:38","date_gmt":"2023-04-08T14:22:38","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=2237"},"modified":"2023-04-13T18:24:20","modified_gmt":"2023-04-13T11:24:20","slug":"chan-doan-viem-quanh-rang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/08\/chan-doan-viem-quanh-rang\/","title":{"rendered":"3 b\u01b0\u1edbc ch\u1ea9n \u0111o\u00e1n vi\u00eam quanh r\u0103ng theo H\u1ed9i Nha Chu M\u1ef9"},"content":{"rendered":"<p><strong>Trong n\u0103m 2017, Hi\u1ec7p h\u1ed9i Nha chu M\u1ef9 (American Academy of Periodontology) \u0111\u00e3 ph\u00e1t h\u00e0nh m\u1ed9t h\u1ec7 th\u1ed1ng \u0111\u00e1nh gi\u00e1 m\u1edbi cho c\u00e1c b\u1ec7nh v\u1ec1 vi\u00eam quanh r\u0103ng v\u00e0 vi\u00eam quanh implant. H\u1ec7 th\u1ed1ng n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 H\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i m\u1edbi v\u1ec1 b\u1ec7nh nha chu v\u00e0 bao g\u1ed3m b\u1ed1n giai \u0111o\u1ea1n v\u00e0 ba m\u1ee9c \u0111\u1ed9 v\u1edbi nhi\u1ec1u y\u1ebfu t\u1ed1 \u0111\u00e1nh gi\u00e1 kh\u00e1c nhau.Nh\u1eefng y\u1ebfu t\u1ed1 \u0111\u00e1nh gi\u00e1 kh\u00e1c nhau \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh, bao g\u1ed3m chi\u1ec1u s\u00e2u t\u00fai nha chu, m\u1ee9c \u0111\u1ed9 m\u1ea5t b\u00e1m d\u00ednh, m\u1ee9c \u0111\u1ed9 m\u1ea5t x\u01b0\u01a1ng \u1ed5 r\u0103ng,\u2026\u0110\u1ec3 \u0111\u01b0a ra \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c nh\u1ea5t c\u0169ng nh\u01b0 ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u, b\u00e1c s\u0129 nha khoa c\u1ea7n n\u1eafm r\u00f5 c\u00e1c b\u01b0\u1edbc \u0111\u1ec3 ph\u00e2n lo\u1ea1i v\u00e0 \u0111\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n vi\u00eam nha chu.<\/strong><\/p>\n<h2>1. Ph\u00e2n lo\u1ea1i b\u1ec7nh vi\u00eam quanh r\u0103ng theo AAP (2017)<\/h2>\n<ul>\n<li>Giai \u0111o\u1ea1n: d\u1ef1a tr\u00ean \u0111\u1ed9 n\u1eb7ng v\u00e0 ph\u1ee9c t\u1ea1p trong vi\u1ec7c ki\u1ec3m so\u00e1t b\u1ec7nh<\/li>\n<\/ul>\n<p>Trong \u0111\u00f3, m\u1ee9c \u0111\u1ed9 n\u1eb7ng li\u00ean quan t\u1edbi m\u1ea5t b\u00e1m d\u00ednh l\u00e2m s\u00e0ng (CAL) l\u1edbn nh\u1ea5t t\u1ea1i v\u00f9ng th\u0103m kh\u00e1m c\u0169ng nh\u01b0 h\u00ecnh \u1ea3nh m\u1ea5t x\u01b0\u01a1ng \u1ed5 r\u0103ng tr\u00ean phim XQuang<\/p>\n<p>\u0110\u1ed9 ph\u1ee9c t\u1ea1p trong ki\u1ec3m so\u00e1t b\u1ec7nh li\u00ean quan t\u1edbi chi\u1ec1u s\u00e2u th\u0103m kh\u00e1m, h\u00ecnh th\u00e1i ti\u00eau x\u01b0\u01a1ng, ti\u00eau ch\u1ebd, s\u1ed1 l\u01b0\u1ee3ng r\u0103ng c\u00f2n l\u1ea1i, m\u1ee9c \u0111\u1ed9 lung lay r\u0103ng,..<\/p>\n<ul>\n<li>Giai \u0111o\u1ea1n 1: Vi\u00eam nha chu kh\u1edfi \u0111\u1ea7u<\/li>\n<li>Giai \u0111o\u1ea1n 2: Vi\u00eam nha chu m\u1ee9c \u0111\u1ed9 trung b\u00ecnh<\/li>\n<li>Giai \u0111o\u1ea1n 3: Vi\u00eam nha chu n\u1eb7ng v\u1edbi nguy c\u01a1 m\u1ea5t th\u00eam m\u1ed9t s\u1ed1 r\u0103ng<\/li>\n<li>Giai \u0111o\u1ea1n 4: Vi\u00eam nha chu n\u1eb7ng v\u1edbi nguy c\u01a1 m\u1ea5t nhi\u1ec1u r\u0103ng ho\u1eb7c to\u00e0n h\u00e0m<\/li>\n<li>M\u1ee9c \u0111\u1ed9: b\u1eb1ng ch\u1ee9ng ho\u1eb7c nguy c\u01a1 c\u1ee7a ti\u1ebfn tri\u1ec3n nhanh, kh\u00f4ng h\u1ee3p t\u00e1c v\u1edbi \u0111i\u1ec1u tr\u1ecb<\/li>\n<\/ul>\n<p>Nguy c\u01a1 ti\u1ebfn tri\u1ec3n bao g\u1ed3m b\u1eb1ng ch\u1ee9ng tr\u1ef1c ti\u1ebfp tr\u00ean phim XQuang, m\u1ea5t b\u00e1m d\u00ednh l\u00e2m s\u00e0ng ho\u1eb7c gi\u00e1n ti\u1ebfp nh\u01b0 s\u1ed1 l\u01b0\u1ee3ng x\u01b0\u01a1ng m\u1ea5t\/tu\u1ed5i.<\/p>\n<p>Kh\u00f4ng h\u1ee3p t\u00e1c v\u1edbi \u0111i\u1ec1u tr\u1ecb bao g\u1ed3m \u0111\u1eb7c \u0111i\u1ec3m ri\u00eang c\u1ee7a case b\u1ec7nh, t\u00ecnh tr\u1ea1ng h\u00fat thu\u1ed1c c\u0169ng nh\u01b0 m\u1eafc c\u00e1c b\u1ec7nh l\u00fd to\u00e0n th\u00e2n nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n<ul>\n<li>M\u1ee9c \u0111\u1ed9 A: ti\u1ebfn tri\u1ec3m ch\u1eadm<\/li>\n<li>M\u1ee9c \u0111\u1ed9 B: ti\u1ebfn tri\u1ec3n trung b\u00ecnh<\/li>\n<li>M\u1ee9c \u0111\u1ed9 C: ti\u1ebfn tri\u1ec3n nhanh<\/li>\n<\/ul>\n<h2>B\u01b0\u1edbc 1. Ti\u1ebfp nh\u1eadn case l\u00e2m s\u00e0ng: t\u1eeb c\u00e1i nh\u00ecn t\u1ed5ng quan t\u1edbi ch\u1ea9n \u0111o\u00e1n:<\/h2>\n<figure id=\"attachment_2240\" aria-describedby=\"caption-attachment-2240\" style=\"width: 253px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-2240\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/image_2023-04-08_205537762.png\" alt=\"do-chieu-sau-tui-loi\" width=\"253\" height=\"199\" \/><figcaption id=\"caption-attachment-2240\" class=\"wp-caption-text\">\u0110o chi\u1ec1u s\u00e2u t\u00fai l\u1ee3i gi\u00fap ch\u1ea9n \u0111o\u00e1n b\u1ec7nh quanh r\u0103ng<\/figcaption><\/figure>\n<ul>\n<li>Th\u0103m kh\u00e1m<\/li>\n<\/ul>\n<p>+ \u00a0\u0110o chi\u1ec1u s\u00e2u t\u00fai l\u1ee3i to\u00e0n h\u00e0m<\/p>\n<p>+\u00a0 Ch\u1ee5p phim to\u00e0n c\u1ea3nh<\/p>\n<p>+\u00a0 C\u00e1c r\u0103ng b\u1ecb m\u1ea5t<\/p>\n<p>B\u1ec7nh nha chu nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh th\u01b0\u1eddng s\u1ebd \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i l\u00e0 Giai \u0111o\u1ea1n I ho\u1eb7c Giai \u0111o\u1ea1n II<\/p>\n<p>B\u1ec7nh nha chu n\u1eb7ng \u0111\u1ebfn r\u1ea5t n\u1eb7ng th\u01b0\u1eddng s\u1ebd ph\u00e2n lo\u1ea1i l\u00e0 Giai \u0111o\u1ea1n III ho\u1eb7c Giai \u0111o\u1ea1n IV<\/p>\n<h2>B\u01b0\u1edbc 2:\u00a0 Ch\u1ea9n \u0111o\u00e1n giai \u0111o\u1ea1n vi\u00eam quanh r\u0103ng<\/h2>\n<ul>\n<li>\u0110\u1ed1i v\u1edbi b\u1ec7nh nha chu nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh (th\u01b0\u1eddng l\u00e0 giai \u0111o\u1ea1n I ho\u1eb7c giai \u0111o\u1ea1n II):<\/li>\n<li>X\u00e1c nh\u1eadn m\u1ee9c \u0111\u1ed9 m\u1ea5t b\u00e1m d\u00ednh l\u00e2m s\u00e0ng (CAL)<\/li>\n<li>Lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n CAL kh\u00f4ng ph\u1ea3i do b\u1ec7nh nha chu (v\u00ed d\u1ee5 nh\u01b0 ph\u1ee5c h\u00ecnh c\u1ed5 r\u0103ng ho\u1eb7c s\u00e2u r\u0103ng, n\u1ee9t g\u00e3y ch\u00e2n r\u0103ng, CAL do nguy\u00ean nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng)<\/li>\n<li>X\u00e1c \u0111\u1ecbnh ch\u1ec9 s\u1ed1 CAL t\u1ed1i \u0111a ho\u1eb7c ti\u00eau x\u01b0\u01a1ng \u1ed5 r\u0103ng tr\u00ean phim XQuang (RBL)<\/li>\n<li>X\u00e1c nh\u1eadn h\u00ecnh th\u00e1i ti\u00eau x\u01b0\u01a1ng RBL<\/li>\n<li>\u0110\u1ed1i v\u1edbi b\u1ec7nh nha chu trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng (th\u01b0\u1eddng l\u00e0 giai \u0111o\u1ea1n III ho\u1eb7c giai \u0111o\u1ea1n IV):<\/li>\n<li>X\u00e1c \u0111\u1ecbnh ch\u1ec9 s\u1ed1 CAL t\u1ed1i \u0111a ho\u1eb7c ti\u00eau x\u01b0\u01a1ng \u1ed5 r\u0103ng tr\u00ean phim XQuang RBL<\/li>\n<li>X\u00e1c nh\u1eadn h\u00ecnh th\u00e1i ti\u00eau x\u01b0\u01a1ng RBL<\/li>\n<li>\u0110\u00e1nh gi\u00e1 m\u1ea5t r\u0103ng do b\u1ec7nh nha chu<\/li>\n<li>\u0110\u00e1nh gi\u00e1 c\u00e1c y\u1ebfu t\u1ed1 ph\u1ee9c t\u1ea1p c\u1ee7a tr\u01b0\u1eddng h\u1ee3p (v\u00ed d\u1ee5: t\u1ea7n su\u1ea5t CAL n\u1eb7ng, th\u00e1ch th\u1ee9c ph\u1eabu thu\u1eadt)<\/li>\n<\/ul>\n<h2>B\u01b0\u1edbc 3: Ch\u1ea9n \u0111o\u00e1n m\u1ee9c \u0111\u1ed9 vi\u00eam quanh r\u0103ng<\/h2>\n<ul>\n<li>T\u00ednh to\u00e1n RBL (% chi\u1ec1u d\u00e0i ch\u00e2n r\u0103ng x 100) chia cho tu\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n<\/li>\n<li>\u0110\u00e1nh gi\u00e1 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 (v\u00ed d\u1ee5: h\u00fat thu\u1ed1c, ti\u1ec3u \u0111\u01b0\u1eddng)<\/li>\n<li>\u0110\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a case b\u1ec7nh v\u1edbi \u0111i\u1ec1u tr\u1ecb l\u00e0m s\u1ea1ch cao r\u0103ng v\u00e0 m\u1ea3ng b\u00e1m \u2013 l\u00e0m nh\u1eb5n ch\u00e2n r\u0103ng<\/li>\n<li>\u0110\u00e1nh gi\u00e1 t\u1ed1c \u0111\u1ed9 m\u1ea5t x\u01b0\u01a1ng d\u1ef1 ki\u1ebfn<\/li>\n<li>Ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 chi ti\u1ebft v\u1ec1 nguy c\u01a1<\/li>\n<li>Xem x\u00e9t c\u00e1c y\u1ebfu t\u1ed1 ti\u1ec1n s\u1eed y khoa v\u00e0 c\u00e1c b\u1ec7nh vi\u00eam nhi\u1ec5m h\u1ec7 th\u1ed1ng.<\/li>\n<\/ul>\n<p>Vi\u1ec7c \u0111\u00e1nh gi\u00e1 v\u00e0 ph\u00e2n lo\u1ea1i b\u1ec7nh nh\u00e2n vi\u00eam quanh r\u0103ng l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng c\u1ee7a c\u00f4ng t\u00e1c ch\u0103m s\u00f3c nha khoa. \u0110i\u1ec1u n\u00e0y gi\u00fap \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ch\u00ednh x\u00e1c v\u00e0 hi\u1ec7u qu\u1ea3 nh\u1ea5t cho t\u1eebng tr\u01b0\u1eddng h\u1ee3p. H\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i m\u1edbi v\u1ec1 b\u1ec7nh vi\u00eam quanh r\u0103ng \u0111\u00e3 gi\u00fap b\u00e1c s\u0129 nha khoa \u0111\u00e1nh gi\u00e1 v\u00e0 ph\u00e2n lo\u1ea1i b\u1ec7nh nha chu m\u1ed9t c\u00e1ch r\u00f5 r\u00e0ng v\u00e0 ch\u00ednh x\u00e1c h\u01a1n. V\u1edbi m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn b\u1ec7nh nh\u00e2n khoa h\u1ecdc v\u00e0 h\u1ee3p l\u00ed, c\u00e1c b\u00e1c s\u0129 s\u1ebd kh\u00f4ng b\u1ecf l\u1ee1 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh th\u0103m kh\u00e1m c\u0169ng nh\u01b0 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n. \u0110i\u1ec1u n\u00e0y gi\u00fap gi\u1ea3m thi\u1ec3u r\u1ee7i ro trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111\u1ea3m b\u1ea3o s\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb. \u0110\u00f3 l\u00e0 l\u00fd do t\u1ea1i sao ti\u1ebfp c\u1eadn \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 v\u00e0 ph\u00e2n lo\u1ea1i b\u1ec7nh nh\u00e2n nha chu l\u00e0 m\u1ed9t ph\u1ea7n v\u00f4 c\u00f9ng quan tr\u1ecdng trong c\u00f4ng t\u00e1c ch\u0103m s\u00f3c nha khoa v\u00e0 \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c duy tr\u00ec s\u1ee9c kh\u1ecfe c\u1ee7a r\u0103ng v\u00e0 m\u00f4 quanh r\u0103ng cho b\u1ec7nh nh\u00e2n.<\/p>\n<p>Ngu\u1ed3n tham kh\u1ea3o<\/p>\n<ol>\n<li>A new classification scheme for periodontal and peri-implantdiseases and conditions \u2013 Introduction and key changesfrom the 1999 classification, Jack G. Caton, 2017<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Trong n\u0103m 2017, Hi\u1ec7p h\u1ed9i Nha chu M\u1ef9 (American Academy of Periodontology) \u0111\u00e3 ph\u00e1t h\u00e0nh m\u1ed9t h\u1ec7 th\u1ed1ng \u0111\u00e1nh gi\u00e1 m\u1edbi cho c\u00e1c b\u1ec7nh v\u1ec1 vi\u00eam quanh r\u0103ng v\u00e0 vi\u00eam quanh implant. H\u1ec7 th\u1ed1ng n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 H\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i m\u1edbi v\u1ec1 b\u1ec7nh nha chu v\u00e0 bao g\u1ed3m b\u1ed1n giai \u0111o\u1ea1n v\u00e0 ba [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>3 b\u01b0\u1edbc ch\u1ea9n \u0111o\u00e1n vi\u00eam quanh r\u0103ng theo H\u1ed9i Nha Chu M\u1ef9 - Vinmec<\/title>\n<meta name=\"description\" content=\"N\u0103m 2017, AAP\u0111\u00e3 ph\u00e1t h\u00e0nh m\u1ed9t h\u1ec7 th\u1ed1ng \u0111\u00e1nh gi\u00e1 m\u1edbi cho c\u00e1c b\u1ec7nh v\u1ec1 vi\u00eam quanh r\u0103ng. 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