{"id":22543,"date":"2023-04-16T20:23:45","date_gmt":"2023-04-16T13:23:45","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22543"},"modified":"2023-05-02T14:13:47","modified_gmt":"2023-05-02T07:13:47","slug":"khop-can-hang-ii-phau-thuat-hay-khong-voi-truong-hop-nay","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/khop-can-hang-ii-phau-thuat-hay-khong-voi-truong-hop-nay\/","title":{"rendered":"Kh\u1edbp c\u1eafn h\u1ea1ng II – Ph\u1eabu thu\u1eadt hay kh\u00f4ng v\u1edbi tr\u01b0\u1eddng h\u1ee3p n\u00e0y?."},"content":{"rendered":"

B\u00e0i vi\u1ebft nh\u1eb1m m\u1ee5c \u0111\u00edch gi\u1edbi thi\u1ec7u c\u00e1c v\u1ea5n \u0111\u1ec1 chung li\u00ean quan \u0111\u1ebfn sai kh\u1edbp c\u1eafn h\u1ea1ng II, \u0111\u1ed3ng th\u1eddi \u0111\u01b0a ra ch\u1ec9 \u0111\u1ecbnh v\u00e0 tr\u1ea3 l\u1eddi cho c\u00e2u h\u1ecfi: Li\u1ec7u c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb n\u1eafn ch\u1ec9nh r\u0103ng hay c\u1ea7n thi\u1ebft ph\u1ea3i ph\u1eabu thu\u1eadt \u0111\u1ec3 c\u1ea3i thi\u1ec7n tr\u01b0\u1eddng h\u1ee3p sai kh\u1edbp c\u1eafn h\u1ea1ng II tr\u00ean b\u1ec7nh nh\u00e2n. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n

1. Gi\u1edbi thi\u1ec7u chung v\u1ec1 v\u1ea5n \u0111\u1ec1 sai kh\u1edbp c\u1eafn h\u1ea1ng II<\/h2>\n

Thay \u0111\u1ed5i \u0111i\u1ec3m ch\u00fa \u00fd t\u1eeb r\u0103ng h\u00e0m \u0111\u1ebfn c\u00e1c r\u0103ng c\u1eeda<\/strong><\/p>\n

Khi Angle gi\u1edbi thi\u1ec7u ph\u00e2n lo\u1ea1i c\u1ee7a m\u00ecnh v\u00e0o cu\u1ed1i n\u0103m 1920, th\u00ec c\u00e1c nh\u00e0 ch\u1ec9nh nha quan t\u00e2m ch\u1ee7 y\u1ebfu \u0111\u1ebfn t\u01b0\u01a1ng quan gi\u1eefa c\u00e1c r\u0103ng c\u1ed1i l\u1edbn l\u00e0 lo\u1ea1i I, lo\u1ea1i II hay lo\u1ea1i III. \u0110i\u1ec1u tr\u1ecb kh\u00f4ng nh\u1ed5 r\u0103ng v\u00e0 nong h\u00e0m th\u01b0\u1eddng l\u00e0 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb. V\u00e0o nh\u1eefng n\u0103m 1940, Tweed \u0111\u00e3 chuy\u1ec3n \u0111i\u1ec3m ch\u00fa \u00fd \u0111\u1ebfn r\u0103ng c\u1eeda h\u00e0m d\u01b0\u1edbi v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00f3 nh\u1ed5 r\u0103ng tr\u1edf n\u00ean th\u1ecbnh h\u00e0nh h\u01a1n. \u0110i\u1ec1u n\u00e0y r\u00f5 r\u00e0ng l\u00e0 m\u1ed9t ph\u1ea3n \u1ee9ng l\u1ea1i v\u1edbi sai s\u00f3t c\u1ee7a vi\u1ec7c qu\u00e1 l\u1ea1m d\u1ee5ng \u0111i\u1ec1u tr\u1ecb kh\u00f4ng nh\u1ed5 r\u0103ng. Tuy nhi\u00ean, c\u0169ng n\u00ean ghi nh\u1eadn r\u1eb1ng vi\u1ec7c qu\u00e1 ch\u00fa t\u00e2m \u0111\u1ebfn r\u0103ng c\u1eeda h\u00e0m d\u01b0\u1edbi v\u00e0 quan t\u00e2m ch\u1ee7 y\u1ebfu \u0111\u1ebfn t\u01b0\u01a1ng quan gi\u1eefa c\u00e1c r\u0103ng c\u1ed1i l\u1edbn l\u00e0 lo\u1ea1i I, lo\u1ea1i II hay lo\u1ea1i III. \u0110i\u1ec1u tr\u1ecb kh\u00f4ng nh\u1ed5 r\u0103ng v\u00e0 nong h\u00e0m th\u01b0\u1eddng l\u00e0 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb. V\u00e0o nh\u1eefng n\u0103m 1940, Tweed \u0111\u00e3 chuy\u1ec3n \u0111i\u1ec3m ch\u00fa \u00fd \u0111\u1ebfn r\u0103ng c\u1eeda h\u00e0m d\u01b0\u1edbi v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00f3 nh\u1ed5 r\u0103ng tr\u1edf n\u00ean th\u1ecbnh h\u00e0nh h\u01a1n. \u0110i\u1ec1u n\u00e0y r\u00f5 r\u00e0ng l\u00e0 m\u1ed9t ph\u1ea3n \u1ee9ng l\u1ea1i v\u1edbi sai s\u00f3t c\u1ee7a vi\u1ec7c qu\u00e1 l\u1ea1m d\u1ee5ng \u0111i\u1ec1u tr\u1ecb kh\u00f4ng nh\u1ed5 r\u0103ng. Tuy nhi\u00ean, c\u0169ng n\u00ean ghi nh\u1eadn r\u1eb1ng vi\u1ec7c qu\u00e1 ch\u00fa t\u00e2m \u0111\u1ebfn r\u0103ng c\u1eeda h\u00e0m d\u01b0\u1edbi v\u00e0 quan t\u00e2m \u00edt h\u01a1n \u0111\u1ebfn r\u0103ng tr\u00ean l\u00e0 do \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt ch\u1ec9nh nha v\u1eabn ch\u01b0a th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c v\u00e0o th\u1eddi \u0111i\u1ec3m n\u00e0y, c\u0169ng nh\u01b0 ch\u01b0a bi\u1ebft d\u00f9ng kh\u00ed c\u1ee5 ch\u1ee9c n\u0103ng \u0111\u1ec3 c\u1ea3i thi\u1ec7n h\u00ecnh th\u1ec3 khu\u00f4n m\u1eb7t. C\u00e1c b\u00e1c s\u0129 ch\u1ec9nh nha \u0111i \u0111\u1ebfn quy\u1ebft \u0111\u1ecbnh l\u00e0m \u1ed5n \u0111\u1ecbnh t\u01b0 th\u1ebf r\u0103ng c\u1eeda h\u00e0m, sau \u0111\u00f3 di chuy\u1ec3n c\u00e1c r\u0103ng c\u1eeda h\u00e0m tr\u00ean cho ch\u1ea1m v\u1edbi c\u00e1c r\u0103ng c\u1eeda h\u00e0m d\u01b0\u1edbi.<\/p>\n

C\u0169ng c\u1ea7n nh\u1ea5n m\u1ea1nh r\u1eb1ng trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p sai kh\u1edbp class I, kh\u1edbp c\u1eafn sai c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ch\u1ec9 b\u1eb1ng vi\u1ec7c l\u00e0m th\u1eb3ng h\u00e0ng c\u00e1c r\u0103ng, th\u1eeba nh\u1eadn v\u1ecb tr\u00ed c\u00e1c r\u0103ng c\u1eeda hai h\u00e0m tr\u00ean khu\u00f4n m\u1eb7t. V\u00e0 h\u1ecd \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 c\u00e1c \u201cB\u00e1c s\u0129 l\u00e0m th\u1eb3ng h\u00e0ng r\u0103ng\u201d. C\u00e1c b\u00e1c s\u0129 ch\u1ec9nh nha c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng h\u1ec7 th\u1ed1ng m\u1eafc c\u00e0i \u0111i\u1ec1u ch\u1ec9nh s\u1eb5n \u0111\u1ec3 l\u00e0m tr\u00f2n cung r\u0103ng \u1edf ph\u00eda tr\u01b0\u1edbc. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ec9nh nha \u0111\u00f2i h\u1ecfi c\u1ea7n thay \u0111\u1ed5i t\u01b0 th\u1ebf r\u0103ng c\u1eeda ngo\u00e0i vi\u1ec7c l\u00e0m th\u1eb3ng h\u00e0ng cung r\u0103ng. H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1ec1u l\u00e0 th\u00e1ch th\u1ee9c h\u01a1n trong vi\u1ec7c \u0111\u1ecbnh v\u1ecb t\u01b0 th\u1ebf r\u0103ng. V\u00ed d\u1ee5, \u0111\u1ed1i v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p sai kh\u1edbp c\u1eafn lo\u1ea1i II & III s\u1ebd \u0111\u00f2i h\u1ecfi ph\u1ea3i c\u00f3 k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb v\u00e0 sau \u0111\u00f3 l\u00e0 c\u01a1 ch\u1ebf \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 kh\u00f4ng ch\u1ec9 \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c th\u1eb3ng h\u00e0ng r\u0103ng m\u00e0 c\u00f2n ph\u1ea3i s\u1eafp x\u1ebfp l\u1ea1i t\u01b0 th\u1ebf c\u00e1c r\u0103ng \u1edf tr\u00ean khu\u00f4n m\u1eb7t \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c v\u1ebb m\u1eb7t th\u1ea9m m\u1ef9 t\u1ed1i \u0111a.<\/p>\n

Thay \u0111\u1ed5i \u0111i\u1ec3m ch\u00fa \u00fd t\u1eeb r\u0103ng h\u00e0m \u0111\u1ebfn c\u00e1c r\u0103ng c\u1eeda<\/strong><\/p>\n

V\u1edbi nh\u1eefng ti\u1ebfn b\u1ed9 trong k\u1ef9 thu\u1eadt ch\u1ec9nh nha v\u00e0 ph\u1eabu thu\u1eadt, th\u00ec \u0111i\u1ec3m ch\u00fa \u00fd h\u01b0\u1edbng v\u1ec1 r\u0103ng c\u1eeda tr\u00ean nh\u01b0 l\u00e0 \u0111i\u1ec3m b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb. Ng\u00e0y nay, l\u1eadp k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb d\u1ef1a tr\u00ean t\u01b0 th\u1ebf r\u0103ng c\u1eeda tr\u00ean, thay cho vi\u1ec7c s\u1eed d\u1ee5ng nh\u1eefng r\u0103ng c\u1ed1i l\u1edbn ho\u1eb7c r\u0103ng c\u1eeda d\u01b0\u1edbi l\u00e0m \u0111i\u1ec3m b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb. Khi b\u1eaft \u0111\u1ea7u l\u1eadp k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb th\u00ec ch\u00fang ta ph\u1ea3i t\u00ednh to\u00e1n tr\u01b0\u1edbc \u0111\u01b0\u1ee3c t\u01b0 th\u1ec3 l\u00fd t\u01b0\u1edfng c\u1ee9a r\u0103ng c\u1eeda tr\u00ean. Trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p c\u01a1 ch\u1ebf \u0111i\u1ec1u tr\u1ecb sau \u0111\u1ea5y s\u1ebd d\u1ef1a tr\u00ean t\u01b0 th\u1ebf r\u0103ng c\u1eeda l\u00fd t\u01b0\u1edfng, r\u1ed3i sau \u0111\u00f3 l\u1ea5t c\u1ea3 c\u00e1c r\u0103ng c\u00f2n l\u1ea1i s\u1ebd ph\u1ea3i kh\u00edt v\u1edbi r\u0103ng ch\u1ecdn l\u00e0m \u0111i\u1ec3m m\u1ed1c n\u00e0y. N\u00f3i c\u00e1ch kh\u00e1c, t\u01b0 th\u1ebf r\u0103ng c\u1eeda l\u00fd t\u01b0\u1edfng kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ee5c ti\u00eau th\u1ef1c t\u1ebf, m\u00e0 th\u01b0\u1eddng l\u00e0 k\u00e9m h\u01a1n l\u00fd t\u01b0\u1edfng nh\u01b0ng ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c. T\u01b0 th\u1ec3 r\u0103ng c\u1eeda l\u00fd t\u01b0\u1eddng c\u1ea7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0m c\u01a1 s\u1edf cho vi\u1ec7c l\u1eadp k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb.<\/p>\n

T\u01b0 th\u1ebf r\u0103ng c\u1eeda theo k\u1ebf ho\u1ea1ch<\/strong><\/p>\n

T\u01b0 th\u1ebf r\u0103ng c\u1eeda theo k\u1ebf ho\u1ea1ch (PIP) c\u00f3 th\u1ec3 hi\u1ec3u nh\u01b0 l\u00e0: \u201ct\u01b0 th\u1ebf d\u1ef1 ki\u1ebfn c\u1ee7a c\u00e1c r\u0103ng c\u1eeda h\u00e0m tr\u00ean khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb\u201d.<\/em><\/p>\n

Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c t\u01b0 th\u1ebf r\u0103ng c\u1eeda tr\u00ean l\u00fd t\u01b0\u1edfng s\u1ebd l\u00e0 m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb th\u1ef1c t\u1ebf v\u00e0 c\u00f3 th\u1ec3 tr\u1edf th\u00e0nh PIP c\u1ee7a tr\u01b0\u1eddng h\u1ee3p n\u00e0y. N\u00f3i c\u00e1ch kh\u00e1c, t\u01b0 th\u1ebf r\u0103ng c\u1eeda l\u00fd t\u01b0\u1edfng c\u00f3 th\u1ec3 kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ee5c ti\u00eau th\u1ef1c t\u1ebf v\u00ec nhi\u1ec1u l\u00fd do kh\u00e1c nhau. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u1ea7n nh\u1eadn ra \u0111\u01b0\u1ee3c t\u01b0 th\u1ebf r\u0103ng c\u1eeda l\u00fd t\u01b0\u1edfng \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh theo th\u1ecfa hi\u1ec7p v\u1edbi nh\u1eefng kh\u00f3 kh\u0103n c\u1ee7a t\u1eebng tr\u01b0\u1eddng h\u1ee3p l\u00e2m s\u00e0ng nh\u01b0 s\u1ef1 thi\u1ebfu h\u1ee3p c\u1ee7a b\u1ec7nh nh\u00e2n, h\u1ebft tu\u1ed5i ph\u00e1t tri\u1ec3n. V\u00e0 PIP \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn kh\u00f4ng c\u00f2n l\u00e0 l\u00fd t\u01b0\u1edfng nh\u01b0ng n\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y.<\/p>\n

Nh\u1eefng gi\u1edbi h\u1ea1n c\u1ee7a \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha<\/strong><\/p>\n

Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, trong khi l\u1eadp k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb c\u00f3 nhi\u1ec1u \u0111i\u1ec3m gi\u1edbi h\u1ea1n l\u1edbn nh\u01b0 l\u00e0 s\u1ef1 b\u1ea5t t\u01b0\u01a1ng x\u1ee9ng VC x\u01b0\u01a1ng h\u00e0m, m\u00e0 n\u00f3 kh\u00f4ng th\u1ec3 gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c ch\u1ec9 v\u1edbi ch\u1ec9nh nha \u0111\u01a1n thu\u1ea7n. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 ch\u00fang ta ph\u1ea3i nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nh\u01b0 v\u1eady \u0111\u1ec3 c\u00e2n nh\u1eafc gi\u1ea3i ph\u00e1p ph\u1eabu thu\u1eadt hay ch\u1ec9nh nha \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c PIP ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c. N\u1ebfu b\u1eaft g\u1eb7p nh\u1eefng gi\u1edbi h\u1ea1n l\u1edbn nh\u01b0 tr\u00ean th\u00ec t\u1ed1t nh\u1ea5t l\u00e0 kh\u00f4ng n\u00ean b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ch\u1ec9 b\u1eb1ng ch\u1ec9nh nha \u0111\u01a1n thu\u1ea7n. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nh\u01b0 v\u1eady c\u00f3 kh\u1ea3 n\u0103ng ch\u00fang ta s\u1ebd l\u00e0m x\u1ea5u th\u00eam khu\u00f4n m\u1eb7t do t\u01b0 th\u1ebf r\u0103ng c\u1eeda khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c v\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a nh\u1eefng c\u1ed1 g\u1eafng \u0111i\u1ec1u tr\u1ecb ch\u1ec9 l\u00e0 c\u00f3 \u201ckh\u1edbp c\u1eafn t\u1ed1t h\u01a1n\u201d.<\/p>\n

Quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt hay kh\u00f4ng ph\u1eabu thu\u1eadt trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p sai kh\u1edbp lo\u1ea1i II<\/strong><\/p>\n

Ph\u00e2n t\u00edch ph\u1ea7n m\u1ec1m tr\u00ean phim \u0111o s\u1ecd m\u1eb7t hay STCA \u0111\u00e3 \u0111\u01b0\u1ee3c Amett \u0111\u1ec1 ngh\u1ecb s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u00fap cho vi\u1ec7c l\u1eadp k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u1eabu thu\u1eadt ch\u1ec9nh nha, ph\u00e2n t\u00edch s\u1eed d\u1ee5ng \u0111\u01b0\u1eddng th\u1eb3ng \u0111\u1ee9ng \u0111i qua d\u01b0\u1edbi m\u0169i (TVL) \u1edf t\u01b0 th\u1ebf \u0111\u1ea7u th\u1eb3ng t\u1ef1 nhi\u00ean. C\u0169ng s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 thay \u0111\u1ed5i thu\u1eadn l\u1ee3i hay kh\u00f4ng thu\u1eadn l\u1ee3i \u1edf t\u01b0 th\u1ebf m\u1eb7t nghi\u00eang sau khi \u0111\u00e3 gi\u1ea3m \u0111\u01b0\u1ee3c \u0111\u1ed9 c\u1eafn ch\u00eca, v\u00e0 nh\u01b0 v\u1eady \u0111\u01b0\u1eddng n\u00e0y c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong ph\u00e2n t\u00edch sau k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. STCA c\u00f3 c\u00e1c ch\u1ec9 s\u1ed1 b\u00ecnh th\u01b0\u1eddng \u0111\u1ed1i v\u1edbi khu\u00f4n m\u1eb7t nh\u00ecn nghi\u00eang h\u00e0i ho\u00e0. nh\u01b0ng theo l\u00fd thuy\u1ebft th\u00ec ch\u1ec9 c\u00f3 7 y\u1ebfu t\u1ed1 sau \u0111\u00e2u c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1. \u0110\u1ec3 d\u1ec5 hi\u1ec3u t\u1ea5t c\u1ea3 nh\u1eefng gi\u00e1 tr\u1ecb STCA kh\u00e1c s\u1ebd kh\u00f4ng \u0111\u01b0\u1ee3c b\u00e0n \u0111\u1ebfn trong ph\u1ea7n n\u00e0y v\u00e0 gi\u1ea3 s\u1eed r\u1eb1ng ba t\u1ea7ng m\u1eb7t nh\u00ecn nghi\u00eang l\u00e0 l\u00fd t\u01b0\u1edfng v\u00e0 v\u1ecb tr\u00ed nh\u1eefng r\u0103ng c\u1eeda h\u00e0m tr\u00ean l\u00e0 h\u1ee3p l\u00fd.<\/p>\n

\"khop-can-hang-II\"
STCA \u1edf \u0111\u00e2y bao g\u1ed3m 7 s\u1ed1 \u0111o. \u0110\u1ed9 xoay c\u1ee7a c\u00e1c r\u0103ng c\u1eeda h\u00e0m tr\u00ean \u0111\u01b0\u1ee3c \u0111o v\u1edbi m\u1eadt ph\u1eb3ng c\u1eafn h\u00e0m tr\u00ean v\u00e0 \u0111\u1ed9 xoay c\u00e1c r\u0103ng c\u1eeda h\u00e0m d\u01b0\u1edbi \u0111\u01b0\u1ee3c \u0111o b\u1edfi quan h\u1ec7 v\u1edbi m\u1eb7t ph\u1eb3ng c\u1eafn h\u00e0m d\u01b0\u1edbi . S\u01a1 \u0111\u1ed3 n\u00e0y mi\u00eau t\u1ea3 theo h\u00ecnh chi\u1ebfu c\u1ee7a \u0111\u01b0\u1eddng th\u1eb3ng \u0111\u1ee9ng th\u1ef1c t\u1ebf (TVL)<\/figcaption><\/figure>\n

2. Nh\u1eadn d\u1ea1ng v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p sai kh\u1edbp c\u1eafn n\u1eb7ng<\/h2>\n

Ch\u1ec9nh nha c\u00f3 th\u1ec3 th\u1ef1c h\u00e0nh \u0111\u01b0\u1ee3c d\u1ef1a tr\u00ean m\u1ed9t s\u1ed1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 t\u01b0\u01a1ng quan x\u01b0\u01a1ng class I ho\u1eb7c class II nh\u1eb9. Tuy nhi\u00ean, nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c nh\u1eefng tr\u01b0\u1eddng h\u1ee3p class II x\u01b0\u01a1ng n\u1eb7ng do b\u1ea5t c\u00e2n x\u1ee9ng v\u1ec1 x\u01b0\u01a1ng khi \u0111\u1ec3 xem x\u00e9t gi\u1ea3i ph\u00e1p ph\u1eabu thu\u1eadt ho\u1eb7c ch\u1ec9nh nha \u0111\u01a1n thu\u1ea7n.<\/p>\n

\"khop-can-hang-II-1\"
Trong s\u01a1 \u0111\u1ed3 n\u00e0y, nh\u1eefng m\u00e0u kh\u00e1c nhau trong ph\u00e2n t\u00edch c\u1ee7a Amet, ch\u1ec9 ra c\u00e1c v\u00f9ng n\u1ed5i b\u1eadt v\u00e0 m\u1ee9c \u0111\u1ed9 m\u00e0i c\u00e2n x\u1ee9ng c\u1ee7a m\u1eb7t. V\u00ed d\u1ee5 b\u00ean ph\u1ea3i l\u00e0 b\u00ecnh th\u01b0\u1eddng; V\u00ed d\u1ee5 \u1edf gi\u1eefa l\u00e0 sai kh\u1edbp c\u1eafn lo\u1ea1i II nh\u1eb9, ti\u1ec3u lo\u1ea1i 1 m\u00e0 \u1edf \u0111\u00e2y c\u00f3 th\u1ec3 xem x\u00e9t ch\u1ec9 c\u1ea7n \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha. C\u00f2n v\u00ed d\u1ee5 b\u00ean tr\u00e1i cho ta th\u1ea5y c\u1ea7n k\u1ebft h\u1ee3p \u0111i\u1ec1u tr\u1ecb n\u1eafn r\u0103ng k\u1ebft h\u1ee3p ph\u1eabu thu\u1eadt – \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha \u0111\u01a1n thu\u1ea7n ch\u1ec9 khi c\u00f3 s\u1ef1 thay \u0111\u1ed5i x\u01b0\u01a1ng v\u1ec1 c\u01a1 b\u1ea3n trong s\u1ef1 t\u0103ng tr\u01b0\u1edfng c\u1ee7a b\u1ec7nh nh\u00e2n k\u1ebft h\u1ee3p \u0111i\u1ec1u tr\u1ecb v\u1edbi nh\u1eefng kh\u00ed c\u1ee5 ch\u1ee9c n\u0103ng<\/figcaption><\/figure>\n

N\u1ebfu c\u00f3 th\u1ec3 th\u00ec n\u00ean lo\u1ea1i b\u1ecf ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u00e0 ch\u1ec9 d\u1ef1a tr\u00ean ch\u1ec9nh nha \u0111\u01a1n thu\u1ea7n, tr\u1eeb khi c\u00f3 m\u1ed9t vi\u1ec5n c\u1ea3nh th\u1ef1c trong s\u1ef1 t\u0103ng tr\u01b0\u1edfng c\u1ee7a b\u1ec7nh nh\u00e2n, c\u00f3 s\u1ef1 thay \u0111\u1ed5i x\u01b0\u01a1ng ph\u00f9 h\u1ee3p v\u1edbi c\u00e1c kh\u00ed c\u1ee5 ch\u1ee9c n\u0103ng.<\/p>\n

Theo l\u00fd thuy\u1ebft \u0111i\u1ec1u tr\u1ecb class II, ti\u1ec3u lo\u1ea1i 1 – c\u00f3 nh\u1eefng tr\u1ea1ng th\u00e1i A, B, C v\u00e0 \u1edf trang b\u00ean ch\u1ec9 ra m\u1ed9t s\u1ed1 kh\u00f3 kh\u0103n ti\u1ec1m t\u00e0ng.<\/p>\n

T\u00ecnh tr\u1ea1ng A<\/strong> – ch\u1ec9nh nha che l\u1ea5p sai kh\u1edbp c\u1eafn lo\u1ea1i II nh\u1eb9: N\u1ebfu \u1edf nh\u1eefng m\u1ee9c \u0111\u1ed9 l\u1ec7ch l\u1ea1c x\u01b0\u01a1ng lo\u1ea1i II nh\u1eb9, th\u00ec c\u00f3 th\u1ec3 quy\u1ebft \u0111\u1ecbnh k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb d\u1ef1a tr\u00ean ch\u1ec9nh nha. C\u00e1c b\u00e1c s\u0129 ch\u1ec9nh nha s\u1ebd n\u1eafn chinh \u0111\u1ec3 che l\u1ea5p sai kh\u1edbp c\u1eafn lo\u1ea1i II v\u1edbi b\u1eb1ng s\u1ef1 b\u00f9 tr\u1eeb c\u1ee7a r\u0103ng. \u0110i\u1ec1u tr\u1ecb nh\u1eb1m k\u00e9o l\u00f9i c\u00e1c r\u0103ng c\u1eeda h\u00e0m tr\u00ean m\u1ed9t \u00edt v\u00e0 xoay c\u00e1c r\u0103ng c\u1eeda d\u01b0\u1edbi ra tr\u01b0\u1edbc m\u1ed9t \u00edt. C\u1ea7n c\u00f3 s\u1ef1 h\u1ee3p t\u00e1c t\u1ed1t c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ec3 \u0111eo chun lo\u1ea1i II ho\u1eb7c HEADGEAR. \u0110i\u1ec1u tr\u1ecb c\u1ea7n \u0111\u1ea1t \u0111\u01b0\u1ee3c cung r\u0103ng t\u1ed1t v\u1edbi v\u1ebb m\u1eb7t h\u00e0i ho\u00e0 ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c.<\/p>\n

\"khop-can-hang-II-2\"
T\u00ecnh tr\u1ea1ng l\u00fd t\u01b0\u1edfng, \u0111i\u1ec1u ch\u1ec9nh t\u1ed1t \u0111\u1ea1t \u0111\u01b0\u1ee3c do c\u00f3 b\u00f9 tr\u1eeb c\u1ee7a r\u0103ng, h\u1ed7 tr\u1ee3 b\u1edfi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh nh\u00e2n, r\u1ea5t nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p class II trong \u0111\u1ed9 tu\u1ed5i ph\u00e1t tri\u1ec3n. \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng nh\u1edd c\u00e1ch th\u1ee9c n\u00e0y.<\/figcaption><\/figure>\n

T\u00ecnh tr\u1ea1ng B<\/strong> – Th\u1eed ch\u1ec9nh nha \u0111\u1ec3 che l\u1ea5p sai l\u1ec7ch x\u01b0\u01a1ng lo\u1ea1i II n\u1eb7ng: N\u00eau s\u1ef1 b\u1ea5t t\u01b0\u01a1ng x\u1ee9ng x\u01b0\u01a1ng lo\u1ea1i II m\u1ee9c \u0111\u1ed9 v\u1eeba v\u00e0 n\u1eb7ng th\u00ec k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb ch\u1ec9 d\u1ef1a tr\u00ean ch\u1ec9nh nha s\u1ebd ti\u1ec1m \u00e2n nhi\u1ec1u nguy c\u01a1. N\u1ebfu c\u00e1c b\u00e1c s\u0129 ch\u1ec9nh nha c\u1ed1 g\u1eafng ch\u1ec9nh kh\u1edbp c\u1eafn \u0111\u1ec3 che l\u1ea5p s\u1ef1 b\u1ea5t t\u01b0\u01a1ng x\u1ee9ng x\u01b0\u01a1ng lo\u1ea1i II v\u1edbi s\u1ef1 b\u00f9 tr\u1eeb r\u0103ng. C\u00f3 kh\u1ea3 n\u0103ng k\u00e9o l\u00f9i qu\u00e1 m\u1ee9c c\u00e1c r\u0103ng c\u1eeda h\u00e0m tr\u00ean v\u00e0 t\u1ea1o ra s\u1ef1 thay \u0111\u1ed5i kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi m\u1eaft khi nh\u00ecn nghi\u00eang. \u0110i\u1ec1u n\u00e0y c\u0169ng \u0111\u1ed5 l\u1ea1i r\u0103ng c\u1eeda hai h\u00e0m \u1edf v\u1ecb tr\u00ed kh\u00f4ng th\u00edch h\u1ee3p cho ph\u1eabu thu\u1eadt ch\u1ec9nh nha v\u1ec1 sau \u0111\u1ea1t k\u1ebft qu\u1ea3 t\u1ed1t. C\u00e1c \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha th\u00eam v\u00e0o s\u1ebd \u0111\u00f2i h\u1ecfi \u0111\u1ec3 b\u00f9 tr\u1eeb c\u00e1c r\u00e0ng tr\u01b0\u1edbc sao cho ph\u1eabu thu\u1eadt \u0111em l\u1ea1i k\u1ebft qu\u1ea3 t\u1ed1t nh\u1ea5t<\/p>\n

\"khop-can-hang-II-3\"
Theo l\u00fd thuy\u1ebft th\u00ec trong tr\u1ea1ng th\u00e1i B s\u1ef1 c\u1ed1 g\u1eafng \u0111\u1ec3 ch\u00ednh tr\u01b0\u1eddng h\u1ee3p lo\u1ea1i II l\u00e0 r\u1ea5t kh\u00f3 kh\u0103n n\u1ebfu ch\u1ec9 b\u1eb1ng ch\u1ec9nh nha v\u00e0 t\u1ea1o ra s\u1ef1 thay \u0111\u1ed5i kh\u00f4ng th\u00edch h\u1ee3p tr\u00ean khu\u00f4n m\u1eb7t nh\u00ecn nghi\u00eang. R\u00f5 r\u00e0ng l\u00e0 con s\u1ed1 \u0111o \u0111\u01b0\u1ee3c c\u1ee7a Amet m\u00e0u \u0111\u1ecf tr\u00ean s\u01a1 \u0111\u1ed3 b\u00ean ph\u1ea3i \u0111\u01b0\u1ee3c t\u0103ng l\u00ean, ph\u1eb3ng \u1edf m\u00f4i tr\u00ean, gi\u1ea3m \u0111\u1ed9 cong c\u1ee7a m\u1eb7t, l\u00e0m cho v\u1ebb m\u1eb7t th\u1ea9m m\u1ef9 h\u01a1n. STCA \u0111\u00e3 ch\u1ec9 r\u00f5 r\u00e0ng \u0111i\u1ec1u n\u00e0y.<\/figcaption><\/figure>\n

T\u00ecnh tr\u1ea1ng C<\/strong> – Ch\u1ec9nh nha k\u1ebft h\u1ee3p ph\u1eabu thu\u1eadt trong tr\u01b0\u1eddng h\u1ee3p kh\u1edbp c\u1eafn lo\u1ea1i II, ti\u1ec3u lo\u1ea1i 1 n\u1eb7ng: Nhi\u1ec1u khi b\u1ec7nh nh\u00e2n kh\u00f4ng hi\u1ec3u v\u00e0 lo l\u1eafng kh\u00f4ng mu\u1ed1n ph\u1eabu thu\u1eadt nh\u01b0ng nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng \u0111\u00e3 h\u1ebft \u0111\u1ed9 tu\u1ed5i ph\u00e1t tri\u1ec3n th\u00ec ph\u1eabu thu\u1eadt \u0111em \u0111\u1ebfn kh\u1ea3 n\u0103ng \u0111\u1ed9t ph\u00e1 t\u1ed1t nh\u1ea5t cho h\u00e0m r\u0103ng v\u00e0 khu\u00f4n m\u1eb7t. N\u1ebfu ph\u1eabu thu\u1eadt \u0111\u1ea9y ti\u1ebfn x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 c\u1ea7n thi\u1ebft th\u00ec ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh ch\u1eadm h\u01a1n cho \u0111\u1ebfn 16 tu\u1ed5i ho\u1eb7c mu\u1ed9n h\u01a1n, \u0111\u1ec3 cho ph\u00e9p kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m \u0111\u00e3 \u0111\u01b0\u1ee3c tr\u01b0\u1edfng th\u00e0nh, c\u00f3 kh\u1ea3 n\u0103ng ch\u1ecbu \u0111\u01b0\u1ee3c t\u01b0 th\u1ebf c\u1ee7a x\u01b0\u01a1ng h\u00e0m sau khi \u0111\u01b0\u1ee3c ch\u1ec9nh.<\/p>\n

\"khop-can-hang-II-4\"
Theo l\u00fd thuy\u1ebft th\u00ec tr\u1ea1ng th\u00e1i C gi\u1ed1ng nh\u01b0 th\u1eddi \u0111i\u1ec3m ban \u0111\u1ea7u c\u1ee7a tr\u1ea1ng th\u1ea3 B. Tuy nhi\u00ean, sai kh\u1edbp c\u1eafn lo\u1ea1i II n\u1eb7ng \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh b\u1eb1ng c\u00e1ch k\u1ebft h\u1ee3p gi\u1eefa ph\u1eabu thu\u1eadt v\u00e0 ch\u1ec9nh nha l\u00e0m thay \u0111\u1ed5i ph\u00f9 h\u1ee3p khu\u00f4n m\u1eb7t khi nh\u00ecn nghi\u00eang. Nh\u1eefng thay \u0111\u1ed5i ph\u00f9 h\u1ee3p \u1edf tr\u00ean m\u1eb7t nghi\u00eang l\u00e0 \u0111\u01b0\u1eddng \u0111en tr\u00ean s\u01a1 \u0111\u1ed3 c\u1ee7a Amet, m\u1eb7c d\u00f9 b\u1ec7nh nh\u00e2n lo l\u1eafng kh\u00f4ng mu\u1ed1n ph\u1eabu thu\u1eadt. Nh\u01b0ng \u0111\u1ea5y l\u00e0 kh\u1ea3 n\u0103ng \u0111\u1ed9t ph\u00e1 t\u1ed1t nh\u1ea5t cho khu\u00f4n m\u1eb7t v\u00e0 r\u0103ng. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u00f3 n\u00f3 c\u1ea7n \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o cho b\u1ec7nh nh\u00e2n.<\/figcaption><\/figure>\n

Theo: Systemized Orthodontic Treatment Mechanics – Richard P. McLaughlin BS DDS<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

B\u00e0i vi\u1ebft nh\u1eb1m m\u1ee5c \u0111\u00edch gi\u1edbi thi\u1ec7u c\u00e1c v\u1ea5n \u0111\u1ec1 chung li\u00ean quan \u0111\u1ebfn sai kh\u1edbp c\u1eafn h\u1ea1ng II, \u0111\u1ed3ng th\u1eddi \u0111\u01b0a ra ch\u1ec9 \u0111\u1ecbnh v\u00e0 tr\u1ea3 l\u1eddi cho c\u00e2u h\u1ecfi: Li\u1ec7u c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb n\u1eafn ch\u1ec9nh r\u0103ng hay c\u1ea7n thi\u1ebft ph\u1ea3i ph\u1eabu thu\u1eadt \u0111\u1ec3 c\u1ea3i thi\u1ec7n tr\u01b0\u1eddng h\u1ee3p sai kh\u1edbp c\u1eafn h\u1ea1ng II […]<\/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 c\u1eafn h\u1ea1ng II - Ph\u1eabu thu\u1eadt hay kh\u00f4ng v\u1edbi tr\u01b0\u1eddng h\u1ee3p n\u00e0y?.<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft tr\u1ea3 l\u1eddi cho c\u00e2u h\u1ecfi: Li\u1ec7u c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb n\u1eafn ch\u1ec9nh r\u0103ng hay c\u1ea7n thi\u1ebft ph\u1eabu thu\u1eadt \u0111\u1ec3 c\u1ea3i thi\u1ec7n sai kh\u1edbp c\u1eafn h\u1ea1ng II tr\u00ean b\u1ec7nh nh\u00e2n?\" \/>\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 c\u1eafn h\u1ea1ng II - 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