{"id":23948,"date":"2023-04-18T12:22:47","date_gmt":"2023-04-18T05:22:47","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=23948"},"modified":"2023-05-02T11:55:05","modified_gmt":"2023-05-02T04:55:05","slug":"kiem-soat-vi-tri-gan-xa-va-ngoai-trong-doi-voi-implant-vung-rang-cua-tren","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/kiem-soat-vi-tri-gan-xa-va-ngoai-trong-doi-voi-implant-vung-rang-cua-tren\/","title":{"rendered":"Implant v\u00f9ng r\u0103ng c\u1eeda tr\u00ean – Ki\u1ec3m so\u00e1t v\u1ecb tr\u00ed g\u1ea7n-xa v\u00e0 ngo\u00e0i-trong."},"content":{"rendered":"

V\u1ea5n \u0111\u1ec1 ki\u1ec3m so\u00e1t v\u1ecb tr\u00ed g\u1ea7n-xa v\u00e0 ngo\u00e0i-trong \u0111\u1ed1i v\u1edbi nh\u00f3m Implant v\u00f9ng r\u0103ng c\u1eeda tr\u00ean l\u00e0 m\u1ed9t th\u00e1ch th\u1ee9c \u0111\u1ed1i v\u1edbi c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng, h\u01a1n n\u1eefa \u0111\u00e2y l\u00e0 nh\u00f3m r\u0103ng \u0111\u00f3ng vai tr\u00f2 th\u1ea9m m\u1ef9 tr\u00ean cung r\u0103ng. C\u00f9ng t\u00ecm hi\u1ec3u ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m so\u00e1t th\u00f4ng qua c\u00e1c v\u00ed d\u1ee5 l\u00e2m s\u00e0ng c\u1ee5 th\u1ec3.<\/strong><\/p>\n

1. Gi\u1edbi thi\u1ec7u chung<\/h2>\n

S\u1ef1 ph\u1ee5c h\u1ed3i m\u1ed9t r\u0103ng c\u00f3 l\u1ebd l\u00e0 y\u00eau c\u1ea7u th\u1ea9m m\u1ef9 cao nh\u1ea5t c\u1ee7a ph\u1ee5c h\u1ed3i b\u1eb1ng implant b\u1edfi v\u00ec ch\u00fang th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 thay th\u1ebf cho r\u0103ng c\u1eeda tr\u00ean n\u01a1i m\u00e0 ch\u00fang c\u00f3 th\u1ec3 b\u1ecb so s\u00e1nh v\u1edbi c\u00e1c r\u0103ng t\u1ef1 nhi\u00ean k\u1ebf c\u1eadn. \u0110\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c th\u1ea9m m\u1ef9 t\u1ed1i \u01b0u, ph\u1ee5c h\u00ecnh n\u00ean c\u00f3 \u0111\u1ed9 l\u1ed3i \u1edf m\u00f4 m\u1ec1m v\u00e0 \u0111\u01b0\u1eddng vi\u1ec1n c\u00f9ng m\u1ee9c v\u1edbi r\u0103ng th\u1eadt. \u0110\u1ec3 \u0111i\u1ec1u n\u00e0y d\u1ec5 d\u00e0ng th\u00ec ta n\u00ean c\u00f3 \u0111\u01b0\u1eddng vi\u1ec1n x\u01b0\u01a1ng v\u00e0 m\u00f4 m\u1ec1m t\u1ed1t t\u1eeb tr\u01b0\u1edbc, l\u1eadp k\u1ebf ho\u1ea1ch t\u1ec9 m\u1ec9, v\u1ecb tr\u00ed \u0111\u1eb7t implant ch\u00ednh x\u00e1c v\u00e0 m\u1ed9t ph\u1ee5c h\u00ecnh ti\u00eau chu\u1ea9n cao. C\u00e1ch d\u1ec5 d\u00e0ng nh\u1ea5t l\u00e0 tr\u01b0\u1edbc ti\u00ean xem x\u00e9t \u1edf v\u1ecb tr\u00ed l\u00fd t\u01b0\u1edfng nh\u1ea5t, sau \u0111\u00f3 \u0111\u1ebfn c\u00e1c v\u1ecb tr\u00ed \u00edt thu\u1eadn l\u1ee3i h\u01a1n. V\u1ecb tr\u00ed l\u00fd t\u01b0\u1edfng l\u00e0 n\u01a1i kh\u00f4ng ti\u00eau x\u01b0\u01a1ng ho\u1eb7c ti\u00eau x\u01b0\u01a1ng \u00edt v\u00e0 m\u00f4 m\u1ec1m xung quanh r\u0103ng k\u1ebf c\u1eadn ho\u00e0n h\u1ea3o.<\/p>\n

2. Ki\u1ec3m so\u00e1t v\u1ecb tr\u00ed g\u1ea7n-xa v\u00e0 ngo\u00e0i-trong \u0111\u1ed1i v\u1edbi Implant v\u00f9ng r\u0103ng c\u1eeda tr\u00ean<\/h2>\n

Vi\u1ec7c \u0111\u1eb7t Implant d\u1ef1a v\u00e0o s\u1ef1 d\u1ef1ng h\u00ecnh 3D c\u1ee7a m\u00e1y. Nh\u1eefng thay \u0111\u1ed5i li\u00ean quan \u0111\u1ebfn v\u1ecb tr\u00ed \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 d\u1ec5 d\u00e0ng khi so s\u00e1nh v\u1edbi m\u00e1ng ph\u1eabu thu\u1eadt v\u00ec m\u00e1ng \u0111\u00e3 cung c\u1ea5p th\u00f4ng tin v\u1ec1 v\u1ecb tr\u00ed, h\u00ecnh d\u1ea1ng m\u1eb7t ngo\u00e0i v\u00e0 \u0111\u01b0\u1eddng c\u1ed5 r\u0103ng c\u1ee7a ph\u1ee5c h\u00ecnh.<\/p>\n

\"implant-vung-rang-cua\"
(A) M\u1eb7t ngo\u00e0i c\u1ee7a m\u1ea3ng h\u01b0\u1edbng d\u1eabn ph\u1eabu thu\u1eadt m\u1ed9t r\u0103ng c\u1eeda tr\u00ean b\u00ean ph\u1ea3i, ph\u1ea7n nh\u1ef1a ph\u00eda d\u01b0\u1edbi \u0111\u01b0\u1ee3c c\u1eaft b\u1edbt \u0111\u1ec3 th\u1ea5y r\u00f5 \u0111\u01b0\u1eddng vi\u1ec1n c\u1ed5 r\u0103ng. Ch\u1ed1t \u0111\u1ecbnh h\u01b0\u1edbng \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf v\u1ecb tr\u00ed \u0111\u00e3 s\u1eeda so\u1ea1n \u0111\u1ec3 \u0111\u1eb7t implant. (B) Nh\u00ecn t\u1eeb m\u1eb7t nhai th\u1ea5y \u0111\u01b0\u1ee3c ch\u1ed1t \u0111\u1ecbnh h\u01b0\u1edbng c\u00f3 tr\u1ee5c gi\u1ed1ng nh\u01b0 tr\u1ee5c r\u0103ng \u0111\u01b0\u1ee3c thay th\u1ebf.<\/figcaption><\/figure>\n

V\u1ecb tr\u00ed g\u1ea7n-xa v\u00e0 ngo\u00e0i-trong \u0111\u01b0\u1ee3c quy\u1ebft \u0111\u1ecbnh b\u1edfi l\u1ea7n khoan v\u00e0o x\u01b0\u01a1ng \u0111\u1ea7u ti\u00ean. V\u1ecb tr\u00ed g\u1ea7n xa t\u01b0\u01a1ng \u0111\u1ed1i d\u1ec5 d\u00e0ng, trong h\u1ea7u h\u1ebft tr\u01b0\u1eddng h\u1ee3p v\u1ecb tr\u00ed n\u00e0y n\u1eb1m ngay gi\u1eefa kho\u1ea3ng m\u1ea5t m\u1ed9t r\u0103ng, tr\u1eeb khi c\u00f3 k\u1ebf ho\u1ea1ch t\u1ea1o khe h\u1edf r\u0103ng \u1edf m\u1ed9t b\u00ean c\u1ee7a ph\u1ee5c h\u00ecnh.<\/p>\n

\"implant-vung-rang-cua-1\"
Implant \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf gi\u1eefa kho\u1ea3ng m\u1ea5t r\u0103ng, ngay v\u1ecb tr\u00ed ch\u00e2n r\u0103ng m\u1ea5t. Nh\u00ecn t\u1eeb ph\u00eda b\u00ean, th\u1ea5y \u0111\u01b0\u1ee3c v\u1ecb tr\u00ed l\u00fd t\u01b0\u1edfng m\u00e0 x\u01b0\u01a1ng kh\u00f4ng b\u1ecb m\u1ea5t hay c\u00f2n qu\u00e1 \u00edt.<\/figcaption><\/figure>\n

\u1ede v\u00f9ng r\u0103ng tr\u01b0\u1edbc n\u01a1i c\u00f3 nhi\u1ec1u h\u01a1n m\u1ed9t implant \u0111\u01b0\u1ee3c \u0111\u1eb7t, v\u1ecb tr\u00ed ban \u0111\u1ea7u tr\u1edf n\u00ean quan tr\u1ecdng h\u01a1n \u0111\u1ec3 ch\u1eafc ch\u1eafn kho\u1ea3ng c\u00e1ch gi\u1eefa c\u00e1c implant v\u00e0 r\u0103ng k\u1ebf c\u1eadn l\u00e0 ph\u00f9 h\u1ee3p. \u0110i\u1ec1u n\u00e0y ch\u1ee9ng minh qua h\u00ecnh d\u01b0\u1edbi \u0111\u00e2y, cho th\u1ea5y m\u1ed9t chu\u1ed7i c\u00e1c h\u00ecnh chu\u1ea9n b\u1ecb v\u00f9ng ph\u1eabu thu\u1eadt \u0111\u1ec3 \u0111\u1eb7t hai implant thay th\u1ebf c\u00e1c r\u0103ng c\u1eeda gi\u1eefa tr\u00ean.<\/p>\n

\"implant-vung-rang-cua-2\"
Lo\u1ea1t h\u00ecnh \u1ea3nh v\u1ec1 qu\u00e1 tr\u00ecnh \u0111\u1eb7t hai implant Astra Tech thay th\u1ebf hai r\u0103ng c\u1eeda gi\u1eefa h\u00e0m tr\u00ean. (A) H\u00ecnh d\u1ea1ng s\u1ed1ng h\u00e0m t\u1ed1t tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt. (B) V\u1ea1t ph\u00eda ngo\u00e0i v\u00e0 ph\u00eda trong (kh\u1ea9u c\u00e1i) \u0111\u01b0\u1ee3c l\u1eadt l\u00ean. (C) M\u1ea3ng h\u01b0\u1edbng d\u1eabn b\u1eb1ng nh\u1ef1a t\u1ef1 c\u1ee9ng \u0111\u01b0\u1ee3c th\u1eed tr\u00ean mi\u1ec7ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 v\u1ecb tr\u00ed m\u1eb7t ngo\u00e0i c\u1ee7a r\u0103ng c\u1eeda gi\u1eefa so v\u1edbi s\u1ed1ng h\u00e0m b\u00ean d\u01b0\u1edbi. (D) D\u00f9ng m\u0169i tr\u00f2n khoan xuy\u00ean qua l\u1edbp x\u01b0\u01a1ng v\u1ecf s\u1ed1ng h\u00e0m \u1edf v\u1ecb tr\u00ed khoan th\u00edch h\u1ee3p theo chi\u1ec1u g\u1ea7n-xa, ngo\u00e0i-trong. (E) Chi\u1ec1u h\u01b0\u1edbng c\u1ee7a v\u1ecb tr\u00ed \u0111\u01b0\u1ee3c s\u1eeda so\u1ea1n \u0111\u1eb7t implant, sau khi \u0111\u00e3 m\u1edf r\u1ed9ng k\u00edch th\u01b0\u1edbc b\u1eb1ng hai m\u0169i khoan. C\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh g\u00f3c \u0111\u1ed9 \u1edf nh\u1eefng l\u1ea7n khoan \u0111\u1ea7u. N\u00ean s\u1eed d\u1ee5ng ch\u1ed1t \u0111\u1ecbnh h\u01b0\u1edbng (ph\u00eda h\u00e0m b\u00ean ph\u1ea3i c\u1ee7a b\u1ec7nh nh\u00e2n) v\u00e0 m\u1ea3ng h\u01b0\u1edbng d\u1eabn \u0111\u1ec3 xem x\u00e9t chi\u1ec1u h\u01b0\u1edbng. (F) Chi\u1ec1u h\u01b0\u1edbng c\u1ee7a ch\u1ed1t \u0111\u1ecbnh h\u01b0\u1edbng nh\u00ecn t\u1eeb m\u1eb7t ngo\u00e0i. (G) Ch\u1ed1t \u0111\u1ecbnh h\u01b0\u1edbng nh\u00ecn t\u1eeb ph\u00eda m\u1eb7t nhai. (H) Sau khi thi\u1ebft l\u1eadp \u0111\u01b0\u1ee3c \u0111i\u1ec3m \u0111\u1eb7t implant c\u00f3 v\u1ecb tr\u00ed v\u00e0 g\u00f3c \u0111\u1ed9 ph\u00f9 h\u1ee3p, d\u00f9ng m\u0169i khoan c\u00f3 \u0111\u01b0\u1eddng k\u00ednh l\u1edbn h\u01a1n \u0111\u1ec3 m\u1edf r\u1ed9ng. (I) D\u00f9ng m\u0169i khoan conical \u0111\u1ec3 s\u1eeda so\u1ea1n ph\u1ea7n m\u00e0o x\u01b0\u01a1ng ph\u00eda tr\u00ean \u0111\u1ec3 kh\u1edbp \u0111\u01b0\u1ee3c v\u1edbi ph\u1ea7n c\u1ed5 c\u1ee7a implant Astra Tech ST. (J) Implant \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o v\u1ecb tr\u00ed, k\u1ebft n\u1ed1i v\u1edbi c\u00e2y v\u1eb7n. C\u00e2y v\u1eb7n c\u00f3 nhi\u1ec1u thi\u1ebft k\u1ebf kh\u00e1c nhau v\u00e0 c\u00f3 th\u1ec3 d\u00f9ng tay khoan ch\u1eadm hay v\u1eb7n b\u1eb1ng tay. (K) Implant \u0111\u00e3 c\u1eafm c\u00f3 ph\u1ea7n tr\u00ean th\u1ea5p h\u01a1n m\u1ed9t ch\u00fat so v\u1edbi m\u00e0o x\u01b0\u01a1ng. \u0110i\u1ec1u n\u00e0y gi\u00fap t\u1ea1o \u0111\u01b0\u1ee3c m\u1eb7t tho\u00e1t t\u1ed1t (good emergence profile) cho r\u0103ng c\u1eeda gi\u1eefa, v\u1ed1n c\u00f3 \u0111\u01b0\u1eddng k\u00ednh l\u1edbn h\u01a1n ph\u1ea7n \u0111\u1ea7u c\u1ee7a implant (4.5mm). (L) Kh\u00e2u \u0111\u00f3ng v\u1ea1t trong quy tr\u00ecnh c\u1eafm v\u00f9i hai th\u00ec (submerged two-stage protocol)<\/figcaption><\/figure>\n

Tuy nhi\u00ean, trong v\u00e0i tr\u01b0\u1eddng h\u1ee3p x\u01b0\u01a1ng ti\u00eau s\u1ebd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn v\u1ecb tr\u00ed ngo\u00e0i trong c\u1ee7a s\u1ed1ng h\u00e0m v\u00e0 g\u00f3c \u0111\u1ed9 c\u1ee7a implant, y\u1ebfu t\u1ed1 g\u00e2y kh\u00f3 kh\u0103n cho c\u00e1c nh\u00e0 l\u00e2m s\u00e0ng thi\u1ebfu kinh nghi\u1ec7m.<\/p>\n

\"\"
Bi\u1ec3u \u0111\u1ed3 b\u00ean tr\u00e1i cho th\u1ea5y tr\u1ee5c implant tr\u00f9ng v\u1edbi tr\u1ee5c r\u0103ng trong tr\u01b0\u1eddng h\u1ee3p l\u00fd t\u01b0\u1edfng. Tr\u01b0\u1eddng h\u1ee3p ph\u1ed5 bi\u1ebfn h\u01a1n \u0111\u01b0\u1ee3c minh h\u1ecda \u1edf bi\u1ec3u \u0111\u1ed3 b\u00ean ph\u1ea3i, implant \u0111\u01b0\u1ee3c \u0111\u1eb7t h\u01a1i v\u00f4 trong (v\u1ec1 ph\u00eda kh\u1ea9u c\u1ea3i) v\u00ec s\u1ed1ng h\u00e0m th\u01b0\u1eddng ti\u00eau \u1edf m\u1eb7t ngo\u00e0i. G\u00f3c \u0111\u1ed9 implant v\u1eabn gi\u1eef nguy\u00ean, tr\u1ee5c implant l\u00fac n\u00e0y \u0111i qua cingulum c\u1ee7a r\u0103ng c\u1eeda, do \u0111\u00f3 ta c\u00f3 th\u1ec3 l\u00e0m \u0111\u01b0\u1ee3c m\u1ed9t ph\u1ee5c h\u00ecnh l\u01b0u gi\u1eef b\u1eb1ng v\u00edt. Tuy nhi\u00ean, n\u1ebfu c\u00f3 \u0111\u1ee7 x\u01b0\u01a1ng, c\u0169ng c\u00f3 th\u1ec3 \u0111\u1eb7t implant h\u01a1i nh\u00f4 ra ngo\u00e0i, l\u00fac n\u00e0y tr\u1ee5c implant \u0111i qua c\u1ea1nh c\u1eafn r\u0103ng c\u1eeda.<\/figcaption><\/figure>\n

V\u00f9ng b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi khuy\u1ebft h\u1ed5ng t\u1ea1i ch\u1ed7 tr\u00ean s\u1ed1ng h\u00e0m ho\u1eb7c hi\u1ec7n di\u1ec7n m\u1ed9t c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu nh\u01b0 k\u00eanh r\u0103ng c\u1eeda.<\/p>\n

\"\"
Lo\u1ea1t h\u00ecnh \u1ea3nh minh h\u1ecda v\u1ec1 t\u00e1c d\u1ee5ng c\u1ee7a vi\u1ec7c \u0111\u1eb7t implant h\u01a1i v\u00f4 trong (ph\u00eda kh\u1ea9u c\u00e1i). (A) M\u1ed9t b\u1ec7nh nh\u00e2n m\u1ea5t r\u0103ng c\u1eeda gi\u1eefa h\u00e0m tr\u00ean. (B) L\u1eadt v\u1ea1t v\u00e0 s\u1eeda so\u1ea1n v\u1ecb tr\u00ed \u0111\u1eb7t implant v\u1edbi x\u01b0\u01a1ng s\u1eb5n c\u00f3. V\u1ecb tr\u00ed \u0111\u1eb7t h\u01a1i l\u1ec7ch nh\u1eb9 v\u1ec1 ph\u00eda kh\u1ea9u c\u00e1i do ti\u00eau x\u01b0\u01a1ng m\u1eb7t ngo\u00e0i, v\u00e0 h\u01a1i l\u1ec7ch v\u1ec1 ph\u00eda xa do nh\u1ee7 l\u1ed3i l\u00ean c\u1ee7a \u1ed1ng th\u1ea7n kinh r\u0103ng c\u1eeda. (C) K\u1ebft qu\u1ea3 sau c\u00f9ng c\u00f3 th\u1ea9m m\u1ef9 t\u1ed1t, nh\u01b0ng m\u00e3o ph\u1ee5c h\u00ecnh implant h\u01a1i ph\u1ee7 l\u00ean n\u01b0\u1edbu nh\u1eb9 (ridge lapped) \u0111\u1ec3 b\u00f9 cho implant \u0111\u1eb7t l\u1ec7ch v\u1ec1 ph\u00eda trong kh\u1ea9u c\u00e1i. (D) Phim X-Quang sau khi ho\u00e0n th\u00e0nh cho th\u1ea5y m\u1ee9c x\u01b0\u01a1ng ngang v\u1edbi ph\u1ea7n \u0111\u1ea7u c\u1ee7a implant Astra Tech.<\/figcaption><\/figure>\n
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Lo\u1ea1t h\u00ecnh \u1ea3nh v\u1ec1 qu\u00e1 tr\u00ecnh \u0111\u1eb7t m\u1ed9t implant Astra Tech thay th\u1ebf r\u0103ng c\u1eeda b\u00ean h\u00e0m tr\u00ean, tr\u1ee5c implant \u0111i qua r\u00eca c\u1eafn r\u0103ng c\u1eeda. (A) T\u00ecnh tr\u1ea1ng ban \u0111\u1ea7u cho th\u1ea5y c\u00f3 hai c\u1ea7u c\u00e1nh d\u00e1n b\u1eb1ng nh\u1ef1a (minimal preparation resin-retained bridges) \u1edf r\u0103ng c\u1eeda b\u00ean h\u00e0m tr\u00e1i v\u00e0 ph\u1ea3i. C\u1ea7u r\u0103ng ph\u00eda b\u00ean tr\u00e1i b\u1ecb h\u1ecfng v\u00e0 \u0111\u01b0\u1ee3c thay th\u1ebf b\u1eb1ng ph\u1ee5c h\u1ed3i tr\u00ean implant. (B) V\u1ecb tr\u00ed \u0111\u1eb7t implant \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eeda so\u1ea1n xong. Ch\u1ec9 c\u00f3 ti\u00eau x\u01b0\u01a1ng m\u1ed9t \u00edt \u1edf m\u1eb7t ngo\u00e0i, v\u1eabn cho ph\u00e9p implant \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1ed5n \u0111\u1ecbnh, tr\u1ee5c implant \u0111i qua g\u1ea7n c\u1ea1nh c\u1eafn r\u0103ng c\u1eeda. (C) Sau khi ho\u00e0n t\u1ea5t, ph\u1ee5c h\u00ecnh tr\u00ean implant \u0111\u1ea1t \u0111\u01b0\u1ee3c th\u1ea9m m\u1ef9 v\u00e0 emergence profile t\u1ed1t. (D) Nh\u00ecn t\u1eeb ph\u00eda m\u1eb7t c\u1eafn, m\u00e3o ph\u1ee5c h\u00ecnh g\u1eafn b\u1eb1ng cement c\u00f3 \u0111\u01b0\u1eddng vi\u1ec1n b\u00ecnh th\u01b0\u1eddng v\u00e0 m\u1ed9t l\u1ed7 nh\u1ecf gi\u00fap cement th\u1eeba tho\u00e1t ra ngo\u00e0i. (E) H\u00ecnh \u1ea3nh X-Quang sau khi ho\u00e0n t\u1ea5t cho th\u1ea5y m\u1ee9c x\u01b0\u01a1ng ngang ph\u1ea7n \u0111\u1ea7u implant v\u00e0 ph\u1ee5c h\u00ecnh \u0111\u1ea1t \u0111\u01b0\u1ee3c emergence profile r\u1ea5t t\u1ed1t.<\/figcaption><\/figure>\n

Do \u0111\u00f3, implant \u0111\u1eb7t v\u1ec1 ph\u00eda kh\u1ea9u c\u00e1i nhi\u1ec1u h\u01a1n \u0111\u01b0\u1ee3c \u01b0a chu\u1ed9ng. \u1ede v\u1ecb tr\u00ed b\u1ea5t th\u01b0\u1eddng tr\u00ean s\u1ed1ng h\u00e0m r\u1ed9ng c\u00f3 h\u00ecnh d\u1ea1ng t\u1ed1t theo chi\u1ec1u ngo\u00e0i trong, quan tr\u1ecdng l\u00e0 kh\u00f4ng \u0111\u1eb7t implant ra ph\u00eda ngo\u00e0i qu\u00e1 m\u1ee9c v\u01b0\u1ee3t qu\u00e1 profile c\u1ee7a r\u0103ng k\u1ebf c\u1eadn. (In the unusual situation of a very well-formed\/broad ridge in the buccolingual dimension, it is important not to site the implant too buccally outside the profile of the adjacent teeth)<\/p>\n

Ngu\u1ed3n: Implant trong th\u1ef1c h\u00e0nh Nha khoa – Richard D.Palmer\/Nh\u00f3m d\u1ecbch Saigon Young Dentists Vi\u1ec7t Nam<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

V\u1ea5n \u0111\u1ec1 ki\u1ec3m so\u00e1t v\u1ecb tr\u00ed g\u1ea7n-xa v\u00e0 ngo\u00e0i-trong \u0111\u1ed1i v\u1edbi nh\u00f3m Implant v\u00f9ng r\u0103ng c\u1eeda tr\u00ean l\u00e0 m\u1ed9t th\u00e1ch th\u1ee9c \u0111\u1ed1i v\u1edbi c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng, h\u01a1n n\u1eefa \u0111\u00e2y l\u00e0 nh\u00f3m r\u0103ng \u0111\u00f3ng vai tr\u00f2 th\u1ea9m m\u1ef9 tr\u00ean cung r\u0103ng. C\u00f9ng t\u00ecm hi\u1ec3u ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m so\u00e1t th\u00f4ng qua c\u00e1c v\u00ed d\u1ee5 l\u00e2m […]<\/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":"\nImplant v\u00f9ng r\u0103ng c\u1eeda tr\u00ean - Ki\u1ec3m so\u00e1t v\u1ecb tr\u00ed g\u1ea7n-xa v\u00e0 ngo\u00e0i-trong.<\/title>\n<meta name=\"description\" content=\"Ki\u1ec3m so\u00e1t v\u1ecb tr\u00ed g\u1ea7n-xa v\u00e0 ngo\u00e0i-trong Implant v\u00f9ng r\u0103ng c\u1eeda tr\u00ean l\u00e0 m\u1ed9t th\u00e1ch th\u1ee9c \u0111\u1ed1i v\u1edbi c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng. 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