{"id":24231,"date":"2023-04-19T10:37:59","date_gmt":"2023-04-19T03:37:59","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24231"},"modified":"2023-05-02T11:29:19","modified_gmt":"2023-05-02T04:29:19","slug":"tong-quan-ve-mo-ghep-trong-implant","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/tong-quan-ve-mo-ghep-trong-implant\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 m\u00f4 gh\u00e9p trong Implant."},"content":{"rendered":"<p><strong>M\u00f4 gh\u00e9p \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng r\u1ea5t nhi\u1ec1u trong ph\u1eabu thu\u1eadt Nha khoa, c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn v\u1edbi tr\u01b0\u1eddng h\u1ee3p ph\u1eabu thu\u1eadt Implant v\u00f9ng m\u00f4 b\u1ecb thi\u1ebfu h\u1ed5ng, kh\u00f3 c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n ho\u1eb7c th\u1ef1c hi\u1ec7n g\u00e2y ra nhi\u1ec1u r\u1ee7i ro \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n. B\u00e0i vi\u1ebft n\u00e0y gi\u1edbi thi\u1ec7u chung v\u1ec1 m\u00f4 gh\u00e9p, \u0111\u1ed3ng th\u1eddi li\u1ec7t k\u00ea m\u1ed9t s\u1ed1 h\u1ec7 th\u1ed1ng d\u1ea1ng m\u00f4 gh\u00e9p \u0111ang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong th\u1ecb tr\u01b0\u1eddng. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n<h2>1. Gi\u1edbi thi\u1ec7u chung v\u1ec1 m\u00f4 gh\u00e9p trong Implant<\/h2>\n<p>\u0110\u00f2i h\u1ecfi quan tr\u1ecdng nh\u1ea5t c\u1ee7a s\u1ef1 th\u00e0nh c\u00f4ng implant l\u00e0 c\u00f3 \u0111\u1ee7 th\u1ec3 t\u00edch x\u01b0\u01a1ng v\u1edbi m\u1eadt \u0111\u1ed9 d\u00e0y \u0111\u1eb7c \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111\u1eb7t m\u1ed9t implant v\u1edbi k\u00edch c\u1ee1 th\u00edch h\u1ee3p v\u00e0o m\u1ed9t v\u1ecb tr\u00ed v\u00e0 chi\u1ec1u h\u01b0\u1edbng nh\u01b0 mong mu\u1ed1n. \u0110\u00f4i khi c\u0169ng c\u1ea7n d\u00f9ng nh\u1eefng k\u1ef9 thu\u1eadt ph\u1ee9c t\u1ea1p h\u01a1n \u0111\u1ec3 thay \u0111\u1ed5i to\u00e0n b\u1ed9 profile s\u1ed1ng h\u00e0m, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 bao g\u1ed3m c\u1ea3 s\u1ef1 thay \u0111\u1ed5i \u1edf n\u1ec1n x\u01b0\u01a1ng.<\/p>\n<p>Ngo\u00e0i nh\u1eefng th\u00e0nh ph\u1ea7n x\u01b0\u01a1ng r\u00f5 rang cho v\u1ea5n \u0111\u1ec1 n\u00e0y, c\u0169ng c\u00f3 nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p m\u00f4 m\u1ec1m c\u1ee7a v\u00f9ng \u0111\u1eb7t implant b\u1ecb thi\u1ebfu h\u1ed5ng. M\u00f4 m\u1ec1m \u0111\u00f3ng m\u1ed9t vai tr\u00f2 s\u1ed1ng c\u00f2n trong vi\u1ec7c duy tr\u00ec s\u1ee9c kh\u1ecfe c\u1ee7a v\u00f9ng quanh implant v\u00e0 c\u0169ng g\u00f3p ph\u1ea7n l\u1edbn v\u00e0o k\u1ebft qu\u1ea3 th\u1ea9m m\u1ef9, \u0111\u1eb7c bi\u1ec7t \u1edf v\u00f9ng r\u0103ng c\u1eeda. M\u00f4 m\u1ec1m quanh implant ph\u1ea3i \u0111\u01b0\u1ee3c duy tr\u00ec ho\u00e0n to\u00e0n trong su\u1ed1t qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n ch\u1ee9c n\u0103ng b\u00ecnh th\u01b0\u1eddng v\u00e0 v\u1ec7 sinh r\u0103ng mi\u1ec7ng.<\/p>\n<p>V\u00ec v\u1eady, m\u00f4 gh\u00e9p \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3:<\/p>\n<ul>\n<li>cho ph\u00e9p \u0111\u1eb7t implant<\/li>\n<li>l\u00e0m t\u0103ng th\u1ea9m m\u1ef9 v\u00e0 c\u1ea3i thi\u1ec7n m\u00f4 m\u1ec1m<\/li>\n<li>thay \u0111\u1ed5i t\u01b0\u01a1ng quan c\u1ee7a h\u00e0m<\/li>\n<\/ul>\n<p>C\u00e1c giai \u0111o\u1ea1n l\u1eadp k\u1ebf ho\u1ea1ch ban \u0111\u1ea7u \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 trong c\u00e1c ch\u01b0\u01a1ng tr\u01b0\u1edbc \u0111\u01b0\u1ee3c \u0111\u01b0a l\u00ean m\u1ee9c \u0111\u1ed9 quan tr\u1ecdng h\u01a1n trong nh\u1eefng case gh\u00e9p ti\u1ec1m n\u0103ng. B\u1edfi b\u1ea3n ch\u1ea5t ri\u00eang bi\u1ec7t c\u1ee7a nh\u1eefng case n\u00e0y, ch\u00fang ta g\u1eb7p kh\u00f3 kh\u0103n h\u01a1n khi l\u1eadp k\u1ebf ho\u1ea1ch v\u00e0 th\u1ef1c hi\u1ec7n, k\u1ebft qu\u1ea3 sau c\u00f9ng c\u00f3 kh\u1ea3 n\u0103ng th\u1ea5t b\u1ea1i cho c\u1ea3 b\u00e1c s\u1ef9 v\u00e0 b\u1ec7nh nh\u00e2n. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 t\u1ea5t c\u1ea3 c\u00e1c gi\u1ea3i ph\u00e1p ph\u1ea3i \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc v\u00e0 tr\u00ecnh b\u00e0y cho b\u1ec7nh nh\u00e2n hi\u1ec3u \u0111\u1ec3 h\u1ecd c\u00f3 th\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh li\u00ean quan \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb c\u1ee7a h\u1ecd. \u0110\u1eb7c bi\u1ec7t, ch\u00fang ta c\u1ea7n c\u00e2n nh\u1eafc xem li\u1ec7u m\u1ed9t gi\u1ea3i ph\u00e1p th\u1ecfa hi\u1ec7p b\u1eb1ng c\u00e1ch d\u00f9ng ph\u1ee5c h\u00ecnh c\u00f3 ph\u1ea3i l\u00e0 \u0111i\u1ec1u mong mu\u1ed1n v\u00e0 \u0111\u1ea1t \u0111\u01b0\u1ee3c ti\u00ean l\u01b0\u1ee3ng t\u1ed1t h\u01a1n trong th\u1eddi gian d\u00e0i hay kh\u00f4ng. M\u1ed9t l\u1ef1a ch\u1ecdn kh\u00e1c l\u00e0 xem x\u00e9t li\u1ec7u vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c thi\u1ebft k\u1ebf implant kh\u00e1c nhau \u0111\u1ec3 kh\u1eafc ph\u1ee5c \u0111\u01b0\u1ee3c v\u1ea5n \u0111\u1ec1 hay kh\u00f4ng.<\/p>\n<h2>2. V\u1eadt li\u1ec7u gh\u00e9p x\u01b0\u01a1ng<\/h2>\n<p>M\u1ee9c \u0111\u1ed9 gh\u00e9p x\u01b0\u01a1ng \u0111\u1ec3 \u0111\u1eb7t implant kh\u00e1c nhau t\u00f9y theo tr\u01b0\u1eddng h\u1ee3p thi\u1ebfu h\u1ed5ng t\u1ea1i ch\u1ed7 hay tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thay \u0111\u1ed5i to\u00e0n b\u1ed9 profile cung h\u00e0m v\u00e0\/ho\u1eb7c t\u01b0\u01a1ng quan hai h\u00e0m. Do \u0111\u00f3, c\u00f3 nhi\u1ec1u k\u1ef9 thu\u1eadt v\u00e0 v\u1eadt li\u1ec7u tuy\u1ec7t v\u1eddi \u0111\u1ec3 l\u00e0m cho th\u1ee7 thu\u1eadt gh\u00e9p \u0111\u01b0\u1ee3c d\u1ec5 d\u00e0ng v\u00e0 nhi\u1ec1u lo\u1ea1i trong s\u1ed1 \u0111\u00f3 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi nhau. S\u1ef1 t\u01b0\u01a1ng t\u00e1c gi\u1eefa m\u00f4 gh\u00e9p v\u00e0 x\u01b0\u01a1ng xung quanh v\u00f9ng gh\u00e9p l\u00e0 r\u1ea5t quan tr\u1ecdng v\u00e0 l\u00e0 ch\u1ee7 \u0111\u1ec1 c\u1ee7a nhi\u1ec1u nghi\u00ean c\u1ee9u.<\/p>\n<p>M\u1eb7c d\u00f9 m\u1ed9t s\u1ed1 m\u00f4 gh\u00e9p ch\u1ec9 ho\u1ea1t \u0111\u1ed9ng \u0111\u01a1n thu\u1ea7n nh\u01b0 l\u00e0 ch\u1ea5t \u0111\u1ed9n kho\u1ea3ng tr\u1ed1ng, m\u00f4 gh\u00e9p l\u00fd t\u01b0\u1edfng s\u1ebd k\u00edch t\u1ea1o x\u01b0\u01a1ng (osseoconductive) v\u00e0 k\u00edch d\u1eabn x\u01b0\u01a1ng (osseoinductive). S\u1ef1 k\u00edch t\u1ea1o x\u01b0\u01a1ng (osseoconduction) l\u00e0 \u0111\u1eb7c t\u00ednh c\u1ee7a s\u1ef1 th\u00fac \u0111\u1ea9y x\u01b0\u01a1ng ph\u00e1t tri\u1ec3n t\u1eeb x\u01b0\u01a1ng xung quanh v\u00f9ng gh\u00e9p l\u00ean b\u1ec1 m\u1eb7t c\u1ee7a v\u1eadt li\u1ec7u gh\u00e9p, s\u1eed d\u1ee5ng m\u00f4 gh\u00e9p nh\u01b0 m\u1ed9t c\u00e1i khung. V\u1eadt li\u1ec7u gh\u00e9p trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u00e1i h\u1ea5p th\u1ee5 ho\u1eb7c v\u1eabn h\u1ea7u nh\u01b0 c\u00f2n nguy\u00ean v\u1eb9n, t\u00f9y thu\u1ed9c v\u00e0o v\u1eadt li\u1ec7u s\u1eed d\u1ee5ng. S\u1ef1 k\u00edch d\u1eabn x\u01b0\u01a1ng (osseoinduction) l\u00e0 kh\u1ea3 n\u0103ng th\u00fac \u0111\u1ea9y h\u00ecnh th\u00e0nh x\u01b0\u01a1ng \u1edf xa v\u00f9ng gh\u00e9p ngay c\u1ea3 trong m\u00f4 kh\u00f4ng kho\u00e1ng h\u00f3a. Protein t\u1ea1o h\u00ecnh th\u00e1i x\u01b0\u01a1ng v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 th\u00fac \u0111\u1ea9y x\u01b0\u01a1ng kh\u00e1c c\u00f3 \u0111\u1eb7c t\u00ednh th\u1ee9 hai n\u00e0y v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ng\u00e0y nhi\u1ec1u \u0111\u1ec3 t\u1ed1i \u01b0u h\u00f3a hi\u1ec7u qu\u1ea3 c\u1ee7a v\u1eadt li\u1ec7u gh\u00e9p x\u01b0\u01a1ng.<\/p>\n<p><strong>Gh\u00e9p x\u01b0\u01a1ng t\u1ef1 th\u00e2n<\/strong><\/p>\n<p>X\u01b0\u01a1ng t\u1ef1 th\u00e2n lu\u00f4n c\u00f3 s\u1eb5n cho n\u00ean n\u00f3 l\u00e0 s\u1ef1 l\u1ef1a ch\u1ecdn \u0111\u1ea7u ti\u00ean c\u1ee7a nhi\u1ec1u b\u00e1c s\u0129 l\u00e2m s\u00e0ng trong vi\u1ec7c gh\u00e9p x\u01b0\u01a1ng. Tuy nhi\u00ean, l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n ch\u1ea5p nh\u1eadn l\u1ea5y x\u01b0\u01a1ng t\u1ef1 th\u00e2n c\u00f3 th\u1ec3 r\u1ea5t th\u1ea5p, do nh\u1eefng k\u1ef9 thu\u1eadt n\u00e0y c\u00f3 kh\u1ea3 n\u0103ng \u1ea3nh h\u01b0\u1edfng s\u1ee9c kh\u1ecfe. M\u1eb7c d\u00f9 m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng l\u1edbn c\u00e1c nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng v\u00e0 th\u1eddi gian \u0111\u00e3 \u0111\u01b0\u1ee3c b\u1ecf ra trong nhi\u1ec1u n\u0103m \u0111\u1ec3 ph\u00e1t tri\u1ec3n v\u1eadt li\u1ec7u thay th\u1ebf cho x\u01b0\u01a1ng t\u1ef1 th\u00e2n, n\u00f3 v\u1eabn l\u00e0 ti\u00eau chu\u1ea9n v\u00e0ng m\u00e0 d\u1ef1a v\u00e0o \u0111\u00f3 t\u1ea5t c\u1ea3 c\u00e1c v\u1eadt li\u1ec7u kh\u00e1c \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 v\u00e0 duy tr\u00ec s\u1ef1 l\u1ef1a ch\u1ecdn v\u1eadt li\u1ec7u cho c\u00e1c t\u00e1c gi\u1ea3 hi\u1ec7n nay. L\u1ee3i th\u1ebf ch\u00ednh c\u1ee7a n\u00f3 l\u00e0 nh\u01b0 sau:<\/p>\n<ul>\n<li>C\u00f3 s\u1eb5n<\/li>\n<li>V\u00f4 tr\u00f9ng<\/li>\n<li>T\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc<\/li>\n<li>C\u00f3 kh\u1ea3 n\u0103ng k\u00edch t\u1ea1o x\u01b0\u01a1ng<\/li>\n<li>C\u00f3 kh\u1ea3 n\u0103ng k\u00edch d\u1eabn x\u01b0\u01a1ng<\/li>\n<li>D\u1ec5 d\u00e0ng s\u1eed d\u1ee5ng<\/li>\n<\/ul>\n<p>Nh\u1eefng kh\u00f3 kh\u0103n ch\u00ednh nh\u01b0 sau:<\/p>\n<ul>\n<li>Th\u1ec3 t\u00edch c\u00f3 s\u1eb5n h\u1ea1n ch\u1ebf, \u0111\u1eb7c bi\u1ec7t \u1edf trong mi\u1ec7ng<\/li>\n<li>C\u01a1 h\u1ed9i c\u00f3 v\u00f9ng cho x\u01b0\u01a1ng t\u1ed1t<\/li>\n<li>\u0110au sau m\u1ed5 v\u00e0 di ch\u1ee9ng ph\u1eabu thu\u1eadt kh\u00e1c<\/li>\n<li>C\u00f3 kh\u1ea3 n\u0103ng t\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u1ea5u tr\u00fac l\u00e2n c\u1eadn<\/li>\n<\/ul>\n<p>M\u00f4 gh\u00e9p ho\u1ea1t \u0111\u1ed9ng nh\u01b0 m\u1ed9t gi\u00e0n khung cho c\u00e1c m\u1ea1ch m\u00e1u tr\u1ed3i l\u00ean v\u00e0 nh\u01b0 l\u00e0 m\u1ed9t ngu\u1ed3n t\u1ebf b\u00e0o x\u01b0\u01a1ng nguy\u00ean ph\u00e1t v\u00e0 ph\u00e2n t\u1eed k\u00edch th\u00edch x\u01b0\u01a1ng (bone-inducing molecules). Cu\u1ed1i c\u00f9ng, m\u00f4 gh\u00e9p \u0111\u01b0\u1ee3c t\u00e1i h\u1ea5p th\u1ee5 nh\u01b0 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a x\u01b0\u01a1ng b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p><strong>V\u1eadt li\u1ec7u gh\u00e9p kh\u00e1c<\/strong><\/p>\n<p>M\u1eb7c d\u00f9 ti\u00eau chu\u1ea9n v\u00e0ng cho gh\u00e9p x\u01b0\u01a1ng v\u1eabn l\u00e0 x\u01b0\u01a1ng c\u1ee7a b\u1ec7nh nh\u00e2n, nh\u01b0ng nh\u1eefng h\u1ea1n ch\u1ebf v\u1ec1 l\u01b0\u1ee3ng x\u01b0\u01a1ng c\u00f3 s\u1eb5n (\u0111\u1eb7c bi\u1ec7t l\u00e0 t\u1eeb c\u00e1c v\u00f9ng kh\u00e1c v\u1edbi m\u00e0o ch\u1eadu) v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn k\u1ef9 thu\u1eadt l\u1ea5y x\u01b0\u01a1ng cho th\u1ea5y v\u1eabn c\u00f2n nhu c\u1ea7u r\u1ea5t l\u1edbn v\u1ec1 v\u1eadt li\u1ec7u gh\u00e9p thay th\u1ebf. Xenografts (v\u1eadt li\u1ec7u d\u1ecb ch\u1ee7ng) c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb m\u1ed9t lo\u00e0i kh\u00e1c, m\u00f4 gh\u00e9p \u0111\u1ed3ng ch\u1ee7ng (allografts) t\u1eeb m\u1ed9t th\u00e0nh vi\u00ean c\u1ee7a c\u00f9ng m\u1ed9t lo\u00e0i, v\u00e0 alloplasts l\u00e0 v\u1eadt li\u1ec7u t\u1ed5ng h\u1ee3p.<\/p>\n<p>C\u00e1c c\u1ea5u tr\u00fac v\u0129 m\u00f4 v\u00e0 vi m\u00f4 c\u1ee7a c\u00e1c m\u00f4 gh\u00e9p c\u00f3 \u1ea3nh h\u01b0\u1edfng to l\u1edbn \u0111\u1ed1i v\u1edbi hi\u1ec7u qu\u1ea3 c\u1ee7a ch\u00fang. \u0110\u01b0\u1eddng k\u00ednh l\u1ed7 v\u00e0 th\u1ec3 t\u00edch \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng. C\u00e1c \u0111\u1eb7c t\u00ednh l\u00fd t\u01b0\u1edfng c\u1ee7a m\u1ed9t v\u1eadt li\u1ec7u gh\u00e9p x\u01b0\u01a1ng \u0111\u00e3 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 (HAMMERLE, 1999) nh\u01b0 sau:<\/p>\n<ol>\n<li>V\u00f4 tr\u00f9ng<\/li>\n<li>Kh\u00f4ng \u0111\u1ed9c<\/li>\n<li>Kh\u00f4ng g\u00e2y mi\u1ec5n d\u1ecbch<\/li>\n<li>K\u00edch t\u1ea1o x\u01b0\u01a1ng ho\u1eb7c k\u00edch d\u1eabn x\u01b0\u01a1ng<\/li>\n<li>X\u1eed l\u00fd l\u00e2m s\u00e0ng thu\u1eadn l\u1ee3i<\/li>\n<li>S\u1ef1 ti\u00eau v\u00e0 thay th\u1ebf b\u1edfi x\u01b0\u01a1ng ch\u1ee7<\/li>\n<li>Nh\u00e2n t\u1ea1o<\/li>\n<li>C\u00f3 s\u1eb5n v\u1edbi s\u1ed1 l\u01b0\u1ee3ng \u0111\u1ee7<\/li>\n<li>Chi ph\u00ed th\u1ea5p<\/li>\n<\/ol>\n<p><strong>M\u00f4 gh\u00e9p \u0111\u1ed3ng lo\u1ea1i<\/strong><\/p>\n<p>X\u01b0\u01a1ng c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb t\u1eed thi \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong ch\u1ec9nh h\u00ecnh v\u00e0 c\u1ea5y gh\u00e9p nha khoa c\u0169ng nh\u01b0 nha chu. M\u00f4 gh\u00e9p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u00f4ng l\u1ea1nh kh\u00f4 ho\u1eb7c m\u00f4 gh\u00e9p l\u00e0 x\u01b0\u01a1ng kh\u1eed kho\u00e1ng \u0111\u00f4ng kh\u00f4 (DFDBA), c\u1ea3 hai \u0111\u1ec1u \u0111\u01b0\u1ee3c cho l\u00e0 m\u1ed9t ngu\u1ed3n cung c\u1ea5p protein h\u00ecnh th\u00e1i x\u01b0\u01a1ng. N\u00f3 \u0111\u01b0\u1ee3c l\u1ea5y t\u1eeb nh\u1eefng ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng c\u00f3 t\u00ecnh tr\u1ea1ng b\u1ec7nh s\u1eed t\u1ed1t v\u00e0 \u0111\u01b0\u1ee3c ki\u1ec3m tra t\u1ea5t c\u1ea3 c\u00e1c kh\u00e1ng nguy\u00ean nhi\u1ec5m tr\u00f9ng ph\u1ed5 bi\u1ebfn v\u00e0 \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t ngu\u1ed3n an to\u00e0n c\u1ee7a v\u1eadt li\u1ec7u gh\u00e9p.<\/p>\n<p>C\u00e1c m\u00f4 gh\u00e9p \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t nh\u01b0 c\u00e1c lo\u1ea1i h\u1ea1t v\u1edbi k\u00edch th\u01b0\u1edbc c\u00e1c h\u1ea1t \u0111\u1ed3ng nh\u1ea5t v\u1eeba ph\u1ea3i ho\u1eb7c nh\u01b0 d\u1ea1ng l\u00e1 v\u00e0 d\u1ea1ng kh\u1ed1i l\u1edbn. Nh\u1eefng lo\u1ea1i n\u00e0y thu\u1ed9c d\u1ea1ng k\u00edch d\u1eabn x\u01b0\u01a1ng, ch\u00fang cung c\u1ea5p m\u1ed9t c\u00e1i khung cho s\u1ef1 t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng m\u1edbi, v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c t\u00e1i h\u1ea5p th\u1ee5 nh\u01b0 l\u00e0 m\u1ed9t ph\u1ea7n b\u00ecnh th\u01b0\u1eddng c\u1ee7a x\u01b0\u01a1ng nh\u01b0ng m\u1ed9t \u00edt x\u01b0\u01a1ng gh\u00e9p v\u1eabn c\u00f2n t\u1ed3n t\u1ea1i nguy\u00ean v\u1eb9n sau khi gh\u00e9p m\u1ed9t th\u1eddi gian . Kh\u1ea3 n\u0103ng k\u00edch th\u00edch h\u00ecnh th\u00e0nh x\u01b0\u01a1ng m\u1edbi (k\u00edch t\u1ea1o x\u01b0\u01a1ng) c\u1ee7a DFDBA l\u00e0 ch\u1ee7 \u0111\u1ec1 c\u1ee7a r\u1ea5t nhi\u1ec1u nghi\u00ean c\u1ee9u v\u1edbi k\u1ebft qu\u1ea3 m\u00e2u thu\u1eabn nhau. \u0110\u00e2y \u0111\u01b0\u1ee3c cho l\u00e0 m\u1ed9t ph\u1ea7n do s\u1ef1 kh\u00e1c bi\u1ec7t trong c\u00e1ch con ng\u01b0\u1eddi ph\u1ea3n \u1ee9ng v\u1edbi v\u1eadt li\u1ec7u gh\u00e9p tr\u00e1i ng\u01b0\u1ee3c v\u1edbi m\u1eabu thu\u1ed9c \u0111\u1ed9ng v\u1eadt, c\u0169ng nh\u01b0 s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 ngu\u1ed3n g\u1ed1c v\u00e0 c\u00e1ch x\u1eed l\u00fd m\u00f4 gh\u00e9p DFDBA. Nh\u1eefng l\u00e1 x\u01b0\u01a1ng kh\u1eed kho\u00e1ng c\u00f3 \u0111\u1ed9 d\u00e0y kh\u00e1c nhau t\u1eeb 20 \u0111\u1ebfn 700 um, v\u00e0 nh\u1eefng l\u00e1 d\u00e0y t\u1eeb 100 \u0111\u1ebfn 300km c\u00f3 t\u00ednh ch\u1ea5t v\u1eadt l\u00fd t\u01b0\u01a1ng t\u1ef1 nh\u01b0 m\u00e0ng polytetrafluoro ethylene (PTFE) g\u1ed1c, Gore-Tex (WL Gore &amp; Associates, Flagstaff, Arizona, M\u1ef9), cho ph\u00e9p ch\u00fang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 m\u00e0ng trong th\u1ee7 thu\u1eadt t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR).<\/p>\n<p>M\u1eb7c d\u00f9 c\u00e1c ki\u1ec3m tra tr\u00ean ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng r\u1ea5t nghi\u00eam ng\u1eb7t, v\u1eabn c\u00f2n kh\u1ea3 n\u0103ng x\u1ea3y ra m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p m\u1eafc b\u1ec7nh t\u1eeb m\u00f4 gh\u00e9p, v\u00e0 vi\u1ec7c ph\u00e1t tri\u1ec3n c\u00e1c ngu\u1ed3n nguy\u00ean li\u1ec7u gh\u00e9p kh\u00e1c \u0111\u01b0\u1ee3c mong \u0111\u1ee3i s\u1ebd l\u00e0m gi\u1ea3m nhu c\u1ea7u m\u00f4 gh\u00e9p \u0111\u1ed3ng lo\u1ea1i trong t\u01b0\u01a1ng lai.<\/p>\n<p><strong>Kho\u00e1ng x\u01b0\u01a1ng b\u00f2 kh\u1eed protein<\/strong><\/p>\n<p>H\u1ea7u nh\u01b0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i nh\u1ea5t v\u00e0 \u0111\u01b0\u1ee3c ghi nh\u1eadn l\u00e0 v\u1eadt li\u1ec7u Bio-Oss\u00ae (Geistlich Pharma, Wolhusen, Switzerland), n\u00f3 c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb x\u01b0\u01a1ng b\u00f2 kh\u1eed protein.<\/p>\n<figure id=\"attachment_24245\" aria-describedby=\"caption-attachment-24245\" style=\"width: 1060px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-24245\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/geistlich_bio_oss_combination_1060x707.jpg\" alt=\"mo-ghep-1\" width=\"1060\" height=\"707\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/geistlich_bio_oss_combination_1060x707.jpg 1060w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/geistlich_bio_oss_combination_1060x707-300x200.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/geistlich_bio_oss_combination_1060x707-1024x683.jpg 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/geistlich_bio_oss_combination_1060x707-768x512.jpg 768w\" sizes=\"(max-width: 1060px) 100vw, 1060px\" \/><figcaption id=\"caption-attachment-24245\" class=\"wp-caption-text\">C\u1ea5u tr\u00fac vi th\u1ec3 c\u1ee7a m\u00f4 gh\u00e9p Bio-Oss\u00ae &#8211; Geistlich Pharma, Wolhusen, Switzerland<\/figcaption><\/figure>\n<p>X\u01b0\u01a1ng b\u00f2 kh\u1eed protein c\u00f3 \u0111\u1eb7c t\u00ednh t\u01b0\u01a1ng t\u1ef1 nh\u01b0 x\u01b0\u01a1ng x\u1ed1p c\u1ee7a ng\u01b0\u1eddi, c\u1ea3 trong c\u1ea5u tr\u00fac v\u1ef9 m\u00f4 v\u00e0 d\u1ea1ng tinh th\u1ec3 (crystalline content). C\u00e1c t\u00ednh ch\u1ea5t v\u1eadt l\u00fd c\u0169ng g\u1ea7n v\u1edbi x\u01b0\u01a1ng m\u00e0 n\u00f3 s\u1ebd thay th\u1ebf. L\u00e0 m\u1ed9t m\u00f4 gh\u00e9p kho\u00e1ng h\u00f3a ho\u00e0n to\u00e0n n\u00f3 k\u00edch d\u1eabn x\u01b0\u01a1ng v\u00e0 \u0111\u01b0\u1ee3c cho l\u00e0 s\u1ebd ti\u00eau \u0111i, m\u1eb7c d\u00f9 \u0111i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c nh\u1eadn th\u1ea5y r\u1ea5t \u00edt. Khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf d\u1ea1ng h\u1ea1t n\u00f3 \u0111\u01b0\u1ee3c tr\u1ed9n l\u1eabn v\u1edbi m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 nh\u00e9t \u0111\u1ea7y v\u00e0o trong l\u1ed7 h\u1ed5ng. M\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 \u0111\u00e3 m\u00f4 t\u1ea3 k\u1ebft qu\u1ea3 \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n khi k\u1ebft h\u1ee3p v\u1edbi m\u1ed9t l\u1edbp m\u00e0ng \u0111\u1ec3 b\u1ea3o v\u1ec7 c\u1ee5c m\u00e1u \u0111\u00f4ng.<\/p>\n<p>V\u00ec x\u01b0\u01a1ng b\u00f2 kh\u1eed protein c\u00f3 s\u1eb5n v\u1edbi s\u1ed1 l\u01b0\u1ee3ng l\u1edbn, n\u00ean n\u00f3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong n\u00e2ng xoang thay v\u00ec gh\u00e9p t\u1ef1 th\u00e2n. C\u00e1c h\u1ea1t c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t ch\u1ea5t \u0111\u1ed9n \u0111\u1ec3 t\u0103ng k\u00edch th\u01b0\u1edbc c\u1ee7a v\u1eadt li\u1ec7u gh\u00e9p t\u1ef1 th\u00e2n. Ngo\u00e0i ra, v\u1eadt li\u1ec7u gh\u00e9p c\u00f3 b\u00e1n s\u1eb5n d\u1ea1ng t\u1ea5m x\u01b0\u01a1ng m\u1ecfng \u0111\u1ec3 che v\u00e0 b\u1ea3o v\u1ec7 c\u00e1c khuy\u1ebft h\u1ed5ng trong khi gi\u1eef l\u1ea1i profile c\u1ee7a ch\u00fang nh\u01b0 \u0111\u00e3 m\u00f4 t\u1ea3 \u1edf tr\u00ean \u0111\u1ec3 gh\u00e9p v\u1eadt li\u1ec7u \u0111\u1ed3ng lo\u1ea1i. Bio-Oss s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi m\u1ed9t m\u00e0ng collagen k\u00e9p c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb l\u1ee3n \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn nh\u01b0 l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt l\u00e0m r\u1ed9ng v\u00f9ng c\u1ea5y gh\u00e9p implant \u1edf v\u00f9ng th\u1ea9m m\u1ef9 nh\u01b0ng k\u1ef9 thu\u1eadt n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c so s\u00e1nh v\u1edbi c\u00e1c k\u1ef9 thu\u1eadt kh\u00e1c th\u00f4ng qua m\u1ed9t th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ng\u1eabu nhi\u00ean.<\/p>\n<p>Bio-Oss Collagen l\u00e0 phi\u00ean b\u1ea3n m\u1edbi nh\u1ea5t c\u1ee7a v\u1eadt li\u1ec7u n\u00e0y k\u1ebft h\u1ee3p gi\u1eefa x\u01b0\u01a1ng v\u00e0 collagen \u0111\u1ec3 s\u1ea3n xu\u1ea5t m\u1ed9t kh\u1ed1i v\u1eadt li\u1ec7u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea1m kh\u1eafc theo profile ho\u1eb7c s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t m\u00f4 gh\u00e9p d\u1ea1ng h\u1ea1t. S\u1ef1 d\u1ec5 d\u00e0ng thao t\u00e1c v\u00e0 \u00edt g\u00e2y kh\u00f3 ch\u1ecbu cho b\u1ec7nh nh\u00e2n l\u00e0m cho v\u1eadt li\u1ec7u gh\u00e9p n\u00e0y h\u1ea5p d\u1eabn \u0111\u1ed1i v\u1edbi nhi\u1ec1u b\u00e1c s\u0129 l\u00e2m s\u00e0ng.<br \/>\nVi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c v\u1eadt li\u1ec7u ngu\u1ed3n g\u1ed1c t\u1eeb b\u00f2 v\u00e0 \u0111\u1ed9ng v\u1eadt kh\u00e1c, m\u1eb7c d\u00f9 h\u00ecnh th\u1ee9c ho\u00e0n to\u00e0n kho\u00e1ng h\u00f3a v\u00e0 kh\u00f4ng c\u00f3 kh\u00e1ng nguy\u00ean , v\u1eabn kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn ho\u00e0n to\u00e0n \u0111\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 b\u00e1c s\u0129 l\u00e2m s\u00e0ng ho\u1eb7c m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n.<\/p>\n<p><strong>V\u1eadt li\u1ec7u gh\u00e9p Alloplastic<\/strong><\/p>\n<p>V\u1eadt li\u1ec7u t\u1ed5ng h\u1ee3p \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t c\u00f3 l\u1ee3i th\u1ebf l\u00e0 kh\u00f4ng c\u00f3 nguy c\u01a1 l\u00e2y nhi\u1ec5m ch\u00e9o nh\u01b0ng v\u1eabn c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ed9t ph\u1ea3n \u1ee9ng kh\u00e1ng nguy\u00ean. T\u00ednh ch\u1ea5t v\u1eadt l\u00fd c\u1ee7a ch\u00fang \u0111\u01b0\u1ee3c x\u1eed l\u00fd \u1edf m\u1ed9t m\u1ee9c \u0111\u1ed9 tuy\u1ec7t v\u1eddi v\u00e0 ch\u00fang c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u00e2n t\u1eed th\u00fac \u0111\u1ea9y x\u01b0\u01a1ng \u0111\u1ec3 n\u00e2ng cao hi\u1ec7u qu\u1ea3 c\u1ee7a ch\u00fang. Ch\u00fang ho\u1ea1t \u0111\u1ed9ng nh\u01b0 m\u1ed9t c\u00e1i khung cho s\u1ef1 h\u00ecnh th\u00e0nh x\u01b0\u01a1ng tr\u00ean b\u1ec1 m\u1eb7t v\u00e0 do \u0111\u00f3 k\u00edch d\u1eabn Ch\u00fang bao g\u1ed3m nh\u1eefng th\u00e0nh ph\u1ea7n sau \u0111\u00e2y:<\/p>\n<ul>\n<li>Hydroxyapatite<\/li>\n<li>Calcium phosphate<\/li>\n<li>Tricalcium phosphate (TCP)<\/li>\n<li>K\u00ednh ho\u1ea1t t\u00ednh sinh h\u1ecdc (Bioactive glasses)<\/li>\n<\/ul>\n<p>\u0110\u00e2y l\u00e0 m\u1ed9t l\u0129nh v\u1ef1c ng\u00e0y c\u00e0ng m\u1edf r\u1ed9ng v\u1edbi c\u00e1c s\u1ea3n ph\u1ea9m m\u1edbi \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u tr\u00ean th\u1ecb tr\u01b0\u1eddng h\u1ea7u nh\u01b0 h\u00e0ng ng\u00e0y. M\u1eb7c d\u00f9 nhi\u1ec1u s\u1ea3n ph\u1ea9m c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ri\u00eang l\u1ebb m\u00ecnh n\u00f3, nh\u01b0ng ng\u00e0y c\u00e0ng nhi\u1ec1u s\u1ea3n ph\u1ea9m k\u1ebft h\u1ee3p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, \u0111\u00f4i khi vi\u1ec7c b\u1ed5 sung collagen \u0111\u1ec3 t\u1ed1i \u01b0u h\u00f3a c\u00e1c \u0111\u1eb7c t\u00ednh chung c\u1ee7a v\u1eadt li\u1ec7u. M\u1ed9t s\u1ed1 s\u1ea3n ph\u1ea9m \u0111\u00e3 \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u, ch\u00fang l\u00e0 ch\u1ea5t d\u1ebbo t\u1ea1i th\u1eddi \u0111i\u1ec3m gh\u00e9p v\u00e0 sau \u0111\u00f3 h\u00ecnh th\u00e0nh m\u1ed9t d\u1ea1ng m\u00f4 gh\u00e9p r\u1eafn c\u00f3 profile t\u1ed1i \u01b0u v\u00e0 kh\u00f4ng c\u1ea7n m\u00e0ng che ph\u1ee7. C\u00f3 r\u1ea5t \u00edt s\u1ea3n ph\u1ea9m n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ng\u1eabu nhi\u00ean so s\u00e1nh ch\u00fang v\u1edbi gh\u00e9p x\u01b0\u01a1ng t\u1ef1 th\u00e2n.<\/p>\n<p><em>Ngu\u1ed3n: Implant trong th\u1ef1c h\u00e0nh Nha khoa &#8211; Richard D.Palmer\/Nh\u00f3m d\u1ecbch Saigon Young Dentists Vi\u1ec7t Nam<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>M\u00f4 gh\u00e9p \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng r\u1ea5t nhi\u1ec1u trong ph\u1eabu thu\u1eadt Nha khoa, c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn v\u1edbi tr\u01b0\u1eddng h\u1ee3p ph\u1eabu thu\u1eadt Implant v\u00f9ng m\u00f4 b\u1ecb thi\u1ebfu h\u1ed5ng, kh\u00f3 c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n ho\u1eb7c th\u1ef1c hi\u1ec7n g\u00e2y ra nhi\u1ec1u r\u1ee7i ro \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n. B\u00e0i vi\u1ebft n\u00e0y gi\u1edbi thi\u1ec7u chung v\u1ec1 m\u00f4 gh\u00e9p, \u0111\u1ed3ng th\u1eddi [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>T\u1ed5ng quan v\u1ec1 m\u00f4 gh\u00e9p trong Implant. - Vinmec<\/title>\n<meta name=\"description\" content=\"M\u00f4 gh\u00e9p \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p ph\u1eabu thu\u1eadt Implant v\u00f9ng m\u00f4 b\u1ecb thi\u1ebfu h\u1ed5ng, kh\u00f3 th\u1ef1c hi\u1ec7n . 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