{"id":24266,"date":"2023-04-19T09:59:05","date_gmt":"2023-04-19T02:59:05","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24266"},"modified":"2023-05-02T11:43:53","modified_gmt":"2023-05-02T04:43:53","slug":"tai-tao-xuong-co-huong-dan-trong-phau-thuat-ham-mat","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/tai-tao-xuong-co-huong-dan-trong-phau-thuat-ham-mat\/","title":{"rendered":"T\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn trong ph\u1eabu thu\u1eadt h\u00e0m m\u1eb7t."},"content":{"rendered":"

Ph\u01b0\u01a1ng ph\u00e1p t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR) l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n \u0111\u1ec3 gia t\u0103ng m\u00f4 m\u1edbi b\u00ean trong v\u00f9ng khuy\u1ebft h\u1ed5ng \u0111\u1ec3 th\u00fac \u0111\u1ea9y t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng m\u1edbi, m\u00e0 kh\u00f4ng s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p gh\u00e9p x\u01b0\u01a1ng, n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong k\u1ef9 thu\u1eadt c\u1ea5y gh\u00e9p. C\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 k\u1ef9 thu\u1eadt n\u00e0y trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n

1. \u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a m\u00e0ng t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn<\/h2>\n

M\u00e0ng t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (m\u00e0ng GBR) ban \u0111\u1ea7u \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n \u0111\u1ec3 th\u00fac \u0111\u1ea9y s\u1ef1 gia t\u0103ng m\u00f4 m\u1edbi b\u00ean trong v\u00f9ng khuy\u1ebft h\u1ed5ng \u0111\u1ec3 t\u00e1i t\u1ea1o b\u00e1m d\u00ednh nha chu. V\u1edbi mong mu\u1ed1n th\u00fac \u0111\u1ea9y t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng m\u1edbi m\u00e0 kh\u00f4ng d\u00f9ng gh\u00e9p x\u01b0\u01a1ng d\u1eabn \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i k\u1ef9 thu\u1eadt n\u00e0y trong ph\u1eabu thu\u1eadt c\u1ea5y gh\u00e9p. Trong c\u1ea5y gh\u00e9p nha khoa, m\u00e0ng ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi c\u00e1c h\u1ea1t ho\u1eb7c c\u00e1c kh\u1ed1i \u0111\u1ec3 b\u1ea3o v\u1ec7 v\u1eadt li\u1ec7u gh\u00e9p h\u01a1n l\u00e0 t\u1ea1o ra m\u1ed9t c\u1ee5c m\u00e1u \u0111\u00f4ng \u0111\u1ec3 t\u00e1i t\u1ea1o x\u01b0\u01a1ng m\u1edbi. M\u1ee5c \u0111\u00edch ch\u00ednh l\u00e0 \u0111\u1ec3 cho ph\u00e9p s\u1ef1 x\u00e2m nh\u1eadp c\u1ee7a c\u00e1c t\u1ebf b\u00e0o x\u01b0\u01a1ng nguy\u00ean th\u1ee7y v\u00e0 th\u00fac \u0111\u1ea9y s\u1ef1 h\u00ecnh th\u00e0nh x\u01b0\u01a1ng trong c\u00e1c khuy\u1ebft h\u1ed5ng. C\u00e1c m\u00e0ng ban \u0111\u1ea7u \u0111\u01b0\u1ee3c m\u1edf r\u1ed9ng th\u00e0nh PTFE (Polytetrafluoroethylene). \u0110\u00e2y l\u00e0 m\u1ed9t m\u00e0ng h\u00fat c\u00f3 th\u1ec3 ng\u0103n ch\u1eb7n c\u00e1c t\u1ebf b\u00e0o m\u00f4 m\u1ec1m x\u00e2m nh\u1eadp v\u00e0o v\u00f9ng t\u00e1i t\u1ea1o m\u00e0 kh\u00f4ng l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c cung c\u1ea5p ch\u1ea5t dinh d\u01b0\u1ee1ng \u0111\u1ebfn c\u00e1c m\u00f4 n\u1eb1m ph\u00eda tr\u00ean. N\u00f3 l\u00e0 m\u1ed9t v\u1eadt li\u1ec7u kh\u00f4ng ti\u00eau v\u00e0 \u0111\u00f2i h\u1ecfi ph\u1ea3i l\u1ea5y ra khi \u1edf l\u1ea7n ph\u1eabu thu\u1eadt th\u1ee9 hai. C\u1ea7n ph\u1ea3i lo\u1ea1i b\u1ecf m\u00e0ng v\u00e0 m\u1ed9t l\u1ea7n ph\u1eabu thu\u1eadt th\u1ee9 hai d\u1eabn \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a m\u00e0ng t\u1ef1 ti\u00eau l\u00e0m t\u1eeb polymer t\u1ed5ng h\u1ee3p nh\u01b0 polylactate v\u00e0 acid polyglycolic, c\u0169ng nh\u01b0 m\u00e0ng collagen. V\u1eadt li\u1ec7u t\u1ef1 ti\u00eau s\u1ebd ho\u1ea1t \u0111\u1ed9ng t\u1eeb ba \u0111\u1ebfn s\u00e1u th\u00e1ng sau khi gh\u00e9p. Tuy nhi\u00ean, ch\u00fang c\u00f3 th\u1ec3 ti\u00eau ho\u1eb7c m\u1ea5t \u0111i profile nhanh ch\u00f3ng v\u00e0 h\u1ea1n ch\u1ebf l\u01b0\u1ee3ng x\u01b0\u01a1ng t\u00e1i t\u1ea1o \u0111\u1ea1t \u0111\u01b0\u1ee3c.<\/p>\n

2. Ph\u01b0\u01a1ng ph\u00e1p th\u1ef1c hi\u1ec7n quy tr\u00ecnh GBR<\/h2>\n

Vi\u1ec7c t\u1ea1o ra v\u00e0 duy tr\u00ec m\u1ed9t kh\u1ed1i b\u00f9 \u0111\u1eafp cho khuy\u1ebft h\u1ed5ng l\u00e0 r\u1ea5t quan tr\u1ecdng v\u00e0 \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n b\u1eb1ng c\u00e1ch gia c\u1ed1 c\u00e1c m\u00e0ng PTFE v\u1edbi d\u1ea3i titan. T\u0103ng c\u01b0\u1eddng h\u01a1n n\u1eefa vi\u1ec7c duy tr\u00ec kh\u00f4ng gian gh\u00e9p b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c ch\u00e2n c\u1ed1 \u0111\u1ecbnh (pin) v\u00e0 \u0111inh v\u00edt \u0111\u1ec3 l\u00e0m m\u1ed9t c\u00e1i “l\u1ec1u” m\u00e0ng.<\/p>\n

\"tai-tao-xuong-co-huong-dan-1\"
Vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c \u1ed1c v\u00edt ho\u1eb7c pin c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u00e1n th\u00e0nh trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 x\u01b0\u01a1ng t\u1ef1 th\u00e2n \u0111\u1ec3 duy tr\u00ec profile c\u1ee7a s\u1ed1ng h\u00e0m v\u00e0 \u1ed5n \u0111\u1ecbnh m\u00e0ng, v\u00ec v\u1eady s\u1ef1 l\u00e0nh th\u01b0\u01a1ng t\u1ed1i \u01b0u. \u1ede \u0111\u00e2y, m\u1ed9t v\u00edt ch\u1ed1ng Memfix TM (Vi\u1ec7n Straumann, Waldenburg, Th\u1ee5y S\u0129) \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf gi\u1eefa c\u00e1c khi\u1ebfm khuy\u1ebft \u0111\u1ec3 ng\u0103n ch\u1eb7n c\u00e1c m\u00f4 m\u1ec1m s\u1ee5p \u0111\u1ed5, \u0111i\u1ec1u s\u1ebd l\u00e0m gi\u1ea3m kh\u1ed1i l\u01b0\u1ee3ng x\u01b0\u01a1ng t\u1ea1o ra.<\/figcaption><\/figure>\n

\u0110i\u1ec1u n\u00e0y c\u0169ng c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c b\u1eb1ng c\u00e1ch \u0111\u1eb7t c\u00e1c m\u1ea3nh x\u01b0\u01a1ng nh\u1ecf v\u00e0o trong c\u00e1c khuy\u1ebft h\u1ed5ng, ch\u00fang c\u0169ng s\u1ebd ho\u1ea1t \u0111\u1ed9ng nh\u01b0 m\u00f4 gh\u00e9p k\u00edch d\u1eabn x\u01b0\u01a1ng\/ k\u00edch t\u1ea1o x\u01b0\u01a1ng<\/p>\n

\"tai-tao-xuong-co-huong-dan-2\"
Nh\u1eefng m\u1ea3nh x\u01b0\u01a1ng nh\u1ecf \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1eb7t d\u01b0\u1edbi m\u00e0ng PTFE \u0111\u1ec3 duy tr\u00ec th\u1ec3 t\u00edch c\u1ee7a v\u00f9ng gh\u00e9p. X\u01b0\u01a1ng v\u1ecf b\u00ean d\u01b0\u1edbi \u0111\u01b0\u1ee3c \u0111\u1ee5c l\u1ed7 v\u1edbi m\u0169i khoan ph\u1eabu thu\u1eadt tr\u00f2n nh\u1ecf \u0111\u1ec3 khuy\u1ebfn kh\u00edch s\u1ef1 x\u00e2m nh\u1eadp c\u1ee7a t\u1ebf b\u00e0o x\u01b0\u01a1ng t\u1eeb x\u01b0\u01a1ng x\u1ed1p b\u00ean d\u01b0\u1edbi. T\u00ean vi\u1ebft t\u1eaft: PTFE – polytetrafluoroethylene.<\/figcaption><\/figure>\n

X\u01b0\u01a1ng v\u1ecf b\u00ean d\u01b0\u1edbi n\u00ean \u0111\u01b0\u1ee3c \u0111\u1ee5c l\u1ed7 v\u1edbi m\u0169i khoan ph\u1eabu thu\u1eadt \u0111\u1ec3 th\u00fac \u0111\u1ea9y c\u00e1c t\u1ebf b\u00e0o t\u1ea1o x\u01b0\u01a1ng chi\u1ebfm kh\u00f4ng gian \u0111\u00e3 t\u1ea1o ra.<\/p>\n

\"tai-tao-xuong-co-huong-dan-3\"
\u0110\u1ee5c th\u1ee7ng v\u00f9ng gh\u00e9p x\u01b0\u01a1ng v\u1edbi m\u0169i khoan ph\u1eabu thu\u1eadt cho ph\u00e9p t\u0103ng sinh c\u00e1c t\u1ebf b\u00e0o x\u01b0\u01a1ng v\u00e0 m\u1ea1ch m\u00e1u d\u01b0\u1edbi m\u00e0ng v\u00e0 gi\u1eefa v\u00f9ng nh\u1eadn v\u00e0 v\u1eadt li\u1ec7u gh\u00e9p x\u01b0\u01a1ng.<\/figcaption><\/figure>\n

Trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft thay \u0111\u1ed5i \u0111\u00e1ng k\u1ec3 profile, m\u1ed9t m\u00e0ng gia c\u1ed1 th\u00eam titanium ho\u1eb7c l\u01b0\u1edbi titanium c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. GBR c\u0169ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111\u1eb7t implant \u0111\u1ec3 s\u1eeda ch\u1eefa nh\u1eefng c\u1eeda s\u1ed5 x\u01b0\u01a1ng nh\u1ecf v\u00e0 \u0111\u01b0\u1eddng n\u1ee9t x\u01b0\u01a1ng xung quanh implant.<\/p>\n

\"\"
(A) S\u00e0n xoang \u0111\u01b0\u1ee3c n\u00e2ng l\u00ean \u1edf c\u00e1c v\u00f9ng khoan x\u01b0\u01a1ng s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt Summers. B\u1eb1ng c\u00e1ch \u0111\u1ea9y m\u1ed9t n\u00fat x\u01b0\u01a1ng \u1edf ph\u00eda ch\u00f3p v\u1edbi osteotome, m\u00e0ng xoang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u00e1ch r\u1eddi kh\u1ecfi s\u00e0n xoang m\u00e0 v\u1eabn c\u00f2n nguy\u00ean v\u1eb9n. (B) M\u1ed9t b\u1ed9 c\u00e1c osteotome Astra Tech cho th\u1ee7 thu\u1eadt n\u00e2ng xoang k\u00edn. Tay c\u1ea7m \u0111\u01b0\u1ee3c l\u00e0m th\u00e0nh d\u1ea1ng tay quay \u0111\u1ec3 c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng v\u00e0o nh\u1eefng v\u00f9ng kh\u00f3 v\u00e0 \u0111\u1ea7u \u0111\u01b0\u1ee3c l\u00e0m l\u00f5m \u0111\u1ec3 h\u1ed7 tr\u1ee3 c\u1eaft v\u00e0 n\u00e9n x\u01b0\u01a1ng. (C) X quang tr\u01b0\u1edbc ph\u1eabu thu\u1eadt c\u1ee7a h\u00e0m tr\u00ean b\u00ean tr\u00e1i cho th\u1ea5y chi\u1ec1u cao x\u01b0\u01a1ng \u00edt h\u01a1n 5 mm. (D) X quang sau ph\u1eabu thu\u1eadt m\u1ed9t tu\u1ea7n sau khi n\u00e2ng xoang k\u00edn. (E) X-quang sau khi ph\u1ee5c h\u00ecnh cho th\u1ea5y x\u01b0\u01a1ng h\u1ee3p nh\u1ea5t xung quanh implant v\u00e0 t\u0103ng chi\u1ec1u cao x\u01b0\u01a1ng d\u01b0\u1edbi \u0111\u00e1y xoang.<\/figcaption><\/figure>\n

N\u00ean nh\u1edb r\u1eb1ng b\u1ea5t k\u1ef3 x\u01b0\u01a1ng n\u00e0o \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1eb1ng k\u1ef9 thu\u1eadt n\u00e0y s\u1ebd kh\u00f4ng c\u00f3 ch\u1ee9c n\u0103ng gi\u1eef v\u1eefng implant t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111\u1eb7t v\u00e0 s\u1ef1 \u1ed5n \u0111\u1ecbnh implant ban \u0111\u1ea7u v\u1eabn l\u00e0 \u01b0u ti\u00ean s\u1ed1 m\u1ed9t. S\u1ed1 l\u01b0\u1ee3ng x\u01b0\u01a1ng m\u1edbi \u0111\u01b0\u1ee3c t\u1ea1o ra c\u00f3 th\u1ec3 kh\u00e1 \u0111\u00e1ng k\u1ec3 nh\u01b0ng m\u1ee9c \u0111\u1ed9 m\u00e0 n\u00f3 t\u1ea1o ra t\u00edch h\u1ee3p x\u01b0\u01a1ng c\u00f3 th\u1ec3 thay \u0111\u1ed5i. L\u01b0\u1ee3ng x\u01b0\u01a1ng m\u1edbi t\u1ea1o ra m\u00e0 implant ti\u1ebfp x\u00fac \u0111\u01b0\u1ee3c cho l\u00e0 thay \u0111\u1ed5i theo th\u1eddi gian v\u00e0 s\u1ef1 t\u1ea3i l\u1ef1c. GBR c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t nh\u1ea5t khi t\u0103ng k\u00edch th\u01b0\u1edbc theo chi\u1ec1u ngo\u00e0i trong, nh\u01b0ng t\u0103ng chi\u1ec1u cao b\u1eb1ng k\u1ef9 thu\u1eadt n\u00e0y r\u1ea5t kh\u00f3 kh\u0103n v\u00e0 kh\u00f4ng th\u1ec3 \u0111o\u00e1n tr\u01b0\u1edbc. M\u1eb7c d\u00f9 m\u00e0ng \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 cho ph\u00e9p s\u1ef1 di chuy\u1ec3n c\u1ee7a c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng, nh\u01b0ng ch\u00fang v\u1eabn c\u00f3 xu h\u01b0\u1edbng l\u00e0m h\u1ea1i s\u1ef1 cung c\u1ea5p m\u00e1u cho c\u00e1c m\u00f4 m\u1ec1m n\u1eb1m ph\u00eda tr\u00ean. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ef1 ph\u00e1 h\u1ee7y c\u00e1c m\u00f4 m\u1ec1m, l\u00e0m b\u1ed9c l\u1ed9 m\u00e0ng v\u00e0 nhi\u1ec5m tr\u00f9ng. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ea5t x\u01b0\u01a1ng \u1edf v\u00f9ng ph\u1eabu thu\u1eadt hay th\u1ea5t b\u1ea1i c\u1ee7a trong t\u00edch h\u1ee3p x\u01b0\u01a1ng. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 t\u1ea5t c\u1ea3 c\u00e1c \u0111\u01b0\u1eddng r\u1ea1ch c\u00e1ch xa v\u00f9ng gh\u00e9p c\u00e0ng xa c\u00e0ng t\u1ed1t, v\u1ebft th\u01b0\u01a1ng \u0111\u01b0\u1ee3c kh\u00e2u k\u00edn v\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 c\u0103ng qu\u00e1 m\u1ee9c. L\u1eadt v\u1ea1t r\u1ed9ng h\u01a1n v\u00e0 kh\u00e2u b\u1eb1ng m\u0169i treo \u0111\u1ec3 gi\u1ea3m c\u0103ng t\u1ea1i b\u1edd v\u1ebft th\u01b0\u01a1ng.<\/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":"

Ph\u01b0\u01a1ng ph\u00e1p t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR) l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n \u0111\u1ec3 gia t\u0103ng m\u00f4 m\u1edbi b\u00ean trong v\u00f9ng khuy\u1ebft h\u1ed5ng \u0111\u1ec3 th\u00fac \u0111\u1ea9y t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng m\u1edbi, m\u00e0 kh\u00f4ng s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p gh\u00e9p x\u01b0\u01a1ng, n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong k\u1ef9 thu\u1eadt c\u1ea5y gh\u00e9p. C\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 […]<\/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":"\nT\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn trong ph\u1eabu thu\u1eadt h\u00e0m m\u1eb7t.<\/title>\n<meta name=\"description\" content=\"T\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR) \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n \u0111\u1ec3 gia t\u0103ng m\u00f4 x\u01b0\u01a1ng m\u1edbi. 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