{"id":24638,"date":"2023-04-19T11:24:32","date_gmt":"2023-04-19T04:24:32","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24638"},"modified":"2023-04-26T17:51:16","modified_gmt":"2023-04-26T10:51:16","slug":"nang-xoang-kin-trong-phau-thuat-implant-nha-khoa","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/nang-xoang-kin-trong-phau-thuat-implant-nha-khoa\/","title":{"rendered":"N\u00e2ng xoang k\u00edn trong ph\u1eabu thu\u1eadt Implant nha khoa."},"content":{"rendered":"

M\u1ed9t k\u1ef9 thu\u1eadt tinh t\u1ebf h\u01a1n trong ph\u1eabu thu\u1eadt Implant – N\u00e2ng xoang k\u00edn, \u0111\u00e3 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 b\u1edfi Summers, s\u1eed d\u1ee5ng osteotome \u0111\u1eb7c bi\u1ec7t \u0111\u1ec3 g\u00f5 x\u01b0\u01a1ng v\u00f9ng ch\u00f3p xuy\u00ean qua v\u00f9ng khoan x\u01b0\u01a1ng nh\u01b0ng \u0111\u1ec3 gi\u1eef n\u00f3 d\u01b0\u1edbi m\u00e0ng xoang, k\u1ef9 thu\u1eadt n\u00e0y gi\u00fap duy tr\u00ec tr\u1ee5 Implant \u0111\u01b0\u1ee3c t\u1ed1t h\u01a1n, b\u1ea3o v\u1ec7 xoang v\u00e0 kh\u1eafc ph\u1ee5c nh\u1eefng \u01b0u \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e2ng xoang truy\u1ec1n th\u1ed1ng. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n

1. T\u1ed5ng quan chung v\u1ec1 th\u1ee7 thu\u1eadt<\/h2>\n

M\u1ea5t chi\u1ec1u cao s\u1ed1ng h\u00e0m, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi k\u1ebft h\u1ee3p v\u1edbi s\u00e0n xoang h\u00e0m tr\u00ean b\u1ecb th\u00f2ng xu\u1ed1ng do m\u1ea5t r\u0103ng sau, c\u00f3 ngh\u0129a l\u00e0 th\u01b0\u1eddng xuy\u00ean thi\u1ebfu chi\u1ec1u cao x\u01b0\u01a1ng \u0111\u1ec3 \u0111\u1eb7t implant. \u0110\u00f3 c\u0169ng l\u00e0 nh\u1eefng ca m\u00e0 x\u01b0\u01a1ng c\u00f2n l\u1ea1i trong v\u00f9ng n\u00e0y c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng k\u00e9m.<\/p>\n

N\u00e2ng xoang \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n b\u1edfi Tatum trong cu\u1ed1i nh\u1eefng n\u0103m 1970 \u0111\u1ec3 kh\u1eafc ph\u1ee5c nh\u1eefng v\u1ea5n \u0111\u1ec1 n\u00e0y v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1edbi nh\u1eefng th\u00e0nh c\u00f4ng l\u1edbn tr\u00ean to\u00e0n th\u1ebf gi\u1edbi theo c\u00e1c nguy\u00ean t\u1eafc c\u1ee7a \u00f4ng \u1ea5y. C\u00f3 r\u1ea5t \u00edt b\u1eb1ng ch\u1ee9ng v\u1ec1 s\u1ef1 r\u1ed1i lo\u1ea1n d\u1eabn l\u01b0u ch\u1ea5t ti\u1ebft c\u1ee7a xoang sau th\u1ee7 thu\u1eadt n\u00e0y. Trong ph\u01b0\u01a1ng ph\u00e1p c\u1ed5 \u0111i\u1ec3n, m\u1ed9t c\u1eeda s\u1ed5 ho\u1eb7c c\u1eeda s\u1eadp x\u01b0\u01a1ng \u0111\u01b0\u1ee3c t\u1ea1o ra \u1edf m\u1eb7t ngo\u00e0i \u0111\u1ec3 \u0111i v\u00e0o xoang. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 c\u00f3 X quang r\u00f5 r\u00e0ng tr\u01b0\u1edbc ph\u1eabu thu\u1eadt \u0111\u1ec3 hi\u1ec3n th\u1ecb h\u00ecnh th\u1ec3 c\u1ee7a xoang, \u0111\u1eb7c bi\u1ec7t l\u00e0 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a c\u1ee7a xoang b\u1ea5t k\u1ef3 tr\u1ee5 x\u01b0\u01a1ng ho\u1eb7c v\u00e1ch x\u01b0\u01a1ng c\u00f3 th\u1ec3 c\u1ea3n tr\u1edf vi\u1ec7c l\u1eadt c\u1eeda s\u1ed5 x\u01b0\u01a1ng l\u00ean. Ngo\u00e0i ra, n\u00f3 r\u1ea5t h\u1eefu \u00edch \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh k\u00edch th\u01b0\u1edbc ngo\u00e0i trong \u0111\u1ea3m b\u1ea3o r\u1eb1ng n\u1ebfu m\u1ed9t c\u1eeda s\u1eadp x\u01b0\u01a1ng \u0111\u01b0\u1ee3c t\u1ea1o ra n\u00f3 s\u1ebd c\u00f3 kh\u00f4ng gian \u0111\u1ec3 xoay v\u00e0o b\u00ean trong xoang. S\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a b\u1ea5t k\u1ef3 b\u1ec7nh n\u00e0o c\u1ee7a xoang ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed vi\u00eam xoang t\u00e1i ph\u00e1t nghi\u00eam tr\u1ecdng l\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u0111\u1ed1i v\u1edbi th\u1ee7 thu\u1eadt n\u00e0y. Th\u1ee7 thu\u1eadt c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi g\u00e2y t\u00ea t\u1ea1i ch\u1ed7, v\u00e0 s\u1eed d\u1ee5ng c\u00e1c kh\u1ed1i d\u01b0\u1edbi \u1ed5 m\u1eaft \u0111\u01b0\u1ee3c \u1ee7ng h\u1ed9 (g\u00e2y t\u00ea b\u1eb1ng \u0111\u01b0\u1eddng d\u01b0\u1edbi \u1ed5 m\u1eaft). L\u1ed1i v\u00e0o t\u1ed1t c\u00f3 \u0111\u01b0\u1ee3c th\u00f4ng qua \u0111\u01b0\u1eddng r\u1ea1ch m\u00f4 m\u1ec1m tr\u00ean m\u1ed9t n\u1ec1n r\u1ed9ng m\u00e0 ranh gi\u1edbi c\u1ee7a n\u00f3 c\u00e1ch xa \u0111i\u1ec3m \u0111i v\u00e0o xoang Th\u00f4ng th\u01b0\u1eddng, c\u00e1c v\u00e1ch xoang m\u1ecfng v\u00e0 xoang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ea5y nh\u01b0 l\u00e0 m\u1ed9t v\u00f9ng m\u00e0u x\u00e1m h\u01a1i xanh tr\u00ean b\u1ec1 m\u1eb7t x\u01b0\u01a1ng. \u0110i\u1ec1u n\u00e0y l\u00e0 gi\u00fap \u00edch trong vi\u1ec7c ph\u00e1c h\u1ecda c\u00e1c v\u00f9ng \u0111\u1ec3 t\u1ea1o c\u1eeda s\u1ed5, v\u00f9ng n\u00e0y ph\u1ea3i m\u1edf \u0111\u01b0\u1ee3c v\u00e0o trong xoang n\u1ebfu kh\u00f4ng n\u00f3 s\u1ebd kh\u00f4ng th\u1ec3 n\u00e0o n\u1ea1y \u0111\u01b0\u1ee3c m\u1ed9t c\u1eeda s\u1eadp x\u01b0\u01a1ng v\u00e0\/ho\u1eb7c m\u00e0ng xoang. Tr\u01b0\u1eddng h\u1ee3p v\u00e1ch xoang d\u00e0y b\u00e1c s\u0129 ph\u1eabu thu\u1eadt ph\u1ea3i d\u1ef1a v\u00e0o phim X quang tr\u01b0\u1edbc ph\u1eabu thu\u1eadt ho\u1eb7c ch\u1ee5p c\u1eaft l\u1edbp (CT) \u0111\u1ec3 v\u1ebd ra ranh gi\u1edbi c\u1ee7a c\u1eeda s\u1ed5 x\u01b0\u01a1ng. C\u1eeda s\u1ed5 n\u00ean m\u1edf r\u1ed9ng theo chi\u1ec1u g\u1ea7n xa v\u00e0 r\u1ed9ng b\u1eb1ng v\u00f9ng \u0111\u1eb7t implant. N\u1ebfu c\u00f3 m\u1ed9t v\u00e1ch x\u01b0\u01a1ng, ta c\u1ea7n t\u1ea1o ra hai c\u1eeda s\u1ed5 ri\u00eang bi\u1ec7t ho\u1eb7c s\u1eed d\u1ee5ng m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c. Khi n\u00e2ng m\u1ed9t c\u1eeda s\u1eadp x\u01b0\u01a1ng (trapdoor), t\u1ed1t nh\u1ea5t n\u00ean t\u1ea1o \u0111\u01b0\u1eddng vi\u1ec1n v\u1edbi m\u0169i khoan ph\u1eabu thu\u1eadt kim c\u01b0\u01a1ng, b\u01a1m r\u1eeda th\u1eadt nhi\u1ec1u n\u01b0\u1edbc, v\u00f4 c\u00f9ng c\u1ea9n th\u1eadn \u0111\u1ec3 kh\u00f4ng th\u1ee7ng m\u00e0ng xoang b\u00ean d\u01b0\u1edbi.<\/p>\n

2. N\u00e2ng xoang k\u00edn – Ph\u01b0\u01a1ng ph\u00e1p th\u1ef1c hi\u1ec7n<\/h2>\n

Implant th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u1edbi ph\u1ea7n ch\u00f3p k\u00e9o d\u00e0i trong xoang v\u00e0i milimet khi c\u1ed1 t\u1ea1o \u1ed5n \u0111\u1ecbnh b\u1eb1ng li\u00ean k\u1ebft hai v\u1ecf x\u01b0\u01a1ng (bicortical stabilization) \u1edf h\u00e0m tr\u00ean m\u00e0 kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 v\u1ea5n \u0111\u1ec1 n\u00e0o kh\u00e1c li\u00ean quan. Nh\u1eefng n\u1ed7 l\u1ef1c \u0111\u1ec3 n\u00e2ng m\u00e0ng xoang th\u00f4ng qua v\u00f9ng khoan x\u01b0\u01a1ng \u0111\u00e3 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 v\u00e0 x\u01b0\u01a1ng t\u1ee5 l\u1ea1i quanh ch\u00f3p implant c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ea5y. M\u1ed9t k\u1ef9 thu\u1eadt tinh t\u1ebf h\u01a1n \u0111\u00e3 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 b\u1edfi Summers, s\u1eed d\u1ee5ng osteotome \u0111\u1eb7c bi\u1ec7t \u0111\u1ec3 g\u00f5 x\u01b0\u01a1ng v\u00f9ng ch\u00f3p xuy\u00ean qua v\u00f9ng khoan x\u01b0\u01a1ng nh\u01b0ng \u0111\u1ec3 gi\u1eef n\u00f3 d\u01b0\u1edbi m\u00e0ng xoang.<\/p>\n

\"nang-xoang-kin-1\"
(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
\"nang-xoang-kin-2\"
M\u1ed9t lo\u1ea1t c\u00e1c h\u00ecnh \u1ea3nh l\u00e2m s\u00e0ng cho th\u1ea5y qu\u00e1 tr\u00ecnh khoan v\u00e0 d\u00f9ng osteotome cho implant Astra Tech \u0111\u01b0\u1eddng k\u00ednh 4 mm. (A) Khoan h\u01b0\u1edbng d\u1eabn \u0111\u1ec3 \u0111\u00e1nh d\u1ea5u. (B) M\u0169i khoan xo\u1eafn 2mm d\u00f9ng \u0111\u1ec3 xuy\u00ean th\u1ee7ng x\u01b0\u01a1ng v\u1ecf v\u00e0 x\u00e1c \u0111\u1ecbnh m\u1eadt \u0111\u1ed9 c\u1ee7a x\u01b0\u01a1ng x\u1ed1p. N\u1ebfu c\u00f3 l\u1ef1c kh\u00e1ng l\u1ea1i t\u1ed1i thi\u1ec3u, ch\u1ec9 khoan gi\u1edbi h\u1ea1n trong x\u01b0\u01a1ng v\u1ecf. (C) M\u1ed9t osteotome 2,5-mm \u0111\u01b0\u1ee3c d\u00f9ng v\u00e0 v\u1ed7 nh\u1eb9 nh\u00e0ng v\u1ec1 ph\u00eda ch\u00f3p, v\u00e0 \u0111\u01b0\u1ee3c gi\u1eef c\u00e1ch s\u00e0n xoang 2 \u0111\u1ebfn 3 mm \u0111\u1ec3 t\u1ea1o m\u1ed9t n\u00fat x\u01b0\u01a1ng \u1edf ph\u1ea7n ch\u00f3p c\u1ee7a l\u1ed7 khoan. (D) V\u1edbi x\u01b0\u01a1ng v\u1ecf ch\u1ea5t l\u01b0\u1ee3ng t\u1ed1t, m\u0169i khoan h\u01b0\u1edbng d\u1eabn 3,2 mm \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 m\u1edf x\u01b0\u01a1ng v\u1ecf nhi\u1ec1u h\u01a1n n\u1eefa. Trong v\u00f9ng c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng x\u01b0\u01a1ng v\u1ecf k\u00e9m m\u1ed9t osteotome \u0111\u01b0\u1eddng k\u00ednh 2.5 \/ 3.2 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 n\u00e9n v\u00e0 l\u00e0m k\u1ebft x\u01b0\u01a1ng v\u1ecf c\u0169ng nh\u01b0 x\u01b0\u01a1ng x\u1ed1p l\u1ea1i. (E) C\u00e2y osteotome 3,2 mm \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o v\u00e0 \u0111i t\u1edbi \u0111\u1ed9 s\u00e2u c\u1ee7a c\u00e2y osteotome 2,5 mm tr\u01b0\u1edbc. (F) M\u0169i h\u01b0\u1edbng d\u1eabn 3,7 mm ho\u1eb7c m\u1ed9t osteotome 3,2 \/ 3,7 mm \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 m\u1edf r\u1ed9ng x\u01b0\u01a1ng v\u1ecf h\u01a1n n\u1eefa. (G) C\u00e2y osteotome 3,7 mm \u0111i v\u00e0o v\u00e0 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 ph\u00e1 v\u1ee1 s\u00e0n xoang d\u01b0\u1edbi \u00e1p l\u1ef1c gi\u00e1n ti\u1ebfp th\u00f4ng qua n\u00fat x\u01b0\u01a1ng ph\u00eda ch\u00f3p. Tr\u01b0\u1edbc khi \u0111\u1ea9y xuy\u00ean qua l\u1ea7n sau c\u00f9ng, n\u00fat c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u0103ng c\u01b0\u1eddng v\u1edbi v\u1ee5n x\u01b0\u01a1ng ho\u1eb7c v\u1eadt li\u1ec7u gh\u00e9p kh\u00e1c t\u1ea1i c\u00e1c v\u00f9ng x\u01b0\u01a1ng m\u1eadt \u0111\u1ed9 th\u1ea5p. (H) S\u1eeda so\u1ea1n v\u00f9ng \u0111\u1eb7t implant. S\u1ef1 nguy\u00ean v\u1eb9n c\u1ee7a m\u00e0ng xoang \u0111\u01b0\u1ee3c ki\u1ec3m tra nh\u1eb9 nh\u00e0ng v\u1edbi m\u1ed9t c\u00e2y \u0111o \u0111\u1ed9 s\u00e2u. (I) M\u1ed9t implant Astra Tech \u0111\u01b0\u1eddng k\u00ednh 4 mm d\u00e0i 9 mm trong v\u00f9ng m\u00e0 tr\u01b0\u1edbc \u0111\u00e2y chi\u1ec1u cao x\u01b0\u01a1ng ch\u1ec9 c\u00f3 5 mm.<\/figcaption><\/figure>\n

M\u1ed9t s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a khoan x\u01b0\u01a1ng \u1ed5 v\u1ecf v\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a x\u01b0\u01a1ng \u1ed5 r\u0103ng ph\u00eda tr\u00ean c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m l\u1ef1c c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c th\u00e0nh c\u00f4ng v\u1edbi k\u1ef9 thu\u1eadt n\u00e0y. N\u00e9n x\u01b0\u01a1ng ho\u1eb7c \u0111\u1eb7t nh\u1eefng m\u1ea3nh x\u01b0\u01a1ng, v\u1ee5n x\u01b0\u01a1ng trong v\u00f9ng khoan x\u01b0\u01a1ng tr\u01b0\u1edbc khi xuy\u00ean qua s\u00e0n xoang s\u1ebd l\u00e0m m\u1ea5t h\u1ebft l\u1ef1c c\u1ee7a osteotome v\u00e0 \u00edt c\u00f3 kh\u1ea3 n\u0103ng l\u00e0m th\u1ee7ng m\u00e0ng xoang. S\u1ef1 t\u00e1ch ra c\u1ee7a s\u00e0n xoang t\u1ea1i m\u1ed7i \u0111i\u1ec3m \u0111\u1eb7t implant nh\u01b0 v\u1eady c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u1ed9 cao \u0111\u00e1ng k\u1ec3. Implants c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1eb7t ngay l\u1eadp t\u1ee9c v\u1edbi k\u1ef9 thu\u1eadt n\u00e0y n\u1ebfu chi\u1ec1u cao s\u1ed1ng h\u00e0m c\u00f3 s\u1eb5n l\u00e0 5mm, m\u1eb7c d\u00f9 k\u1ef9 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 th\u00e0nh c\u00f4ng trong nh\u1eefng v\u00f9ng c\u00f3 chi\u1ec1u cao \u00edt h\u01a1n 4 mm.<\/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":"

M\u1ed9t k\u1ef9 thu\u1eadt tinh t\u1ebf h\u01a1n trong ph\u1eabu thu\u1eadt Implant – N\u00e2ng xoang k\u00edn, \u0111\u00e3 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 b\u1edfi Summers, s\u1eed d\u1ee5ng osteotome \u0111\u1eb7c bi\u1ec7t \u0111\u1ec3 g\u00f5 x\u01b0\u01a1ng v\u00f9ng ch\u00f3p xuy\u00ean qua v\u00f9ng khoan x\u01b0\u01a1ng nh\u01b0ng \u0111\u1ec3 gi\u1eef n\u00f3 d\u01b0\u1edbi m\u00e0ng xoang, k\u1ef9 thu\u1eadt n\u00e0y gi\u00fap duy tr\u00ec tr\u1ee5 Implant \u0111\u01b0\u1ee3c t\u1ed1t h\u01a1n, b\u1ea3o v\u1ec7 […]<\/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":"\nN\u00e2ng xoang k\u00edn trong ph\u1eabu thu\u1eadt Implant nha khoa. - Vinmec<\/title>\n<meta name=\"description\" content=\"K\u1ef9 thu\u1eadt n\u00e2ng xoang k\u00edn s\u1eed d\u1ee5ng osteotome \u0111\u1eb7c bi\u1ec7t g\u00f5 x\u01b0\u01a1ng v\u00f9ng ch\u00f3p xuy\u00ean qua v\u00f9ng khoan nh\u01b0ng \u0111\u1ec3 gi\u1eef n\u00f3 d\u01b0\u1edbi m\u00e0ng xoang. 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