{"id":24885,"date":"2023-04-19T17:05:39","date_gmt":"2023-04-19T10:05:39","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24885"},"modified":"2023-04-26T17:48:08","modified_gmt":"2023-04-26T10:48:08","slug":"abutment-tieu-chuan-tren-implant","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/abutment-tieu-chuan-tren-implant\/","title":{"rendered":"Lo\u1ea1i Abutment ti\u00eau chu\u1ea9n \u0111\u1ed1i v\u1edbi Implant tr\u00ean l\u00e2m s\u00e0ng."},"content":{"rendered":"

M\u1ed9t trong nh\u1eefng v\u1ea5n \u0111\u1ec1 c\u1ea7n l\u01b0u t\u00e2m \u0111\u1ebfn sau khi ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt c\u1eafm Implant cho b\u1ec7nh nh\u00e2n ch\u00ednh l\u00e0 l\u1ef1a ch\u1ecdn Abutment ph\u00f9 h\u1ee3p, nh\u1eb1m thu\u1eadn l\u1ee3i trong qu\u00e1 tr\u00ecnh ph\u1ee5c h\u00ecnh v\u1ec1 sau. B\u00e0i vi\u1ebft n\u00e0y gi\u1edbi thi\u1ec7u c\u00e1c lo\u1ea1i Abutment tr\u00ean l\u00e2m s\u00e0ng, \u0111\u1ed3ng th\u1eddi ph\u00e2n t\u00edch k\u1ef9 v\u1ec1 lo\u1ea1i Abutment ti\u00eau chu\u1ea9n. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n

1. Gi\u1edbi thi\u1ec7u v\u1ec1 \u0111i\u1ec1u tr\u1ecb ph\u1ee5c h\u00ecnh Implant<\/h2>\n

\u0110i\u1ec1u tr\u1ecb ph\u1ee5c h\u00ecnh kh\u00f4ng ch\u1ec9 gi\u1edbi h\u1ea1n \u1edf giai \u0111o\u1ea1n cu\u1ed1i c\u00f9ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb implant. S\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a vi\u1ec7c \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111\u00fang \u0111\u1ec3 \u0111\u1eb7t implant ph\u00f9 h\u1ee3p b\u1eb1ng k\u1ef9 thu\u1eadt truy\u1ec1n th\u1ed1ng v\u00e0 m\u1ed9t c\u00e1i nh\u00ecn r\u00f5 r\u00e0ng v\u1ec1 k\u1ebft qu\u1ea3 cu\u1ed1i c\u00f9ng sau khi \u0111\u1eb7t implant \u0111\u00e3 \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y. M\u1eabu s\u00e1p ch\u1ea9n \u0111o\u00e1n, ph\u1ee5c h\u00ecnh t\u1ea1m v\u00e0 vi\u1ec7c s\u1eed d\u1ee5ng m\u00e1ng h\u01b0\u1edbng d\u1eabn ph\u1eabu thu\u1eadt l\u00e0 v\u00f4 c\u00f9ng quan tr\u1ecdng, lu\u00f4n lu\u00f4n \u0111\u01b0\u1ee3c nh\u1ea5n m\u1ea1nh. Ph\u1ee5c h\u00ecnh t\u1ea1m c\u1ea7n \u0111\u1ea3m b\u1ea3o ch\u1ee9c n\u0103ng \u0103n nhai v\u00e0 \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh trong su\u1ed1t giai \u0111o\u1ea1n \u0111\u1eb7t implant. D\u00f9 ch\u1ec9 c\u00f3 m\u1ed9t ph\u1eabu thu\u1eadt vi\u00ean th\u1ef1c hi\u1ec7n \u0111i\u1ec1u tr\u1ecb implant t\u1eeb \u0111\u1ea7u t\u1edbi cu\u1ed1i hay c\u00f3 c\u00e1c nha s\u0129 kh\u00e1c tham gia trong giai \u0111o\u1ea1n c\u1ea5y gh\u00e9p v\u00e0 ph\u1ee5c h\u00ecnh \u0111i n\u1eefa, th\u00ec c\u00e1c d\u1eef li\u1ec7u v\u1ec1 ph\u1ee5c h\u00ecnh \u0111\u1ec1u b\u1eaft bu\u1ed9c ph\u1ea3i c\u00f3 ngay khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb.<\/p>\n

Tr\u00ean nhi\u1ec1u kh\u00eda c\u1ea1nh kh\u00e1c nhau, n\u1ebfu l\u1eadp k\u1ebf ho\u1ea1ch v\u00e0 \u0111\u1eb7t implant ch\u00ednh x\u00e1c th\u00ec \u0111i\u1ec1u tr\u1ecb ph\u1ee5c h\u00ecnh cho m\u1ed9t implant \u0111\u01a1n l\u1ebb r\u1ea5t \u0111\u01a1n gi\u1ea3n. Tuy nhi\u00ean, n\u1ebfu \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng v\u00e0 v\u1ecb tr\u00ed implant tr\u01b0\u1edbc \u0111\u00f3 s\u01a1 s\u00e0i th\u00ec \u0111\u00f4i khi vi\u1ec7c s\u1eeda ch\u1eefa \u0111\u01b0\u1ee3c h\u1ebft nh\u1eefng sai s\u00f3t \u0111\u00f3 \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ed9t k\u1ebft qu\u1ea3 ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c l\u00e0 b\u1ea5t kh\u1ea3 thi v\u1edbi b\u00e1c s\u0129 ph\u1ee5c h\u00ecnh. Do \u0111\u00f3, ph\u1ee5c h\u00ecnh m\u1ed9t implant \u0111\u01a1n l\u1ebb c\u00f3 th\u1ec3 n\u00f3i l\u00e0 d\u1ec5 v\u00e0 \u0111\u01b0\u1ee3c \u0111\u00f2i h\u1ecfi nhi\u1ec1u nh\u1ea5t trong t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i ph\u1ee5c h\u00ecnh tr\u00ean implant. M\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 quan tr\u1ecdng nh\u1ea5t l\u00e0 l\u1ef1a ch\u1ecdn abutment ph\u00f9 h\u1ee3p, v\u00e0 \u0111i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft d\u1ef1a tr\u00ean c\u00e1c ph\u1ea7n sau \u0111\u00e2y<\/p>\n

2. C\u00e1c lo\u1ea1i Abutment tr\u00ean l\u00e2m s\u00e0ng<\/h2>\n

C\u00e1c h\u00e3ng implant s\u1ea3n xu\u1ea5t nhi\u1ec1u lo\u1ea1i abutment kh\u00e1c nhau \u0111\u1ec3 ph\u1ee5c h\u00ecnh m\u1ed9t r\u0103ng \u0111\u01a1n l\u1ebb. Abutment k\u1ebft n\u1ed1i m\u00e3o r\u0103ng v\u1edbi implant v\u00e0 ch\u1ed1ng xoay gi\u1eefa c\u00e1c th\u00e0nh ph\u1ea7n. Nhi\u1ec1u lo\u1ea1i abutment kh\u00e1c nhau \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng t\u00f9y theo c\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 v\u1ecb tr\u00ed implant, g\u00f3c \u0111\u1ed9, \u0111\u1ed9 s\u00e2u, \u0111\u01b0\u1eddng vi\u1ec1n m\u00f4 m\u1ec1m sao cho k\u1ebft qu\u1ea3 sau c\u00f9ng v\u1eabn \u0111\u1ea1t \u0111\u01b0\u1ee3c th\u1ea9m m\u1ef9. Ph\u1ee5c h\u00ecnh sau c\u00f9ng c\u1ea7n c\u00f3 h\u00ecnh d\u1ea1ng \u0111\u00fang \u0111\u1ec3 n\u00e2ng \u0111\u1ee1 v\u00e0 t\u1ea1o d\u1ea1ng cho m\u00f4 m\u1ec1m. \u0110i\u1ec1u n\u00e0y \u0111\u00f2i h\u1ecfi s\u1ef1 chuy\u1ec3n ti\u1ebfp t\u1eeb \u0111\u01b0\u1eddng k\u00ednh 4mm c\u1ee7a implant ti\u00eau chu\u1ea9n \u0111\u1ebfn ph\u1ea7n c\u1ed5 r\u1ed9ng 7mm c\u1ee7a r\u0103ng c\u1eeda gi\u1eefa trong m\u1ed9t kho\u1ea3ng d\u1ecdc ch\u1ec9 v\u00e0i milimet.<\/p>\n

\"abutment-tieu-chuan-2\"
L\u1ef1a ch\u1ecdn chi\u1ec1u cao abutment (A) Abutment c\u1ed5 l\u00e1ng ng\u1eafn c\u00f3 \u0111\u01b0\u1eddng ho\u00e0n t\u1ea5t s\u00e2u d\u01b0\u1edbi n\u01b0\u1edbu nh\u01b0ng cho ph\u00e9p nhi\u1ec1u kho\u1ea3ng h\u1edf h\u01a1n \u0111\u1ec3 t\u1ea1o \u0111\u01b0\u1ee3c g\u00f3c \u0111\u1ed9 ph\u00f9 h\u1ee3p so v\u1edbi abutment c\u00f3 c\u1ed5 l\u00e1ng d\u00e0i (B)<\/figcaption><\/figure>\n

Abutment c\u1ea7n ch\u1ed1ng ch\u1ecbu t\u1ed1t v\u1edbi c\u00e1c l\u1ef1c n\u00e9n, l\u1ef1c c\u0103ng, l\u1ef1c xo\u1eafn do \u0111\u00f3 kh\u00f4ng \u0111\u01b0\u1ee3c n\u1ed1i li\u1ec1n abutment v\u1edbi c\u00e1c implant hay c\u00e1c r\u0103ng kh\u00e1c. Th\u01b0\u1eddng c\u00f3 r\u1ea5t \u00edt tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 \u0111\u1ec3 ph\u1ee5c h\u00ecnh l\u1ed9 kim lo\u1ea1i \u1edf \u0111\u01b0\u1eddng vi\u1ec1n n\u01b0\u1edbu, do \u0111\u00f3 c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh thi\u1ebft k\u1ebf abutment \u0111\u1ec3 \u0111\u1eb7t \u0111\u01b0\u1eddng ho\u00e0n t\u1ea5t cho th\u1ea9m m\u1ef9. Ph\u1ea7n l\u1edbn c\u00e1c ph\u1ee5c h\u00ecnh \u0111\u01a1n l\u1ebb v\u00f9ng r\u0103ng tr\u01b0\u1edbc \u0111\u01b0\u1ee3c g\u1eafn b\u1eb1ng cement l\u00ean abutment, \u0111i\u1ec1u n\u00e0y s\u1ebd gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c c\u00e1c v\u1ea5n \u0111\u1ec1 c\u00f3 th\u1ec3 x\u1ea3y ra v\u1edbi h\u01b0\u1edbng l\u1eafp \u1edf m\u1eb7t ngo\u00e0i.
\nAbutment cho ph\u1ee5c h\u00ecnh r\u0103ng \u0111\u01a1n l\u1ebb g\u1ed3m c\u00e1c nh\u00f3m sau:<\/p>\n

\"abutment-tieu-chuan-1\"
B\u1ea3ng: V\u00ed d\u1ee5 c\u00e1c lo\u1ea1i Abutment<\/figcaption><\/figure>\n

\u2022 Abutment ti\u00eau chu\u1ea9n (l\u00e0m s\u1eb5n)<\/strong>
\n\u2022 Abutment b\u00e1n \u0111i\u1ec1u ch\u1ec9nh
\n\u2022 Abutment t\u00f9y bi\u1ebfn ho\u00e0n to\u00e0n (abutment c\u00e1 nh\u00e2n)
\n\u2022 Abutment CAD\/CAM
\n\u2022 Abutment c\u00f3 th\u1ec3 s\u1eeda so\u1ea1n
\n\u2022 Abutment cho m\u00e3o r\u0103ng b\u1eaft v\u00edt<\/p>\n

Abutment c\u0169ng c\u00f3 th\u1ec3 ph\u00e2n lo\u1ea1i theo v\u1eadt li\u1ec7u ch\u1ebf t\u1ea1o nh\u01b0 v\u00e0ng, titanium v\u00e0 s\u1ee9. M\u1ed9t s\u1ed1 abutment ri\u00eang bi\u1ec7t \u0111\u01b0\u1ee3c d\u00f9ng c\u1ea3 v\u0129nh vi\u1ec5n l\u1eabn t\u1ea1m th\u1eddi. B\u00e0i vi\u1ebft n\u00e0y ch\u1ec9 \u0111\u1ec1 c\u1eadp \u0111\u1ebfn lo\u1ea1i Abutment ti\u00eau chu\u1ea9n \u1edf ph\u1ea7n d\u01b0\u1edbi \u0111\u00e2y.<\/p>\n

3. Abutment ti\u00eau chu\u1ea9n<\/h2>\n

Ph\u1ea7n l\u1edbn c\u00e1c h\u00e3ng s\u1ea3n xu\u1ea5t \u0111\u1ec1u c\u00f3 c\u00e1c abutment l\u00e0m s\u1eb5n b\u1eb1ng titanium. Abutment ti\u00eau chu\u1ea9n \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 s\u1eed d\u1ee5ng theo h\u01b0\u1edbng d\u1eabn c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t m\u00e0 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh. Do \u0111\u00f3 c\u00e1c abutment n\u00e0y th\u01b0\u1eddng \u0111\u1ed1i x\u1ee9ng, c\u00f3 \u0111\u01b0\u1eddng vi\u1ec1n n\u01b0\u1edbu ph\u1eb3ng v\u00e0 chi\u1ec1u cao c\u1ed1 \u0111\u1ecbnh. V\u00ec \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf cho ph\u1ee5c h\u00ecnh \u0111\u01a1n l\u1ebb n\u00ean abutment lo\u1ea1i n\u00e0y c\u00f3 m\u1ed9t m\u1eb7t ph\u1eb3ng tr\u00ean ph\u1ea7n l\u01b0u gi\u1eef \u0111\u1ec3 ng\u0103n cho m\u00e3o r\u0103ng sau c\u00f9ng kh\u00f4ng b\u1ecb xoay. Do thi\u1ebfu linh ho\u1ea1t n\u00ean ch\u00fang kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi nh\u1eefng v\u00f9ng \u0111\u00f2i h\u1ecfi th\u1ea9m m\u1ef9 cao, tuy nhi\u00ean l\u1ea1i d\u1ec5 s\u1eed d\u1ee5ng \u1edf nh\u1eefng r\u0103ng kh\u00f4ng quan tr\u1ecdng v\u1ec1 th\u1ea9m m\u1ef9 ho\u1eb7c trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p l\u00fd t\u01b0\u1edfng v\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng. Abutment l\u00e0m s\u1eb5n c\u00f3 \u01b0u \u0111i\u1ec3m l\u00e0 \u0111\u01a1n gi\u1ea3n, chi ph\u00ed th\u1ea5p, y\u00eau c\u1ea7u v\u1ec1 m\u1eb7t labo kh\u00f4ng nhi\u1ec1u. Abutment ti\u00eau chu\u1ea9n ch\u1ec9 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho ph\u1ee5c h\u00ecnh l\u01b0u gi\u1eef b\u1eb1ng cement.<\/p>\n

Abutment ti\u00eau chu\u1ea9n th\u01b0\u1eddng g\u1ed3m 2 ph\u1ea7n, m\u1ed9t abutment kh\u00edt s\u00e1t v\u1edbi \u0111\u1ea7u implant v\u00e0 v\u00edt v\u1eb7n abutment ri\u00eang bi\u1ec7t b\u1eb1ng h\u1ee3p kim titanium ho\u1eb7c v\u00e0ng. C\u00f3 nhi\u1ec1u chi\u1ec1u cao kh\u00e1c nhau \u1edf ph\u1ea7n c\u1ed5 l\u00e1ng n\u1ed1i t\u1eeb \u0111\u1ea7u implant \u0111\u1ebfn \u0111\u01b0\u1eddng vi\u1ec1n m\u00e3o r\u0103ng. Ng\u01b0\u1eddi ta c\u0169ng s\u1ea3n xu\u1ea5t c\u00e1c coping l\u1ea5y d\u1ea5u t\u01b0\u01a1ng \u1ee9ng, coping t\u1ea1m, analog labo v\u00e0 ph\u1ea7n tr\u1ee5 b\u1eb1ng s\u1ee9 ho\u1eb7c v\u00e0ng t\u01b0\u01a1ng \u1ee9ng. K\u1ef9 thu\u1eadt ti\u00eau chu\u1ea9n \u0111\u01b0\u1ee3c minh h\u1ecda trong h\u00ecnh d\u01b0\u1edbi \u0111\u00e2y:<\/p>\n

\"abutment-tieu-chuan-3\"
Hai implant r\u0103ng c\u1ed1i l\u1edbn h\u00e0m d\u01b0\u1edbi \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i d\u00f9ng abutment ti\u00eau chu\u1ea9n c\u1ee7a Astra Tech.
(A) Tr\u1ee5 l\u00e0nh th\u01b0\u01a1ng nh\u00ecn trong mi\u1ec7ng. (B) B\u1ed9 kit ph\u1ee5c h\u00ecnh g\u1ed3m abutment, coping l\u1ea5y d\u1ea5u, b\u1ea3n sao implant v\u00e0 tr\u1ee5 \u0111\u1ec3 l\u00e0m m\u00e3o sau c\u00f9ng v\u00e0 ph\u1ee5c h\u00ecnh t\u1ea1m. (C) \u0110\u1eb7t abutment b\u1eb1ng c\u00e2y v\u1eb7n. (D) Xi\u1ebft ch\u1eb7t abutment b\u1eb1ng c\u00e2y v\u1eb7n \u0111o l\u1ef1c. Tr\u01b0\u1eddng h\u1ee3p n\u00e0y d\u00f9ng l\u1ef1c 25Ncm. (E) Abutment nh\u00ecn tr\u00ean mi\u1ec7ng. Ch\u00fa \u00fd \u0111\u01b0\u1eddng ho\u00e0n t\u1ea5t \u0111\u01b0\u1ee3c \u0111\u1eb7t ngay tr\u00ean n\u01b0\u1edbu v\u00ec \u1edf \u0111\u00e2y y\u1ebfu t\u1ed5 th\u1ea9m m\u1ef9 kh\u00f4ng quan tr\u1ecdng. (F) Nh\u00ecn t\u1eeb m\u1eb7t nhai c\u00f3 th\u1ec3 th\u1ea5y m\u1eb7t ph\u1eb3ng v\u00e1t c\u1ee7a abutment. \u0110\u00e2y l\u00e0 y\u1ebfu t\u1ed1 ch\u1ed1ng xoay cho ph\u1ee5c h\u00ecnh. (G) G\u1eafn coping l\u1ea5y d\u1ea5u v\u00e0o abutment. (H) Coping l\u1ea5y d\u1ea5u b\u1ecb k\u00e9o ra, n\u1eb1m trong d\u1ea5u sau c\u00f9ng \u0111\u01b0\u1ee3c l\u1ea5y b\u1eb1ng k\u1ef9 thu\u1eadt khay \u0111\u00f3ng v\u1edbi v\u1eadt li\u1ec7u Impregum. (I) G\u1eafn b\u1ea3n sao implant v\u00e0o coping. (J) Ph\u1ee5c h\u00ecnh t\u1ea1m \u0111\u01b0\u1ee3c l\u00e0m \u0111\u01a1n gi\u1ea3n trong mi\u1ec7ng. \u0110\u1ec3 \u0111\u01a1n gi\u1ea3n, giai \u0111o\u1ea1n n\u00e0y ph\u1ee5c h\u00ecnh t\u1ea1m \u0111\u01b0\u1ee3c l\u00e0m d\u00ednh nhau. (K) M\u1eabu h\u00e0m l\u00e0m vi\u1ec7c c\u00f3 ph\u1ea7n b\u1ea3n sao n\u01b0\u1edbu b\u1eb1ng silicon. (L) M\u00e3o s\u1ee9 s\u01b0\u1eddn kim lo\u1ea1i tr\u00ean m\u1eabu h\u00e0m l\u00e0m vi\u1ec7c. (M) Hai m\u00e3o \u0111\u01b0\u1ee3c l\u00e0m r\u1eddi \u0111\u1ec3 v\u1ec7 sinh. (N) C\u00e1c m\u00e3o r\u0103ng \u0111\u01b0\u1ee3c g\u1eafn b\u1eb1ng cement v\u00e0o abutment. (O) M\u00e3o r\u0103ng nh\u00ecn t\u1eeb m\u1eb7t nhai. (P) Phim quanh ch\u00f3p sau c\u00f9ng.<\/figcaption><\/figure>\n

V\u1edbi implant c\u00f3 l\u1ee5c gi\u00e1c ngo\u00e0i c\u1ee7a Nobel Biocare, abutment kh\u00edt s\u00e1t v\u1edbi m\u1eb7t ph\u1eb3ng \u1edf \u0111\u1ec9nh v\u00e0 \u0103n kh\u1edbp v\u1edbi ph\u1ea7n l\u1ee5c gi\u00e1c l\u1ed3i gi\u00fap abutment ch\u1ed1ng xoay. C\u0169ng nh\u01b0 v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c implant c\u00f3 thi\u1ebft k\u1ebf \u0111\u1ec9nh ph\u1eb3ng, vi\u1ec7c abutment \u0111\u1eb7t kh\u00edt s\u00e1t l\u00ean \u0111\u1ea7u implant l\u00e0 r\u00e1t quan tr\u1ecdng, do \u0111\u00f3 c\u1ea7n ph\u1ea3i ch\u1ee5p phim ki\u1ec3m tra.<\/p>\n

\"abutment-tieu-chuan-4\"
Phim quanh ch\u00f3p cho th\u1ea5y abutment ch\u01b0a \u0111\u01b0\u1ee3c g\u1eafn kh\u1edbp \u0111\u00fang v\u00e0o l\u1ee5c gi\u00e1c ngo\u00e0i c\u1ee7a implant (Nobel Biocare).<\/figcaption><\/figure>\n

Sau khi \u0111\u00e3 ki\u1ec3m tra, abutment \u0111\u01b0\u1ee3c g\u1eafn v\u00e0o implant v\u1edbi m\u1ed9t v\u00edt v\u1eb7n b\u1eb1ng h\u1ee3p kim v\u00e0ng, l\u1ef1c xo\u1eafn kho\u1ea3ng 32Ncm v\u1edbi implant th\u00f4ng th\u01b0\u1eddng. \u0110\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c ch\u00ednh x\u00e1c l\u1ef1c xo\u1eafn c\u1ea7n thi\u1ebft c\u1ea7n s\u1eed d\u1ee5ng m\u1ed9t d\u1ee5ng c\u1ee5 c\u01a1 h\u1ecdc nh\u01b0 c\u00e2y ki\u1ec3m so\u00e1t l\u1ef1c b\u1eb1ng tay ho\u1eb7c \u0111i\u1ec7n t\u1eed. Implant c\u00f3 b\u1ec7 chuy\u1ec3n nh\u1ecf th\u01b0\u1eddng \u0111\u01b0\u1ee3c v\u1eb7n ch\u1eb7t v\u1edbi l\u1ef1c xo\u1eafn 20Ncm v\u00e0 v\u1edbi abutment c\u00f3 b\u1ec7 r\u1ed9ng l\u00e0 45Ncm.<\/p>\n

V\u1edbi c\u00e1c implant c\u00f3 ph\u1ea7n k\u1ebft n\u1ed1i d\u1ea1ng n\u00f3n (nh\u01b0 Astra Tech, Frialit, Nobel Biocare, Straumann), abutment c\u00f3 m\u1ed9t b\u1ec1 m\u1eb7t \u0103n kh\u1edbp h\u00ecnh n\u00f3n v\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 ch\u1ed1ng xoay b\u00ean trong gi\u00fap abutment c\u00f3 th\u1ec3 kh\u00e1ng l\u1ea1i l\u1ef1c xoay. M\u1eb7c d\u00f9 li\u00ean k\u1ebft implant-abutment n\u00e0y theo ki\u1ec3u t\u1ef1 h\u01b0\u1edbng d\u1eabn v\u00e0 r\u1ea5t d\u1ec5 \u0103n kh\u1edbp nh\u01b0ng ta c\u0169ng n\u00ean gi\u1eef ch\u1eb7t v\u00e0 th\u1eed xoay abutment tr\u01b0\u1edbc khi v\u1eb7n v\u00edt \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o abutment \u0111\u00e3 ho\u00e0n to\u00e0n kh\u00edt s\u00e1t. C\u00f3 th\u1ec3 kh\u00f4ng y\u00eau c\u1ea7u ph\u1ea3i ch\u1ee5p phim ki\u1ec3m tra, nh\u01b0ng n\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 nghi ng\u1edd n\u00e0o th\u00ec ta c\u0169ng n\u00ean ch\u1ee5p phim \u0111\u1ec3 kh\u1eb3ng \u0111\u1ecbnh l\u00e0 abutment \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1eb7t \u0111\u00fang.<\/p>\n

Ph\u1ea7n th\u00e2n r\u0103ng c\u1ee7a abutment \u0111\u01a1n l\u1ebb c\u1ea7n c\u00f3 d\u1ea1ng l\u01b0u gi\u1eef v\u00e0 kh\u00e1ng l\u1ef1c t\u1ed1t, \u0111\u1ee7 cho m\u00e3o r\u0103ng \u0111\u01b0\u1ee3c g\u1eafn b\u1eb1ng cement v\u00e0o abutment. Abutment th\u01b0\u1eddng c\u00f3 h\u00ecnh tr\u1ee5, c\u00e1c th\u00e0nh song song ho\u1eb7c h\u01a1i h\u1ed9i t\u1ee5. C\u1ea7n c\u00f3 m\u1ed9t m\u1eb7t ph\u1eb3ng \u0111\u1ec3 ch\u1ed1ng xoay. S\u1ef1 kh\u00edt s\u00e1t cao c\u1ee7a ph\u1ee5c h\u00ecnh d\u1ea1ng n\u00e0y, \u0111\u1eb7c bi\u1ec7t trong tr\u01b0\u1eddng h\u1ee3p d\u00f9ng tr\u1ee5 b\u1eb1ng v\u00e0ng \u0111\u00f4i khi r\u1ea5t kh\u00f3 \u0111\u1ec3 g\u1eafn xu\u1ed1ng \u0111\u00fang v\u1ecb tr\u00ed, khi \u0111\u00f3 c\u1ea7n s\u1eed d\u1ee5ng cement g\u1eafn c\u00f3 \u0111\u1ed9 nh\u1edbt th\u1ea5p ho\u1eb7c ph\u1ea3i c\u00f3 m\u1ed9t l\u1ed7 tho\u00e1t tr\u00ean m\u00e3o r\u0103ng. K\u00ednh th\u01b0\u1edbc c\u1ed1 \u0111\u1ecbnh c\u1ee7a ph\u1ea7n l\u01b0u gi\u1eef m\u00e3o r\u0103ng khi\u1ebfn cho abutment l\u00e0m s\u1eb5n kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi nh\u1eefng r\u0103ng c\u00f3 kho\u1ea3ng tr\u1ed1ng li\u00ean h\u00e0m nh\u1ecf, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi kho\u1ea3ng tr\u1ed1ng d\u01b0\u1edbi 7mm, b\u1edfi v\u00ec s\u1ebd kh\u00f4ng c\u00f3 \u0111\u1ee7 kho\u1ea3ng \u0111\u1ec3 l\u00e0m m\u00e3o r\u0103ng. T\u01b0\u01a1ng t\u1ef1, n\u1ebfu c\u00f3 s\u1ef1 ti\u00eau x\u01b0\u01a1ng nhi\u1ec1u sau khi \u0111\u1eb7t implant, kho\u1ea3ng tr\u1ed1ng li\u00ean h\u00e0m s\u1ebd qu\u00e1 l\u1edbn (tr\u00ean 12mm), khi \u0111\u00f3 m\u00e3o r\u0103ng s\u1ebd kh\u00f4ng \u0111\u1ee7 l\u01b0u gi\u1eef v\u00ec t\u1ec9 l\u1ec7 gi\u1eefa chi\u1ec1u cao l\u01b0u gi\u1eef v\u00e0 chi\u1ec1u d\u00e0i c\u1ee7a m\u00e3o r\u0103ng kh\u00f4ng thu\u1eadn l\u1ee3i.<\/p>\n

Abutment lo\u1ea1i n\u00e0y \u0111\u01b0\u1ee3c g\u1eafn v\u00e0 gi\u1eef nguy\u00ean v\u1ecb tr\u00ed trong th\u1eddi gian l\u00e0m m\u00e3o r\u0103ng sau c\u00f9ng. Do \u0111\u00f3, ph\u1ee5c h\u00ecnh t\u1ea1m th\u01b0\u1eddng \u0111\u01b0\u1ee3c l\u00e0m ngay tr\u00ean gh\u1ebf nha. Coping l\u1ea5y d\u1ea5u t\u01b0\u01a1ng \u1ee9ng l\u00e0 m\u1ed9t tr\u1ee5 \u0111\u01a1n gi\u1ea3n b\u1eb1ng nh\u1ef1a c\u00f3 th\u1ec3 \u1ea5n kh\u00edt v\u00e0o abutment c\u0169ng nh\u01b0 l\u1ea5y ra kh\u1ecfi v\u1eadt li\u1ec7u l\u1ea5y d\u1ea5u.<\/p>\n

\"\"
Abutment ti\u00eau chu\u1ea9n c\u1ee7a Astra Tech ph\u1ee5c h\u1ed3i r\u0103ng nanh h\u00e0m d\u01b0\u1edbi (4) \u0110\u1ec3 th\u1ea9m m\u1ef9 \u0111\u01b0\u1eddng ho\u00e0n t\u1ea5t c\u1ee7a m\u00e3o r\u0103ng \u0111\u01b0\u1ee3c \u0111\u1eb7t d\u01b0\u1edbi n\u01b0\u1edbu kho\u1ea3ng 1mm (B) \u0110\u1eb7t coping l\u1ea5y d\u1ea5u v\u00e0o v\u1ecb tr\u00ed (C) Coping l\u1ea5y d\u1ea5u \u0111\u01b0\u1ee3c l\u1ea5y ra c\u00f9ng v\u1edbi d\u1ea5u sau c\u00f9ng (D) M\u00e3o r\u0103ng s\u1ee9 s\u01b0\u1eddn kim lo\u1ea1i sau c\u00f9ng (E) M\u00e3o r\u0103ng ho\u00e0n t\u1ea5t tr\u00ean mi\u1ec7ng.<\/figcaption><\/figure>\n

Tr\u1ee5 b\u1eb1ng v\u00e0ng \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf cho ph\u00e9p t\u1ea1o m\u1eabu s\u00e1p theo h\u00ecnh d\u1ea1ng c\u1ea7n thi\u1ebft cho m\u00e3o s\u1ee9 kim lo\u1ea1i. B\u00ean c\u1ea1nh \u0111\u00f3, c\u0169ng c\u00f3 coping b\u1eb1ng lo\u1ea1i nh\u1ef1a c\u00f3 th\u1ec3 b\u1ecb \u0111\u1ed1t ch\u1ea3y t\u01b0\u01a1ng t\u1ef1 nh\u01b0 s\u00e1p. M\u1ed9t v\u00e0i h\u00e3ng s\u1ea3n xu\u1ea5t coping s\u1ee9 \u0111\u1ec3 ng\u01b0\u1eddi ta c\u00f3 th\u1ec3 n\u01b0\u1edbng s\u1ee9 hay d\u00f9ng k\u1ef9 thu\u1eadt CAD\/CAM t\u1ea1o ph\u1ee5c h\u00ecnh s\u1ee9 sau c\u00f9ng ngay tr\u00ean coping.<\/p>\n

\u01afu \u0111i\u1ec3m\/Ch\u1ec9 \u0111\u1ecbnh c\u1ee7a abutment ti\u00eau chu\u1ea9n<\/em><\/strong><\/p>\n

    \n
  • D\u1ec5 s\u1eed d\u1ee5ng<\/li>\n
  • Th\u1eddi gian tr\u00ean gh\u1ebf v\u00e0 t\u1ea1i labo l\u00e0 t\u1ed1i thi\u1ec3u<\/li>\n
  • S\u1ef1 kh\u00edt s\u00e1t v\u00e0 \u0111\u1ed9 l\u01b0u gi\u1eef d\u1ef1 \u0111o\u00e1n \u0111\u01b0\u1ee3c c\u1ee7a m\u00e3o r\u0103ng<\/li>\n
  • S\u1eed d\u1ee5ng trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u01a1n gi\u1ea3n, kho\u1ea3ng tr\u1ed1ng v\u00e0 h\u01b0\u1edbng c\u1ee7a implant l\u00fd t\u01b0\u1edfng.<\/li>\n<\/ul>\n

    Nh\u01b0\u1ee3c \u0111i\u1ec3m\/Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a abutment ti\u00eau chu\u1ea9n<\/strong><\/em><\/p>\n

      \n
    • \u0110\u01b0\u1eddng vi\u1ec1n m\u00e3o r\u0103ng kh\u00f4ng theo h\u00ecnh d\u1ea1ng n\u01b0\u1edbu<\/li>\n
    • Kh\u00f4ng th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh theo h\u01b0\u1edbng c\u1ee7a implant v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m gi\u1ea3i ph\u1eabu<\/li>\n
    • \u0110\u1eb7c bi\u1ec7t kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi c\u00e1c implant nghi\u00eang ngo\u00e0i nhi\u1ec1u.<\/li>\n
    • Kh\u00f4ng th\u00edch h\u1ee3p ph\u1ee5c h\u00ecnh nhi\u1ec1u m\u00e3o r\u0103ng c\u1ea1nh nhau v\u00ec kh\u00f4ng th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh h\u01b0\u1edbng l\u1eafp.<\/li>\n
    • T\u01b0\u01a1ng t\u1ef1 c\u0169ng kh\u00f4ng ph\u00f9 h\u1ee3p khi c\u00e1c r\u0103ng b\u00ean c\u1ea1nh b\u1ecb nghi\u00eang l\u1ec7ch.<\/li>\n<\/ul>\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 trong nh\u1eefng v\u1ea5n \u0111\u1ec1 c\u1ea7n l\u01b0u t\u00e2m \u0111\u1ebfn sau khi ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt c\u1eafm Implant cho b\u1ec7nh nh\u00e2n ch\u00ednh l\u00e0 l\u1ef1a ch\u1ecdn Abutment ph\u00f9 h\u1ee3p, nh\u1eb1m thu\u1eadn l\u1ee3i trong qu\u00e1 tr\u00ecnh ph\u1ee5c h\u00ecnh v\u1ec1 sau. B\u00e0i vi\u1ebft n\u00e0y gi\u1edbi thi\u1ec7u c\u00e1c lo\u1ea1i Abutment tr\u00ean l\u00e2m s\u00e0ng, \u0111\u1ed3ng th\u1eddi ph\u00e2n t\u00edch k\u1ef9 v\u1ec1 lo\u1ea1i […]<\/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":"\nLo\u1ea1i Abutment ti\u00eau chu\u1ea9n \u0111\u1ed1i v\u1edbi Implant tr\u00ean l\u00e2m s\u00e0ng. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y gi\u1edbi thi\u1ec7u c\u00e1c lo\u1ea1i Abutment tr\u00ean l\u00e2m s\u00e0ng, \u0111\u1ed3ng th\u1eddi ph\u00e2n t\u00edch k\u1ef9 v\u1ec1 lo\u1ea1i Abutment ti\u00eau chu\u1ea9n. 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