{"id":25250,"date":"2023-04-20T06:38:50","date_gmt":"2023-04-19T23:38:50","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25250"},"modified":"2023-04-26T17:27:17","modified_gmt":"2023-04-26T10:27:17","slug":"phuc-hinh-cau-rang-tren-implant-cac-nguyen-tac-chung","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/phuc-hinh-cau-rang-tren-implant-cac-nguyen-tac-chung\/","title":{"rendered":"Ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng tr\u00ean Implant – C\u00e1c nguy\u00ean t\u1eafc chung."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y gi\u1edbi thi\u1ec7u chung v\u1ec1 ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng tr\u00ean Implant, \u0111\u1ed3ng th\u1eddi n\u00eau ra nh\u1eefng nguy\u00ean t\u1eafc c\u1ee7a lo\u1ea1i ph\u1ee5c h\u00ecnh n\u00e0y \u0111\u1ed1i v\u1edbi th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng tr\u00ean b\u1ec7nh nh\u00e2n c\u1ee5 th\u1ec3. Cu\u1ed1i c\u00f9ng, b\u00e0i vi\u1ebft \u0111\u1ec1 c\u1eadp \u0111\u1ebfn c\u00e1c ph\u01b0\u01a1ng ph\u00e1p g\u1eafn d\u00ednh c\u1ea7u r\u0103ng nh\u1eb1m mang \u0111\u1ebfn cho Nha s\u0129 m\u1ed9t g\u00f3c nh\u00ecn t\u1ed5ng qu\u00e1t nh\u1ea5t. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n

1. Gi\u1edbi thi\u1ec7u chung v\u1ec1 ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng tr\u00ean Implant<\/h2>\n

Vi\u1ec7c t\u1ea1o m\u1ed9t c\u1ea5u tr\u00fac li\u00ean k\u1ebft nhi\u1ec1u tr\u1ee5 implant l\u1ea1i v\u1edbi nhau \u0111\u00f2i h\u1ecfi m\u1ed9t ti\u00eau chu\u1ea9n cao v\u1ec1 l\u00e2m s\u00e0ng v\u00e0 k\u0129 thu\u1eadt nh\u1eb1m gi\u00fap vi\u1ec7c l\u1ea5y d\u1ea5u, ch\u1ebf t\u1ea1o ph\u1ee5c h\u00ecnh \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u1ed9 ch\u00ednh x\u00e1c cao. V\u1edbi m\u1ed9t c\u1ea7u r\u0103ng th\u00f4ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c n\u00e2ng \u0111\u1ee1 b\u1edfi r\u0103ng th\u1eadt, nh\u1eefng l\u1ed7i nh\u1ecf khi g\u1eafn c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c b\u00f9 tr\u1eeb nh\u1edd v\u00e0o s\u1ef1 di chuy\u1ec3n c\u1ee7a tr\u1ee5 r\u0103ng, nh\u1edd v\u00e0o d\u00e2y ch\u1eb3ng nha chu. Nh\u01b0ng \u0111\u1ed1i v\u1edbi m\u1ed9t c\u1ea7u r\u0103ng tr\u00ean implant, vi\u1ec7c g\u1eafn c\u1ea7u r\u0103ng \u0111\u00f2i h\u1ecfi \u0111\u1ed9 ch\u00ednh x\u00e1c cao sao cho n\u00f3 \u0111\u01b0\u1ee3c \u0111\u1eb7t 1 c\u00e1ch th\u1ee5 \u0111\u1ed9ng l\u00ean nh\u1eefng implant ch\u1eafc ch\u1eafn. Y\u00eau c\u1ea7u n\u00e0y kh\u1eaft khe h\u01a1n \u1edf c\u1ea7u r\u0103ng \u0111\u01b0\u1ee3c g\u1eafn b\u1eb1ng v\u00edt v\u1eb7n so v\u1edbi lo\u1ea1i g\u1eafn b\u1eb1ng xi m\u0103ng.<\/p>\n

Ph\u1ea7n n\u00e0y s\u1eed d\u1ee5ng thu\u1eadt ng\u1eef c\u1ea7u r\u0103ng \u0111\u1ec3 m\u00f4 t\u1ea3 t\u1ea5t c\u1ea3 c\u00e1c d\u1ea1ng c\u1ee7a ph\u1ee5c h\u00ecnh r\u0103ng c\u1ed1 \u0111\u1ecbnh c\u00f3 li\u00ean k\u1ebft c\u00e1c implant l\u1ea1i v\u1edbi nhau. C\u00f3 th\u1ec3 bao g\u1ed3m tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 nh\u1ecbp c\u1ea7u gi\u1eefa c\u00e1c implant.<\/p>\n

2. Nguy\u00ean t\u1eafc c\u1ee7a ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng tr\u00ean Implant<\/h2>\n

2.1. C\u1ea7u r\u0103ng nh\u1ecbp ng\u1eafn v\u00e0 c\u1ea7u r\u0103ng nh\u1ecbp d\u00e0i<\/h3>\n

Abutment v\u00e0 implant d\u00f9ng \u0111\u1ec3 n\u00e2ng \u0111\u1ee1 cho c\u1ea7u r\u0103ng v\u1ec1 c\u01a1 b\u1ea3n gi\u1ed1ng nhau gi\u1eefa c\u00e1c c\u1ea7u r\u0103ng ch\u1ec9 c\u00f3 2 implant v\u1edbi c\u00e1c c\u1ea7u r\u0103ng to\u00e0n h\u00e0m \u0111\u01b0\u1ee3c n\u00e2ng \u0111\u1ee1 b\u1edfi 6 tr\u1ee5 implant hay nhi\u1ec1u h\u01a1n.<\/p>\n

\"phuc-hinh-cau-rang-1\"
Hai implant Straumann \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf v\u1ecb tr\u00ed r\u0103ng ti\u1ec1n c\u1ed1i b\u1ecb m\u1ea5t. (A) V\u1ecb tr\u00ed \u1ed1c l\u00e0nh th\u01b0\u01a1ng. (B) Abutment SynOcta c\u1ee7a c\u1ea7u r\u0103ng l\u01b0u gi\u1eef b\u1eb1ng \u1ed1c v\u1eb7n. (C) \u1ed0c l\u1ea5y d\u1ea5u \u0111\u01b0\u1ee3c g\u1eafn v\u00e0o abutment. (D) \u1ed0c l\u1ea5y d\u1ea5u \u0111\u01b0\u1ee3c \u0111\u01b0a ra kh\u1ecfi d\u1ea5u. (E) Th\u1eed s\u01b0\u1eddn kim lo\u1ea1i v\u1edbi tr\u1ee5 h\u01b0\u1edbng d\u1eabn. (F) C\u1ea7u r\u0103ng ho\u00e0n t\u1ea5t v\u1edbi \u0111\u01b0\u1eddng vi\u1ec1n d\u01b0\u1edbi n\u01b0\u1edbu sao cho \u0111\u1ea1t th\u1ea9m m\u1ef9 t\u1ed1i \u01b0u.<\/figcaption><\/figure>\n
\"phuc-hinh-cau-rang-2\"
M\u1ed9t c\u1ea7u r\u0103ng s\u1ee9-v\u00e0ng to\u00e0n h\u00e0m l\u01b0u gi\u1eef b\u1eb1ng v\u00edt v\u1eb7n tr\u00ean 8 tr\u1ee5 implant Astra Tech. (A) M\u1eabu th\u1ec3 hi\u1ec7n impant \u1edf v\u1ecb tr\u00ed 14,13,12,11,21,22,23,24. (B) C\u1ea7u r\u0103ng ho\u00e0n t\u1ea5t tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c l\u1eafp v\u00e0o. L\u01b0u \u00fd vi\u1ec7c s\u1eed d\u1ee5ng composite h\u1ed3ng \u0111\u1ec3 thay th\u1ebf m\u00f4 m\u1ec1m b\u1ecb m\u1ea5t. (C) C\u1ea7u r\u0103ng \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf v\u1edbi m\u1ed9t khung ph\u1ee5 \u0111\u01b0\u1ee3c l\u01b0u gi\u1eef b\u1eb1ng \u1ed1c v\u1eb7n, sau \u0111\u00f3 t\u1eebng m\u00e3o ri\u00eang r\u1ebd \u0111\u01b0\u1ee3c g\u1eafn l\u00ean khung ph\u1ee5. (D) M\u1ed9t ph\u1ea7n nh\u1ecf \u1edf m\u1eb7t trong kh\u00f4ng ph\u1ee7 s\u1ee9 \u0111\u1ec3 thu\u1eadn ti\u1ec7n trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n th\u00e1o g\u1ee1 sau n\u00e0y. (E) C\u00e1c ph\u1ea7n c\u1ee7a c\u1ea7u r\u0103ng \u0111\u01b0\u1ee3c g\u1eafn trong mi\u1ec7ng. Nh\u1eefng m\u00e3o r\u0103ng \u0111\u01a1n l\u1ebb gi\u00fap s\u1eeda ch\u1eefa d\u1ec5 d\u00e0ng ho\u1eb7c thay th\u1ebf trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 v\u1ea5n \u0111\u1ec1. (F) Ph\u1ee5c h\u00ecnh ho\u00e0n t\u1ea5t.<\/figcaption><\/figure>\n

Tuy nhi\u00ean \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ed9t k\u1ebft qu\u1ea3 ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c, \u0111\u1ed9 ph\u1ee9c t\u1ea1p s\u1ebd gia t\u0103ng khi m\u00e0 nhi\u1ec1u tr\u1ee5 implant \u0111\u01b0\u1ee3c li\u00ean k\u1ebft l\u1ea1i v\u1edbi nhau. S\u1ef1 k\u1ebft n\u1ed1i gi\u1eefa c\u00e1c implant c\u00f3 nh\u1eefng l\u1ee3i \u00edch sau \u0111\u00e2y:<\/p>\n

    \n
  • Implant ng\u1eafn h\u01a1n (d\u01b0\u1edbi 8mm) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 kh\u1ecfi s\u1ef1 qu\u00e1 t\u1ea3i nh\u1edd v\u00e0o c\u00e1c implant kh\u00e1c, b\u1edfi v\u00ec c\u1ea5u tr\u00fac c\u1ee9ng ch\u1eafc khi \u0111\u00f3 s\u1ebd g\u00f3p ph\u1ea7n ch\u1ecbu t\u1ea3i th\u00f4ng qua li\u00ean k\u1ebft b\u1ec1 m\u1eb7t gi\u1eefa c\u00e1c implant.<\/li>\n
  • Implant \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf nh\u1eefng v\u00f9ng ti\u1ec1m n\u0103ng ch\u1ecbu l\u1ef1c l\u1edbn s\u1ebd \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 nh\u1edd s\u1ef1 li\u00ean k\u1ebft n\u00e0y. V\u00ed d\u1ee5, s\u1ef1 k\u1ebft n\u1ed1i gi\u1eefa c\u00e1c implant c\u00f3 th\u1ec3 b\u1ea3o v\u1ec7 implant xa nh\u1ea5t trong ph\u1ee5c h\u1ed3i r\u0103ng sau.<\/li>\n
  • Vi\u1ec7c li\u00ean k\u1ebft c\u00e1c implant v\u1edbi nhau cho ph\u00e9p v\u00e0i nh\u1ecbp v\u00f3i nh\u1ea5t \u0111\u1ecbnh \u0111\u01b0\u1ee3c k\u1ebft n\u1ed1i v\u1edbi c\u1ea7u r\u0103ng. \u0110\u1ed1i v\u1edbi nh\u1eefng implant \u1edf ph\u00eda xa, h\u01a1i kh\u00f3 kh\u0103n \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c chi\u1ec1u d\u00e0i th\u00edch h\u1ee3p v\u00ec c\u00f3 li\u00ean quan \u0111\u1ebfn vi\u1ec7c thi\u1ebfu x\u01b0\u01a1ng, v\u00e0 c\u1ea5u tr\u00fac gi\u1ea3i ph\u1ea9u. B\u1eb1ng s\u1ef1 k\u1ebft n\u1ed1i c\u1ee7a nh\u1eefng implant ph\u00eda tr\u01b0\u1edbc, v\u1ea5n \u0111\u1ec1 n\u00e0y c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft.<\/li>\n<\/ul>\n

    Trong m\u1ed9t v\u00e0i tr\u01b0\u1eddng h\u1ee3p n\u1ebfu c\u00f3 th\u1ec3 c\u1eafm \u0111\u01b0\u1ee3c nh\u1eefng implant \u0111\u1ee7 k\u00edch th\u01b0\u1edbc, t\u1ed1t nh\u1ea5t l\u00e0 n\u00ean chia ch\u00fang ra th\u00e0nh nh\u1eefng ph\u1ee5c h\u00ecnh ri\u00eang l\u1ebb \u0111\u1ec3 vi\u1ec7c s\u1eeda ch\u1eefa v\u00e0 duy tr\u00ec \u0111\u01b0\u1ee3c thu\u1eadn l\u1ee3i h\u01a1n n\u1ebfu c\u00f3 bi\u1ebfn ch\u1ee9ng sau n\u00e0y.<\/p>\n

    \"\"
    H\u00ecnh 14.3 C\u1ea7u r\u0103ng s\u1ee9-v\u00e0ng to\u00e0n h\u00e0m h\u00e0m tr\u00ean \u0111\u01b0\u1ee3c l\u01b0u gi\u1eef b\u1eb1ng \u1ed1c v\u1eb7n. (A) M\u1eabu ho\u00e0n t\u1ea5t. (B) C\u1ea7u r\u0103ng \u0111\u01b0\u1ee3c chia l\u00e0m 4 ph\u1ea7n ri\u00eang bi\u1ec7t, m\u1ed7i c\u1ea7u g\u1ed3m 2 tr\u1ee5 implant v\u00e0 1 nh\u1ecbp v\u1edbi. (C) T\u1eeb m\u1eb7t nhai cho th\u1ea5y c\u00e1c l\u1ed7 \u0111\u1ec1u \u1edf v\u1ecb tr\u00ed th\u00edch h\u1ee3p. (D) M\u1ed9t phim x quang quanh ch\u00f3p ho\u00e0n t\u1ea5t cho th\u1ea5y 2 tr\u1ee5 implant \u1edf v\u00f9ng r\u0103ng ti\u1ec1n c\u1ed1i v\u00e0 1 nh\u1ecbp v\u1edbi \u1edf ph\u00eda xa.<\/figcaption><\/figure>\n

    Nhi\u1ec1u tranh lu\u1eadn \u0111\u00e3 n\u1ed5 ra li\u00ean quan \u0111\u1ebfn vi\u1ec7c c\u00f3 n\u00ean m\u1edf r\u1ed9ng c\u1ea7u r\u0103ng qua \u0111\u01b0\u1eddng gi\u1eefa do li\u00ean quan \u0111\u1ebfn l\u1ef1c u\u1ed1n c\u1ee7a h\u00e0m (\u0111\u1eb7c bi\u1ec7t l\u00e0 h\u00e0m d\u01b0\u1edbi) hay kh\u00f4ng? Tuy nhi\u00ean, th\u1ef1c t\u1ebf l\u00e2m s\u00e0ng \u0111\u00e3 kh\u00f4ng ch\u1ee9ng minh \u0111\u01b0\u1ee3c gi\u1ea3 thuy\u1ebft n\u00e0y, v\u00e0 t\u00e1c gi\u1ea3 c\u0169ng kh\u00f4ng ngh\u0129 \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra.<\/p>\n

    2.2. Nh\u1ecbp v\u1edbi \u1edf ph\u00eda xa<\/h3>\n

    Nh\u1ecbp v\u1edbi \u1edf ph\u00eda xa c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh l\u00e0 m\u1ed9t ph\u1ee5c h\u1ed3i y\u00ean ng\u1ef1a \u1edf v\u1ecb tr\u00ed sau c\u00f9ng, n\u01a1i g\u1eb7p kh\u00f3 kh\u0103n khi \u0111\u1eb7t th\u00eam 1 implant nh\u01b0ng v\u1ec1 ch\u1ee9c n\u0103ng v\u1eabn c\u1ea7n d\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a r\u0103ng. Vi\u1ec7c th\u1ef1c hi\u1ec7n nh\u1ecbp v\u1edbi \u1edf ph\u00eda xa ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ed9t v\u00e0i y\u1ebfu t\u1ed1:<\/p>\n

      \n
    • L\u1ef1c t\u1ea3i ti\u1ec1m n\u0103ng l\u00ean nh\u1ecbp v\u1edbi. Tr\u01b0\u1eddng h\u1ee3p \u0111\u1ed1i di\u1ec7n nh\u1ecbp v\u1edbi l\u00e0 r\u0103ng t\u1ef1 nhi\u00ean, \u0111\u1eb7c bi\u1ec7t l\u01b0u \u00fd \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 c\u00f3 nh\u1eefng th\u00f3i quen c\u1eadn ch\u1ee9c n\u0103ng tr\u01b0\u1edbc \u0111\u00f3, ta ph\u1ea3i c\u1ea9n tr\u1ecdng h\u01a1n so v\u1edbi tr\u01b0\u1eddng h\u1ee3p \u0111\u1ed1i di\u1ec7n nh\u1ecbp v\u1edbi l\u00e0 ph\u1ee5c h\u00ecnh th\u00e1o l\u1eafp. Khi tr\u00ean d\u01b0\u1edbi \u0111\u1ec1u l\u00e0 ph\u1ee5c h\u00ecnh implant th\u00ec l\u1ef1c t\u1ea3i ti\u1ec1m n\u0103ng l\u00ean nh\u1ecbp v\u1edbi s\u1ebd l\u00e0 l\u1edbn nh\u1ea5t.<\/li>\n
    • Chi\u1ec1u d\u00e0i v\u00e0 \u0111\u01b0\u1eddng k\u00ednh c\u1ee7a implant xa nh\u1ea5t, n\u01a1i s\u1ebd nh\u1eadn t\u1ea3i l\u1ef1c n\u00e9n l\u1edbn nh\u1ea5t<\/li>\n
    • K\u00edch th\u01b0\u1edbc v\u00e0 v\u1ecb tr\u00ed c\u1ee7a implant tr\u01b0\u1edbc nh\u1ea5t, v\u00ec \u0111\u00e2y l\u00e0 n\u01a1i nh\u1eadn l\u1ef1c c\u0103ng k\u00e9o l\u1edbn nh\u1ea5t.<\/li>\n
    • K\u00edch th\u01b0\u1edbc theo chi\u1ec1u tr\u01b0\u1edbc sau \u0111\u01b0\u1ee3c t\u00ednh t\u1eeb \u0111i\u1ec3m gi\u1eefa \u0111\u01b0\u1eddng th\u1eb3ng n\u1ed1i hai implant xa nh\u1ea5t \u1edf c\u1ea3 hai b\u00ean h\u00e0m cho \u0111\u1ebfn implant tr\u01b0\u1edbc nh\u1ea5t. Kho\u1ea3ng c\u00e1ch n\u00e0y c\u00e0ng l\u1edbn, nh\u1ecbp v\u1edbi c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf d\u00e0i h\u01a1n b\u1edfi v\u00ec khi \u0111\u00f3 implant ph\u00eda tr\u01b0\u1edbc s\u1ebd kh\u00f4ng ph\u1ea3i ch\u1ecbu t\u1ea3i l\u1ef1c qu\u00e1 m\u1ee9c nh\u01b0 khi c\u00e1c implant \u0111\u01b0\u1ee3c \u0111\u1eb7t tr\u00ean m\u1ed9t \u0111\u01b0\u1eddng th\u1eb3ng.<\/li>\n<\/ul>\n

      M\u1ed9t v\u00e0i t\u00e1c gi\u1ea3 \u0111\u1ec1 ngh\u1ecb c\u1ea7u v\u1edbi c\u00f3 th\u1ec3 thi\u1ebft k\u1ebf an to\u00e0n trong kho\u1ea3ng 20 mm. C\u00e1c t\u00e1c gi\u1ea3 c\u0169ng \u0111\u1ec1 ngh\u1ecb n\u00ean xem x\u00e9t k\u00edch th\u01b0\u1edbc n\u00e0y c\u1ea9n th\u1eadn, m\u1ed9t nh\u1ecbp v\u1edbi ph\u00eda xa l\u00fd t\u01b0\u1edfng, ngay c\u1ea3 khi ch\u00fang \u0111\u01b0\u1ee3c g\u00e1nh b\u1edfi m\u1ed9t v\u00e0i implant c\u00f3 k\u00edch th\u01b0\u1edbc \u0111\u1ea7y \u0111\u1ee7 v\u00e0 trong n\u1eb1m trong m\u1ed9t cung h\u00ecnh d\u1ea1ng t\u1ed1i \u01b0u, th\u00ec gi\u1edbi h\u1ea1n c\u0169ng n\u00ean trong kho\u1ea3ng t\u1eeb 10 – 15 mm (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng k\u00edch th\u01b0\u1edbc kho\u1ea3ng 2 nh\u1ecbp r\u0103ng c\u1ed1i nh\u1ecf).<\/p>\n

      C\u00e1c bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y \u1edf c\u1ea7u v\u00f3i th\u01b0\u1eddng c\u00f3 li\u00ean quan \u0111\u1ebfn y\u1ebfu t\u1ed1 t\u1ef1 nhi\u00ean, bao g\u1ed3m l\u1ecfng \u1ed1c v\u1eb7n, n\u1ee9t v\u1ee1 veneer, v\u00e0 th\u1eadm ch\u00ed l\u00e0 n\u1ee9t g\u00e3y s\u01b0\u1eddn c\u1ee7a c\u1ea7u r\u0103ng<\/p>\n

      2.3. L\u01b0u gi\u1eef c\u1ea7u r\u0103ng b\u1eb1ng v\u00edt v\u1eb7n hay b\u1eb1ng xi m\u0103ng<\/h3>\n

      G\u1eafn c\u1ea7u r\u0103ng l\u00ean tr\u1ee5 implant v\u1edbi v\u00edt v\u1eb7n cho ph\u00e9p ch\u1ec9nh s\u1eeda c\u00e1c ph\u1ee5c h\u1ed3i \u0111\u01b0\u1ee3c d\u1ec5 d\u00e0ng v\u00e0 thu\u1eadn l\u1ee3i h\u01a1n so v\u1edbi vi\u1ec7c g\u1eafn b\u1eb1ng xi m\u0103ng, \u0111i\u1ec1u n\u00e0y c\u0169ng c\u00f3 th\u1ec3 xem l\u00e0 thu\u1eadn l\u1ee3i h\u01a1n so v\u1edbi nh\u1eefng c\u1ea7u r\u0103ng th\u00f4ng th\u01b0\u1eddng. H\u1ea7u h\u1ebft c\u00e1c thi\u1ebft k\u1ebf c\u1ee7a abutment l\u00e0m c\u1ea7u r\u0103ng \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t theo d\u1ea1ng l\u01b0u gi\u1eef b\u1eb1ng v\u00edt v\u1eb7n.<\/p>\n

      \"phuc-hinh-cau-rang-3\"
      Hai implant Nobel Biocare h\u1ed7 tr\u1ee3 cho c\u1ea7u r\u0103ng tr\u01b0\u1edbc. (A) Tr\u1ee5 h\u01b0\u1edbng d\u1eabn \u0111\u01b0\u1ee3c \u0111\u1eb7t t\u01b0\u01a1ng t\u1ef1 v\u1edbi d\u1ea5u h\u01b0\u1edbng d\u1eabn c\u1ee7a \u0111\u1ea7u implant. Trong tr\u01b0\u1eddng h\u1ee3p abutment l\u01b0u gi\u1eef b\u1eb1ng v\u00edt v\u1eb7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, l\u1ed7 b\u1eaft v\u00edt v\u00e0o implant h\u01b0\u1edbng v\u1ec1 ph\u00eda m\u00f4i. (B) S\u1eed d\u1ee5ng abutment g\u1eadp g\u00f3c \u0111\u1ec3 v\u00edt v\u1eb7n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u1eafn \u1edf v\u1ecb tr\u00ed th\u00edch h\u1ee3p. (C) V\u1ecb tr\u00ed c\u1ee7a abutment g\u1eadp g\u00f3c-l\u01b0u \u00fd c\u1ed5 kim lo\u1ea1i c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y \u1edf tr\u00ean \u0111\u01b0\u1eddng vi\u1ec1n n\u01b0\u1edbu. (D) C\u1ea7u r\u0103ng ho\u00e0n t\u1ea5t. C\u1ea5u tr\u00fac c\u1ea7u r\u0103ng \u0111\u00e3 \u0111\u01b0\u1ee3c m\u1edf r\u1ed9ng \u1edf ph\u00eda tr\u01b0\u1edbc \u0111\u1ec3 che khu\u1ea5t ph\u1ea7n k\u00ecm lo\u1ea1i b\u1ecb l\u1ed9. (E) L\u1ed1i v\u00e0o c\u1ee7a v\u00edt v\u1eb7n ph\u00eda kh\u1ea9u c\u00e1i c\u00f3 \u0111\u01b0\u1eddng vi\u1ec1n h\u01a1i to. (F) M\u1ed9t tr\u01b0\u1eddng h\u1ee3p t\u01b0\u01a1ng t\u1ef1 v\u1edbi abutment \u0111\u01b0\u1ee3c chu\u1ea9n b\u1ecb tr\u01b0\u1edbc (Ti-Adapt). \u0110\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c g\u00f3c thay \u0111\u1ed5i c\u1ea7n thi\u1ebft nh\u1edd v\u00e0o s\u1ef1 \u0111i\u1ec1u ch\u1ec9nh v\u1ec1 ph\u00eda m\u00e1 c\u1ee7a abutment. (G) C\u1ea7u r\u0103ng \u0111\u01b0\u1ee3c g\u1eafn b\u1eb1ng xi m\u0103ng. V\u1eabn kh\u00f4ng che \u0111\u01b0\u1ee3c \u0111\u01b0\u1eddng vi\u1ec1n kim lo\u1ea1i. (H) \u0110\u01b0\u1eddng vi\u1ec1n ph\u00eda kh\u1ea9u c\u00e1i nh\u00ecn t\u1ef1 nhi\u00ean h\u01a1n so v\u1edbi tr\u01b0\u1eddng h\u1ee3p l\u01b0u gi\u1eef b\u1eb1ng \u1ed1c v\u1eb7n.<\/figcaption><\/figure>\n

      Lo\u1ea1i n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh 1 ho\u1eb7c 2 kh\u1ed1i, n\u1eb1m tr\u00ean ho\u1eb7c b\u00ean trong \u0111\u1ea7u implant v\u00e0 c\u00f3 ren.<\/p>\n

      \"\"
      M\u1ed9t kh\u1ed1i c\u1ea7u r\u0103ng l\u01b0u gi\u1eef b\u1eb1ng v\u00edt v\u1eb7n tr\u00ean implant Astra Tech. (A) Tr\u01b0\u1edbc khi ph\u1ee5c h\u1ed3i. C\u00f3 s\u1ef1 ti\u00eau x\u01b0\u01a1ng v\u00e0 m\u1ea5t m\u00f4 m\u1ec1m \u0111\u00e1ng k\u1ec3. (B) C\u1ea7u r\u0103ng k\u1ebft h\u1ee3p v\u1edbi abutment g\u1eafn v\u1edbi s\u01b0\u1eddn h\u1ee3p kim v\u00e0ng v\u00e0 l\u1ed7 v\u1eb7n \u1ed1c cho \u1ed1c abutment l\u1edbn h\u01a1n. (C) S\u1ee9 h\u1ed3ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 che khu\u1ea5t ph\u1ea7n m\u00f4 m\u1ec1m b\u1ecb m\u1ea5t. (D) C\u1ea7u r\u0103ng ho\u00e0n t\u1ea5t.<\/figcaption><\/figure>\n

      Abutment \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf d\u1ea1ng n\u00f3n, c\u00e2n x\u1ee9ng, \u0111\u1ec9nh c\u00f3 ren \u0111\u1ec3 g\u1eafn v\u1edbi 1 v\u00edt nh\u1ecf, \u0111\u01b0\u1ee3c xem nh\u01b0 l\u00e0 1 \u201cc\u1ea7u n\u1ed1i\u201d, gi\u00fap l\u01b0u gi\u1eef c\u1ea7u r\u0103ng. V\u00edt n\u00e0y \u0111\u01b0\u1ee3c g\u1eafn xuy\u00ean qua 1 \u1ed1ng v\u00e0ng (machined gold cylinder), g\u1eafn v\u00e0o b\u00ean trong c\u1ea5u tr\u00fac c\u1ea7u r\u0103ng v\u00e0 \u0111\u01b0\u1ee3c \u0111\u1eb7t ch\u00ednh x\u00e1c l\u00ean tr\u00ean abutment. Abutment \u0111\u01b0\u1ee3c g\u1eafn \u1edf 1 g\u00f3c \u0111\u1ed9 sao cho ph\u00f9 h\u1ee3p v\u1edbi s\u1ef1 thay \u0111\u1ed5i h\u01b0\u1edbng c\u1ee7a v\u00edt v\u1eb7n c\u1ea7u r\u0103ng. V\u00edt v\u1eb7n nh\u1ecf d\u00f9ng \u0111\u1ec3 c\u1ed1 \u0111\u1ecbnh c\u1ea7u r\u0103ng l\u00e0 b\u1ed9 ph\u1eadn y\u1ebfu nh\u1ea5t trong kh\u1ed1i c\u1ea7u r\u0103ng-implant, d\u1ec5 b\u1ecb h\u1ecfng khi qu\u00e1 t\u1ea3i hay ch\u1ea5n th\u01b0\u01a1ng.<\/p>\n

      C\u1ea7u r\u0103ng l\u01b0u gi\u1eef b\u1eb1ng v\u00edt \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh m\u1ed9t c\u00e1ch th\u1ee5 \u0111\u1ed9ng l\u00ean tr\u00ean abutment. N\u1ebfu v\u00edt c\u1ed1 \u0111\u1ecbnh c\u1ea7u r\u0103ng \u0111\u01b0\u1ee3c si\u1ebft ch\u1eb7t v\u00e0o \u1ed1ng v\u00e0ng (gold cylinder) v\u00e0 \u1ed1ng v\u00e0ng n\u00e0y kh\u00f4ng \u0111\u01b0\u1ee3c kh\u1edbp \u0111\u00fang v\u1ecb tr\u00ed c\u1ee7a n\u00f3 th\u00ec v\u00edt v\u1eb7n s\u1ebd ch\u1ecbu 1 \u00e1p l\u1ef1c, v\u00e0 h\u1eadu qu\u1ea3 l\u00e0 kh\u00f4ng ch\u1ec9 c\u1ea7u r\u0103ng b\u1ecb sai v\u1ecb tr\u00ed, d\u1eabn t\u1edbi h\u1edf b\u1edd ph\u1ee5c h\u00ecnh, m\u00e0 c\u00f2n g\u00e2y l\u1ecfng v\u00edt v\u1eb7n ho\u1eb7c n\u1ee9t g\u00e3y theo th\u1eddi gian. M\u1ed7i \u1ed1ng v\u00e0ng (gold cylinder) ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf g\u00f3c \u0111\u1ed9 ch\u00ednh x\u00e1c, v\u00e0 nh\u1eefng bi\u1ebfn ch\u1ee9ng c\u1ee7a h\u1ec7 th\u1ed1ng c\u1ea7u r\u0103ng v\u1edbi nhi\u1ec1u tr\u1ee5 implant ch\u00ednh l\u00e0 n\u1eb1m \u1edf vi\u1ec7c c\u00f3 \u0111\u1ea1t \u0111\u01b0\u1ee3c g\u00f3c \u0111\u1ed9 ch\u00ednh x\u00e1c n\u00e0y hay kh\u00f4ng. V\u00ec v\u1eady v\u1edbi nhi\u1ec1u nha s\u0129, vi\u1ec7c gi\u1ea3i quy\u1ebft c\u00e1c kh\u00f3 kh\u0103n ti\u1ec1m \u1ea9n n\u00f3i tr\u00ean l\u1ea1i t\u1ecf ra n\u1eb7ng n\u1ec1 h\u01a1n \u01b0u \u0111i\u1ec3m d\u1ec5 th\u00e1o \u0111\u1ec3 ch\u1ec9nh s\u1eeda c\u1ee7a lo\u1ea1i ph\u1ee5c h\u00ecnh b\u1eaft v\u00edt.<\/p>\n

      Ng\u01b0\u1ee3c l\u1ea1i ph\u1ee5c h\u00ecnh g\u1eafn b\u1eb1ng xi m\u0103ng kh\u00f4ng \u0111\u00f2i h\u1ecfi nh\u1eefng ti\u00eau chu\u1ea9n ch\u00ednh x\u00e1c nh\u01b0 tr\u01b0\u1eddng h\u1ee3p g\u1eafn b\u1eb1ng v\u00edt, v\u00ec xi m\u0103ng khi g\u1eafn s\u1ebd cho ph\u00e9p c\u1ea7u r\u0103ng \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh m\u00e0 kh\u00f4ng ph\u1ea3i ch\u1ecbu \u00e1p l\u1ef1c. \u0110i\u1ec1u n\u00e0y kh\u00f4ng c\u00f3 ngh\u0129a cho ph\u00e9p gi\u1ea3m ti\u00eau chu\u1ea9n k\u1ef9 thu\u1eadt l\u00e2m s\u00e0ng v\u00e0 labo, m\u00e0 ch\u1ec9 cho th\u1ea5y m\u1ed9t chu\u1ea9n ho\u00e0n h\u1ea3o trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea7n thi\u1ebft. K\u1ef9 thu\u1eadt labo c\u1ee7a c\u1ea7u r\u0103ng implant g\u1eafn b\u1eb1ng xi m\u0103ng c\u0169ng gi\u1ed1ng v\u1edbi vi\u1ec7c l\u00e0m c\u1ea7u r\u0103ng c\u1ed1 \u0111\u1ecbnh th\u00f4ng th\u01b0\u1eddng, k\u1ebft h\u1ee3p th\u00eam k\u0129 thu\u1eadt l\u00e0m ph\u1ee5c h\u00ecnh cho t\u1eebng implant \u0111\u01a1n l\u1ebb. Khi \u0111\u00f3 th\u1eddi gian cho labo s\u1ebd nhi\u1ec1u h\u01a1n so v\u1edbi k\u1ef9 thu\u1eadt c\u00f3 s\u1eed d\u1ee5ng nh\u1eefng th\u00e0nh ph\u1ea7n ti\u00eau chu\u1ea9n l\u00e0m b\u1edbi ch\u00ednh nh\u00e0 s\u1ea3n xu\u1ea5t.<\/p>\n

      C\u1ea7u r\u0103ng b\u1eb1ng xi m\u0103ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t, ch\u1ec9nh s\u1eeda l\u1ea1i sau khi g\u1eafn t\u1ea1m. S\u1ef1 tan r\u00e3 xi m\u0103ng \u1edf \u0111\u01b0\u1eddng vi\u1ec1n c\u0169ng kh\u00f4ng d\u1eabn \u0111\u1ebfn s\u00e2u r\u0103ng nh\u01b0 \u1edf c\u1ea7u r\u0103ng th\u00f4ng th\u01b0\u1eddng. C\u1ea7u r\u0103ng b\u1eb1ng xi m\u0103ng kh\u00f4ng c\u1ea7n ch\u1eeba l\u1ed7 cho screw xuy\u00ean qua c\u1ea7u r\u0103ng. C\u1ea7u r\u0103ng g\u1eafn cement ko \u0111\u00f2i h\u1ecfi l\u1ed7 v\u1eb7n cho v\u00edt xuy\u00ean qua. M\u1eb7c d\u00f9 xu\u1ea5t hi\u1ec7n l\u1ed7 v\u1eb7n v\u00edt hi\u1ebfm khi g\u00e2y ra v\u1ea5n \u0111\u1ec1 v\u1edbi h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n. Tuy nhi\u00ean n\u00f3 v\u1eabn c\u00f3 th\u1ec3 l\u00e0m xu\u1ea5t hi\u1ec7n bi\u1ebfn ch\u1ee9ng, n\u1ebfu l\u1ed7 v\u1eb7n v\u00edt b\u1eaft bu\u1ed9c ph\u1ea3i \u0111\u1eb7t \u1edf v\u1ecb tr\u00ed nh\u00ecn th\u1ea5y \u0111\u01b0\u1ee3c, ho\u1eb7c t\u1ea1i nh\u1eefng \u0111i\u1ec3m ch\u1ea1m kh\u1edbp quan tr\u1ecdng V\u00ec nh\u1eefng l\u00fd do \u0111\u00f3, m\u00e0 c\u1ea7u r\u0103ng implant \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh g\u1eafn b\u1eb1ng xi m\u0103ng khi vi\u1ec7c \u0111\u1eb7t implant kh\u00f4ng theo h\u01b0\u1edbng l\u1eafp mong mu\u1ed1n c\u1ee7a ph\u1ee5c h\u00ecnh. \u0110\u1ed1i v\u1edbi nhi\u1ec1u nha s\u0129, vi\u1ec7c g\u1eafn b\u1eb1ng xi m\u0103ng trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y kh\u00f4ng kh\u00e1c m\u1ea5y so v\u1edbi tr\u01b0\u1eddng h\u1ee3p g\u1eafn c\u1ea7u r\u0103ng hay m\u00e3o r\u0103ng th\u00f4ng th\u01b0\u1eddng.<\/p>\n

      Vi\u1ec7c g\u1eafn b\u1eb1ng xi m\u0103ng hay v\u00edt v\u1eb7n c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o kh\u1ea3 n\u0103ng c\u1ee7a labo. Quy\u1ebft \u0111\u1ecbnh g\u1eafn b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p g\u00ec n\u00ean ph\u1ee5 thu\u1ed9c v\u00e0o t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng v\u00e0 m\u1eabu sau khi l\u00ean gi\u00e1 kh\u1edbp tr\u01b0\u1edbc giai \u0111o\u1ea1n l\u1ef1a ch\u1ecdn tr\u1ee5 abutment, k\u0129 thu\u1eadt \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn ph\u00f9 h\u1ee3p nh\u1ea5t ph\u1ea3i d\u1ef1a tr\u00ean t\u1eebng tr\u01b0\u1eddng h\u1ee3p l\u00e2m s\u00e0ng c\u1ee5 th\u1ec3. Th\u00f4ng th\u01b0\u1eddng, \u0111i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c quy\u1ebft \u0111\u1ecbnh \u1edf giai \u0111o\u1ea1n l\u00ean k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb d\u01b0\u1edbi s\u1ef1 \u0111\u1ed3ng \u00fd c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

      3. \u01afu v\u00e0 nh\u01b0\u1ee3c \u0111i\u1ec3m c\u00e1c c\u00e1ch g\u1eafn ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng<\/h2>\n

      3.1. \u01afu \u0111i\u1ec3m c\u1ee7a ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng l\u01b0u gi\u1eef b\u1eb1ng v\u00edt v\u1eb7n<\/h3>\n
        \n
      • D\u1ec5 t\u00e1i t\u1ea1o l\u1ea1i \u0111\u01b0\u1ee3c.<\/li>\n
      • Ki\u1ec3m tra vi\u1ec7c g\u1eafn ho\u00e0n t\u1ea5t cho ph\u1ee5c h\u1ed3i d\u1ec5 \u0111\u01b0\u1ee3c \u0111\u1ea3m b\u1ea3o h\u01a1n<\/li>\n
      • S\u1eed d\u1ee5ng t\u1ea5t c\u1ea3 c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t cho vi\u1ec7c c\u1ed1 \u0111\u1ecbnh b\u1ec1 m\u1eb7t<\/li>\n
      • Kh\u00f4ng c\u00f3 nguy c\u01a1 b\u1ecb xi m\u0103ng d\u01b0 \u1edf \u0111\u01b0\u1eddng vi\u1ec1n, v\u00e0 b\u1ecb r\u01a1i xu\u1ed1ng khe n\u01b0\u1edbu<\/li>\n<\/ul>\n

        3.2. Nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ee7a ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng l\u01b0u gi\u1eef b\u1eb1ng v\u00edt v\u1eb7n<\/h3>\n
          \n
        • Implant ph\u1ea3i \u0111\u1ea3m b\u1ea3o \u0111\u00fang theo h\u01b0\u1edbng l\u1eafp c\u1ee7a ph\u1ee5c h\u00ecnh v\u00e0 v\u00ec th\u1ebf l\u1ea1i t\u1ed3n t\u1ea1i l\u1ed7 cho v\u00edt v\u1eb7n tr\u00ean m\u1eb7t nhai ho\u1eb7c abutment g\u1eadp g\u00f3c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng.<\/li>\n
        • L\u1ed7 c\u1ee7a \u1ed1c v\u1eb7n c\u00f3 th\u1ec3 hi\u1ec7n di\u1ec7n \u1edf v\u1ecb tr\u00ed quan tr\u1ecdng c\u1ee7a m\u1eb7t nhai<\/li>\n
        • \u0110\u00f2i h\u1ecfi s\u1ef1 c\u1ed1 \u0111\u1ecbnh th\u1ee5 \u0111\u1ed9ng c\u1ee7a m\u1ed7i \u1ed1ng v\u00e0ng (gold cylinder) tr\u00ean abutment<\/li>\n
        • Nguy c\u01a1 l\u1ecfng v\u00e0 g\u00e3y c\u1ea7u r\u0103ng<\/li>\n<\/ul>\n

          3.3. \u01afu \u0111i\u1ec3m c\u1ee7a c\u1ea7u r\u0103ng g\u1eafn b\u1eb1ng xi m\u0103ng<\/h3>\n
            \n
          • C\u1ed1 \u0111\u1ecbnh th\u1ee5 \u0111\u1ed9ng kh\u00f4ng y\u00eau c\u1ea7u b\u1eaft bu\u1ed9t nh\u01b0ng n\u1ebfu th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c th\u00ec t\u1ed1t h\u01a1n<\/li>\n
          • Kh\u00f4ng c\u00f3 l\u1ed7 cho \u1ed1c v\u1eb7n<\/li>\n
          • Gi\u1ed1ng nh\u01b0 1 c\u1ea7u r\u0103ng th\u00f4ng th\u01b0\u1eddng<\/li>\n
          • C\u00f3 th\u1ec3 ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 kh\u00f4ng ph\u00f9 h\u1ee3p h\u01b0\u1edbng gi\u1eefa tr\u1ee5c implant v\u00e0 ph\u1ee5c h\u00ecnh<\/li>\n<\/ul>\n

            3.4. Nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ee7a ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng g\u1eafn b\u1eb1ng xi m\u0103ng<\/h3>\n
              \n
            • Vi\u1ec7c ch\u1ec9nh s\u1eeda kh\u00f3 kh\u0103n h\u01a1n<\/li>\n
            • \u0110\u00f2i h\u1ecfi t\u1ed1n th\u1eddi gian labo h\u01a1n do ph\u1ea3i ch\u1ec9nh s\u1eeda abutment cho ph\u00f9 h\u1ee3p<\/li>\n
            • C\u1ea7n ki\u1ec3m so\u00e1t xi m\u0103ng d\u01b0 v\u00e0 tr\u00e1nh r\u1edbt v\u00e0o khe n\u01b0\u1edbu<\/li>\n
            • Kh\u00f3 gi\u00e1m s\u00e1t trong vi\u1ec7c c\u1ea7u r\u0103ng \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh \u0111\u00fang hay ch\u01b0a trong tr\u01b0\u1eddng qu\u00e1 ch\u1eb7t hay khe n\u01b0\u1edbu s\u00e2u.<\/li>\n
            • \u0110\u00f2i h\u1ecfi chi\u1ec1u cao ph\u00f9 h\u1ee3p c\u1ee7a abutment l\u01b0u gi\u1eef<\/li>\n<\/ul>\n

              4. Ch\u1ec9 s\u1ed1\/v\u1ecb tr\u00ed c\u1ee7a abutment<\/h2>\n

              Abutment \u0111\u01a1n l\u1ebb c\u1ea7n ch\u1ecdn theo th\u00f4ng s\u1ed1 (c\u00f3 th\u1ec3 l\u00e0 c\u1ea5u tr\u00fac l\u1ee5c gi\u00e1c ph\u1eb3ng \u0111\u1ed1i v\u1edbi implant lo\u1ea1i flat-top ho\u1eb7c c\u1ea5u tr\u1ee9c k\u1ebft n\u1ed1i b\u00ean trong \u0111\u1ed1i v\u1edbi implant lo\u1ea1i k\u1ebft n\u1ed1i trong,d\u1ea1ng n\u00f3n) \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ef1 v\u1eefng \u1ed5n tr\u01b0\u1edbc l\u1ef1c xoay. Khi c\u00e1c implant \u0111\u01b0\u1ee3c li\u00ean k\u1ebft v\u1edbi nhau, \u0111i\u1ec1u n\u00e0y kh\u00f4ng b\u1eaft bu\u1ed9c, \u0111\u1ec3 ti\u1ec7n s\u1eed d\u1ee5ng nh\u00e0 s\u1ea3n xu\u1ea5t \u0111\u00e3 thi\u1ebft k\u1ebf nh\u1eefng abutment cho c\u1ea7u r\u0103ng b\u1eaft v\u00edt \u0111\u1ec3 kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi c\u00e1c y\u1ebfu t\u1ed1 c\u1ea3n tr\u1edf t\u1ea1o l\u1ef1c xoay tr\u00ean implant. Khi abutment \u0111i\u1ec1u ch\u1ec9nh (customed abutment) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, bao g\u1ed3m c\u1ea3 implant g\u1eadp g\u00f3c, \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u01b0\u01a1ng quan v\u1edbi nh\u1eefng implant c\u00f3 v\u1ecb tr\u00ed \u0111\u1eb7c bi\u1ec7t, abutment c\u1ea7n \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn theo nh\u1eefng th\u00f4ng s\u1ed1 \u0111\u1ec3 ph\u00f9 h\u1ee3p (H\u00ecnh tr\u00ean).<\/p>\n

              Th\u00f4ng s\u1ed1 n\u00e0y c\u0169ng c\u1ea7n thi\u1ebft khi ti\u1ebfn h\u00e0nh chuy\u1ec3n abutment t\u1eeb m\u1eabu v\u00e0o mi\u1ec7ng v\u00e0 ng\u01b0\u1ee3c l\u1ea1i \u0111\u1ec3 gi\u00fap \u0111\u1ea3m b\u1ea3o ch\u00ednh x\u00e1c v\u1ecb tr\u00ed. Ngo\u00e0i ra, labo c\u1ea7n h\u1ed7 tr\u1ee3 l\u00e0m m\u1ed9t kho\u00e1 ghi d\u1ea5u \u0111\u1ec3 ghi nh\u1edb.<\/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":"

              B\u00e0i vi\u1ebft n\u00e0y gi\u1edbi thi\u1ec7u chung v\u1ec1 ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng tr\u00ean Implant, \u0111\u1ed3ng th\u1eddi n\u00eau ra nh\u1eefng nguy\u00ean t\u1eafc c\u1ee7a lo\u1ea1i ph\u1ee5c h\u00ecnh n\u00e0y \u0111\u1ed1i v\u1edbi th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng tr\u00ean b\u1ec7nh nh\u00e2n c\u1ee5 th\u1ec3. Cu\u1ed1i c\u00f9ng, b\u00e0i vi\u1ebft \u0111\u1ec1 c\u1eadp \u0111\u1ebfn c\u00e1c ph\u01b0\u01a1ng ph\u00e1p g\u1eafn d\u00ednh c\u1ea7u r\u0103ng nh\u1eb1m mang \u0111\u1ebfn cho Nha […]<\/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":"\nPh\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng tr\u00ean Implant - C\u00e1c nguy\u00ean t\u1eafc chung. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y gi\u1edbi thi\u1ec7u v\u1ec1 ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng tr\u00ean Implant, n\u00eau ra nh\u1eefng nguy\u00ean t\u1eafc tr\u00ean l\u00e2m s\u00e0ngb\u1ec7nh nh\u00e2n c\u1ee5 th\u1ec3. 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