{"id":25267,"date":"2023-04-20T07:28:18","date_gmt":"2023-04-20T00:28:18","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25267"},"modified":"2023-04-26T17:19:19","modified_gmt":"2023-04-26T10:19:19","slug":"vi-tri-va-lua-chon-abutment-cho-cau-rang-bat-vit-tren-implant","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/vi-tri-va-lua-chon-abutment-cho-cau-rang-bat-vit-tren-implant\/","title":{"rendered":"V\u1ecb tr\u00ed v\u00e0 l\u1ef1a ch\u1ecdn Abutment cho c\u1ea7u r\u0103ng b\u1eaft v\u00edt tr\u00ean Implant."},"content":{"rendered":"<p><strong>B\u00e0i vi\u1ebft n\u00e0y ch\u1ec9 ra c\u00e1c b\u01b0\u1edbc th\u1ef1c hi\u1ec7n tr\u00ean l\u00e2m s\u00e0ng \u0111\u1ed1i v\u1edbi m\u1ed9t c\u1ea7u r\u0103ng b\u1eaft v\u00edt c\u01a1 b\u1ea3n, \u0111\u1ed3ng th\u1eddi t\u00f3m t\u1eaft quy tr\u00ecnh l\u1ef1a ch\u1ecdn Abutment tr\u00ean lo\u1ea1i c\u1ea7u r\u0103ng b\u1eaft v\u00edt n\u00e0y. C\u00f9ng t\u00ecm hi\u1ec3u chi ti\u1ebft h\u01a1n trong b\u00e0i vi\u1ebft sau.<\/strong><\/p>\n<h2>1. C\u00e1c b\u01b0\u1edbc th\u1ef1c hi\u1ec7n tr\u00ean l\u00e2m s\u00e0ng \u0111\u1ed1i v\u1edbi m\u1ed9t c\u1ea7u r\u0103ng b\u1eaft v\u00edt c\u01a1 b\u1ea3n<\/h2>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p \u0111\u01a1n gi\u1ea3n, nh\u01b0 l\u00e0m m\u1ed9t c\u1ea7u r\u0103ng b\u1eaft v\u00edt c\u00f3 nh\u1ecbp c\u1ea7u ng\u1eafn, h\u01b0\u1edbng c\u1ee7a implant cho ph\u00e9p l\u1ed7 v\u1eb7n v\u00edt tho\u00e1t ra \u1edf m\u1eb7t nhai (l\u1eafp ch\u1ed1t \u0111\u1ecbnh h\u01b0\u1edbng v\u00e0o implant s\u1ebd cho ph\u00e9p th\u1ea5y r\u00f5 h\u01a1n h\u01b0\u1edbng c\u1ee7a implant), ta c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n theo c\u00e1c b\u01b0\u1edbc tr\u00ean l\u00e2m s\u00e0ng nh\u01b0 sau:<\/p>\n<ul>\n<li>X\u00e1c \u0111\u1ecbnh kho\u1ea3ng c\u00e1ch t\u1eeb \u0111\u1ea7u implant \u0111\u1ebfn r\u0103ng \u0111\u1ed1i di\u1ec7n b\u1eb1ng c\u00e1c s\u1eed d\u1ee5ng m\u1ed9t c\u00e2y \u0111o t\u00fai ho\u1eb7c th\u01b0\u1edbc \u0111o. N\u1ebfu kho\u1ea3ng c\u00e1ch d\u01b0\u1edbi 7mm, c\u1ea7n s\u1eed d\u1ee5ng abutment ng\u1eafn nh\u1ea5t v\u1edbi ch\u00f3p thu\u00f4n nh\u1ea5t (cho d\u00f9 ngay c\u1ea3 khi implant \u1edf v\u1ecb tr\u00ed t\u1ed1t) m\u1ee5c \u0111\u00edch l\u00e0 t\u1ea1o k\u00edch th\u01b0\u1edbc d\u1ecdc nh\u1ecf nh\u1ea5t.<\/li>\n<li>S\u1eed d\u1ee5ng c\u00e2y \u0111o t\u00fai ho\u1eb7c d\u1ee5ng c\u1ee5 \u0111o chi\u1ec1u s\u00e2u, x\u00e1c \u0111\u1ecbnh chi\u1ec1u cao n\u01b0\u1edbu c\u1ee7a c\u1ed5 abutment. \u0110\u01b0\u1eddng ho\u00e0n t\u1ea5t n\u00ean \u0111\u01b0\u1ee3c \u0111\u1eb7t d\u01b0\u1edbi n\u01b0\u1edbu kho\u1ea3ng 1 \u0111\u1ebfn 2mm t\u1ea1i \u0111i\u1ec3m th\u1ea5p nh\u1ea5t \u1edf vi\u1ec1n n\u01b0\u1edbu c\u1ee7a m\u1eb7t r\u0103ng nh\u00ecn th\u1ea5y \u0111\u01b0\u1ee3c.<\/li>\n<li>\u0110\u1eb7t abutment nh\u01b0ng kh\u00f4ng si\u1ebft ch\u1eb7t. Ki\u1ec3m tra h\u01b0\u1edbng v\u00e0 kho\u1ea3ng h\u1edf kh\u1edbp c\u1eafn. S\u1ef1 kh\u00edt s\u00e1t th\u00ec c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra b\u1eb1ng phim XQuang.<\/li>\n<li>N\u1ebfu ta \u0111\u1ecbnh gi\u1eef nguy\u00ean abutment t\u1ea1i v\u1ecb tr\u00ed v\u00e0 g\u1eafn ph\u1ee5c h\u00ecnh t\u1ea1m th\u00ec c\u00f3 th\u1ec3 xi\u1ebft ch\u1eb7t v\u00edt v\u1eb7n abutment theo h\u01b0\u1edbng d\u1eabn c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t. N\u1ebfu abutment \u0111\u01b0\u1ee3c th\u00e1o ra \u0111\u1ec3 \u0111\u1eb7t healing gi\u1eefa c\u00e1c l\u1ea7n h\u1eb9n th\u00ec ch\u1ec9 n\u00ean v\u1eb7n ch\u1eb7t b\u1eb1ng tay.<\/li>\n<li>M\u1ed9t d\u1ea5u chuy\u1ec3n c\u1ee7a abutment n\u00ean \u0111\u01b0\u1ee3c l\u1ea5y (v\u00ec n\u00f3 t\u1ed1t h\u01a1n l\u00e0 m\u1ed9t d\u1ea5u \u0111\u1ea7u implant)<\/li>\n<li>C\u00f3 th\u1ec3 \u0111\u1eb7t n\u1eafp b\u1ea3o v\u1ec7 l\u00ean n\u1ebfu abutment \u0111\u01b0\u1ee3c gi\u1eef nguy\u00ean t\u1ea1i ch\u1ed7, l\u00fac n\u00e0y ph\u1ee5c h\u00ecnh t\u1ea1m s\u1ebd \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ec3 ph\u00f9 h\u1ee3p v\u1edbi k\u00edch th\u01b0\u1edbc hi\u1ec7n t\u1ea1i.<\/li>\n<\/ul>\n<figure id=\"attachment_25268\" aria-describedby=\"caption-attachment-25268\" style=\"width: 683px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-25268\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-320.png\" alt=\"cau-rang-bat-vit-1\" width=\"683\" height=\"451\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-320.png 683w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-320-300x198.png 300w\" sizes=\"(max-width: 683px) 100vw, 683px\" \/><figcaption id=\"caption-attachment-25268\" class=\"wp-caption-text\">C\u00e1c n\u1eafp b\u1ea3o v\u1ec7 abutment, s\u1eed d\u1ee5ng khi abutment \u0111\u01b0\u1ee3c \u0111\u1ec3 nguy\u00ean tr\u00ean mi\u1ec7ng gi\u1eefa c\u00e1c l\u1ea7n h\u1eb9n<\/figcaption><\/figure>\n<p>N\u1ebfu kh\u00f4ng th\u1ec3 ch\u1ecdn l\u1ef1a abutment qua th\u0103m kh\u00e1m l\u00e2m s\u00e0ng, ta n\u00ean l\u1ea5y d\u1ea5u \u0111\u1ea7u implant, v\u00e0 abutment \u0111\u01b0\u1ee3c ch\u1ecdn t\u1eeb m\u1eabu h\u00e0m l\u00e0m vi\u1ec7c nh\u01b0 \u0111\u00e3 tr\u00ecnh b\u00e0y. M\u1eabu h\u00e0m \u0111\u1ea7u implant c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 m\u1eabu h\u00e0m l\u00e0m vi\u1ec7c cho c\u1ea7u r\u0103ng sau c\u00f9ng mi\u1ec5n l\u00e0 n\u00f3 ch\u00ednh x\u00e1c v\u00e0 th\u1ec3 hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 chi ti\u1ebft c\u1ee7a cung r\u0103ng c\u00f2n l\u1ea1i. Nhi\u1ec1u ph\u1eabu thu\u1eadt vi\u00ean cho r\u1eb1ng \u0111\u1ed1i v\u1edbi nh\u1eefng c\u1ea7u r\u0103ng d\u00e0i h\u01a1n, t\u1ed1t h\u01a1n l\u00e0 n\u00ean l\u1ef1a ch\u1ecdn abutment t\u1eeb m\u1eabu \u0111\u1ea7u implant v\u00e0 sau \u0111\u00f3 l\u1ea5y l\u1ea1i m\u1ed9t d\u1ea5u v\u1edbi abutment \u0111\u01b0\u1ee3c \u0111\u1eb7t trong mi\u1ec7ng. T\u00e1c gi\u1ea3 th\u00ec nh\u1eadn th\u1ea5y \u0111i\u1ec1u n\u00e0y th\u00ec kh\u00f4ng c\u1ea7n thi\u1ebft n\u1ebfu d\u1ea5u \u0111\u1ea7u implant \u0111\u00e3 ch\u00ednh x\u00e1c. B\u1edfi v\u1eady abutment \u0111\u01b0\u1ee3c ch\u1ecdn \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o m\u1eabu \u0111\u1ea7u implant v\u00e0 v\u00e0 \u0111\u01b0\u1ee3c v\u1eb7n ch\u1eb7t v\u1edbi l\u1ef1c tay b\u1eb1ng v\u00edt labo (v\u00ec v\u00edt v\u00e0ng ho\u1eb7c titan d\u00f9ng trong mi\u1ec7ng c\u00f3 th\u1ec3 b\u1ecb h\u01b0 h\u1ecfng do analog implant b\u1eb1ng th\u00e9p kh\u00f4ng g\u1ec9). C\u00e1c abutment sau c\u00f9ng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 th\u1ef1c hi\u1ec7n c\u1ea7u r\u0103ng, do \u0111\u00f3 c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch v\u00e0 ti\u1ec7t tr\u00f9ng tr\u01b0\u1edbc khi g\u1eafn l\u1ea1i trong mi\u1ec7ng.<\/p>\n<p>C\u1ea7n c\u1ea9n th\u1eadn kh\u00f4ng \u0111\u01b0\u1ee3c th\u00e1o tr\u1ee5 l\u00e0nh th\u01b0\u01a1ng ra ngo\u00e0i trong kho\u1ea3ng th\u1eddi gian d\u00e0i v\u00ec n\u01b0\u1edbu s\u1ebd nhanh ch\u00f3ng co l\u1ea1i v\u00e0 s\u1ebd g\u00e2y \u0111au cho b\u1ec7nh nh\u00e2n khi b\u1ecb \u00e9p c\u0103ng ra l\u1ea1i.<\/p>\n<h2>2. Khay l\u1ea5y d\u1ea5u c\u1ee7a c\u1ea7u r\u0103ng b\u1eaft v\u00edt<\/h2>\n<p>Khay l\u1ea5y d\u1ea5u c\u00e1 nh\u00e2n c\u00f3 \u00edch trong tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1eddng v\u00e0o kh\u00f3 ho\u1eb7c h\u00e0m c\u00f3 h\u00ecnh d\u1ea1ng ph\u1ee9c t\u1ea1p, ngo\u1ea1i c\u1ee1 ho\u1eb7c trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 nhi\u1ec1u implant s\u1ebd t\u1ed1n nhi\u1ec1u th\u1eddi gian ch\u1ec9nh s\u1eeda khay l\u1ea5y d\u1ea5u l\u00e0m s\u1eb5n. Khay n\u00ean thi\u1ebft k\u1ebf c\u1ee9ng ch\u1eafc v\u00e0 n\u00ean t\u1ea1o d\u1ea1ng \u0111\u1ec3 c\u00f3 th\u1ec3 n\u00e2ng \u0111\u1ee1 coping l\u1ea5y d\u1ea5u tr\u00ean to\u00e0n b\u1ed9 chi\u1ec1u cao c\u1ee7a n\u00f3 b\u1eb1ng thi\u1ebft k\u1ebf d\u1ea1ng \u1ed1ng. Kho\u1ea3ng tr\u1ed1ng \u0111\u00f2i h\u1ecfi \u00edt nh\u1ea5t l\u00e0 2mm.<\/p>\n<figure id=\"attachment_25269\" aria-describedby=\"caption-attachment-25269\" style=\"width: 624px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-25269\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-321.png\" alt=\"cau-rang-bat-vit-2\" width=\"624\" height=\"418\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-321.png 624w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-321-300x201.png 300w\" sizes=\"(max-width: 624px) 100vw, 624px\" \/><figcaption id=\"caption-attachment-25269\" class=\"wp-caption-text\">(B) Khay l\u1ea5y d\u1ea5u \u0111\u1eb7c bi\u1ec7t \u0111\u01b0\u1ee3c th\u1eed trong mi\u1ec7ng \u0111\u1ec3 ki\u1ec3m tra c\u00f3 \u0111\u1ee7 kho\u1ea3ng tr\u1ed1ng cho ch\u1ea5t l\u1ea5y d\u1ea5u quanh c\u00e1c coping<\/figcaption><\/figure>\n<p>Khay l\u1ea5y d\u1ea5u l\u00e0m s\u1eb5n n\u00ean c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng t\u1ed1t sao cho v\u1eabn \u0111\u1ee7 c\u1ee9ng ch\u1eafc sau khi \u0111\u1ee5c l\u1ed7 cho ch\u1ed1t h\u01b0\u1edbng d\u1eabn. K\u00edch c\u1ee1 khay l\u00e0m s\u1eb5n \u0111\u01b0\u1ee3c ch\u1ecdn l\u1ef1a theo ki\u1ec3u th\u00f4ng th\u01b0\u1eddng v\u00e0 v\u1ecb tr\u00ed tho\u00e1t ra c\u1ee7a ch\u1ed1t h\u01b0\u1edbng d\u1eabn \u0111\u01b0\u1ee3c \u0111\u00e1nh d\u1ea5u. L\u1ed7 v\u00e0o \u0111\u01b0\u1ee3c s\u1eeda so\u1ea1n \u0111\u1ec3 ch\u1eafc ch\u1eafn r\u1eb1ng khay s\u1ebd kh\u00f4ng ch\u1ea1m coping l\u1ea5y d\u1ea5u, v\u00ec coping kh\u00f4ng n\u00ean ch\u1ea1m v\u00e0o khay.<\/p>\n<p>L\u1ed7 v\u00e0o cho ch\u1ed1t h\u01b0\u1edbng d\u1eabn \u0111\u01b0\u1ee3c ph\u1ee7 s\u00e1p \u0111\u1ec3 tr\u00e1nh ch\u1ea5t l\u1ea5y d\u1ea5u kh\u00f4ng b\u1ecb tr\u00e0n ra ngo\u00e0i qua l\u1ed7 h\u1ed5ng.<\/p>\n<figure id=\"attachment_25270\" aria-describedby=\"caption-attachment-25270\" style=\"width: 659px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-25270\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-322.png\" alt=\"cau-rang-bat-vit-3\" width=\"659\" height=\"438\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-322.png 659w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-322-300x199.png 300w\" sizes=\"(max-width: 659px) 100vw, 659px\" \/><figcaption id=\"caption-attachment-25270\" class=\"wp-caption-text\">\u0110\u01b0a khay c\u1ea9n th\u1eadn v\u00e0o v\u1ecb tr\u00ed, \u0111\u1ec9nh c\u00e1c ch\u1ed1t l\u1ea5y d\u1ea5u \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh qua mi\u1ebfng s\u00e1p ph\u1ee7 l\u00ean c\u00e1c l\u1ed7 h\u1ed5ng c\u1ee7a khay l\u1ea5y d\u1ea5u<\/figcaption><\/figure>\n<h2>3. V\u1eadt li\u1ec7u l\u1ea5y d\u1ea5u trong k\u1ef9 thu\u1eadt c\u1ea7u r\u0103ng b\u1eaft v\u00edt<\/h2>\n<p>V\u1eadt li\u1ec7u l\u1ea5y d\u1ea5u polyether v\u00e0 silicone c\u00f3 nh\u1eefng \u0111\u1eb7t t\u00ednh v\u1eadt l\u00fd ph\u00f9 h\u1ee3p \u0111\u1ec3 l\u1ea5y d\u1ea5u implant:<\/p>\n<ul>\n<li>V\u1eadt li\u1ec7u n\u00ean \u0111\u1ee7 c\u1ee9ng \u0111\u1ec3 n\u00e2ng \u0111\u1ee1 coping v\u00e0 ng\u0103n ng\u1eeba s\u1ef1 d\u1ecbch chuy\u1ec3n c\u1ee7a coping khi l\u1ea5y ra kh\u1ecfi mi\u1ec7ng v\u00e0 \u0111\u1ed5 m\u1eabu.<\/li>\n<li>N\u00f3 n\u00ean ghi d\u1ea5u \u0111\u1ee7 chi ti\u1ebft \u0111\u1ec3 c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1eddng vi\u1ec1n n\u01b0\u1edbu v\u00e0 nh\u1eefng r\u0103ng kh\u00e1c tr\u00ean mi\u1ec7ng.<\/li>\n<li>N\u00f3 n\u00ean c\u00f3 k\u00edch c\u1ee1 \u1ed5n \u0111\u1ecbnh v\u00e0 kh\u00f4ng ph\u1ea3n \u1ee9ng v\u1edbi nh\u1eefng v\u1eadt li\u1ec7u kh\u00e1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong qu\u00e1 tr\u00ecnh x\u1eed l\u00ed m\u1eabu nh\u01b0 l\u00e0 ch\u1ea5t l\u00e0m b\u1ea3n sao n\u01b0\u1edbu.<\/li>\n<li>N\u00f3 cho ph\u00e9p quy tr\u00ecnh ti\u1ec7t khu\u1ea9n.<\/li>\n<\/ul>\n<p>V\u1edbi nh\u1eefng l\u00fd do n\u00e0y, kh\u00f4ng khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng v\u1eadt li\u1ec7u l\u1ea5y d\u1ea5u cao su lo\u1ea1i nh\u1eb9 quanh coping v\u00ec ch\u00fang kh\u00f4ng \u0111\u1ee7 c\u1ee9ng, v\u00e0 v\u1eadt li\u1ec7u l\u1ea5y d\u1ea5u cao su n\u1eb7ng s\u1ebd kh\u00f4ng ch\u1ea3y quanh coping ho\u1eb7c kh\u00f4ng ghi l\u1ea1i t\u1ed1t chi ti\u1ebft. L\u1ea5y d\u1ea5u m\u1ed9t th\u00ec b\u1eb1ng cao su trung b\u00ecnh th\u00ec th\u00edch h\u1ee3p h\u01a1n.<\/p>\n<p>M\u1ed9t s\u1ed1 b\u00e1c s\u0129 \u0111\u1ec1 ngh\u1ecb n\u1eb9p c\u00e1c coping v\u1edbi nhau b\u1eb1ng acrylic tr\u01b0\u1edbc khi l\u1ea5y d\u1ea5u \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o c\u00e1c coping gi\u1eef \u0111\u01b0\u1ee3c t\u01b0\u01a1ng quan \u1ed5n \u0111\u1ecbnh. Kh\u00f4ng c\u00f3 nh\u1eefng khuy\u1ebfn c\u00e1o ph\u1ee9c t\u1ea1p n\u00e0o h\u01a1n.<\/p>\n<h2>4. Pick-up impressions (k\u1ef9 thu\u1eadt l\u1ea5y d\u1ea5u khay m\u1edf)<\/h2>\n<p>K\u1ef9 thu\u1eadt l\u1ea5y d\u1ea5u \u0111\u00e1ng tin c\u1eady nh\u1ea5t \u0111\u1ec3 th\u1ef1c hi\u1ec7n l\u00e0 k\u1ef9 thu\u1eadt pick-up.<\/p>\n<figure id=\"attachment_25271\" aria-describedby=\"caption-attachment-25271\" style=\"width: 1355px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-25271\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-323.png\" alt=\"\" width=\"1355\" height=\"888\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-323.png 1355w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-323-300x197.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-323-1024x671.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-323-768x503.png 768w\" sizes=\"(max-width: 1355px) 100vw, 1355px\" \/><figcaption id=\"caption-attachment-25271\" class=\"wp-caption-text\">(A) C\u00e1c coping l\u1ea5y d\u1ea5u c\u1ee7a Nobel Biocare \u0111\u01b0\u1ee3c g\u1eafn ch\u1eb7t v\u00e0o abutment (B) Coping ghi d\u1ea5u v\u1ecb tr\u00ed abutment v\u00e0 c\u1ea3 h\u00ecnh d\u1ea1ng m\u00f4 m\u1ec1m (C) S\u1eed d\u1ee5ng khay l\u1ea5y d\u1ea5u l\u00e0m s\u1eb5n v\u00ec \u0111\u01b0\u1eddng v\u00e0o \u0111\u01a1n gi\u1ea3n (D) B\u1ea3n sao c\u1ee7a abutment \u0111\u01b0\u1ee3c g\u1eafn v\u00e0o c\u00e1c coping tr\u01b0\u1edbc khi \u0111\u1ed5 m\u1eabu h\u00e0m.<\/figcaption><\/figure>\n<p>Nh\u01b0 \u0111\u00e3 m\u00f4 t\u1ea3 tr\u01b0\u1edbc, c\u00e1c coping \u0111\u01b0\u1ee3c si\u1ebft ch\u1eb7t v\u1edbi abutment b\u1eb1ng ch\u1ed1t h\u01b0\u1edbng d\u1eabn. C\u00f3 s\u1eb5n c\u00e1c chi\u1ec1u d\u00e0i kh\u00e1c nhau \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o ch\u1ed1t xuy\u00ean qua khay trong khi v\u1eabn c\u00f3 th\u1ec3 \u0111\u1eb7t c\u00e2y v\u1eb7n v\u00edt v\u00e0o ch\u1ed1t. V\u1eadt li\u1ec7u l\u1ea5y d\u1ea5u \u0111\u01b0\u1ee3c b\u01a1m xung quanh coping v\u00e0 ph\u1ee7 \u0111\u1ea7y khay. Khi khay \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o trong mi\u1ec7ng, ch\u1ed1t h\u01b0\u1edbng d\u1eabn c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u1ea3m nh\u1eadn b\u1edfi ng\u00f3n tay c\u1ee7a b\u00e1c s\u0129 khi \u0111i xuy\u00ean qua s\u00e1p \u1edf tr\u00ean l\u1ed7 khay. N\u1ebfu kh\u00f4ng c\u1ea7m \u0111\u01b0\u1ee3c ch\u1ed1t, khay n\u00ean \u0111\u01b0\u1ee3c \u0111\u1eb7t xu\u1ed1ng s\u00e1t h\u01a1n n\u1eefa khi v\u1eadt li\u1ec7u l\u1ea5y d\u1ea5u v\u1eabn c\u00f2n \u1edf d\u1ea1ng l\u1ecfng. Khay l\u1ea5y d\u1ea5u \u0111\u01b0\u1ee3c gi\u1eef v\u1eefng \u0111\u1ebfn khi ch\u1ea5t l\u1ea5y d\u1ea5u \u0111\u00f4ng c\u1ee9ng ho\u00e0n to\u00e0n v\u00e0 ch\u1ed1t h\u01b0\u1edbng d\u1eabn \u0111\u01b0\u1ee3c th\u00e1o ra. C\u00e1c coping s\u1ebd \u0111\u01b0\u1ee3c th\u00e1o ra c\u00f9ng v\u1edbi khay v\u00e0 n\u1eb1m kh\u00edt s\u00e1t ho\u00e0n to\u00e0n trong ch\u1ea5t l\u1ea5y d\u1ea5u su\u1ed1t qu\u00e1 tr\u00ecnh. Ch\u1ed1t h\u01b0\u1edbng d\u1eabn \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111\u1ecbnh v\u1ecb v\u00e0 l\u01b0u gi\u1eef c\u00e1c b\u1ea3n sao implant khi \u0111\u1ed5 m\u1eabu.<\/p>\n<h2>5. Reseating impression (k\u1ef9 thu\u1eadt l\u1ea5y d\u1ea5u khay \u0111\u00f3ng)<\/h2>\n<p>K\u1ef9 thu\u1eadt khay \u0111\u00f3ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf nh\u1eefng v\u00f9ng kh\u00f3 ti\u1ebfp c\u1eadn, n\u01a1i s\u1ebd kh\u00f3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed v\u00e0 th\u00e1o ch\u1ed1t h\u01b0\u1edbng d\u1eabn khi c\u00f3 khay l\u1ea5y d\u1ea5u trong mi\u1ec7ng. Coping l\u1ea5y d\u1ea5u, c\u00f3 h\u00ecnh d\u1ea1ng l\u01b0u gi\u1eef \u0111\u1eb7c bi\u1ec7t tr\u00ean b\u1ec1 m\u1eb7t, \u0111\u01b0\u1ee3c v\u1eb7n ch\u1eb7t v\u00e0o abutment.<\/p>\n<figure id=\"attachment_25272\" aria-describedby=\"caption-attachment-25272\" style=\"width: 1231px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-25272\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-324.png\" alt=\"cau-rang-bat-vit-4\" width=\"1231\" height=\"569\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-324.png 1231w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-324-300x139.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-324-1024x473.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-324-768x355.png 768w\" sizes=\"(max-width: 1231px) 100vw, 1231px\" \/><figcaption id=\"caption-attachment-25272\" class=\"wp-caption-text\">(A) L\u1ea5y d\u1ea5u khay \u0111\u00f3ng v\u1edbi coping Nobel Biocare. H\u00ecnh d\u1ea1ng g\u1edd c\u1ee7a coping c\u0169ng c\u00f3 th\u1ec3 th\u1ea5y r\u00f5 tr\u00ean d\u1ea5u cao su. B\u1ea3n sao abutment v\u00e0 coping c\u1ee7a r\u0103ng ph\u00eda xa \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1eb7t l\u1ea1i v\u00e0o trong d\u1ea5u (B) Ph\u00eda tr\u00ean b\u00ean tr\u00e1i l\u00e0 coping, ph\u00eda tr\u00ean b\u00ean ph\u1ea3i l\u00e0 b\u1ea3n sao abutment. Sau khi v\u1eb7n v\u00e0o v\u1edbi nhau, coping c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1eb7t l\u1ea1i v\u00e0o trong d\u1ea5u.<\/figcaption><\/figure>\n<figure id=\"attachment_25273\" aria-describedby=\"caption-attachment-25273\" style=\"width: 1217px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-25273\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-325.png\" alt=\"\" width=\"1217\" height=\"801\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-325.png 1217w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-325-300x197.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-325-1024x674.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-325-768x505.png 768w\" sizes=\"(max-width: 1217px) 100vw, 1217px\" \/><figcaption id=\"caption-attachment-25273\" class=\"wp-caption-text\">(A) Coping \u0111\u01b0\u1ee3c g\u1eafn l\u00ean \u0111\u1ea7u implant (B) D\u1ea5u c\u1ee7a coping (C) Coping l\u1ea5y d\u1ea5u v\u00e0 b\u1ea3n sao implant. Coping c\u00f3 m\u1ed9t m\u1eb7t ph\u1eb3ng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o coping \u0111\u01b0\u1ee3c g\u1eafn \u0111\u00fang h\u01b0\u1edbng v\u00e0o l\u1ea1i d\u1ea5u (D) G\u1eafn c\u1ea3 coping v\u00e0 b\u1ea3n sao implant v\u00e0o l\u1ea1i d\u1ea5u cao su.<\/figcaption><\/figure>\n<p>Coping kh\u00f4ng nh\u00f4 cao h\u01a1n r\u0103ng k\u1ebf c\u1eadn v\u00e0 khay l\u1ea5y d\u1ea5u n\u00ean c\u00f3 \u0111i\u1ec3m ch\u1eb7n \u0111\u1ec3 kh\u00f4ng ch\u1ea1m v\u00e0o coping khi \u0111\u01b0a v\u00e0o mi\u1ec7ng. Khay l\u1ea5y d\u1ea5u c\u0169ng kh\u00f4ng c\u1ea7n kho\u00e9t l\u1ed7. B\u01a1m ch\u1ea5t l\u1ea5y d\u1ea5u quanh c\u00e1c coping v\u00e0 \u0111\u01b0a khay v\u00e0o mi\u1ec7ng. Sau khi ch\u1ea5t l\u1ea5y d\u1ea5u \u0111\u00f4ng c\u1ee9ng, l\u1ea5y khay ra kh\u1ecfi mi\u1ec7ng v\u00e0 ta \u0111\u01b0\u1ee3c m\u1ed9t d\u1ea5u c\u00f3 h\u00ecnh d\u1ea1ng c\u1ee7a coping b\u00ean trong. Coping s\u1ebd l\u01b0u l\u1ea1i trong mi\u1ec7ng sau khi th\u00e1o d\u1ea5u. Sau \u0111\u00f3 coping \u0111\u01b0\u1ee3c th\u00e1o kh\u1ecfi abutment v\u00e0 \u0111\u01b0\u1ee3c g\u1eafn v\u1edbi b\u1ea3n sao abutment \u0111\u1ec3 \u0111\u1ed7 m\u1eabu. Coping \u0111\u01b0\u1ee3c \u0111\u1eb7t l\u1ea1i v\u00e0o trong d\u1ea5u v\u00e0 ki\u1ec3m tra \u0111\u1ed9 v\u1eefng \u1ed5n. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 v\u1eadt li\u1ec7u ph\u1ea3i \u0111\u1ee7 tr\u1ea3i r\u1ed9ng ra quanh coping, n\u1ebfu kh\u00f4ng coping s\u1ebd kh\u00f3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c v\u1ecb tr\u00ed ho\u1eb7c kh\u00f4ng v\u1eefng \u1ed5n. M\u1eb7c d\u00f9 ng\u01b0\u1eddi ta v\u1eabn nghi ng\u1ea1i r\u1eb1ng k\u1ef9 thu\u1eadt n\u00e0y c\u00f3 nguy c\u01a1 b\u1ecb l\u1ed7i, c\u00e1c t\u00e1c gi\u1ea3 v\u1eabn nh\u1eadn th\u1ea5y n\u00f3 \u0111\u00e1ng tin c\u1eady n\u1ebfu s\u1eed d\u1ee5ng \u0111\u00fang v\u00e0 ki\u1ec3m tra m\u1ed9t c\u00e1ch c\u1ea9n th\u1eadn \u0111\u1ec3 ch\u1eafc ch\u1eafn c\u00e1c b\u1ea3n sao v\u1eefng \u1ed5n. \u0110\u00e2y l\u00e0 k\u1ef9 thu\u1eadt h\u1eefu d\u1ee5ng cho nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb n\u00f4n ho\u1eb7c kh\u00f3 cho ph\u00e9p l\u1ea5y d\u1ea5u t\u1ed1t ch\u1eb3ng h\u1ea1n nh\u01b0 trong tr\u01b0\u1eddng h\u1ee3p r\u0103ng sau khi m\u00e0 \u0111\u01b0\u1eddng v\u00e0o cho c\u00e2y v\u1eb7n v\u00edt b\u1ecb gi\u1edbi h\u1ea1n.<\/p>\n<h2>6. Cho ph\u1ee5c h\u00ecnh g\u1eafn b\u1eb1ng cement<\/h2>\n<p>Abutment c\u00e1 nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn v\u00e0 s\u1ea3n xu\u1ea5t tr\u00ean m\u1eabu h\u00e0m \u0111\u1ea7u implant v\u00e0 theo c\u00e1c k\u1ef9 thu\u1eadt \u0111\u00e3 \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y. Abutment c\u00e1 nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c th\u1eed l\u1ea1i trong mi\u1ec7ng v\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a kh\u00f3a chuy\u1ec3n \u0111\u1ec3 gi\u00fap \u0111\u1ecbnh h\u01b0\u1edbng ch\u00ednh x\u00e1c. N\u1ebfu c\u1ea7n l\u1ea5y d\u1ea5u abutment t\u1ea1i v\u1ecb tr\u00ed trong mi\u1ec7ng, s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt l\u1ea5y d\u1ea5u c\u1ea7u r\u0103ng c\u1ed5 \u0111i\u1ec3n. Cao su nh\u1eb9 \u0111\u01b0\u1ee3c b\u01a1m quanh c\u00e1c abutment v\u00e0 d\u00f9ng cao su n\u1eb7ng cho ph\u1ea7n ch\u00ednh c\u1ee7a d\u1ea5u.<\/p>\n<p>C\u00f3 th\u1ec3 kh\u00f3 \u0111\u1ec3 ghi d\u1ea5u t\u1ed1t c\u00e1c chi ti\u1ebft c\u1ee7a \u0111\u01b0\u1eddng ho\u00e0n t\u1ea5t s\u00e2u d\u01b0\u1edbi n\u01b0\u1edbu. Ch\u1ec9 co n\u01b0\u1edbu kh\u00f4ng \u0111\u01b0\u1ee3c l\u01b0u gi\u1eef t\u1ed1t trong khe n\u01b0\u1edbu v\u00e0 ph\u1ea3i c\u1ea9n th\u1eadn \u0111\u1ec3 kh\u00f4ng \u0111\u1ea9y n\u00f3 xu\u1ed1ng b\u00ean d\u01b0\u1edbi ch\u1ed7 l\u1ed3i c\u1ee7a abutment n\u01a1i m\u00e0 c\u00f3 th\u1ec3 kh\u00f3 \u0111\u1ec3 l\u1ea5y ra. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ho\u00e0n to\u00e0n v\u1edbi \u0111\u1ed1t \u0111i\u1ec7n. C\u00f3 th\u1ec3 \u0111\u1ea1t k\u1ebft qu\u1ea3 t\u1ed1t nh\u1ea5t b\u1eb1ng c\u00e1ch th\u00e1o ph\u1ee5c h\u00ecnh t\u1ea1m m\u1ed9t c\u00e1ch c\u1ea9n th\u1eadn v\u00e0 can thi\u1ec7p m\u00f4 m\u1ec1m v\u1edbi s\u1ef1 ch\u0103m ch\u00fat cao \u0111\u1ec3 tr\u00e1nh ch\u1ea3y m\u00e1u vi\u1ec1n n\u01b0\u1edbu. Ch\u1ea5t co n\u01b0\u1edbu d\u1ea1ng b\u1ed9t nh\u00e3o c\u0169ng c\u00f3 th\u1ec3 h\u1eefu d\u1ee5ng. Coping b\u1eb1ng nh\u1ef1a c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u00e0m trong qu\u00e1 tr\u00ecnh s\u1eeda so\u1ea1n abutment \u1edf lab. C\u00e1c coping n\u00e0y c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c gi\u1eef l\u1ea1i trong d\u1ea5u m\u1edbi, tuy nhi\u00ean ch\u00fang ch\u1ec9 h\u1eefu \u00edch khi kh\u00f4ng c\u1ea7n ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh \u0111\u01b0\u1eddng ho\u00e0n t\u1ea5t th\u00eam tr\u00ean mi\u1ec7ng.<\/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>B\u00e0i vi\u1ebft n\u00e0y ch\u1ec9 ra c\u00e1c b\u01b0\u1edbc th\u1ef1c hi\u1ec7n tr\u00ean l\u00e2m s\u00e0ng \u0111\u1ed1i v\u1edbi m\u1ed9t c\u1ea7u r\u0103ng b\u1eaft v\u00edt c\u01a1 b\u1ea3n, \u0111\u1ed3ng th\u1eddi t\u00f3m t\u1eaft quy tr\u00ecnh l\u1ef1a ch\u1ecdn Abutment tr\u00ean lo\u1ea1i c\u1ea7u r\u0103ng b\u1eaft v\u00edt n\u00e0y. C\u00f9ng t\u00ecm hi\u1ec3u chi ti\u1ebft h\u01a1n trong b\u00e0i vi\u1ebft sau. 1. C\u00e1c b\u01b0\u1edbc th\u1ef1c hi\u1ec7n tr\u00ean l\u00e2m s\u00e0ng [&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>V\u1ecb tr\u00ed v\u00e0 l\u1ef1a ch\u1ecdn Abutment cho c\u1ea7u r\u0103ng b\u1eaft v\u00edt tr\u00ean Implant.<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y ch\u1ec9 ra c\u00e1c b\u01b0\u1edbc th\u1ef1c hi\u1ec7n tr\u00ean l\u00e2m s\u00e0ng \u0111\u1ed1i v\u1edbi m\u1ed9t c\u1ea7u r\u0103ng b\u1eaft v\u00edt c\u01a1 b\u1ea3n v\u00e0 quy tr\u00ecnh l\u1ef1a ch\u1ecdn Abutment. 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