{"id":25275,"date":"2023-04-20T09:46:29","date_gmt":"2023-04-20T02:46:29","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25275"},"modified":"2023-04-24T14:29:33","modified_gmt":"2023-04-24T07:29:33","slug":"lay-dau-khop-can-lam-cau-tam-va-quy-trinh-labo-cua-ham-implant","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/lay-dau-khop-can-lam-cau-tam-va-quy-trinh-labo-cua-ham-implant\/","title":{"rendered":"L\u1ea5y d\u1ea5u kh\u1edbp c\u1eafn, l\u00e0m c\u1ea7u t\u1ea1m v\u00e0 quy tr\u00ecnh Labo c\u1ee7a h\u00e0m Implant."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y \u0111\u01b0a ra c\u00e1c quy tr\u00ecnh th\u01b0\u1eddng quy tr\u00ean ph\u1ee5c h\u00ecnh Implant, bao g\u1ed3m l\u1ea5y d\u1ea5u kh\u1edbp c\u1eafn c\u1ee7a ph\u1ee5c h\u00ecnh, s\u1eeda so\u1ea1n v\u00e0 l\u00e0m c\u1ea7u r\u0103ng t\u1ea1m tr\u00ean b\u1ec7nh nh\u00e2n, v\u00e0 \u0111\u1ed3ng th\u1eddi gi\u1edbi thi\u1ec7u s\u01a1 qua v\u1ec1 quy tr\u00ecnh tr\u00ean Labo \u0111\u1ed1i v\u1edbi h\u00e0m gi\u1ea3 tr\u00ean Implant. C\u00f9ng t\u00ecm hi\u1ec3u s\u00e2u h\u01a1n trong b\u00e0i vi\u1ebft n\u00e0y.<\/strong><\/p>\n

1. L\u1ea5y d\u1ea5u kh\u1edbp c\u1eafn<\/h2>\n

M\u1eabu h\u00e0m \u0111\u1ed1i di\u1ec7n \u0111\u01b0\u1ee3c l\u1ea5y d\u1ea5u ch\u00ednh x\u00e1c l\u00e0 \u0111i\u1ec1u r\u1ea5t c\u1ea7n thi\u1ebft, v\u00e0 ng\u01b0\u1eddi ta khuy\u1ebfn kh\u00edch l\u1ea5y lu\u00f4n b\u1eb1ng cao su l\u1ea5y d\u1ea5u thay v\u00ec alginate. C\u0169ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 m\u1ed9t c\u1ea7u r\u0103ng th\u00f4ng th\u01b0\u1eddng kh\u00f4ng c\u00f3 quy lu\u1eadt b\u1eaft bu\u1ed9c n\u00e0o ph\u1ea3i tu\u00e2n theo, tuy nhi\u00ean tu v\u1eabn n\u00ean h\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng lo\u1ea1i gi\u00e1 kh\u1edbp b\u00e1n \u0111i\u1ec1u ch\u1ec9nh cho lo\u1ea1i ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng nguy\u00ean h\u00e0m v\u00e0 nh\u1eefng c\u1ea7u r\u0103ng ng\u1eafn h\u01a1n nh\u01b0ng l\u1ea1i thay \u0111\u1ed5i t\u01b0\u01a1ng \u0111\u1ed1i kh\u1edbp c\u1eafn. Bao g\u1ed3m t\u1ea5t c\u1ea3 c\u00e1c ph\u1ee5c h\u00ecnh m\u1edf r\u1ed9ng v\u1ec1 ph\u00eda sau v\u00e0 c\u1ea7u r\u0103ng ph\u00eda tr\u01b0\u1edbc n\u01a1i m\u00e0 h\u01b0\u1edbng d\u1eabn r\u0103ng c\u1eeda c\u00f3 th\u1ec3 b\u1ecb thay \u0111\u1ed5i. N\u1ebfu m\u1ed9t c\u1ea7u r\u0103ng c\u00f3 nh\u1ecbp c\u1ea7u ng\u1eafn \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf v\u1ecb tr\u00ed c\u00e1c r\u0103ng k\u1ebf c\u1eadn c\u00f2n t\u1ed3n t\u1ea1i v\u00e0 c\u00f3 s\u01a1 \u0111\u1ed3 kh\u1edbp c\u1eafn hi\u1ec7n t\u1ea1i th\u00edch nghi, vi\u1ec7c kh\u00f4ng l\u00ean gi\u00e1 kh\u1edbp \u0111\u1ea7y \u0111\u1ee7 c\u00f3 th\u1ec3 ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c. Kh\u00f4ng nh\u01b0 \u1edf h\u00e0m gi\u1ea3 to\u00e0n h\u00e0m kh\u00f3 c\u00f3 s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u1ee7a n\u1ec1n t\u1ea1m g\u1ed1i s\u00e1p, vi\u1ec7c l\u00e0m g\u1ed1i s\u00e1p \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh v\u1edbi c\u00e1c implant \u0111\u01a1n gi\u1ea3n h\u01a1n nhi\u1ec1u.<\/p>\n

\"lay-dau-khop-can-1\"
C\u1ea7u r\u0103ng to\u00e0n h\u00e0m h\u00e0m tr\u00ean v\u00e0 h\u00e0m d\u01b0\u1edbi \u0111\u1eb7t tr\u00ean implant Astra Tech. (A) D\u1ea5u h\u00e0m tr\u00ean t\u1eeb k\u1ef9 thu\u1eadt l\u1ea5y d\u1ea5u \u0111\u1ea7u implant, c\u1ea7n \u0111\u1ebfn b\u1ea3n sao tr\u1ee5, b\u1ea3n sao m\u00f4 m\u1ec1m. (B) Li\u00ean k\u1ebft 3 tr\u1ee5 chuy\u1ec3n l\u1ea5y d\u1ea5u tr\u00ean m\u1ed9t n\u1ec1n composite labo c\u1ee9ng ch\u1eafc, \u0111\u1eb7t g\u1ed1i s\u00e1p. (C) G\u1ed1i s\u00e1p \u0111\u01b0\u1ee3c g\u1ecdt v\u00e0 \u0111o \u0111\u1ea1c t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho vi\u1ec7c l\u1ea5y t\u01b0\u01a1ng quan 2 h\u00e0m. (D) C\u00e1c b\u1ea3n n\u1ec1n t\u1ea1m g\u1ed1i c\u1eafn n\u1eb1m v\u1eefng \u1ed5n trong mi\u1ec7ng. (E) Ki\u1ec3m tra m\u1eb7t ph\u1eb3ng nhai ph\u1ee5c h\u00ecnh (F) V\u00f4 cung m\u1eb7t. (G) Ghi d\u1ea5u kh\u1edbp c\u1eafn sau c\u00f9ng. (H) X\u1ebfp h\u00e0m r\u0103ng s\u00e1p, n\u00e2ng \u0111\u1ee1 tr\u00ean n\u1ec1n composite. (I) Th\u1eed r\u0103ng. T\u01b0\u01a1ng quan 2 h\u00e0m v\u00e0 \u0111\u1ed9 h\u1edf r\u0103ng \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 v\u00e0 thay \u0111\u1ed5i khi c\u1ea7n. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 quan s\u00e1t k\u1ebft qu\u1ea3 v\u00e0 thay \u0111\u1ed5i d\u1ec5 d\u00e0ng \u1edf giai \u0111o\u1ea1n n\u00e0y. (J) L\u1ea5y d\u1ea5u cao su m\u1eb7t ngo\u00e0i m\u1eabu r\u0103ng s\u00e1p \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn. (K) D\u1ea5u cao su m\u1eb7t ngo\u00e0i ghi l\u1ea1i v\u1ecb tr\u00ed r\u0103ng. (L) D\u1ea5u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1ecbnh v\u1ecb tr\u00ean m\u1eabu h\u00e0m l\u00e0m vi\u1ec7c v\u00e0 abutment ch\u00ednh x\u00e1c \u0111\u01b0\u1ee3c ch\u1ecdn \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c v\u1ecb tr\u00ed r\u0103ng mong mu\u1ed1n. (M) Abutment \u0111\u01b0\u1ee3c ch\u1ecdn (Uni-Abutment ) \u0111\u1eb7t \u0111\u00fang v\u1ecb tr\u00ed. (N) C\u1ea7u r\u0103ng ho\u00e0n ch\u1ec9nh t\u1eeb b\u1ec1 m\u1eb7t kh\u00edt s\u00e1t. D\u1ec5 d\u00e0ng nh\u00ecn th\u1ea5y tr\u1ee5 l\u1ed3ng c\u1ee7a c\u1ea7u r\u0103ng. M\u1eb7t d\u01b0\u1edbi c\u1ee7a c\u1ea7u r\u0103ng \u0111\u01b0\u1ee3c m\u00e0i v\u00e0 \u0111\u00e1nh b\u00f3ng \u0111\u1ec3 h\u1ed7 tr\u1ee3 vi\u1ec7c l\u00e0m s\u1ea1ch. (O) L\u1ed7 v\u00edt \u1edf m\u1eb7t nhai c\u1ea7u r\u0103ng. (P) C\u1ea7u r\u0103ng ho\u00e0n ch\u1ec9nh. (Q) Khi c\u01b0\u1eddi, \u0111\u1ed9 h\u1edf r\u0103ng chu\u1ea9n.<\/figcaption><\/figure>\n

Khi \u0111\u00f3 g\u1ed1i s\u00e1p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u1ecdt \u0111\u1ebfn k\u00edch th\u01b0\u1edbc d\u1ecdc c\u1eafn kh\u1edbp v\u00e0 d\u1ea5u t\u01b0\u01a1ng quan kh\u1edbp c\u1eafn \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn. Vi\u1ec7c ghi d\u1ea5u kh\u1edbp c\u1eafn c\u0169ng h\u1eefu \u00edch \u0111\u1ec3 \u0111\u00e1nh d\u1ea5u nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m nh\u01b0 \u0111\u01b0\u1eddng gi\u1eefa v\u00e0 \u0111\u01b0\u1eddng c\u01b0\u1eddi. Th\u00f4ng tin \u0111\u1ea7y \u0111\u1ee7 c\u1ea7n \u0111\u01b0\u1ee3c g\u1eedi \u0111\u1ebfn labo bao g\u1ed3m d\u1ea5u ghi kh\u1edbp c\u1eafn (khi c\u00f3 abutment), b\u1ea3n sao c\u1ee7a c\u00e1c ph\u1ee5c h\u00ecnh t\u1ea1m n\u1ebfu ch\u00fang c\u1ea7n \u0111\u01b0\u1ee3c sao ch\u00e9p l\u1ea1i \u1edf thi\u1ebft k\u1ebf c\u1ea7u r\u0103ng sau c\u00f9ng,v\u00e0 so m\u00e0u. N\u1ebfu c\u00f3 s\u1eed d\u1ee5ng v\u1eadt li\u1ec7u l\u00e0m n\u01b0\u1edbu gi\u1ea3 \u0111\u1ec3 che b\u1edbt \u0111\u1ed9 d\u00e0i c\u1ee7a m\u00e3o ho\u1eb7c c\u00e1c khe n\u01b0\u1edbu,v\u1eadt li\u1ec7u n\u00e0y c\u0169ng c\u1ea7n so m\u00e0u ph\u00f9 h\u1ee3p.<\/p>\n

2. C\u1ea7u r\u0103ng t\u1ea1m<\/h2>\n

Vi\u1ec7c s\u1eed d\u1ee5ng c\u1ea7u r\u0103ng t\u1ea1m \u0111\u1ec3 b\u1ea3o \u0111\u1ea3m cho v\u1ebb ngo\u00e0i ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ea3o lu\u1eadn. Nh\u00e0 s\u1ea3n xu\u1ea5t \u0111\u01b0a ra nh\u1eefng h\u1ee3p ch\u1ea5t g\u1eafn t\u1ea1m v\u1eeba g\u1eafn tr\u1ef1c ti\u1ebfp tr\u00ean \u0111\u1ea7u implant (tr\u1ee5 t\u1ea1m) v\u1eeba c\u00f3 th\u1ec3 v\u1eeba kh\u00edt v\u1edbi tr\u1ee5 v\u0129nh vi\u1ec5n. Nh\u1eefng th\u00e0nh ph\u1ea7n n\u00e0y l\u00e0m t\u1eeb nh\u1ef1a acrylic hay kim lo\u1ea1i. M\u1eb7c d\u00f9 c\u1ea7u t\u1ea1m th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong th\u1eddi gian d\u00e0i, nh\u01b0ng s\u1ef1 kh\u00edt s\u00e1t v\u1eabn quan tr\u1ecdng. M\u1ed9t c\u1ea5u tr\u00fac t\u1ea1m c\u00f3 th\u1ec3 t\u1ed5n h\u1ea1i implant n\u1ebfu n\u00f3 \u0111\u01b0\u1ee3c v\u1eb7n m\u1ea1nh xu\u1ed1ng khi kh\u00f4ng ho\u00e0n to\u00e0n \u0103n kh\u1edbp. C\u1ea7u t\u1ea1m c\u0169ng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed r\u0103ng v\u00e0 ki\u1ec3u ph\u00e1t \u00e2m tr\u01b0\u1edbc thi\u1ebft k\u1ebf c\u1ea7u r\u0103ng sau c\u00f9ng.<\/p>\n

\"lay-dau-khop-can-2\"
C\u1ea7n l\u00e0m m\u1ed9t c\u1ea7u t\u1ea1m. (A) Tr\u1ee5 l\u00e0nh th\u01b0\u01a1ng \u0111\u1eb7t trong v\u1ecb tr\u00ed. (B) M\u1eabu h\u00e0m l\u1ea5y d\u1ea5u t\u1eeb tr\u01b0\u1edbc. (C) M\u1eabu nghi\u00ean c\u1ee9u t\u01b0\u01a1ng t\u1ef1 nh\u01b0 d\u00f9ng cho ph\u1ee5c h\u00ecnh to\u00e0n h\u00e0m. (D) Th\u1eed trong mi\u1ec7ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 h\u1edf r\u0103ng mong mu\u1ed1n, v\u1ecb tr\u00ed r\u0103ng, n\u00e2ng \u0111\u1ee1 m\u00f4i v\u00e0 kh\u1edbp c\u1eafn. (E) M\u1eabu s\u1eafp r\u0103ng \u0111\u01b0\u1ee3c chuy\u1ec3n th\u00e0nh c\u1ea7u r\u0103ng t\u1ea1m b\u1eaft v\u00edt. (F) G\u1eafn c\u1ea7u t\u1ea1m. C\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ec3 ki\u1ec3m tra l\u1ea1i v\u1ecb tr\u00ed ch\u00ednh x\u00e1c c\u1ee7a r\u0103ng v\u00e0 s\u1ef1 h\u00e0i l\u00f2ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u1edbi k\u1ebft qu\u1ea3 tr\u01b0\u1edbc khi l\u00e0m ph\u1ee5c h\u00ecnh sau c\u00f9ng. (F) C\u1ea7u t\u1ea1m nh\u00ecn t\u1eeb m\u1eb7t nhai.<\/figcaption><\/figure>\n

Nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 h\u00e0m gi\u1ea3 c\u0169 b\u1ecb m\u00f2n, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng b\u1ec7nh nh\u1ea5t m\u1ea5t r\u0103ng tr\u01b0\u1edbc h\u00e0m tr\u00ean nhi\u1ec1u n\u0103m c\u00f3 th\u1ec3 g\u1eb7p tr\u1edf ng\u1ea1i v\u1ec1 ph\u00e1t \u00e2m . Khi \u0111\u00f3 nh\u1eefng thay \u0111\u1ed5i, s\u1eafp x\u1ebfp v\u00e0 th\u00edch nghi trong qu\u00e1 tr\u00ecnh mang h\u00e0m t\u1ea1m ,c\u00f3 th\u1ec3 sao ch\u00e9p cho ph\u1ee5c h\u1ed3i v\u0129nh vi\u1ec5n sau n\u00e0y, s\u1ebd gi\u00fap gi\u1ea3i quy\u1ebft v\u1ea5n \u0111\u1ec1 n\u00f3i tr\u00ean. D\u1ef1a theo s\u1ef1 s\u1eafp x\u1ebfp c\u1ee7a c\u00e1c abutment, c\u1ea7u t\u1ea1m \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111\u1ecbnh d\u1ea1ng \u0111\u1ed9 l\u1ed3i n\u01b0\u1edbu l\u00fd t\u01b0\u1edfng v\u00e0 v\u1ecb tr\u00ed \u0111\u01b0\u1eddng ho\u00e0n t\u1ea5t, n\u1ebfu c\u1ea7n c\u1ea7u t\u1ea1m c\u0169ng c\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u1eeb t\u1eeb \u0111\u01b0\u1eddng vi\u1ec1n n\u01b0\u1edbu cong l\u1ed3i. Khi \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u01b0\u1eddng vi\u1ec1n l\u00fd t\u01b0\u1edfng, ta s\u1ebd l\u1ea5y d\u1ea5u m\u00e3o v\u00e0 c\u1ea7u r\u0103ng khi \u0111ang \u0111\u1eb7t abutment v\u00e0 l\u1ea5y d\u1ea5u c\u00f3 c\u1ea7u t\u1ea1m \u0111\u1ec3 labo sao ch\u00e9p.<\/p>\n

3. Quy tr\u00ecnh Labo<\/h2>\n

V\u1eadt li\u1ec7u \u0111\u01b0\u1ee3c ch\u1ecdn \u0111\u1ec3 \u0111\u00fac c\u1ea7u r\u0103ng c\u00f3 \u1ea3nh h\u01b0\u1edfng quan tr\u1ecdng \u0111\u1ed1i v\u1edbi thi\u1ebft k\u1ebf v\u00e0 c\u00e1c k\u1ef9 thu\u1eadt l\u00e2m s\u00e0ng sau \u0111\u00e2y. C\u00e1c thi\u1ebft k\u1ebf nguy\u00ean b\u1ea3n \u01b0u ti\u00ean d\u00f9ng c\u00e1c thanh n\u1ed1i \u0111\u00fac b\u1eb1ng v\u00e0ng c\u1ee9ng ch\u1eafc, \u0111\u01b0\u1ee3c t\u1ea1o b\u1eb1ng c\u00e1ch l\u00e0m m\u1eabu s\u00e1p (wax-up) c\u00f9ng v\u1edbi c\u00e1c tr\u1ee5 v\u00e0ng c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t \u0111\u1ec3 n\u00e2ng \u0111\u1ee1 c\u00e1c r\u0103ng nh\u1ef1a \u0111\u01b0\u1ee3c v\u00f9i trong n\u1ec1n h\u00e0m nh\u1ef1a h\u1ed3ng \u2013 lo\u1ea1i tr\u00f9ng h\u1ee3p b\u1eb1ng \u00e1p l\u1ef1c. \u0110i\u1ec1u n\u00e0y l\u00e0 1 thu\u1eadn l\u1ee3i l\u1edbn so v\u1edbi k\u1ef9 thu\u1eadt th\u00f4ng th\u01b0\u1eddng v\u00e0 gi\u1ed1ng nh\u01b0 1 si\u00eau c\u1ea5u tr\u00fac c\u00f3 th\u1ec3 th\u00e1o ra, nh\u1ef1a b\u1ecb m\u00f2n kh\u00f4ng c\u00f2n l\u00e0 v\u1ea5n \u0111\u1ec1 r\u1eafc r\u1ed1i v\u00ec c\u1ea7u r\u0103ng c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i l\u1ea1i. V\u1edbi kh\u1ea3o kh\u00e1t l\u00e0m ph\u1ee5c h\u00ecnh ng\u00e0y c\u00e0ng th\u1ea9m m\u1ef9 h\u01a1n, c\u00e1c nh\u00e0 l\u00e2m s\u00e0ng \u0111\u00e3 ti\u1ebfn t\u1edbi vi\u1ec7c s\u1eed d\u1ee5ng s\u1eed d\u00e1n tr\u00ean s\u01b0\u1eddn b\u1eb1ng v\u00e0ng ho\u1eb7c titanium. Khi t\u1ea1o nh\u1eefng c\u1ea7u r\u0103ng d\u00e0i, \u0111\u00f2i h\u1ecfi c\u1ea7n c\u00f3 k\u1ef9 thu\u1eadt th\u00e0nh th\u1ea1o m\u1ee9c \u0111\u1ed9 cao, \u0111\u1eb7c bi\u1ec7t n\u1ebfu mu\u1ed1n \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u1ed9 kh\u00edt s\u00e1t c\u0169ng nh\u01b0 h\u00ecnh d\u1ea1ng t\u1ed1t. M\u1ed9t v\u00e0i nh\u00e0 l\u00e2m s\u00e0ng th\u00edch s\u1eed d\u1ee5ng quy tr\u00ecnh h\u00e0n n\u1ed1i sau khi \u0111\u00e3 ho\u00e0n t\u1ea5t m\u1eb7t s\u1ee9 h\u01a1n (undertake postceramic soldering), \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o qu\u00e1 tr\u00ecnh nung s\u1ee9 kh\u00f4ng g\u00e2y bi\u1ebfn d\u1ea1ng n\u1ec1n kim lo\u1ea1i. Nh\u1eefng c\u1ea7u r\u0103ng s\u1ee9-kim lo\u1ea1i d\u00e0i ph\u1ea3i ch\u1ecbu t\u00e1c \u0111\u1ed9ng \u0111\u00e1ng k\u1ec3 c\u1ee7a qu\u00e1 tr\u00ecnh n\u1ee9t g\u00e3y s\u1ee9 sau 1 th\u1eddi gian d\u00e0i, v\u00e0 do \u0111\u00f3 n\u00ean chia th\u00e0nh nh\u1eefng c\u1ea7u\/ \u0111\u01a1n v\u1ecb nh\u1ecf h\u01a1n, ph\u1ee5c h\u1ed3i d\u1ec5 d\u00e0ng \u1edf nh\u1eefng v\u1ecb tr\u00ed c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c.<\/p>\n

S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a v\u1eadt li\u1ec7u composite labo cho ph\u00e9p t\u1ea1o ra nh\u1eefng c\u1ea7u m\u1edf r\u1ed9ng, c\u00f3 th\u1ec3 t\u00f9y ch\u1ec9nh, b\u1ec1n ch\u1eafc v\u00e0 b\u1ec1 m\u1eb7t th\u1ea9m m\u1ef9 gi\u1ed1ng nh\u01b0 s\u1ee9, kh\u00f4ng \u0111\u00f2i h\u1ecfi ph\u1ea3i nung v\u00e0 kh\u00f4ng c\u00f3 nguy c\u01a1 g\u00e2y bi\u1ebfn d\u1ea1ng. Ch\u1ea5t li\u1ec7u n\u00e0y r\u1ea5t ph\u00f9 h\u1ee3p v\u1edbi c\u00e1c c\u1ea7u r\u0103ng \u0111\u01b0\u1ee3c n\u00e2ng \u0111\u1ee1 tr\u00ean implant, v\u00ec n\u00f3 c\u00f3 kh\u1ea3 n\u0103ng \u0111\u00e0n h\u1ed3i h\u01a1n s\u1ee9 v\u00e0 c\u00f3 th\u1ec3 s\u1eeda ch\u1eefa d\u1ec5 d\u00e0ng. N\u00f3 kh\u00f4ng kh\u00e1ng m\u00f2n \u0111\u01b0\u1ee3c nh\u01b0 s\u1ee9, m\u1eb7c d\u00f9 nh\u1eefng b\u1eb1ng ch\u1ee9ng \u0111\u01b0a ra cho th\u1ea5y t\u1ef7 l\u1ec7 m\u00f2n gi\u1ed1ng nh\u01b0 r\u0103ng t\u1ef1 nhi\u00ean, v\u00e0 \u0111\u1eb7c bi\u1ec7t \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh n\u1ebfu ph\u1ee5c h\u00ecnh \u0111\u1ed1i di\u1ec7n c\u00f3 c\u00f9ng ch\u1ea5t li\u1ec7u. N\u00f3 c\u0169ng kh\u00f4ng gi\u1eef h\u00ecnh d\u1ea1ng l\u00e2u d\u00e0i t\u1ed1t nh\u01b0 s\u1ee9, nh\u01b0ng \u0111\u1ed1i v\u1edbi nh\u1eefng c\u1ea7u c\u00f3 nh\u1ecbp d\u00e0i, v\u1eadt li\u1ec7u n\u00e0y \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn v\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng. \u1ede nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 c\u1ea7u r\u0103ng d\u00e0i g\u1eafn tr\u00ean implant \u1edf h\u00e0m \u0111\u1ed1i di\u1ec7n, c\u00f3 th\u1ec3 thu\u1eadt l\u1ea1i v\u1ea5n \u0111\u1ec1 v\u1ec1 ti\u1ebfng \u1ed3n v\u00e0 c\u1ea3m gi\u00e1c r\u1ea5t n\u1eb7ng t\u1eeb b\u1ec1 m\u1eb7t ti\u1ebfp x\u00fac s\u1ee9.<\/p>\n

S\u01b0\u1eddn titanium c\u00f3 th\u1ec3 cho nh\u1eefng thu\u1eadn l\u1ee3i \u0111\u00e1ng k\u1ec3, h\u01a1n l\u00e0 s\u1eed d\u1ee5ng v\u1eadt li\u1ec7u v\u00e0ng, v\u1ec1 v\u1ea5n \u0111\u1ec1 gi\u00e1 c\u1ea3 v\u00e0 tr\u1ecdng l\u01b0\u1ee3ng. Titanium kh\u00f3 \u0111\u00fac theo c\u00e1ch th\u00f4ng th\u01b0\u1eddng, nh\u01b0ng c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng qu\u00e1 tr\u00ecnh s\u1ea3n xu\u1ea5t \u0111\u1ec3 t\u1ea1o ra c\u00e1c khung s\u01b0\u1eddn \u0111\u01b0\u1ee3c ti\u1ec7n b\u1eb1ng m\u00e1y. Nh\u1eefng khung s\u01b0\u1eddn n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1eb1ng c\u00e1ch ti\u1ec7n t\u1eeb 1 kh\u1ed1i titanium c\u1ee9ng ch\u1eafc \u2013 s\u1eed d\u1ee5ng laser qu\u00e9t tr\u00ean m\u1eabu s\u00e1p (wax-up) v\u1edbi k\u1ef9 thu\u1eadt CAD\/CAM.<\/p>\n

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M\u1ed9t khung s\u01b0\u1eddn Titanium \u0111\u01b0\u1ee3c ti\u1ec7n \u0111ang th\u1eed tr\u00ean mi\u1ec7ng \u0111\u1ec3 ki\u1ec3m tra l\u1ea1i \u0111\u1ed9 kh\u00edt s\u00e1t.<\/figcaption><\/figure>\n

K\u1ef9 thu\u1eadt gia c\u00f4ng b\u1eb1ng tia l\u1eeda \u0111i\u1ec7n c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. Nh\u1eefng khung s\u01b0\u1eddn Chrome-Cobalt \u0111\u01b0\u1ee3c l\u00e0m ra gi\u1ed1ng nh\u01b0 v\u1eady, t\u01b0\u01a1ng \u0111\u1ed1i r\u1ebb h\u01a1n v\u00e0 c\u1ee9ng, nh\u01b0ng c\u00e1c khung s\u01b0\u1eddn n\u00e0y ch\u1ec9 \u0111\u01b0\u1ee3c d\u00f9ng cho r\u0103ng nh\u1ef1a ho\u1eb7c veneer.<\/p>\n

Nh\u1eefng khung s\u01b0\u1eddn titanium c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u00e0m b\u1eb1ng k\u1ef9 thu\u1eadt in\/ nung k\u1ebft laser. T\u1ea5t c\u1ea3 nh\u1eefng ti\u1ebfn b\u1ed9 n\u00e0y \u0111\u1eb7c tr\u01b0ng cao v\u1ec1 m\u1eb7t labo v\u00e0 c\u00f3 th\u1ec3 \u0111\u00f2i h\u1ecfi \u0111\u1ea7u t\u01b0 \u0111\u00e1ng k\u1ec3 v\u1ec1 m\u1eb7t k\u1ef9 thu\u1eadt. V\u1edbi s\u1ef1 t\u0103ng gi\u00e1 v\u00e0ng, vi\u1ec7c \u0111\u1ea7u t\u01b0 n\u00e0y s\u1ebd c\u00f3 hi\u1ec7u qu\u1ea3 kinh t\u1ebf h\u01a1n v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng kh\u00edt s\u00e1t c\u1ee7a c\u00e1c khung s\u01b0\u1eddn \u0111\u01b0\u1ee3c ch\u1ebf t\u1ea1o b\u1eb1ng CAD\/CAM c\u0169ng s\u1ebd \u01b0u vi\u1ec7t h\u01a1n n\u1ebfu labo c\u00f3 kinh nghi\u1ec7m v\u1ec1 c\u00e1c k\u1ef9 thu\u1eadt n\u00e0y.<\/p>\n

Nh\u1eefng quy tr\u00ecnh k\u1ef9 thu\u1eadt \u0111\u1ed1i v\u1edbi c\u1ea7u r\u0103ng implant c\u0169ng gi\u1ed1ng nh\u01b0 k\u1ef9 thu\u1eadt tr\u00ean m\u00e3o v\u00e0 c\u1ea7u r\u0103ng th\u01b0\u1eddng quy, nh\u01b0ng c\u1ea7n l\u01b0u \u00fd nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m sau \u0111\u00e2y:<\/p>\n

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  • B\u1ea3n sao c\u1ee7a n\u01b0\u1edbu m\u1ec1m r\u1ea5t c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u01b0\u1eddng vi\u1ec1n t\u1ed1t quanh \u0111\u1ea7u implant tr\u00ean n\u01b0\u1edbu v\u00e0 abutment. B\u1ea3n sao n\u01b0\u1edbu c\u00f3 th\u1ec3 th\u00e1o ra \u0111\u01b0\u1ee3c \u0111\u1ec3 ki\u1ec3m tra \u0111\u1ed9 kh\u00edt s\u00e1t c\u1ee7a \u0111\u01b0\u1eddng vi\u1ec1n<\/li>\n
  • \u0110\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u1ed9 kh\u00edt s\u00e1t b\u1ecb \u0111\u1ed9ng th\u00ec \u0111\u00f2i h\u1ecfi ph\u1ea3i c\u00f3 \u0111\u01b0\u1ee3c khung s\u01b0\u1eddn \u0111\u1ea1t ti\u00eau chu\u1ea9n cao nh\u1ea5t c\u00f3 th\u1ec3.<\/li>\n
  • Ph\u1ea3i r\u1ea5t c\u1ea9n th\u1eadn \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o kh\u00f4ng l\u00e0m bi\u1ebfn d\u1ea1ng khung s\u01b0\u1eddn trong qu\u00e1 tr\u00ecnh n\u01b0\u1edbng s\u1ee9. \u0110\u1ed9 kh\u00edt s\u00e1t c\u1ee7a khung s\u01b0\u1eddn, theo b\u00e1o c\u00e1o c\u0169ng c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng do t\u1ed5n th\u01b0\u01a1ng t\u1eeb qu\u00e1 tr\u00ecnh \u0111\u00e1nh b\u00f3ng nh\u1ef1a \u1edf h\u00e0m to\u00e0n ph\u1ea7n, n\u1ebfu th\u1ef1c hi\u1ec7n b\u1eb1ng tay 1 c\u00e1ch th\u00f4 b\u1ea1o.<\/li>\n
  • Nh\u1eefng khung s\u01b0\u1eddn b\u1eb1ng v\u00e0ng n\u00ean \u0111\u01b0\u1ee3c \u0111\u00fac b\u1eb1ng kim lo\u1ea1i c\u00f3 ph\u00e2n l\u01b0\u1ee3ng v\u00e0ng cao, ph\u00f9 h\u1ee3p v\u1edbi nh\u1eefng tr\u1ee5 v\u00e0ng n\u1ed1i c\u1ea7u r\u0103ng do nh\u00e0 s\u1ea3n xu\u1ea5t cung c\u1ea5p.<\/li>\n
  • M\u1ee9c \u0111\u1ed9 quan tr\u1ecdng c\u1ee7a t\u01b0\u01a1ng quan v\u1ecb tr\u00ed gi\u1eefa c\u00e1c implant \u0111\u1ed1i v\u1edbi v\u1ecb tr\u00ed r\u0103ng c\u1ea7n \u0111\u1ea1t \u0111\u01b0\u1ee3c, tr\u01b0\u1edbc khi ch\u1ecdn abutment, c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ea3o lu\u1eadn. M\u1ed1i quan h\u1ec7 gi\u1eefa abutment v\u1edbi v\u1ecb tr\u00ed r\u0103ng cu\u1ed1i c\u00f9ng c\u0169ng quan tr\u1ecdng t\u01b0\u01a1ng \u0111\u01b0\u01a1ng nh\u01b0 v\u1eady trong labo, \u0111\u1ec3 c\u1ea7u r\u0103ng c\u00f3 \u0111\u01b0\u1eddng vi\u1ec1n ch\u00ednh x\u00e1c, h\u1ed7 tr\u1ee3 ph\u1ea7n th\u1ea9m m\u1ef9 c\u1ee7a c\u1ea7u r\u0103ng v\u00e0 \u0111\u1ec3 c\u00f3 h\u00ecnh d\u1ea1ng m\u1eb7t nhai ch\u00ednh x\u00e1c. Nhi\u1ec1u k\u1ef9 thu\u1eadt vi\u00ean th\u00edch thi\u1ebft k\u1ebf m\u1eabu s\u00e1p to\u00e0n b\u1ed9 c\u1ea7u r\u0103ng, sau \u0111\u00f3 g\u1ecdt b\u1edbt m\u1eabu s\u00e1p \u0111\u1ec3 ch\u1eeba l\u1ea1i nh\u1eefng kho\u1ea3ng cho s\u1ee9 ho\u1eb7c nh\u1ef1a \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o c\u00f3 \u0111\u01b0\u1ee3c \u0111\u01b0\u1eddng vi\u1ec1n t\u1ed1t.<\/li>\n<\/ul>\n
    \"\"
    Hai implant \u0111\u01b0\u1ee3c \u0111\u1eb7t \u0111\u1ec3 l\u00e0m 1 c\u1ea7u r\u0103ng thay th\u1ebf cho 4 r\u0103ng c\u1eeda tr\u01b0\u1edbc: (A) M\u1eabu s\u00e1p nghi\u00ean c\u1ee9u c\u1ee7a c\u1ea7u r\u0103ng c\u00f3 khu\u00f4n b\u1eb1ng cao su n\u1eb7ng ph\u00eda m\u1eb7t ngo\u00e0i. (B) M\u1eabu s\u00e1p \u0111\u01b0\u1ee3c \u0111\u1eafp \u0111\u01b0\u1eddng vi\u1ec1n theo v\u1ecb tr\u00ed r\u0103ng l\u00fd t\u01b0\u1edfng. N\u1ebfu c\u1ea7n thi\u1ebft, m\u1eabu s\u00e1p n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1eed ngay trong mi\u1ec7ng b\u1ec7nh nh\u00e2n \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o n\u00f3 \u0111\u01b0\u1ee3c ch\u00ednh x\u00e1c tr\u01b0\u1edbc khi \u0111\u00fac c\u1ea7u r\u0103ng. (C) M\u1eabu s\u00e1p \u0111\u01b0\u1ee3c g\u1ecdt \u0111\u1ec3 t\u1ea1o s\u01b0\u1eddn kim lo\u1ea1i l\u00fd t\u01b0\u1edfng \u0111\u1ec3 n\u00e2ng \u0111\u1ee1 s\u1eed. L\u01b0u \u00fd 2 tr\u1ee5 tr\u00ean abutment \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p tr\u00ean m\u1eabu s\u00e1p. Khu\u00f4n cao su n\u1eb7ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o \u0111\u1ea1t \u0111\u01b0\u1ee3c kho\u1ea3ng tr\u1ed1ng c\u1ea7n thi\u1ebft. (D) C\u0169ng m\u1eabu s\u00e1p \u0111\u00f3 nh\u00ecn t\u1eeb ph\u00eda m\u1eb7t ngo\u00e0i. (E) M\u1eabu \u0111\u00fac tr\u00ean m\u1eabu h\u00e0m l\u00e0m vi\u1ec7c. (F) S\u01b0\u1eddn \u0111\u00fac \u0111\u01b0\u1ee3c th\u1eed tr\u01b0\u1edbc khi \u0111\u1eafp s\u1ee9 \u0111\u1ec3 ki\u1ec3m tra l\u1ea1i \u0111\u1ed9 kh\u00edt s\u00e1t. (G) C\u1ea7u r\u0103ng \u0111\u00e3 ho\u00e0n th\u00e0nh tr\u00ean m\u1eabu h\u00e0m. (H) C\u1ea7u r\u0103ng \u0111\u00e3 ho\u00e0n th\u00e0nh. (I) C\u1ea7u r\u0103ng \u0111\u00e3 ho\u00e0n th\u00e0nh nh\u00ecn t\u1eeb m\u1eb7t nhai. C\u00e1c l\u1ed7 v\u1eb7n \u1ed1c l\u01b0u gi\u1eef \u0111\u01b0\u1ee3c che ph\u1ee7 b\u1edfi ph\u1ee5c h\u00ecnh c\u00f3 m\u00e0u gi\u1ed1ng r\u0103ng.<\/figcaption><\/figure>\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 \u0111\u01b0a ra c\u00e1c quy tr\u00ecnh th\u01b0\u1eddng quy tr\u00ean ph\u1ee5c h\u00ecnh Implant, bao g\u1ed3m l\u1ea5y d\u1ea5u kh\u1edbp c\u1eafn c\u1ee7a ph\u1ee5c h\u00ecnh, s\u1eeda so\u1ea1n v\u00e0 l\u00e0m c\u1ea7u r\u0103ng t\u1ea1m tr\u00ean b\u1ec7nh nh\u00e2n, v\u00e0 \u0111\u1ed3ng th\u1eddi gi\u1edbi thi\u1ec7u s\u01a1 qua v\u1ec1 quy tr\u00ecnh tr\u00ean Labo \u0111\u1ed1i v\u1edbi h\u00e0m gi\u1ea3 tr\u00ean Implant. C\u00f9ng t\u00ecm hi\u1ec3u s\u00e2u […]<\/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":"\nL\u1ea5y d\u1ea5u kh\u1edbp c\u1eafn, l\u00e0m c\u1ea7u t\u1ea1m v\u00e0 quy tr\u00ecnh Labo c\u1ee7a h\u00e0m Implant.<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00f3i v\u1ec1 l\u1ea5y d\u1ea5u kh\u1edbp c\u1eafn c\u1ee7a ph\u1ee5c h\u00ecnh, s\u1eeda so\u1ea1n v\u00e0 l\u00e0m c\u1ea7u r\u0103ng t\u1ea1m tr\u00ean b\u1ec7nh nh\u00e2n, gi\u1edbi thi\u1ec7u quy tr\u00ecnh tr\u00ean Labo. 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