{"id":25315,"date":"2023-04-20T10:15:20","date_gmt":"2023-04-20T03:15:20","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25315"},"modified":"2023-04-24T14:24:33","modified_gmt":"2023-04-24T07:24:33","slug":"thu-gan-va-kiem-tra-phuc-hinh-cau-rang-tren-implant","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/thu-gan-va-kiem-tra-phuc-hinh-cau-rang-tren-implant\/","title":{"rendered":"Th\u1eed, g\u1eafn v\u00e0 ki\u1ec3m tra ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng tr\u00ean Implant."},"content":{"rendered":"<p><strong>B\u00e0i vi\u1ebft n\u00e0y n\u00f3i v\u1ec1 c\u00e1c b\u01b0\u1edbc li\u00ean quan \u0111\u1ebfn th\u1eed ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng, ti\u1ebfn h\u00e0nh g\u1eafn v\u00e0 qu\u00e1 tr\u00ecnh ki\u1ec3m tra, s\u1eeda ch\u1eefa, d\u1eb7n d\u00f2, h\u01b0\u1edbng d\u1eabn v\u00e0 theo d\u00f5i b\u1ec7nh nh\u00e2n sau qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. \u0110\u00e2y l\u00e0 nh\u1eefng b\u01b0\u1edbc cu\u1ed1i c\u00f9ng trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ph\u1ee5c h\u00ecnh Implant, v\u00ec th\u1ebf c\u00e1c ph\u1eabu thu\u1eadt vi\u00ean \u0111\u1eb7c bi\u1ec7t ph\u1ea3i l\u01b0u t\u00e2m v\u00e0 ki\u1ec3m so\u00e1t th\u1eadt t\u1ed1t. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam.<\/strong><\/p>\n<h2>1. Th\u1eed ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng tr\u00ean Implant<\/h2>\n<p>C\u1ea7u c\u00f3 nh\u1ecbp ng\u1eafn ho\u1eb7c d\u00e0i th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1eed tr\u01b0\u1edbc khi g\u1eafn. Vi\u1ec7c th\u1eed c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n t\u1ea1i c\u00e1c th\u1eddi \u0111i\u1ec3m sau:<\/p>\n<ul>\n<li>Tr\u01b0\u1edbc khi l\u00e0m khung s\u01b0\u1eddn. C\u00e1c \u1ed1ng b\u1eb1ng v\u00e0ng (gold cylinder) \u0111\u01b0\u1ee3c li\u00ean k\u1ebft v\u1edbi nhau b\u1eb1ng m\u1ed9t v\u1eadt li\u1ec7u c\u1ee9ng nh\u01b0 nh\u1ef1a composite trong labo.<\/li>\n<\/ul>\n<figure id=\"attachment_25324\" aria-describedby=\"caption-attachment-25324\" style=\"width: 1376px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-25324\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-330.png\" alt=\"phuc-hinh-cau-rang-1\" width=\"1376\" height=\"1024\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-330.png 1376w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-330-300x223.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-330-1024x762.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-330-768x572.png 768w\" sizes=\"(max-width: 1376px) 100vw, 1376px\" \/><figcaption id=\"caption-attachment-25324\" class=\"wp-caption-text\">(A) M\u1ed9t khung b\u1eb1ng nh\u1ef1a (s\u1ea3n ph\u1ea9m Duralay) \u0111\u01b0\u1ee3c th\u1eed \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed c\u1ee7a c\u00e1c implant v\u00e0 m\u1eabu to\u00e0n h\u00e0m. (B) Th\u1ee7 khung nh\u1ef1a tr\u00ean v\u00e0 d\u01b0\u1edbi. (C) S\u00e1p c\u1eafn \u0111\u1eb7t tr\u00ean khung nh\u1ef1a t\u1ea1o ra m\u1ed9t n\u1ec1n v\u1eefng ch\u1eafc \u0111\u1ec3 ghi d\u1ea5u kh\u1edbp c\u1eafn.<\/figcaption><\/figure>\n<ul>\n<li>\u0110\u1ed9 ch\u00ednh x\u00e1c c\u1ee7a vi\u1ec7c l\u1ea5y d\u1ea5u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m tra b\u1eb1ng c\u00e1ch \u0111\u1eb7t c\u00e1i n\u00e0y trong mi\u1ec7ng. Kh\u00f4ng n\u00ean c\u00f3 s\u1ef1 d\u1ecbch chuy\u1ec3n c\u1ee7a khung khi v\u1eb7n ch\u1eb7t \u1edf hai \u0111\u1ea7u v\u00e0 k\u1ebft n\u1ed1i nh\u1ef1a th\u01b0\u1eddng s\u1ebd b\u1ecb g\u00e3y n\u1ebfu khung kh\u00f4ng kh\u00edt s\u00e1t. N\u1ebfu \u0111i\u1ec1u n\u00e0y x\u1ea3y ra, t\u1ed1t nh\u1ea5t n\u00ean l\u1ea5y d\u1ea5u l\u1ea1i. C\u00e1c \u1ed1ng b\u1eb1ng v\u00e0ng n\u1ed1i v\u1edbi nhau c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho vi\u1ec7c ghi kh\u1edbp c\u1eafn b\u1eb1ng c\u00e1ch g\u1eafn m\u1ed9t v\u00e0nh s\u00e1p v\u00e0 ch\u00fang c\u0169ng c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 vi\u1ec7c th\u1eed r\u0103ng n\u1ebfu c\u1ea7n thi\u1ebft.<\/li>\n<li>Sau khi l\u00e0m khung s\u01b0\u1eddn, nh\u01b0ng tr\u01b0\u1edbc khi ho\u00e0n th\u00e0nh r\u0103ng. Th\u1eed trong l\u00fac n\u00e0y cho ph\u00e9p \u0111\u00e1nh gi\u00e1 \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 kh\u00edt s\u00e1t c\u1ee7a khung v\u00e0 ph\u00e1t hi\u1ec7n sai s\u00f3t tr\u01b0\u1edbc khi ph\u00ed th\u1eddi gian ho\u00e0n th\u00e0nh m\u1ed9t c\u1ea7u r\u0103ng m\u00e0 sau \u0111\u00f3 g\u1eafn kh\u00f4ng v\u1eeba. \u0110\u1ea7u ti\u00ean ph\u1ea7n khung \u0111\u01b0\u1ee3c \u0111\u1eb7t xu\u1ed1ng d\u01b0\u1edbi \u00e1p l\u1ef1c ng\u00f3n tay v\u00e0 b\u1ea5t k\u1ef3 l\u1ed7i trong s\u1ef1 kh\u00edt s\u00e1t \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n b\u1eb1ng c\u00e1ch l\u1eafc khung. Sau \u0111\u00f3 c\u00e1c v\u00edt c\u1ee7a c\u1ea7u r\u0103ng \u0111\u01b0\u1ee3c th\u1eed g\u1eafn trong c\u00f9ng th\u1eddi \u0111i\u1ec3m \u0111\u1ec3 xem n\u1ebfu v\u1eb7n ch\u1eb7t m\u1ed9t v\u00edt c\u00f3 l\u00e0m khung d\u1ecbch chuy\u1ec3n ra kh\u1ecfi abutment kh\u00e1c kh\u00f4ng. Bi\u1ec3u m\u00f4 b\u00e1m d\u00ednh b\u00f3 ch\u1eb7t ho\u1eb7c khung \u0111\u00e8 v\u00e0o m\u00f4 m\u1ec1m c\u00f3 th\u1ec3 l\u00e0m cho \u0111i\u1ec1u n\u00e0y kh\u00f3 th\u1ef1c hi\u1ec7n. Cu\u1ed1i c\u00f9ng, t\u1ea5t c\u1ea3 c\u00e1c v\u00edt \u0111\u01b0\u1ee3c v\u1eb7n ch\u1eb7t v\u00e0 khung kh\u00f4ng kh\u00edt s\u00e1t \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n b\u1eb1ng s\u1ef1 kh\u00f3 ch\u1ecbu v\u00e0 c\u1ea3m gi\u00e1c b\u00f3 ch\u1eb7t c\u1ee7a b\u1ec7nh nh\u00e2n. L\u1ed7i kh\u00edt s\u00e1t ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n n\u00e0y kh\u1eafc ph\u1ee5c b\u1eb1ng c\u00e1ch l\u1ea5y d\u1ea5u l\u1ea1i ho\u1eb7c b\u1eb1ng c\u00e1ch c\u1eaft khung v\u00e0 n\u1eb9p n\u00f3 trong mi\u1ec7ng \u0111\u1ec3 n\u00f3 \u0111\u01b0\u1ee3c h\u00e0n l\u1ea1i. Khung \u0111\u00e3 b\u1ecb c\u1eaft lu\u00f4n lu\u00f4n \u0111\u01b0\u1ee3c th\u1eed l\u1ea1i m\u1ed9t l\u1ea7n n\u1eefa tr\u01b0\u1edbc khi ti\u1ebfp t\u1ee5c qu\u00e1 tr\u00ecnh.<\/li>\n<li>Cu\u1ed1i c\u00f9ng, m\u1ed9t c\u1ea7u r\u0103ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1eed tr\u01b0\u1edbc khi \u0111\u00e1nh b\u00f3ng ho\u1eb7c n\u01b0\u1edbng b\u00f3ng n\u1ebfu l\u00e0 s\u1ee9. \u0110i\u1ec1u n\u00e0y cho ph\u00e9p ki\u1ec3m tra th\u1ea9m m\u1ef9 v\u00e0 kh\u1edbp c\u1eafn tr\u01b0\u1edbc khi ho\u00e0n t\u1ea5t.<\/li>\n<\/ul>\n<h2>2. G\u1eafn ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng<\/h2>\n<p>N\u1ebfu c\u00e1c abutment sau c\u00f9ng \u0111\u00e3 \u0111\u01b0\u1ee3c th\u00e1o ra gi\u1eefa c\u00e1c l\u1ea7n h\u1eb9n, ch\u00fang c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o v\u00e0 v\u1eb7n ch\u1eb7t theo khuy\u1ebfn c\u00e1o b\u1eb1ng c\u00e1ch d\u00f9ng c\u00e2y torque. C\u1ea7u r\u0103ng \u0111\u01b0\u1ee3c \u0111\u1eb7t l\u00ean abutment v\u00e0 ki\u1ec3m tra l\u1ea1i \u0111\u1ed9 kh\u00edt s\u00e1t nh\u01b0 \u0111\u00e3 th\u1ea3o lu\u1eadn. Kh\u00f4ng c\u00f3 nhi\u1ec1u l\u00fd do \u0111\u1ec3 c\u1ed1 g\u1eafng ki\u1ec3m tra s\u1ef1 kh\u00edt s\u00e1t c\u1ee7a c\u1ea7u r\u0103ng b\u1eb1ng m\u1eaft th\u01b0\u1eddng, tr\u1eeb khi \u0111\u01b0\u1eddng ho\u00e0n t\u1ea5t \u0111\u1eb7t tr\u00ean n\u01b0\u1edbu. Ho\u00e0n to\u00e0n b\u00ecnh th\u01b0\u1eddng n\u1ebfu th\u1ea5y m\u1ed9t \u00edt n\u01b0\u1edbu b\u1ecb tr\u1eafng \u0111i v\u00ec profile m\u1edbi c\u1ee7a c\u1ea7u r\u0103ng g\u00e2y \u00e1p l\u1ef1c tr\u00ean c\u00e1c m\u00f4 m\u1ec1m. B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c tr\u1ea5n an r\u1eb1ng \u0111\u00e2y l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 t\u1ea1m th\u1eddi. N\u1ebfu \u0111\u1ed9 kh\u00edt s\u00e1t ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c, ti\u1ebfn h\u00e0nh ki\u1ec3m tra kh\u1edbp c\u1eafn.<\/p>\n<h2>3. Ki\u1ec3m tra, h\u1ed7 tr\u1ee3 b\u1ec7nh nh\u00e2n trong qu\u00e1 tr\u00ecnh g\u1eafn ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng<\/h2>\n<h3>3.1. Ki\u1ec3m tra kh\u1edbp c\u1eafn trong khi g\u1eafn ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng<\/h3>\n<p>N\u1ebfu c\u1ea7u r\u0103ng \u0111\u01b0\u1ee3c l\u00e0m l\u00e0 m\u1ed9t ph\u1ee5c h\u00ecnh l\u00e0m theo kh\u1edbp c\u1eafn hi\u1ec7n h\u1eefu (conformative restoration) (\u1edf b\u1ec7nh nh\u00e2n m\u1ea5t r\u0103ng b\u00e1n ph\u1ea7n), \u0111\u1ea7u ti\u00ean n\u00f3 c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra \u1edf v\u1ecb tr\u00ed t\u01b0\u01a1ng quan t\u00e2m \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o kh\u00f4ng c\u1ea3n tr\u1edf kh\u1edbp c\u1eafn. Ti\u1ebfp theo v\u1ecb tr\u00ed kh\u1edbp c\u1eafn trung t\u00e2m c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra. L\u00fd t\u01b0\u1edfng nh\u1ea5t l\u00e0 c\u1ea7u r\u0103ng ch\u1ec9 n\u00ean ch\u1ea1m kh\u1edbp nh\u1eb9 khi b\u1ec7nh nh\u00e2n c\u1eafn nh\u1eb9 v\u00e0 n\u00ean ch\u1ea1m kh\u1edbp \u0111\u1ea7y \u0111\u1ee7 khi b\u1ec7nh nh\u00e2n c\u1eafn th\u1eadt ch\u1eb7t. \u0110i\u1ec1u n\u00e0y r\u00f5 r\u00e0ng ph\u1ee5 thu\u1ed9c v\u00e0o vi\u1ec7c c\u00f2n bao nhi\u00eau r\u0103ng t\u1ef1 nhi\u00ean v\u00e0 ti\u1ebfp x\u00fac kh\u1edbp c\u1eafn c\u1ee7a ch\u00fang t\u1ed1t nh\u01b0 th\u1ebf n\u00e0o. C\u00f3 th\u1ec3 kh\u00f3 kh\u0103n \u0111\u1ec3 thi\u1ebft l\u1eadp kh\u1edbp c\u1eafn n\u1ebfu c\u00e1c r\u0103ng c\u00f2n l\u1ea1i c\u00f3 m\u1ee9c \u0111\u1ed9 lung lay \u0111\u00e1ng \u0111\u1ec3. M\u1ee9c \u0111\u1ed9 ti\u1ebfp x\u00fac n\u00e0y r\u1ea5t kh\u00f3 \u0111\u1ec3 \u0111\u1ecbnh l\u01b0\u1ee3ng, nh\u01b0ng c\u00e1ch t\u1ed1t nh\u1ea5t tr\u01b0\u1edbc ti\u00ean l\u00e0 s\u1eed d\u1ee5ng gi\u1ea5y c\u1eafn \u0111\u1ec3 ghi nh\u1eadn ti\u1ebfp x\u00fac gi\u1eefa r\u0103ng v\u00e0 implant.<\/p>\n<figure id=\"attachment_25326\" aria-describedby=\"caption-attachment-25326\" style=\"width: 1386px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-25326\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-331.png\" alt=\"phuc-hinh-cau-rang-2\" width=\"1386\" height=\"360\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-331.png 1386w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-331-300x78.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-331-1024x266.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-331-768x199.png 768w\" sizes=\"(max-width: 1386px) 100vw, 1386px\" \/><figcaption id=\"caption-attachment-25326\" class=\"wp-caption-text\">Kh\u1edbp c\u1eafn \u0111\u01b0\u1ee3c ki\u1ec3m tra tr\u00ean m\u1ed9t c\u1ea7u r\u0103ng d\u01b0\u1edbi \u0111\u01b0\u1ee3c implant n\u00e2ng \u0111\u1ee1. (A) Gi\u1ea5y c\u1eafn \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111\u00e1nh d\u1ea5u s\u1ef1 ch\u1ea1m kh\u1edbp ban \u0111\u1ea7u d\u01b0\u1edbi l\u1ef1c c\u1eafn nh\u1eb9. (B) C\u00e1c d\u1ea5u ch\u1ea1m r\u00f5 nh\u1ea5t xu\u1ea5t hi\u1ec7n tr\u00ean r\u0103ng t\u1ef1 nhi\u00ean v\u00e0 c\u1ea7u implant (th\u1ee9 hai v\u00e0 th\u1ee9 ba t\u1eeb ph\u00eda sau) ch\u1ec9 ch\u1ea1m nh\u1eb9. (C) Shim stock \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 x\u00e1c nh\u1eadn ph\u1ee5c h\u00ecnh implant ch\u1ea1m kh\u1edbp d\u01b0\u1edbi l\u1ef1c c\u1eafn m\u1ea1nh.<\/figcaption><\/figure>\n<p>Sau \u0111\u00f3 n\u00ean s\u1eed d\u1ee5ng shim stock, v\u00e0 khi ch\u1ea1m kh\u1edbp nh\u1eb9, c\u1ea7u r\u0103ng tr\u00ean implant s\u1ebd kh\u00f4ng gi\u1eef shim stock nh\u01b0ng r\u0103ng th\u00ec gi\u1eef \u0111\u01b0\u1ee3c. Khi b\u1ec7nh nh\u00e2n c\u1eafn ch\u1eb7t h\u01a1n th\u00ec c\u1ea7u r\u0103ng s\u1ebd gi\u1eef \u0111\u01b0\u1ee3c shim stock gi\u1ed1ng nh\u01b0 r\u0103ng. L\u00fd t\u01b0\u1edfng nh\u1ea5t l\u00e0 c\u00e1c v\u00f9ng ch\u1ea1m kh\u1edbp n\u00ean n\u1eb1m c\u00e0ng g\u1ea7n t\u00e2m c\u1ee7a implant c\u00e0ng t\u1ed1t \u0111\u1ec3 l\u1ef1c truy\u1ec1n th\u1eb3ng xu\u1ed1ng tr\u1ee5c c\u1ee7a implant khi t\u1ea3i l\u1ef1c. Nh\u1ecbp v\u1edbi n\u00ean ch\u1ecbu l\u1ef1c c\u00e0ng \u00edt c\u00e0ng t\u1ed1t.<\/p>\n<p>C\u00e1c c\u1ea7u r\u0103ng sau \u0111\u00f3 \u0111\u01b0\u1ee3c ki\u1ec3m tra trong c\u00e1c di chuy\u1ec3n sang b\u00ean v\u00e0 ra tr\u01b0\u1edbc. N\u1ebfu h\u01b0\u1edbng d\u1eabn r\u0103ng nanh t\u1ed3n t\u1ea1i, \u0111i\u1ec1u n\u00e0y s\u1ebd b\u1ea3o v\u1ec7 c\u1ea7u r\u0103ng khi ch\u1ecbu l\u1ef1c sang b\u00ean. N\u1ebfu h\u01b0\u1edbng d\u1eabn nh\u00f3m t\u1ed3n t\u1ea1i, c\u1ea7u r\u0103ng tr\u00ean implant c\u1ea7n h\u00f2a h\u1ee3p v\u1edbi \u0111i\u1ec1u n\u00e0y. N\u1ebfu r\u0103ng \u0111\u01b0\u1ee3c thay th\u1ebf l\u00e0 r\u0103ng nanh v\u00e0 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a c\u1ea7u r\u0103ng, kh\u1edbp c\u1eafn \u0111\u01b0\u1ee3c t\u00e1i l\u1eadp th\u00e0nh h\u01b0\u1edbng d\u1eabn nh\u00f3m n\u1ebfu \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u00e0 kh\u00f4ng b\u1ecb m\u1ea5t h\u00ecnh d\u1ea1ng b\u00ean ngo\u00e0i. N\u1ebfu h\u01b0\u1edbng d\u1eabn sang b\u00ean ph\u1ea3i c\u00f3 th\u00ec n\u00f3 ph\u1ea3i n\u00f4ng, chia s\u1ebb tr\u00ean nhi\u1ec1u r\u0103ng n\u1ebfu c\u00f3 th\u1ec3, v\u00e0 \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf gi\u1eefa c\u1ee7a implant kh\u1ecfe nh\u1ea5t.<\/p>\n<p>H\u01b0\u1edbng d\u1eabn ra tr\u01b0\u1edbc n\u00ean \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh tr\u01b0\u1edbc khi l\u00e0m, v\u00ec v\u1ecb tr\u00ed r\u0103ng c\u1eeda s\u1ebd l\u00e0m thay \u0111\u1ed5i vi\u1ec7c n\u00e0y \u0111\u00e1ng k\u1ec3. Di chuy\u1ec3n ra tr\u01b0\u1edbc n\u00ean tr\u01a1n tru v\u00e0 tr\u1ea3i r\u1ed9ng tr\u00ean c\u00e0ng nhi\u1ec1u r\u0103ng c\u00e0ng t\u1ed1t, m\u1ed9t l\u1ea7n n\u1eefa l\u00fd t\u01b0\u1edfng l\u00e0 h\u01b0\u1edbng d\u1eabn n\u00ean \u0111\u1eb7t \u1edf gi\u1eefa implant h\u01a1n l\u00e0 tr\u00ean nh\u1ecbp.<\/p>\n<p>N\u1ebfu k\u1ebf ho\u1ea1ch t\u00e1i l\u1eadp kh\u1edbp c\u1eafn \u0111\u01b0\u1ee3c th\u00f4ng qua, v\u00ed d\u1ee5 nh\u01b0 m\u1ed9t c\u1ea7u r\u0103ng to\u00e0n h\u00e0m, \u0111i\u1ec1u n\u00e0y s\u1ebd d\u1eabn t\u1edbi m\u00e3o, c\u1ea7u r\u0103ng v\u00e0 ph\u1ee5c h\u00ecnh to\u00e0n h\u00e0m m\u00e0 kh\u00f4ng c\u1ea7n kh\u1edbp c\u1eafn c\u00e2n b\u1eb1ng. Kh\u1edbp c\u1eafn trung t\u00e2m c\u1ea7n \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp \u1edf k\u00edch th\u01b0\u1edbc d\u1ecdc l\u00fd t\u01b0\u1edfng t\u1ea1i v\u1ecb tr\u00ed t\u01b0\u01a1ng quan t\u00e2m, c\u00f3 v\u1eadn \u0111\u1ed9ng ra tr\u01b0\u1edbc b\u1eb1ng ph\u1eb3ng v\u00e0 tr\u01a1n l\u00e1ng 1-2 mm, v\u1eadn \u0111\u1ed9ng sang b\u00ean ph\u1ea3i l\u00e0 m\u1ed9t ch\u1ee9c n\u0103ng nh\u00f3m v\u1edbi nhi\u1ec1u ti\u1ebfp x\u00fac c\u1eafn c\u00f2n v\u1eadn \u0111\u1ed9ng ra tr\u01b0\u1edbc n\u00f4ng v\u00e0 tr\u01a1n l\u00e1ng.<\/p>\n<h3>3.2. H\u01b0\u1edbng d\u1eabn cho b\u1ec7nh nh\u00e2n<\/h3>\n<p>C\u00e1c b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn v\u1ec7 sinh c\u1ee5 th\u1ec3, \u0111\u1eb7c bi\u1ec7t l\u00e0 l\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 v\u00e0o v\u00f9ng gi\u1eefa c\u00e1c implant. H\u1ecd n\u00ean \u0111\u01b0\u1ee3c c\u1ea3nh b\u00e1o l\u00e0 ph\u1ea3i c\u1ea9n th\u1eadn v\u1edbi c\u1ea7u r\u0103ng m\u1edbi khi th\u1ef1c hi\u1ec7n ch\u1ee9c n\u0103ng, v\u00ed d\u1ee5 nh\u01b0 h\u1ecd c\u00f3 th\u1ec3 c\u1eafn m\u00f4i, m\u00e1, l\u01b0\u1ee1i v\u00ec h\u1ecd \u0111\u00e3 quen v\u1edbi vi\u1ec7c c\u00f3 m\u1ed9t c\u1ea5u tr\u00fac c\u1ed1 \u0111\u1ecbnh ch\u1ee9 kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t h\u00e0m r\u0103ng gi\u1ea3.<\/p>\n<p>Nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111eo h\u00e0m gi\u1ea3 l\u00e2u ng\u00e0y tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb implant g\u1eb7p nhi\u1ec1u v\u1ea5n \u0111\u1ec1 h\u01a1n khi b\u1eaft \u0111\u1ea7u mang h\u00e0m m\u1edbi v\u00e0 t\u1ed1t nh\u1ea5t nh\u1eefng \u0111i\u1ec1u n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c th\u1ea3o lu\u1eadn tr\u01b0\u1edbc \u0111\u1ec3 tr\u00e1nh khi v\u1ea5n \u0111\u1ec1 ph\u00e1t sinh l\u00e0m b\u1ec7nh nh\u00e2n kh\u00f4ng h\u00e0i l\u00f2ng.<br \/>\n\u0110\u1eb7c bi\u1ec7t, ph\u00e1t \u00e2m c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng khi ph\u1ee5c h\u1ed3i c\u00e1c r\u0103ng tr\u01b0\u1edbc tr\u00ean. Nh\u1eadn th\u1ee9c s\u1ef1 thay \u0111\u1ed5i ph\u00e1t \u00e2m th\u01b0\u1eddng l\u00e0 r\u00f5 r\u00e0ng \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n h\u01a1n l\u00e0 v\u1edbi b\u1ea5t c\u1ee9 ai kh\u00e1c v\u00e0 th\u01b0\u1eddng tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng sau m\u1ed9t t\u1edbi hai tu\u1ea7n. Tuy nhi\u00ean, \u0111\u00f4i khi c\u1ea7n th\u1eddi gian th\u00edch nghi d\u00e0i h\u01a1n.<\/p>\n<h3>3.3. Theo d\u00f5i<\/h3>\n<p>Sau ho\u00e0n th\u00e0nh ph\u1ee5c h\u00ecnh m\u1edbi, ch\u00fang ta n\u00ean thu x\u1ebfp \u0111\u1ec3 t\u00e1i \u0111\u00e1nh gi\u00e1, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ec3 ki\u1ec3m tra s\u1ef1 duy tr\u00ec t\u1ea1i nh\u00e0, trong v\u00f2ng s\u00e1u th\u00e1ng. M\u1ee9c x\u01b0\u01a1ng vi\u1ec1n n\u00ean \u0111\u01b0\u1ee3c ki\u1ec3m tra s\u1ef1 \u1ed5n \u0111\u1ecbnh v\u1edbi x quang quanh ch\u00f3p sau m\u1ed9t n\u0103m v\u00e0 m\u1ed7i hai n\u0103m sau \u0111\u00f3.<\/p>\n<h2>4. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7c bi\u1ec7t<\/h2>\n<h3>4.1. C\u1ea7u r\u0103ng g\u1eafn b\u1eb1ng v\u00edt<\/h3>\n<p>V\u1edbi c\u1ea7u r\u0103ng ng\u1eafn, v\u00edt c\u00f3 th\u1ec3 v\u1eb7n ch\u1eb7t b\u1eb1ng tay (l\u1ef1c torque kho\u1ea3ng 10Ncm). C\u1ea7u r\u0103ng d\u00e0i \u0111\u01b0\u1ee3c n\u00e2ng \u0111\u1ee1 tr\u00ean implant n\u00ean \u0111\u01b0\u1ee3c \u0111\u1eb7t xu\u1ed1ng t\u1eeb t\u1eeb \u0111\u1ec3 c\u1ea7u r\u0103ng kh\u00edt s\u00e1t ho\u00e0n to\u00e0n v\u00e0 ng\u0103n ng\u1eeba vi\u1ec7c v\u1eb7n qu\u00e1 l\u1ef1c torque cho ph\u00e9p. V\u00edt \u1edf gi\u1eefa s\u1ebd \u0111\u01b0\u1ee3c v\u1eb7n ch\u1eb7t b\u1eb1ng tay tr\u01b0\u1edbc, sau \u0111\u00f3 ti\u1ebfn v\u1ec1 ph\u00eda xa v\u00e0 lu\u00e2n phi\u00ean t\u1eeb b\u00ean n\u00e0y qua b\u00ean kia. Khi c\u1ea7u r\u0103ng \u0111\u01b0\u1ee3c g\u1eafn l\u1ea7n \u0111\u1ea7u ti\u00ean, l\u1ed7 v\u00edt \u0111\u01b0\u1ee3c b\u00edt k\u00edn b\u1eb1ng g\u00f2n v\u00e0 v\u1eadt li\u1ec7u tram t\u1ea1m. C\u00f3 m\u1ed9t t\u1ef7 l\u1ec7 \u0111\u00e1ng k\u1ec3 v\u00edt s\u1edbm b\u1ecb l\u1ecfng \u0111\u1eb7c bi\u1ec7t v\u1edbi c\u1ea7u r\u0103ng d\u00e0i. V\u00ec v\u1eady, c\u1ea7u r\u0103ng ph\u1ea3i \u0111\u01b0\u1ee3c ki\u1ec3m tra sau m\u1ed9t ho\u1eb7c hai tu\u1ea7n v\u00e0 c\u00e1c v\u00edt c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra \u0111\u1ed9 c\u1ee9ng ch\u1eafc. B\u1ea5t k\u1ef3 v\u00edt n\u00e0o l\u1ecfng h\u01a1n ph\u1ea3i \u0111\u01b0\u1ee3c ki\u1ec3m tra th\u00eam m\u1ed9t ho\u1eb7c hai tu\u1ea7n sau \u0111\u00f3. \u00cdt khi n\u00e0o m\u1ed9t c\u00e1i v\u00edt kh\u00f4ng gi\u1eef \u0111\u01b0\u1ee3c \u0111\u1ed9 ch\u1eb7t c\u1ee7a n\u00f3 \u1edf l\u1ea7n th\u1ee9 hai, v\u00e0 n\u1ebfu \u0111i\u1ec1u n\u00e0y x\u1ea3y ra, c\u1ea7n ph\u1ea3i ki\u1ec3m tra c\u1ea9n th\u1eadn v\u00ec \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 cho th\u1ea5y khung s\u01b0\u1eddn kh\u00f4ng kh\u00edt s\u00e1t ho\u1eb7c do c\u1ea7u r\u0103ng t\u1ea3i l\u1ef1c qu\u00e1 nhi\u1ec1u. M\u1ed9t khi c\u00e1c v\u00edt v\u1eabn c\u00f2n ch\u1eb7t v\u00e0 b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u1ed3ng \u00fd m\u1ecdi m\u1eb7t c\u1ee7a c\u1ea7u r\u0103ng, c\u00e1c l\u1ed7 v\u00edt c\u00f3 th\u1ec3 b\u00edt k\u00edn v\u0129nh vi\u1ec5n. \u0110\u1ec3 cho ph\u00e9p \u0111i v\u00e0o trong t\u01b0\u01a1ng lai m\u00e0 kh\u00f4ng g\u00e2y h\u1ea1i \u0111\u1ea7u c\u1ee7a v\u00edt, n\u00f3 c\u1ea7n \u0111\u01b0\u1ee3c che m\u1ed9t l\u1edbp b\u00f4ng g\u00f2n \u0111\u1ec3 ng\u0103n ng\u1eeba c\u00e1c \u0111\u1ea7u v\u00edt b\u1ecb ph\u00e1 v\u1edbi v\u1eadt li\u1ec7u c\u1ee9ng. Ph\u1ea7n m\u1eb7t nhai c\u1ee7a c\u00e1c l\u1ed7 v\u00edt t\u1ed1t nh\u1ea5t \u0111\u01b0\u1ee3c tr\u00e1m v\u1edbi composite ti\u1ec7p m\u00e0u r\u0103ng v\u00e0 ki\u1ec3m tra l\u1ea1i kh\u1edbp c\u1eafn sau \u0111\u00f3.<\/p>\n<h3>4.2. C\u1ea7u r\u0103ng g\u1eafn b\u1eb1ng xi-m\u0103ng<\/h3>\n<p>Sau khi ho\u00e0n th\u00e0nh m\u1ed9t c\u1ea7u r\u0103ng xi m\u0103ng, ch\u00fang ta c\u1ea7n quy\u1ebft \u0111\u1ecbnh ph\u1ea3i d\u00f9ng xi m\u0103ng n\u00e0o \u0111\u1ec3 g\u1eafn. V\u1edbi nhi\u1ec1u abutment song song, kh\u00f4ng c\u1ea7n thi\u1ebft ph\u1ea3i d\u00f9ng xi m\u0103ng c\u1ee9ng (v\u0129nh vi\u1ec5n) \u0111\u1ec3 g\u1eafn v\u00ec lo\u1ea1i n\u00e0y l\u00e0m c\u1ea7u r\u0103ng kh\u00f3 kh\u00edt s\u00e1t ho\u00e0n to\u00e0n v\u00e0 kh\u00f4ng th\u1ec3 l\u1ea5y ra trong t\u01b0\u01a1ng lai. Do \u0111\u00f3 c\u1ea7u implant c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u1eafn &#8220;v\u0129nh vi\u1ec5n&#8221; v\u1edbi xi m\u0103ng g\u1eafn t\u1ea1m mi\u1ec5n l\u00e0 ch\u00fang ch\u1ee9ng minh \u0111\u01b0\u1ee3c s\u1ef1 l\u01b0u gi\u1eef t\u1ed1t v\u00e0 \u1ed5n \u0111\u1ecbnh khi th\u1eed.<\/p>\n<p>Khi c\u1ea7u r\u0103ng ho\u00e0n th\u00e0nh, ch\u00fang ta s\u1ebd th\u1eadn tr\u1ecdng g\u1eafn t\u1ea1m n\u00f3 \u0111\u1ec3 cho ph\u00e9p b\u1ec7nh nh\u00e2n &#8220;s\u1ed1ng c\u00f9ng&#8221; c\u1ea7u r\u0103ng trong m\u1ed9t th\u1eddi gian ng\u1eafn v\u00e0 ki\u1ec3m tra \u0111\u01b0\u1eddng vi\u1ec1n, h\u00ecnh d\u1ea1ng, v\u00e0 ph\u00e1t \u00e2m tr\u01b0\u1edbc khi g\u1eafn k\u1ebft th\u00fac. Xi m\u0103ng g\u1eafn t\u1ea1m l\u00e0 t\u1ea5t c\u1ea3 nh\u1eefng g\u00ec ch\u00fang ta c\u1ea7n. G\u1eafn t\u1ea1m c\u0169ng cho ph\u00e9p n\u01b0\u1edbu th\u00edch nghi v\u1edbi c\u00e1c \u0111\u01b0\u1eddng vi\u1ec1n m\u1edbi v\u00e0 s\u1ebd l\u00e0m cho vi\u1ec7c g\u1eafn k\u1ebft th\u00fac d\u1ec5 d\u00e0ng h\u01a1n, v\u00ed nh\u01b0 c\u1ea7u r\u0103ng s\u1ebd kh\u00f4ng b\u1ecb c\u1ea3n tr\u1edf khi g\u1eafn do n\u01b0\u1edbu v\u00f9ng c\u1ed5 qu\u00e1 ch\u1eb7t. Tr\u01b0\u1edbc khi g\u1eafn k\u1ebft k\u1ebft th\u00fac c\u00e1c v\u00edt abutment \u0111\u01b0\u1ee3c ki\u1ec3m tra \u0111\u1ed9 ch\u1eb7t v\u00e0 c\u00e1c l\u1ed7 v\u00edt \u0111\u01b0\u1ee3c che b\u1eb1ng g\u00f2n. Xi m\u0103ng g\u1eafn \u0111\u01b0\u1ee3c tr\u1ed9n v\u00e0 \u0111\u1eb7t trong c\u1ea7u r\u0103ng, ch\u1ec9 c\u1ea7n \u0111\u1eb7t m\u1ed9t l\u1edbp m\u1ecfng, xi m\u0103ng d\u01b0 s\u1ebd \u00edt v\u00e0 d\u1ec5 l\u00e0m s\u1ea1ch. N\u1ebfu lo\u1ea1i xi m\u0103ng c\u1ee9ng nh\u01b0 phosphate k\u1ebdm \u0111\u01b0\u1ee3c ch\u1ecdn. N\u1ebfu xi m\u0103ng g\u1eafn k\u1ebft th\u00fac nh\u01b0 k\u1ebdm phosphate \u0111\u01b0\u1ee3c ch\u1ecdn th\u00ec kh\u00f4ng n\u00ean tr\u1ed9n xi m\u0103ng c\u00f3 \u0111\u1ed9 nh\u1edbt cao n\u1ebfu kh\u00f4ng c\u1ea7u r\u0103ng s\u1ebd kh\u00f4ng xu\u1ed1ng s\u00e1t ho\u00e0n to\u00e0n. \u0110\u01b0\u1eddng ho\u00e0n t\u1ea5t ph\u1ea3i \u0111\u01b0\u1ee3c ki\u1ec3m tra k\u1ef9 l\u01b0\u1ee1ng \u0111\u1ec3 ch\u1eafc ch\u1eafn xi m\u0103ng d\u01b0 \u0111\u01b0\u1ee3c l\u1ea5y h\u1ebft. Kh\u1edbp c\u1eafn ph\u1ea3i \u0111\u01b0\u1ee3c ki\u1ec3m tra l\u1ea1i sau khi g\u1eafn xi m\u0103ng.<\/p>\n<p>Sau khi ho\u00e0n th\u00e0nh, ch\u1ee5p phim quanh ch\u00f3p t\u1ea5t c\u1ea3 c\u00e1c implant \u0111\u1ec3 x\u00e1c nh\u1eadn \u0111\u00e3 g\u1eafn kh\u00edt s\u00e1t v\u00e0 l\u00e0m m\u1ed9t h\u01b0\u1edbng d\u1eabn sau n\u00e0y cho vi\u1ec7c \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 x\u01b0\u01a1ng vi\u1ec1n.<\/p>\n<figure id=\"attachment_25327\" aria-describedby=\"caption-attachment-25327\" style=\"width: 1356px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-25327\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-332.png\" alt=\"phuc-hinh-cau-rang-3\" width=\"1356\" height=\"1084\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-332.png 1356w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-332-300x240.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-332-1024x819.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-332-768x614.png 768w\" sizes=\"(max-width: 1356px) 100vw, 1356px\" \/><figcaption id=\"caption-attachment-25327\" class=\"wp-caption-text\">M\u1ed9t c\u1ea7u r\u0103ng sau n\u00e2ng \u0111\u1ee1 b\u1edfi implant Straumann: (A) Ba abutment l\u00e0nh th\u01b0\u01a1ng c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y. (B) C\u1ea7u r\u0103ng ho\u00e0n th\u00e0nh. (C) Nh\u00ecn t\u1eeb m\u1eb7t nhai- v\u00edt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. (D) Phim quanh ch\u00f3p ch\u1ee5p khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb.<\/figcaption><\/figure>\n<p>N\u1ebfu g\u1eafn c\u1ea7u r\u0103ng b\u1eb1ng xi m\u0103ng, xi m\u0103ng d\u01b0 c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra.<\/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 n\u00f3i v\u1ec1 c\u00e1c b\u01b0\u1edbc li\u00ean quan \u0111\u1ebfn th\u1eed ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng, ti\u1ebfn h\u00e0nh g\u1eafn v\u00e0 qu\u00e1 tr\u00ecnh ki\u1ec3m tra, s\u1eeda ch\u1eefa, d\u1eb7n d\u00f2, h\u01b0\u1edbng d\u1eabn v\u00e0 theo d\u00f5i b\u1ec7nh nh\u00e2n sau qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. \u0110\u00e2y l\u00e0 nh\u1eefng b\u01b0\u1edbc cu\u1ed1i c\u00f9ng trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ph\u1ee5c h\u00ecnh Implant, v\u00ec th\u1ebf [&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>Th\u1eed, g\u1eafn v\u00e0 ki\u1ec3m tra ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng tr\u00ean Implant. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft v\u1ec1 th\u1eed ph\u1ee5c h\u00ecnh c\u1ea7u r\u0103ng, g\u1eafn v\u00e0 ki\u1ec3m tra, s\u1eeda ch\u1eefa, d\u1eb7n d\u00f2, h\u01b0\u1edbng d\u1eabn, theo d\u00f5i b\u1ec7nh nh\u00e2n. 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