{"id":25329,"date":"2023-04-20T10:33:34","date_gmt":"2023-04-20T03:33:34","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25329"},"modified":"2023-04-24T14:18:18","modified_gmt":"2023-04-24T07:18:18","slug":"luu-y-lam-sang-doi-voi-lien-ket-rang-implant-va-cau-rang-tuc-thi","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/luu-y-lam-sang-doi-voi-lien-ket-rang-implant-va-cau-rang-tuc-thi\/","title":{"rendered":"L\u01b0u \u00fd l\u00e2m s\u00e0ng \u0111\u1ed1i v\u1edbi li\u00ean k\u1ebft r\u0103ng-implant v\u00e0 c\u1ea7u r\u0103ng t\u1ee9c th\u00ec."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y m\u1ee5c \u0111\u00edch \u0111\u1ec1 c\u1eadp \u0111\u1ebfn m\u1ed9t s\u1ed1 l\u01b0u \u00fd tr\u00ean l\u00e2m s\u00e0ng \u0111\u1ed1i v\u1edbi li\u00ean k\u1ebft r\u0103ng-implant v\u00e0 ch\u00fa \u00fd c\u1ea7n tr\u00e1nh khi s\u1eeda so\u1ea1n c\u1ea7u r\u0103ng t\u1ee9c th\u00ec, nh\u1eb1m h\u1ed7 tr\u1ee3 nha s\u0129 v\u00e0 ph\u1eabu thu\u1eadt vi\u00ean ho\u00e0n th\u00e0nh \u0111\u01b0\u1ee3c ti\u00eau chu\u1ea9n v\u00e0 \u0111\u1ea3m b\u1ea3o cho b\u1ec7nh nh\u00e2n. C\u00f9ng t\u00ecm hi\u1ec3u k\u1ef9 h\u01a1n trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n

1. L\u01b0u \u00fd tr\u00ean l\u00e2m s\u00e0ng khi li\u00ean k\u1ebft r\u0103ng v\u00e0 implant.<\/h2>\n

L\u00fd t\u01b0\u1edfng nh\u1ea5t, implant kh\u00f4ng n\u00ean li\u00ean k\u1ebft v\u1edbi r\u0103ng t\u1ef1 nhi\u00ean v\u00ec t\u00ednh di \u0111\u1ed9ng kh\u00e1c nhau. \u0110\u1eb7c bi\u1ec7t, kh\u00f4ng n\u00ean \u0111\u1ec3 m\u1ed9t chi\u1ebfc r\u0103ng li\u00ean k\u1ebft v\u1edbi m\u1ed9t c\u1ea7u r\u0103ng \u0111\u01b0\u1ee3c n\u00e2ng \u0111\u1ee1 b\u1edfi m\u1ed9t s\u1ed1 implant. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, c\u1ea7u r\u0103ng s\u1ebd \u0111\u01b0\u1ee3c n\u00e2ng \u0111\u1ee1 ho\u00e0n to\u00e0n nh\u1edd implant c\u00f2n r\u0103ng th\u00ec kh\u00f4ng c\u1ea7n thi\u1ebft. Qua th\u1eddi gian, r\u0103ng c\u00f3 th\u1ec3 kh\u00f4ng c\u00f2n kh\u00edt s\u00e1t b\u00ean trong c\u1ea7u r\u0103ng v\u00e0 b\u1ecb l\u00fan xu\u1ed1ng x\u01b0\u01a1ng \u1ed5 r\u0103ng. N\u1ebfu thi\u1ebft k\u1ebf ho\u1eb7c c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c b\u1eaft bu\u1ed9c d\u00f9ng \u0111\u1ebfn r\u0103ng, ng\u01b0\u1eddi ta khuy\u00ean r\u1eb1ng n\u00ean d\u00f9ng m\u1ed9t c\u00e1i ch\u1ee5p b\u1eb1ng v\u00e0ng (gold coping) \u0111\u1ec3 b\u1ea3o v\u1ec7 r\u0103ng kh\u1ecfi b\u1ecb s\u00e2u khi c\u1ea7u r\u0103ng di chuy\u1ec3n l\u00e0m r\u0103ng kh\u00f4ng c\u00f2n kh\u00edt s\u00e1t.<\/p>\n

Th\u00e0nh c\u00f4ng c\u1ee7a vi\u1ec7c li\u00ean k\u1ebft r\u0103ng v\u00e0 implant c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c n\u1ebfu m\u1ed9t r\u0103ng kh\u1ecfe m\u1ea1nh v\u00e0 kh\u00f4ng lung lay li\u00ean k\u1ebft v\u1edbi m\u1ed9t implant duy nh\u1ea5t.<\/p>\n

\"luu-y-lam-sang-1\"
M\u1ed9t c\u1ea7u r\u0103ng ba \u0111\u01a1n v\u1ecb n\u00e2ng \u0111\u1ee1 b\u1edfi m\u1ed9t r\u0103ng t\u1ef1 nhi\u00ean v\u00e0 m\u1ed9t implant Astra Tech ST. (A) Abutment (prepable) \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o v\u00e0 r\u0103ng t\u1ef1 nhi\u00ean \u0111\u00e3 m\u00e0i c\u00f9i. (B) R\u0103ng \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 b\u1eb1ng m\u1ed9t ch\u1ee5p v\u00e0ng. (C) C\u1ea7u r\u0103ng g\u1eafn xi m\u0103ng \u0111\u00e3 ho\u00e0n th\u00e0nh.<\/figcaption><\/figure>\n

M\u1eb7c d\u00f9 v\u1eabn c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa \u0111\u1eb7c t\u00ednh c\u1ee7a abutment v\u00e0 c\u00f9i r\u0103ng nh\u01b0ng th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng \u0111\u00e3 cho th\u1ea5y m\u1ee9c \u0111\u1ed9 th\u00e0nh c\u00f4ng ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c m\u00e0 kh\u00f4ng t\u0103ng \u0111\u1ed9 ti\u00eau x\u01b0\u01a1ng ho\u1eb7c bi\u1ebfn ch\u1ee9ng do k\u1ef9 thu\u1eadt. M\u1ed9t l\u1ea7n n\u1eefa, ng\u01b0\u1eddi ta cho r\u1eb1ng r\u0103ng n\u00ean \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 b\u1eb1ng m\u1ed9t ch\u1ee5p v\u00e0ng n\u1eb1m d\u01b0\u1edbi c\u1ea7u r\u0103ng, ch\u1ee5p v\u00e0ng \u0111\u01b0\u1ee3c g\u1eafn b\u1eb1ng xi m\u0103ng v\u0129nh vi\u1ec5n c\u00f2n c\u1ea7u r\u0103ng b\u00ean tr\u00ean th\u00ec g\u1eafn b\u1eb1ng xi m\u0103ng t\u1ea1m. Trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7u r\u0103ng th\u1ea5t b\u1ea1i, r\u0103ng s\u1ebd kh\u00f4ng b\u1ecb s\u00e2u r\u0103ng do h\u1edf \u0111\u01b0\u1eddng ho\u00e0n t\u1ea5t. C\u1ea7u r\u0103ng li\u00ean k\u1ebft ki\u1ec3u n\u00e0y h\u1eefu \u00edch n\u1ebfu ch\u1ec9 c\u00f3 \u0111\u1ee7 x\u01b0\u01a1ng cho m\u1ed9t implant nh\u01b0ng b\u1ec7nh nh\u00e2n \u0111\u00f2i h\u1ecfi ph\u1ea3i c\u00f3 th\u00eam hai r\u0103ng. Li\u00ean k\u1ebft implant v\u00e0o r\u0103ng k\u1ebf c\u1eadn s\u1ebd cho ph\u00e9p l\u00e0m m\u1ed9t c\u1ea7u v\u1edbi m\u1ed9t \u0111\u01a1n v\u1ecb ho\u1eb7c m\u1ed9t c\u1ea7u r\u0103ng c\u1ed1 \u0111\u1ecbnh v\u1edbi m\u1ed9t nh\u1ecbp m\u1ea5t n\u1eb1m gi\u1eefa r\u0103ng v\u00e0 implant. Ng\u01b0\u1eddi ta kh\u00f4ng khuy\u00ean c\u00e1o l\u00e0m m\u1ed1i n\u1ed1i (c\u1ed1 \u0111\u1ecbnh) nh\u01b0 c\u1ea7u r\u0103ng th\u00f4ng th\u01b0\u1eddng, v\u00ec m\u1ed1i n\u1ed1i c\u1ed1 \u0111\u1ecbnh s\u1ebd l\u00e0m r\u0103ng l\u00fan v\u00e0o x\u01b0\u01a1ng \u1ed5.<\/p>\n

2. L\u01b0u \u00fd khi ti\u1ebfn h\u00e0nh s\u1eeda so\u1ea1n c\u1ea7u r\u0103ng t\u1ee9c th\u00ec<\/h2>\n

Ph\u1ee5c h\u00ecnh t\u1ee9c th\u00ec nhi\u1ec1u implant \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t k\u1ef9 thu\u1eadt l\u00e2m s\u00e0ng ph\u1ed5 bi\u1ebfn h\u01a1n v\u00e0 c\u00f3 nhi\u1ec1u \u0111i\u1ec1u \u0111\u1ec3 gi\u1edbi thi\u1ec7u n\u00f3 v\u00ec implant c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c n\u1eb9p ngay l\u1eadp t\u1ee9c v\u00e0 s\u1ef1 ch\u1ecbu l\u1ef1c c\u1ee7a ch\u00fang \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t ch\u1eafc ch\u1eafn h\u01a1n. Nhi\u1ec1u nh\u00e0 s\u1ea3n xu\u1ea5t v\u00e0 k\u1ef9 thu\u1eadt l\u00e0m c\u00f3 s\u1eb5n v\u00e0 ch\u00fang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i nh\u01b0 sau:<\/p>\n

    \n
  • M\u1ed9t c\u1ea7u r\u0103ng (th\u01b0\u1eddng l\u00e0 c\u1ea7u t\u1ea1m) \u0111\u01b0\u1ee3c l\u00e0m tr\u01b0\u1edbc ph\u1eabu thu\u1eadt t\u1eeb phim X quang v\u00e0 m\u1eabu ch\u1ea9n \u0111o\u00e1n. M\u1ed9t m\u00e1ng h\u01b0\u1edbng d\u1eabn ph\u1eabu thu\u1eadt c\u0169ng \u0111\u01b0\u1ee3c l\u00e0m t\u1eeb c\u00e1c th\u00f4ng tin t\u01b0\u01a1ng t\u1ef1 \u0111\u1ec3 implant \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf m\u1ed9t v\u1ecb tr\u00ed x\u00e1c \u0111\u1ecbnh tr\u01b0\u1edbc. N\u1ebfu l\u00e0m \u0111i\u1ec1u n\u00e0y ch\u00ednh x\u00e1c th\u00ec c\u1ea7u r\u0103ng t\u1ea1m l\u00e0m s\u1eb5n s\u1ebd v\u1eeba v\u1eb7n.<\/li>\n
  • V\u00e0o l\u00fac \u0111\u1eb7t implant, l\u1ea5y d\u1ea5u v\u00e0 m\u1ed9t c\u1ea7u t\u1ea1m \u0111\u01b0\u1ee3c l\u00e0m m\u1ed9t c\u00e1ch nhanh ch\u00f3ng. \u0110\u1ec3 d\u1ec5 d\u00e0ng v\u00e0 \u0111\u1ea9y nhanh qu\u00e1 tr\u00ecnh n\u00e0y nhanh nh\u1ea5t c\u00f3 th\u1ec3 th\u00ec c\u1ea7u t\u1ea1m \u0111\u01b0\u1ee3c l\u00e0m tr\u01b0\u1edbc v\u00e0 \u0111\u1eb7t v\u00e0o v\u1ecb tr\u00ed sau c\u00f9ng c\u1ee7a implant tr\u00ean m\u1eabu h\u00e0m trong labo.
    \nM\u1ed9t tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c n\u00eau trong h\u00ecnh d\u01b0\u1edbi \u0111\u00e2y.<\/li>\n<\/ul>\n
    \"luu-y-lam-sang-2\"
    M\u1ed9t c\u1ea7u r\u0103ng t\u1ee9c th\u00ec ph\u1ea3i c\u00f3 trong c\u00f9ng ng\u00e0y nh\u1ed5 nh\u1eefng r\u0103ng c\u00f2n l\u1ea1i v\u00e0 \u0111\u1eb7t implant. (A) Khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh nh\u00e2n c\u00f2n l\u1ea1i n\u0103m r\u0103ng tr\u01b0\u1edbc 13,12,11,21,22, b\u1ecb m\u1ea5t x\u01b0\u01a1ng ; nhi\u1ec1u. B\u1ec7nh nh\u00e2n c\u00f3 m\u1ed9t h\u00e0m th\u00e1o l\u1eafp t\u1ea1m r\u0103ng sau nh\u01b0ng h\u1ecd kh\u00f4ng th\u1ec3 n\u00e0o ch\u1ecbu \u0111\u1ef1ng \u0111\u01b0\u1ee3c. Do \u0111\u00f3 m\u1ed9t c\u1ea7u r\u0103ng t\u1ee9c th\u00ec tr\u00ean nh\u1eefng r\u0103ng m\u1ea5t \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh v\u00ec b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 mang th\u00e1o l\u1eafp to\u00e0n h\u00e0m. (B) Tr\u01b0\u1edbc ng\u00e0y ph\u1eabu thu\u1eadt, k\u1ef9 thu\u1eadt ph\u1ee5c h\u00ecnh ti\u00eau chu\u1ea9n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 l\u00e0m m\u1ed9t h\u00e0m gi\u1ea3 h\u00e0m tr\u00ean t\u1ee9c th\u00ec c\u00f9ng v\u1edbi m\u1ed9t khay \u0111\u1eb7c bi\u1ec7t cho vi\u1ec7c l\u1ea5y d\u1ea5u implant v\u00e0 m\u1ed9t m\u1ea3ng h\u01b0\u1edbng d\u1eabn ph\u1eabu thu\u1eadt (d\u1ef1a v\u00e0o v\u1ecb tr\u00ed r\u0103ng tr\u00ean h\u00e0m gi\u1ea3). (C) C\u00e1c r\u0103ng \u0111\u00e3 \u0111\u01b0\u1ee3c nh\u1ed5 v\u00e0 t\u00e1m implant \u0111\u01b0\u1ee3c \u0111\u1eb7t theo m\u00e1ng h\u01b0\u1edbng d\u1eabn ph\u1eabu thu\u1eadt. Implant r\u0103ng tr\u01b0\u1edbc \u0111\u1eb7t trong c\u00e1c \u1ed5 r\u0103ng v\u00e0 implant r\u0103ng sau \u0111\u1eb7t v\u00e0o x\u01b0\u01a1ng \u0111\u00e3 l\u00e0nh th\u01b0\u01a1ng. (D) T\u00e1m implant Astra Tech tr\u01b0\u1edbc khi kh\u00e2u m\u00f4 m\u1ec1m. (E) Abutment ti\u00eau chu\u1ea9n (G) D\u1ea5u cao su v\u1edbi b\u1ea3n sao abutment k\u00e8m theo. D\u1ea5u n\u00e0y g\u1eedi ngay l\u1eadp t\u1ee9c cho labo. (H) C\u00e1c n\u1eafp l\u00e0nh th\u01b0\u01a1ng b\u1ea3o v\u1ec7 abutment \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o v\u1edbi k\u00edch th\u01b0\u1edbc kh\u00e1c nhau. (I) H\u00e0m gi\u1ea3 l\u00e0m s\u1eb5n \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o v\u00e0 l\u1ea5y d\u1ea5u c\u00e1c n\u1eafp l\u00e0nh th\u01b0\u01a1ng v\u1edbi silicone v\u00e0 ghi d\u1ea5u kh\u1edbp c\u1eafn. (J) M\u1eb7t trong c\u1ee7a h\u00e0m gi\u1ea3 cho th\u1ea5y d\u1ea5u c\u1ee7a n\u1eafp l\u00e0nh th\u01b0\u01a1ng r\u00f5 r\u00e0ng \u0111\u1ec3 h\u00e0m gi\u1ea3 \u0111\u01b0\u1ee3c \u0111\u1eb7t ch\u00ednh x\u00e1c v\u00e0o m\u1eabu h\u00e0m l\u00e0m vi\u1ec7c trong labo. (K) C\u00e1c cylinder t\u1ea1m b\u1eb1ng titan trong labo \u0111\u01b0\u1ee3c g\u1eafn v\u00e0o c\u1ea7u r\u0103ng tr\u00ean c\u00e1c abutment. (L) C\u1ea7u t\u1ea1m ho\u00e0n th\u00e0nh g\u1ed3m ph\u1ea7n r\u0103ng c\u1ee7a h\u00e0m gi\u1ea3 t\u1ee9c th\u00ec \u0111\u01b0\u1ee3c n\u00e2ng \u0111\u1ee1 tr\u00ean c\u00e1c cylinder t\u1ea1m v\u00e0 li\u00ean k\u1ebft v\u1edbi nhau b\u1eb1ng nh\u1ef1a. (M) C\u1ea7u t\u1ea1m nh\u00ecn t\u1eeb m\u1eb7t nhai. V\u00ec implant r\u0103ng tr\u01b0\u1edbc \u0111\u01b0\u1ee3c \u0111\u1eb7t trong \u1ed5 r\u0103ng, c\u00e1c l\u1ed7 v\u00e0o c\u1ee7a c\u1ea7u r\u0103ng g\u1ea7n v\u1edbi c\u1ea1nh c\u1eafn c\u1ee7a r\u0103ng. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 kh\u1eafc ph\u1ee5c khi l\u00e0m c\u1ea7u v\u0129nh vi\u1ec5n sau giai \u0111o\u1ea1n l\u00e0nh th\u01b0\u01a1ng. (N) C\u1ea7u t\u1ea1m \u0111\u01b0\u1ee3c l\u1eafp kho\u1ea3ng b\u1ed1n gi\u1edd sau ph\u1eabu thu\u1eadt. C\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y v\u1ebft kh\u00e2u ch\u1ec9 t\u1ef1 ti\u00eau. (O) C\u1ea7u t\u1ea1m kho\u1ea3ng b\u1ed1n tu\u1ea7n sau \u0111\u00f3 cho th\u1ea5y l\u00e0nh th\u01b0\u01a1ng t\u1ed1t.<\/figcaption><\/figure>\n
      \n
    • Tr\u01b0\u1eddng h\u1ee3p nh\u01b0 v\u1eady \u0111\u00f2i h\u1ecfi c\u00e1c b\u00e1c s\u0129 l\u01b0u \u00fd l\u00e2m s\u00e0ng v\u00e0 labo l\u00e0m vi\u1ec7c r\u1ea5t ch\u1eb7t ch\u1ebd v\u1edbi nhau tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt v\u00e0 trong l\u00fac ph\u1eabu thu\u1eadt \u0111\u1ec3 l\u00e0m c\u1ea7u r\u0103ng nhanh nh\u1ea5t c\u00f3 th\u1ec3. L\u00fd t\u01b0\u1edfng nh\u1ea5t, c\u1ea7u r\u0103ng s\u1ebd \u0111\u01b0\u1ee3c g\u1eafn trong ng\u00e0y ph\u1eabu thu\u1eadt \u0111\u1ec3 b\u1ec7nh nh\u00e2n kh\u00f4ng ph\u1ea3i ra v\u1ec1 m\u00e0 kh\u00f4ng c\u00f3 r\u0103ng.<\/li>\n<\/ul>\n

      Ngu\u1ed3n: Implant trong th\u1ef1c h\u00e0nh Nha khoa – Richard D. Palmer\/Nh\u00f3m d\u1ecbch Saigon Young Dentists Vi\u1ec7t Nam<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

      B\u00e0i vi\u1ebft n\u00e0y m\u1ee5c \u0111\u00edch \u0111\u1ec1 c\u1eadp \u0111\u1ebfn m\u1ed9t s\u1ed1 l\u01b0u \u00fd tr\u00ean l\u00e2m s\u00e0ng \u0111\u1ed1i v\u1edbi li\u00ean k\u1ebft r\u0103ng-implant v\u00e0 ch\u00fa \u00fd c\u1ea7n tr\u00e1nh khi s\u1eeda so\u1ea1n c\u1ea7u r\u0103ng t\u1ee9c th\u00ec, nh\u1eb1m h\u1ed7 tr\u1ee3 nha s\u0129 v\u00e0 ph\u1eabu thu\u1eadt vi\u00ean ho\u00e0n th\u00e0nh \u0111\u01b0\u1ee3c ti\u00eau chu\u1ea9n v\u00e0 \u0111\u1ea3m b\u1ea3o cho b\u1ec7nh nh\u00e2n. C\u00f9ng t\u00ecm hi\u1ec3u […]<\/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\u01b0u \u00fd l\u00e2m s\u00e0ng \u0111\u1ed1i v\u1edbi li\u00ean k\u1ebft r\u0103ng-implant v\u00e0 c\u1ea7u r\u0103ng t\u1ee9c th\u00ec.<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft \u0111\u1ec1 c\u1eadp m\u1ed9t s\u1ed1 l\u01b0u \u00fd l\u00e2m s\u00e0ng v\u1edbi li\u00ean k\u1ebft r\u0103ng-implant v\u00e0 ch\u00fa \u00fd c\u1ea7n tr\u00e1nh khi s\u1eeda so\u1ea1n c\u1ea7u r\u0103ng t\u1ee9c th\u00ec. 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