{"id":25851,"date":"2023-04-21T06:16:23","date_gmt":"2023-04-20T23:16:23","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25851"},"modified":"2023-04-24T10:04:20","modified_gmt":"2023-04-24T03:04:20","slug":"danh-gia-muc-xuong-vien-va-tinh-trang-viem-quanh-implant","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/danh-gia-muc-xuong-vien-va-tinh-trang-viem-quanh-implant\/","title":{"rendered":"\u0110\u00e1nh gi\u00e1 m\u1ee9c x\u01b0\u01a1ng vi\u1ec1n v\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam quanh Implant."},"content":{"rendered":"

Vi\u1ec7c \u0111\u00e1nh gi\u00e1 m\u1ee9c x\u01b0\u01a1ng vi\u1ec1n sau khi ph\u1ee5c h\u00ecnh \u0111\u01b0\u1ee3c g\u1eafn cho b\u1ec7nh nh\u00e2n l\u00e0 r\u1ea5t quan tr\u1ecdng. Ngay c\u1ea3 khi sau khi \u0111\u00e3 ho\u00e0n thi\u1ec7n, b\u1ec7nh nh\u00e2n c\u0169ng \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb n\u00ean t\u1edbi Nha s\u0129 \u0111\u1ec3 ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 m\u1ee9c x\u01b0\u01a1ng vi\u1ec1n nh\u1eb1m x\u00e1c \u0111\u1ecbnh li\u1ec7u c\u00f3 th\u1ec3 r\u1eb1ng quanh Implant \u0111\u00f3 l\u00e0nh m\u1ea1nh hay l\u00e0 \u0111ang vi\u00eam. C\u00f9ng t\u00ecm hi\u1ec3u m\u1ed1i li\u00ean quan gi\u1eefa x\u01b0\u01a1ng vi\u1ec1n v\u00e0 qu\u00e1 tr\u00ecnh vi\u00eam quanh Implant \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n

1. \u0110\u00e1nh gi\u00e1 m\u1ee9c x\u01b0\u01a1ng vi\u1ec1n<\/h2>\n

Vi\u1ec7c thi\u1ebft l\u1eadp m\u1ed9t h\u00ecnh \u1ea3nh phim x quang tham chi\u1ebfu khi ph\u1ee5c h\u00ecnh v\u1eeba \u0111\u01b0\u1ee3c g\u1eafn cho b\u1ec7nh nh\u00e2n l\u00e0 m\u1ed9t c\u00f4ng vi\u1ec7c h\u1ebft s\u1ee9c quan tr\u1ecdng. Tuy nhi\u00ean l\u1ef1a ch\u1ecdn th\u1eddi \u0111i\u1ec3m n\u00e0o th\u00ec v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c th\u1ed1ng nh\u1ea5t m\u1ed9t c\u00e1ch r\u1ed9ng r\u00e3i, m\u1ed9t s\u1ed1 b\u00e1c s\u1ef9 \u0111\u1ec1 ngh\u1ecb n\u00ean l\u00e0 th\u1eddi \u0111i\u1ec3m \u0111\u1eb7t implant. M\u1ee9c \u0111\u1ed9 ch\u1ee5p phim sau \u0111\u00f3 c\u0169ng l\u00e0 v\u1ea5n \u0111\u1ec1 kh\u00e1 tranh c\u00e3i, v\u00e0 ng\u01b0\u1eddi th\u1ea5y r\u1eb1ng ch\u1ee5p m\u1ed7i n\u0103m m\u1ed9t l\u1ea7n l\u00e0 th\u00edch h\u1ee3p. N\u1ebfu c\u00f3 b\u1eb1ng ch\u1ee9ng th\u1ea5y m\u1ee9c x\u01b0\u01a1ng \u1ed5n \u0111\u1ecbnh th\u00ec ta c\u00f3 th\u1ec3 cho b\u1ec7nh nh\u00e2n ch\u1ee5p sau m\u1ed7i hai n\u0103m v\u00e0 c\u00f3 th\u1ec3 t\u0103ng l\u00ean n\u1ebfu x\u01b0\u01a1ng \u1ed5n \u0111\u1ecbnh tr\u00ean phim v\u00e0 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u vi\u00eam nhi\u1ec5m tr\u00ean l\u00e2m s\u00e0ng. Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng ch\u1eafc ch\u1eafn v\u1ec1 s\u1ef1 \u1ed5n \u0111\u1ecbnh x\u01b0\u01a1ng ch\u00fang ta n\u00ean \u0111\u00e1nh gi\u00e1 ch\u1eafc ch\u1eafn r\u1eb1ng b\u1ec7nh nh\u00e2n hi\u1ec7n \u0111ang ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m t\u1ed1t, \u0111\u00e1nh gi\u00e1 kh\u1edbp c\u1eafn v\u00e0 t\u00e1i kh\u00e1m th\u01b0\u1eddng xuy\u00ean h\u01a1n. Trong t\u1ea5t c\u1ea3 c\u00e1c case ch\u00fang ta ph\u1ea3i n\u1ed7 l\u1ef1c gi\u1ea3m \u0111\u1ed9 bi\u1ebfn d\u1ea1ng phim \u0111\u1ec3 nh\u1eefng h\u00ecnh \u1ea3nh ghi l\u1ea1i c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c so s\u00e1nh v\u00e0 sao ch\u00e9p l\u1ea1i ph\u1ee5c v\u1ee5 cho c\u00e1c nghi\u00ean c\u1ee9u theo chi\u1ec1u d\u1ecdc sau n\u00e0y. Nhi\u1ec1u h\u1ec7 th\u1ed1ng implant \u0111\u00e3 b\u00e1o c\u00e1o t\u1ef7 l\u1ec7 ti\u00eau x\u01b0\u01a1ng \u00edt\/ \u00edt ph\u1ea3i s\u1eeda ch\u1eefa \u0111\u1ed1i v\u1edbi implant trong n\u0103m \u0111\u1ea7u ti\u00ean ch\u1ecbu l\u1ef1c, ti\u1ebfp theo \u0111\u00f3 l\u00e0 t\u00ecnh tr\u1ea1ng v\u1eefng \u1ed5n trong c\u00e1c n\u0103m ti\u1ebfp theo \u1edf h\u1ea7u h\u1ebft implant. S\u1ef1 ti\u00eau x\u01b0\u01a1ng vi\u1ec1n gia t\u0103ng nhi\u1ec1u h\u01a1n \u1edf b\u1ec7nh nh\u00e2n h\u00fat thu\u1ed1c. N\u1ebfu t\u00ecnh tr\u1ea1ng ti\u00eau x\u01b0\u01a1ng nghi\u00eam tr\u1ecdng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n th\u00ec b\u00e1c s\u1ef9 ph\u1ea3i x\u00e1c \u0111\u1ecbnh r\u00f5 t\u00ecnh tr\u1ea1ng n\u00e0y l\u00e0 do implant c\u00f3 \u0111ang b\u1ecb qu\u00e1 t\u1ea3i l\u1ef1c hay l\u00e0 do sang th\u01b0\u01a1ng vi\u00eam quanh implant.<\/p>\n

2. Vi\u00eam quanh implant<\/h2>\n

S\u1ef1 ph\u1ed5 bi\u1ebfn c\u1ee7a t\u00ecnh tr\u1ea1ng vi\u00eam quanh implant \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 ph\u1ee5 thu\u1ed9c v\u00e0o \u0111\u1ecbnh ngh\u0129a. Ch\u1ea9n \u0111o\u00e1n cho m\u1ed9t vi\u00eam quanh implant ph\u1ea3i l\u00e0 sang th\u01b0\u01a1ng vi\u00eam g\u00e2y ti\u00eau x\u01b0\u01a1ng r\u00f5 r\u00e0ng.<\/p>\n

\"viem-quanh-implant-1\"
(A) H\u00ecnh \u1ea3nh l\u00e2m s\u00e0ng c\u1ee7a m\u1ed9t implant b\u1ecb vi\u00eam b\u1ed9c l\u1ed9 b\u1eb1ng ph\u1eabu thu\u1eadt. M\u00f4 vi\u00eam \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf cho th\u1ea5y ti\u00eau x\u01b0\u01a1ng t\u1ea1o r\u00e3nh quanh implant. (B) Phim x quang c\u1ee7a sang th\u01b0\u01a1ng, m\u00f4 t\u1ea3 ti\u00eau x\u01b0\u01a1ng d\u1ea1ng m\u1ea3ng r\u1ed9ng, \u0111i\u1ec3n h\u00ecnh cho ti\u00eau x\u01b0\u01a1ng quanh implant.<\/figcaption><\/figure>\n

M\u00f4 m\u1ec1m quanh implant c\u00f3 th\u1ec3 vi\u00eam nh\u01b0ng kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng ch\u1ec9 d\u1eebng l\u1ea1i \u1edf \u0111\u00f3 m\u00e0 c\u00f3 th\u1ec3 \u0111\u00e3 c\u00f3 m\u1ed9t sang th\u01b0\u01a1ng ti\u1ebfn tri\u1ec3n s\u00e2u h\u01a1n. \u0110\u1ed9 s\u00e2u t\u00fai l\u00fac n\u00e0y th\u01b0\u1eddng 5mm ho\u1eb7c nhi\u1ec1u h\u01a1n, c\u00f3 ch\u1ea3y m\u00e1u, ch\u1ea3y m\u1ee7. Phim x quang x\u00e1c nh\u1eadn s\u1ef1 ti\u00eau x\u01b0\u01a1ng c\u0169ng nh\u01b0 m\u1ea5t x\u01b0\u01a1ng r\u00f5 r\u1ec7t t\u1eeb \u0111i\u1ec3m m\u1ed1c \u0111\u00e3 x\u00e1c \u0111\u1ecbnh tr\u01b0\u1edbc (v\u00ed d\u1ee5 2mm t\u1eeb \u0111\u1ea7u implant) ho\u1eb7c so s\u00e1nh v\u1edbi phim ch\u1ee5p tr\u01b0\u1edbc \u0111\u00f3. R\u1ea5t c\u00f3 kh\u1eb3 n\u0103ng nh\u1eefng vi khu\u1ea9n g\u00e2y vi\u00eam nha chu nh\u01b0 Porphyromonas gingivalis, c\u0169ng l\u00e0 y\u1ebfu t\u1ed1 g\u00e2y b\u1ec7nh ch\u1ee7 y\u1ebfu c\u1ee7a vi\u00eam quanh implant. V\u00ec v\u1eady implant kh\u00f4ng n\u00ean \u0111\u1eb7t tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang c\u00f3 vi\u00eam nha chu ch\u01b0a \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb. S\u1ef1 ph\u00e1 h\u1ee7y c\u1ea5u tr\u00fac m\u00f4 n\u00e2ng \u0111\u1ee1 c\u1ee7a r\u0103ng v\u00e0 implant c\u00f3 nhi\u1ec1u \u0111i\u1ec3m t\u01b0\u01a1ng \u0111\u1ed3ng, nh\u01b0ng c\u00f3 nh\u1eefng kh\u00e1c bi\u1ec7t quan tr\u1ecdng v\u00ec b\u1ea3n ch\u1ea5t c\u1ee7a m\u00f4 n\u00e2ng \u0111\u1ee1. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 nh\u1eadn th\u1ea5y r\u00f5 tr\u00ean nh\u1eefng m\u1eabu m\u00f4 ph\u00e1 h\u1ee7y kh\u00e1c nhau m\u00e0 ng\u01b0\u1eddi ta quan s\u00e1t \u0111\u01b0\u1ee3c. Vi\u00eam quanh implant lu\u00f4n lu\u00f4n \u1ea3nh h\u01b0\u1edfng t\u1edbi to\u00e0n b\u1ed9 chu vi bao quanh implant t\u1ea1o n\u00ean m\u1ed9t d\u1ea1ng m\u1eb7t x\u01b0\u01a1ng \u201cgutter\u201d d\u1ea1ng m\u00e1ng n\u01b0\u1edbc ch\u1ee9a \u0111\u1ea7y m\u00f4 vi\u00eam m\u1edf r\u1ed9ng t\u1edbi b\u1ec1 m\u1eb7t x\u01b0\u01a1ng, h\u01a1n l\u00e0 d\u1ea1ng vi\u00eam nha chu quanh r\u0103ng t\u1ef1 nhi\u00ean ch\u1ec9 x\u1ea3y ra \u1edf m\u1ed9t v\u1ecb tr\u00ed \u0111\u1eb7c bi\u1ec7t n\u00e0o \u0111\u00f3. C\u00f3 v\u1ebb nh\u01b0 sang th\u01b0\u01a1ng do vi\u00eam ph\u00e1 h\u1ee7y tr\u00ean c\u1ea3 r\u0103ng th\u1eadt l\u1eabn implant \u0111\u1ec1u c\u00f3 nh\u1eefng giai \u0111o\u1ea1n m\u00e0 c\u00f3 s\u1ef1 ti\u1ebfn tri\u1ec3n nhanh ch\u00f3ng (hi\u1ec7n t\u01b0\u1ee3ng b\u00f9ng n\u1ed5) theo sau nh\u1eefng giai \u0111o\u1ea1n im l\u1eb7ng.<\/p>\n

Th\u1eadt kh\u00f4ng may, c\u00f3 v\u00e0i quan \u0111i\u1ec3m r\u1ea5t tr\u00e1i ng\u01b0\u1ee3c li\u00ean quan t\u1edbi t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh v\u00e0 b\u1ea3n ch\u1ea5t c\u1ee7a b\u1ec7nh vi\u00eam quanh implant. Vi\u00eam quanh implant xu\u1ea5t hi\u1ec7n ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf nh\u1eefng implant c\u00f3 b\u1ec1 m\u1eb7t nh\u00e1m n\u01a1i m\u00e0 s\u1ef1 x\u00e2m nh\u1eadp c\u1ee7a vi khu\u1ea9n d\u1ec5 d\u00e0ng h\u01a1n. Tr\u01b0\u1edbc \u0111\u00e2y, ng\u01b0\u1eddi ta cho r\u1eb1ng s\u1ef1 ti\u00eau x\u01b0\u01a1ng \u1edf nh\u1eefng b\u1ec1 m\u1eb7t implant tron l\u00e1ng nhi\u1ec1u h\u01a1n l\u00e0 do ch\u1ecbu l\u1ef1c qu\u00e1 t\u1ea3i. R\u00f5 r\u00e0ng s\u1ef1 ph\u00e2n bi\u1ec7t th\u00e1i qu\u00e1 n\u00e0y l\u00e0 sai l\u1ea7m v\u00e0 v\u00f4 \u00edch, g\u1ee3i nh\u1edb l\u1ea1i cu\u1ed9c tranh lu\u1eadn tr\u01b0\u1edbc \u0111\u00e2y v\u1ec1 t\u1ea7m quan tr\u1ecdng c\u1ee7a ch\u1ea5n th\u01b0\u01a1ng kh\u1edbp c\u1eafn trong vi\u00eam nha chu. S\u1ef1 ph\u00e1 h\u1ee7y c\u1ee7a x\u01b0\u01a1ng vi\u1ec1n trong b\u1ec7nh l\u00fd vi\u00eam quanh implant g\u00e2y ra b\u1edfi vi khu\u1ea9n \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o ph\u1ed5 bi\u1ebfn h\u01a1n do qu\u00e1 t\u1ea3i l\u1ef1c. \u0110i\u1ec1u n\u00e0y r\u00f5 r\u00e0ng l\u00e0 b\u1ea5t k\u1ef3 sang th\u01b0\u01a1ng n\u00e0o d\u1eabn t\u1edbi s\u1ef1 m\u1ea5t x\u01b0\u01a1ng r\u00f5 r\u1ec7t n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a y\u1ebfu t\u1ed1 vi khu\u1ea9n v\u00e0 y\u1ebfu t\u1ed1 kh\u1edbp c\u1eafn \u0111\u1ec3 c\u00f3 \u0111i\u1ec1u tr\u1ecb h\u1ee3p l\u00fd.<\/p>\n

Nh\u1eefng y\u1ebfu t\u1ed1 vi khu\u1ea9n th\u01b0\u1eddng li\u00ean quan t\u1edbi nh\u1eefng v\u00f9ng m\u00e0<\/strong><\/em><\/p>\n

    \n
  • V\u1ec7 sinh r\u0103ng mi\u1ec7ng k\u00e9m.<\/li>\n
  • Ti\u1ec1n s\u1eed vi\u00eam nha chu.<\/li>\n
  • S\u1ef1 l\u01b0u l\u1ea1i xi m\u0103ng d\u01b0 \u1edf v\u00f9ng d\u01b0\u1edbi n\u01b0\u1edbu.<\/li>\n
  • Khe h\u1edf th\u1ea5y \u0111\u01b0\u1ee3c b\u1eb1ng m\u1eaft th\u01b0\u1eddng gi\u1eefa nh\u1eefng th\u00e0nh ph\u1ea7n implant b\u00ean d\u01b0\u1edbi n\u01b0\u1edbu.<\/li>\n
  • T\u00ecnh tr\u1ea1ng vi\u00eam r\u00f5 r\u1ec7t, r\u1ec9 d\u1ecbch v\u00e0 tri\u1ec3n d\u01b0\u1ee1ng m\u00f4 m\u1ec1m.<\/li>\n
  • M\u1ea5t x\u01b0\u01a1ng vi\u1ec1n d\u1ea1ng m\u00e1ng c\u00f3 th\u1ec3 th\u1ea5y \u0111\u01b0\u1ee3c tr\u00ean phim<\/li>\n<\/ul>\n

    Nh\u1eefng y\u1ebfu t\u1ed1 kh\u1edbp c\u1eafn ch\u1eafc ch\u1eafn li\u00ean quan t\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p m\u00e0:<\/strong><\/em><\/p>\n

      \n
    • C\u00f3 ti\u1ec1n s\u1eed c\u1eadn ch\u1ee9c n\u0103ng.<\/li>\n
    • Ti\u1ec1n s\u1eed n\u1ee9t g\u00e3y c\u1ea5u tr\u00fac b\u00ean tr\u00ean implant.<\/li>\n
    • N\u1ee9t g\u00e3y, l\u1ecfng v\u00edt.<\/li>\n
    • Ki\u1ec3u ti\u00eau x\u01b0\u01a1ng theo chi\u1ec1u d\u1ecdc.<\/li>\n
    • Qu\u00e1 \u00edt implant \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 thay th\u1ebf cho c\u00e1c r\u0103ng \u0111\u00e3 m\u1ea5t.<\/li>\n
    • K\u00e9o d\u00e0i nh\u1ecbp v\u1edbi qu\u00e1 m\u1ee9c.<\/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":"

      Vi\u1ec7c \u0111\u00e1nh gi\u00e1 m\u1ee9c x\u01b0\u01a1ng vi\u1ec1n sau khi ph\u1ee5c h\u00ecnh \u0111\u01b0\u1ee3c g\u1eafn cho b\u1ec7nh nh\u00e2n l\u00e0 r\u1ea5t quan tr\u1ecdng. Ngay c\u1ea3 khi sau khi \u0111\u00e3 ho\u00e0n thi\u1ec7n, b\u1ec7nh nh\u00e2n c\u0169ng \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb n\u00ean t\u1edbi Nha s\u0129 \u0111\u1ec3 ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 m\u1ee9c x\u01b0\u01a1ng vi\u1ec1n nh\u1eb1m x\u00e1c \u0111\u1ecbnh li\u1ec7u c\u00f3 th\u1ec3 r\u1eb1ng quanh Implant \u0111\u00f3 […]<\/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":"\n\u0110\u00e1nh gi\u00e1 m\u1ee9c x\u01b0\u01a1ng vi\u1ec1n v\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam quanh Implant.<\/title>\n<meta name=\"description\" content=\"C\u00f9ng t\u00ecm hi\u1ec3u m\u1ed1i li\u00ean quan gi\u1eefa t\u00ednh ch\u1ea5t x\u01b0\u01a1ng vi\u1ec1n tr\u00ean l\u00e2m s\u00e0ng v\u00e0 qu\u00e1 tr\u00ecnh vi\u00eam quanh Implant \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 trong b\u00e0i vi\u1ebft n\u00e0y.\" 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