{"id":26022,"date":"2023-04-21T13:05:42","date_gmt":"2023-04-21T06:05:42","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26022"},"modified":"2023-04-24T09:44:59","modified_gmt":"2023-04-24T02:44:59","slug":"so-luoc-ve-noi-nha-tai-sinh-trong-nha-khoa","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/so-luoc-ve-noi-nha-tai-sinh-trong-nha-khoa\/","title":{"rendered":"N\u1ed9i nha t\u00e1i sinh trong Nha khoa – T\u1ed5ng quan chung."},"content":{"rendered":"

K\u0129 thu\u1eadt n\u1ed9i nha t\u00e1i sinh bao g\u1ed3m \u0111i\u1ec1u tr\u1ecb t\u1ee7y b\u1ea3o t\u1ed3n (vital pulp therapy) v\u00e0 th\u1ee7 thu\u1eadt t\u00e1i t\u1ea1o. K\u0129 thu\u1eadt n\u00e0y bao g\u1ed3m che t\u1ee7y tr\u1ef1c ti\u1ebfp v\u00e0 gi\u00e1n ti\u1ebfp; l\u1ea5y t\u1ee7y b\u00e1n ph\u1ea7n ho\u1eb7c to\u00e0n ph\u1ea7n; k\u00edch th\u00edch \u0111\u00f3ng ch\u00f3p; k\u00edch th\u00edch t\u1ea1o ch\u00f3p v\u00e0 ph\u1ee5c h\u1ed3i tu\u1ea7n ho\u00e0n. C\u00f3 l\u1ebd vi\u1ec7c \u0111i\u1ec1u tr\u1ecb l\u00e2m s\u00e0ng kh\u00f3 kh\u0103n nh\u1ea5t l\u00e0 tr\u00ean nh\u1eefng r\u0103ng s\u1ed1ng ho\u1eb7c ch\u1ebft t\u1ee7y ch\u01b0a tr\u01b0\u1edfng th\u00e0nh, n\u00ean vi\u1ec7c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb ph\u1ea3i ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng t\u1ee7y v\u00e0 s\u1ef1 tr\u01b0\u1edfng th\u00e0nh c\u1ee7a ch\u00e2n r\u0103ng. B\u00e0i vi\u1ebft n\u00e0y s\u01a1 l\u01b0\u1ee3c c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn k\u1ef9 thu\u1eadt n\u1ed9i nha t\u00e1i sinh c\u0169ng nh\u01b0 c\u00e1c \u0111\u1eb7c tr\u01b0ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb tu\u1ef7 b\u1ea3o t\u1ed3n.<\/strong><\/p>\n

1. Gi\u1edbi thi\u1ec7u v\u1ec1 k\u0129 thu\u1eadt n\u1ed9i nha t\u00e1i sinh<\/h2>\n

K\u0129 thu\u1eadt n\u1ed9i nha t\u00e1i sinh bao g\u1ed3m \u0111i\u1ec1u tr\u1ecb t\u1ee7y b\u1ea3o t\u1ed3n (vital pulp therapy) v\u00e0 th\u1ee7 thu\u1eadt t\u00e1i t\u1ea1o. K\u0129 thu\u1eadt n\u00e0y bao g\u1ed3m che t\u1ee7y tr\u1ef1c ti\u1ebfp v\u00e0 gi\u00e1n ti\u1ebfp; l\u1ea5y t\u1ee7y b\u00e1n ph\u1ea7n ho\u1eb7c to\u00e0n ph\u1ea7n; k\u00edch th\u00edch \u0111\u00f3ng ch\u00f3p; k\u00edch th\u00edch t\u1ea1o ch\u00f3p v\u00e0 ph\u1ee5c h\u1ed3i tu\u1ea7n ho\u00e0n. C\u00f3 l\u1ebd vi\u1ec7c \u0111i\u1ec1u tr\u1ecb l\u00e2m s\u00e0ng kh\u00f3 kh\u0103n nh\u1ea5t l\u00e0 tr\u00ean nh\u1eefng r\u0103ng s\u1ed1ng ho\u1eb7c ch\u1ebft t\u1ee7y ch\u01b0a tr\u01b0\u1edfng th\u00e0nh, n\u00ean vi\u1ec7c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb ph\u1ea3i ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng t\u1ee7y v\u00e0 s\u1ef1 tr\u01b0\u1edfng th\u00e0nh c\u1ee7a ch\u00e2n r\u0103ng.<\/p>\n

Nh\u1eefng r\u0103ng n\u00e0y c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m l\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n ch\u00e2n r\u0103ng ch\u01b0a ho\u00e0n t\u1ea5t, th\u00e0nh ch\u00e2n r\u0103ng m\u1ecfng v\u00e0 l\u1ed7 ch\u00f3p m\u1edf r\u1ed9ng. Ng\u00e0 r\u0103ng c\u1ee7a r\u0103ng ch\u01b0a tr\u01b0\u1edfng th\u00e0nh \u0111\u1ed3ng th\u1eddi c\u00f3 t\u00ednh th\u1ea5m cao v\u00ec s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a nh\u1eefng \u1ed1ng ng\u00e0 m\u1edf, do \u0111\u00f3 l\u00e0m t\u0103ng nguy c\u01a1 x\u00e2m nh\u1eadp c\u1ee7a vi khu\u1ea9n. Sau khi m\u1edbi m\u1ecdc l\u00ean trong mi\u1ec7ng th\u00ec r\u0103ng th\u01b0\u1eddng m\u1ea5t t\u1eeb 1 \u2013 5 n\u0103m \u0111\u1ec3 ph\u00e1t tri\u1ec3n ho\u00e0n t\u1ea5t v\u00e0 \u0111\u00f3ng ch\u00f3p ch\u00e2n r\u0103ng.<\/p>\n

Khi s\u1ef1 ph\u00e1t tri\u1ec3n ch\u00e2n r\u0103ng b\u1ecb c\u1ea3n tr\u1edf ho\u1eb7c d\u1eebng l\u1ea1i, do 1 ch\u1ea5n th\u01b0\u01a1ng s\u00e2u r\u0103ng ho\u1eb7c b\u1ea5t th\u01b0\u1eddng v\u1ec1 gi\u1ea3i ph\u1eabu, th\u00ec t\u1ea1o th\u00e0nh r\u0103ng c\u00f3 ch\u00e2n r\u0103ng ng\u1eafn, th\u00e0nh ng\u00e0 ch\u00e2n r\u0103ng m\u1ecfng d\u1eabn \u0111\u1ebfn r\u0103ng d\u1ec5 g\u00e3y v\u00e0 m\u1ea5t.<\/p>\n

Trong qu\u00e1 tr\u00ecnh t\u1ea1o r\u0103ng, r\u0103ng ch\u01b0a tr\u01b0\u1edfng th\u00e0nh \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi 1 c\u01a1 quan m\u00f4 m\u1ec1m duy nh\u1ea5t t\u1ea1i v\u1ecb tr\u00ed ch\u00f3p r\u0103ng \u0111ang ph\u00e1t tri\u1ec3n, c\u00f2n g\u1ecdi l\u00e0 papilla ch\u00f3p. Papilla ch\u00f3p l\u00e0 m\u1ed9t ngu\u1ed3n t\u1ebf b\u00e0o g\u1ed1c, g\u00f3p ph\u1ea7n v\u00e0o s\u1ef1 t\u0103ng tr\u01b0\u1edfng c\u1ee7a t\u1ee7y r\u0103ng v\u00e0 ch\u00e2n r\u0103ng, v\u00e0 c\u00f3 th\u1ec3 s\u1ed1ng s\u00f3t c\u1ea3 sau khi t\u1ee7y ho\u1ea1i t\u1eed. Vi\u1ec7c b\u1ea3o t\u1ed3n v\u00e0 qu\u1ea3n l\u00fd th\u00edch h\u1ee3p c\u1ea5u tr\u00fac m\u00f4 n\u00e0y c\u00f3 th\u1ec3 th\u00fac \u0111\u1ea9y s\u1ef1 ph\u00e1t tri\u1ec3n li\u00ean t\u1ee5c c\u1ee7a c\u1ea5u tr\u00fac quanh ch\u00f3p, do \u0111\u00f3 c\u00f3 t\u00e1c \u0111\u1ed9ng t\u00edch c\u1ef1c \u0111\u1ebfn ch\u1ee9c n\u0103ng v\u00e0 s\u1ef1 t\u1ed3n t\u1ea1i l\u00e2u d\u00e0i c\u1ee7a r\u0103ng.<\/p>\n

M\u1ee5c ti\u00eau t\u01b0\u01a1ng t\u1ef1 c\u0169ng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng tr\u00ean nh\u1eefng r\u0103ng c\u00f3 t\u1ee7y s\u1ed1ng ch\u01b0a tr\u01b0\u1edfng th\u00e0nh \u2013 duy tr\u00ec v\u00e0 b\u1ea3o v\u1ec7 c\u1ea5u tr\u00fac m\u00f4 l\u00e0nh m\u1ea1nh \u0111\u1ec3 gi\u00fap r\u0103ng tr\u01b0\u1edfng th\u00e0nh v\u00e0 duy tr\u00ec c\u00e1c ch\u1ee9c n\u0103ng sinh h\u1ecdc. Do \u0111\u00f3, 1 vi\u1ec7c l\u00e0m r\u1ea5t quan tr\u1ecdng l\u00e0 \u1ee9ng d\u1ee5ng sinh h\u1ecdc v\u00e0o k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb nh\u1eb1m b\u1ea3o t\u1ed3n v\u00e0 khai th\u00e1c ti\u1ec1m n\u0103ng t\u0103ng tr\u01b0\u1edfng c\u1ee7a c\u1ea3 papilla ch\u00f3p v\u00e0 t\u1ee7y r\u0103ng, \u0111\u1ec3 th\u00fac \u0111\u1ea9y s\u1ef1 ho\u00e0n t\u1ea5t c\u1ee7a ch\u00e2n r\u0103ng.<\/p>\n

Tr\u01b0\u1edbc \u0111\u00e2y, k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng r\u0103ng ch\u01b0a tr\u01b0\u1edfng th\u00e0nh b\u1ecb ho\u1ea1i t\u1eed t\u1ee7y bao g\u1ed3m nh\u1ed5 r\u0103ng, \u0111i\u1ec1u tr\u1ecb t\u1ee7y ch\u00e2n v\u00e0 th\u1ee7 thu\u1eadt k\u00edch th\u00edch \u0111\u00f3ng ch\u00f3p. R\u0103ng ho\u1ea1i t\u1eed t\u1ee7y v\u1edbi l\u1ed7 ch\u00f3p m\u1edf th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng Ca(OH)2 qua nhi\u1ec1u l\u1ea7n h\u1eb9n nh\u1eb1m k\u00edch th\u00edch t\u1ea1o ra c\u00e1c h\u00e0ng r\u00e0o m\u00f4 c\u1ee9ng cho ph\u00e9p tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y b\u1eb1ng Gutta Percha. V\u1edbi r\u0103ng ch\u01b0a tr\u01b0\u1edfng th\u00e0nh ch\u1ea9n \u0111o\u00e1n vi\u00eam t\u1ee7y c\u00f3 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c ho\u1eb7c m\u00f4 t\u1ee7y c\u00f2n s\u1ed1ng th\u00ec th\u1ef1c hi\u1ec7n ph\u01b0\u01a1ng ph\u00e1p l\u1ea5y t\u1ee7y b\u00e1n ph\u1ea7n ho\u1eb7c che t\u1ee7y b\u1eb1ng nhi\u1ec1u lo\u1ea1i v\u1eadt li\u1ec7u kh\u00e1c nhau, trong \u0111\u00f3 bao g\u1ed3m Ca(OH)2. M\u1ed9t s\u1ed1 lo\u1ea1i v\u1eadt li\u1ec7u l\u1ed7i th\u1eddi nh\u01b0 formocresol \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u01b0\u1edbp m\u00f4 h\u01a1n l\u00e0 g\u00f3p ph\u1ea7n b\u1ea3o t\u1ed3n v\u00e0 k\u00edch th\u00edch kh\u1ea3 n\u0103ng t\u1ef1 s\u1eeda ch\u1eefa ti\u1ec1m t\u00e0ng c\u1ee7a ph\u1ee9c h\u1ee3p ng\u00e0 \u2013 t\u1ee7y c\u00f2n l\u1ea1i. Tuy nhi\u00ean, v\u1edbi s\u1ef1 hi\u1ec3u bi\u1ebft c\u1ee7a ch\u00fang ta v\u1ec1 sinh h\u1ecdc m\u00f4 t\u1ee7y v\u00e0 nh\u1eefng kh\u00e1m ph\u00e1 v\u1ec1 t\u1ebf b\u00e0o c\u1ee7a papilla ch\u00f3p ph\u1ed1i h\u1ee3p v\u1edbi vi\u1ec7c s\u1eed d\u1ee5ng cement calcium \u2013 silicate m\u00e0 1 cu\u1ed9c c\u00e1ch m\u1ea1ng sinh h\u1ecdc v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau \u0111\u00e3 ph\u00e1t tri\u1ec3n. Nh\u1eefng ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ch\u1ec9 bao g\u1ed3m \u0111i\u1ec1u tr\u1ecb t\u1ee7y b\u1ea3o t\u1ed3n cho r\u0103ng s\u1ed1ng \u0111ang c\u00f3 vi\u00eam t\u1ee7y c\u00f3 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c m\u00e0 c\u00f2n \u00e1p d\u1ee5ng cho c\u1ea3 r\u0103ng ho\u1ea1i t\u1eed t\u1ee7y ch\u01b0a tr\u01b0\u1edfng th\u00e0nh v\u1edbi k\u0129 thu\u1eadt n\u1ed9i nha t\u00e1i t\u1ea1o, s\u1eed d\u1ee5ng cement calcium \u2013 silicate \u0111\u1ec3 tr\u00e1m b\u00edt. M\u1ed9t khi b\u1ecb b\u1ec7nh, r\u0103ng ch\u01b0a tr\u01b0\u1edfng th\u00e0nh c\u00f3 l\u1ed7 ch\u00f3p m\u1edf nay \u0111\u00e3 c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c ph\u00e1t tri\u1ec3n ho\u00e0n thi\u1ec7n sau khi gi\u1ea3i quy\u1ebft nhi\u1ec5m tr\u00f9ng n\u1ed9i t\u1ee7y v\u00e0 vi\u00eam quanh ch\u00f3p. Ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i nha t\u00e1i t\u1ea1o \u0111\u00e3 \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u nh\u1eb1m th\u00fac \u0111\u1ea9y s\u1ef1 ph\u00e1t tri\u1ec3n ch\u00e2n r\u0103ng \u1edf nh\u1eefng r\u0103ng ch\u1ebft c\u00f9ng v\u1edbi nh\u1eefng n\u1ed7 l\u1ef1c trong t\u01b0\u01a1ng lai nh\u1eb1m t\u00e1i t\u1ea1o l\u1ea1i to\u00e0n b\u1ed9 ph\u1ee9c h\u1ee3p ng\u00e0 t\u1ee7y.<\/p>\n

2. \u0110\u1eb7c tr\u01b0ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb tu\u1ef7 b\u1ea3o t\u1ed3n.<\/h2>\n

K\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c \u0111\u1ec1 ra nh\u1eb1m b\u1ea3o t\u1ed3n m\u00f4 t\u1ee7y s\u1ed1ng\/ph\u1ee9c h\u1ee3p ng\u00e0 t\u1ee7y, th\u00fac \u0111\u1ea9y s\u1ef1 l\u1eafng \u0111\u1ecdng c\u1ee7a l\u1edbp m\u00f4 c\u1ee9ng t\u1ea1i v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng, th\u00fac \u0111\u1ea9y s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a nh\u1eefng ch\u00e2n r\u0103ng ch\u01b0a ho\u00e0n thi\u1ec7n (k\u00edch th\u00edch t\u1ea1o ch\u00f3p apexogenesis). Ch\u1ec9 \u0111\u1ecbnh c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y bao g\u1ed3m l\u1ed7 s\u00e2u l\u1edbn ho\u1eb7c ph\u1ee5c h\u1ed3i g\u00e2y l\u1ed9 t\u1ee7y, b\u1ea5t th\u01b0\u1eddng v\u1ec1 gi\u1ea3i ph\u1eabu, t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0 vi\u00eam t\u1ee7y c\u00f3 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c.<\/p>\n

C\u00e1c qu\u00e1 tr\u00ecnh in vivo \u0111\u00f2i h\u1ecfi vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c t\u1ebf b\u00e0o g\u1ed1c c\u1ee7a m\u00f4 t\u1ee7y \u0111\u1ec3 thay th\u1ebf cho nh\u1eefng nguy\u00ean b\u00e0o ng\u00e0 b\u1ecb m\u1ea5t ho\u1eb7c b\u1ecb t\u1ed5n th\u01b0\u01a1ng, \u0111\u1ed3ng th\u1eddi k\u00edch th\u00edch t\u1ebf b\u00e0o c\u1ee7a papilla ch\u00f3p \u0111\u1ea9y m\u1ea1nh qu\u00e1 tr\u00ecnh t\u1ea1o ch\u00f3p \u1edf nh\u1eefng r\u0103ng ch\u01b0a tr\u01b0\u1edfng th\u00e0nh. \u0110i\u1ec1u tr\u1ecb t\u1ee7y b\u1ea3o t\u1ed3n bao g\u1ed3m che t\u1ee7y tr\u1ef1c ti\u1ebfp, che t\u1ee7y gi\u00e1n ti\u1ebfp, l\u1ea5y t\u1ee7y bu\u1ed3ng b\u00e1n ph\u1ea7n v\u00e0 l\u1ea5y t\u1ee7y bu\u1ed3ng to\u00e0n b\u1ed9. C\u00e1c nghi\u00ean c\u1ee9u v\u1ec1 k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng cho th\u1ea5y k\u1ebft qu\u1ea3 kh\u1ea3 quan khi th\u1ef1c hi\u1ec7n c\u00e1c ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ti\u00ean ti\u1ebfn b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng MTA v\u00e0 c\u00e1c lo\u1ea1i cement calcium \u2013 silicate kh\u00e1c khi so s\u00e1nh v\u1edbi nh\u1eefng lo\u1ea1i v\u1eadt li\u1ec7u th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng tr\u01b0\u1edbc \u0111\u00e2y.<\/p>\n

Nh\u1eefng nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y \u0111\u00e3 kh\u1eb3ng \u0111\u1ecbnh r\u1eb1ng cement calcium \u2013 silicate \u0111\u1eb7c bi\u1ec7t th\u1ec3 hi\u1ec7n nh\u1eefng \u0111\u1eb7c t\u00ednh l\u00fd h\u00f3a ph\u00f9 h\u1ee3p v\u1edbi th\u1ee7 thu\u1eadt \u0111i\u1ec1u tr\u1ecb t\u1ee7y b\u1ea3o t\u1ed3n. Ho\u1ea1t t\u00ednh c\u1ee7a v\u1eadt li\u1ec7u kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi m\u00e1u, huy\u1ebft thanh, \u0111\u1ed9 \u1ea9m v\u00e0 t\u1ea1o th\u00e0nh 1 l\u1edbp m\u1ecfng b\u1ec1 m\u1eb7t \u1edf ng\u00e0 r\u0103ng, t\u01b0\u01a1ng t\u1ef1 nh\u01b0 hydroxyapatite v\u1ec1 th\u00e0nh ph\u1ea7n. S\u1ef1 ph\u00f3ng th\u00edch ch\u1eadm ion Ca v\u00e0 \u0111\u1ed9 pH cao trong qu\u00e1 tr\u00ecnh l\u00e0m l\u1eafng \u0111\u1ecdng sialoprotein ng\u00e0 v\u00e0 heme oxygenase-1, ti\u1ebfp nh\u1eadn c\u00e1c y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng trong l\u1edbp ng\u00e0 k\u1ebf c\u1eadn gi\u00fap th\u00fac \u0111\u1ea9y s\u1ef1 h\u00ecnh th\u00e0nh h\u00e0ng r\u00e0o m\u00f4 c\u1ee9ng. M\u00f4i tr\u01b0\u1eddng pH ki\u1ec1m k\u00e9o d\u00e0i g\u00f3p ph\u1ea7n trung h\u00f2a vi khu\u1ea9n, trong khi \u0111\u00f3 k\u1ebft d\u00ednh v\u00e0 b\u00edt ch\u1eb7t c\u00e1c \u1ed1ng ng\u00e0 trong qu\u00e1 tr\u00ecnh ho\u1ea1t \u0111\u1ed9ng cho ph\u00e9p ch\u00f4n v\u00f9i s\u1ed1 vi khu\u1ea9n c\u00f3 t\u00ednh acid c\u00f2n s\u00f3t l\u1ea1i. H\u00ecnh th\u00e1i b\u1ec1 m\u1eb7t c\u1ee7a MTA \u0111\u00e3 \u0111\u01b0\u1ee3c x\u1eed l\u00fd c\u0169ng t\u1ea1o ra m\u00f4i tr\u01b0\u1eddng thu\u1eadn l\u1ee3i cho s\u1ef1 ch\u1ecdn l\u1ecdc v\u00e0 bi\u1ec7t h\u00f3a c\u00e1c t\u1ebf b\u00e0o gi\u1ed1ng v\u1edbi t\u1ebf b\u00e0o ti\u1ec1n nguy\u00ean b\u00e0o ng\u00e0.<\/p>\n

Ngu\u1ed3n: Clinical Guide for Optimal Treatment Outcome – Springer International Publishing Switzerland 2017<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

K\u0129 thu\u1eadt n\u1ed9i nha t\u00e1i sinh bao g\u1ed3m \u0111i\u1ec1u tr\u1ecb t\u1ee7y b\u1ea3o t\u1ed3n (vital pulp therapy) v\u00e0 th\u1ee7 thu\u1eadt t\u00e1i t\u1ea1o. K\u0129 thu\u1eadt n\u00e0y bao g\u1ed3m che t\u1ee7y tr\u1ef1c ti\u1ebfp v\u00e0 gi\u00e1n ti\u1ebfp; l\u1ea5y t\u1ee7y b\u00e1n ph\u1ea7n ho\u1eb7c to\u00e0n ph\u1ea7n; k\u00edch th\u00edch \u0111\u00f3ng ch\u00f3p; k\u00edch th\u00edch t\u1ea1o ch\u00f3p v\u00e0 ph\u1ee5c h\u1ed3i tu\u1ea7n ho\u00e0n. C\u00f3 l\u1ebd […]<\/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":"\nN\u1ed9i nha t\u00e1i sinh trong Nha khoa - T\u1ed5ng quan chung. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y s\u01a1 l\u01b0\u1ee3c c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn k\u1ef9 thu\u1eadt n\u1ed9i nha t\u00e1i t\u1ea1o c\u0169ng nh\u01b0 c\u00e1c \u0111\u1eb7c tr\u01b0ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb tu\u1ef7 b\u1ea3o t\u1ed3n.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"N\u1ed9i nha t\u00e1i sinh trong Nha khoa - T\u1ed5ng quan chung. - Vinmec\" \/>\n<meta property=\"og:description\" content=\"B\u00e0i vi\u1ebft n\u00e0y s\u01a1 l\u01b0\u1ee3c c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn k\u1ef9 thu\u1eadt n\u1ed9i nha t\u00e1i t\u1ea1o c\u0169ng nh\u01b0 c\u00e1c \u0111\u1eb7c tr\u01b0ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb tu\u1ef7 b\u1ea3o t\u1ed3n.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/so-luoc-ve-noi-nha-tai-sinh-trong-nha-khoa\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-21T06:05:42+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-24T02:44:59+00:00\" \/>\n<meta name=\"author\" content=\"Tr\u1ea7n Ti\u1ebfn Th\u00e0nh\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Tr\u1ea7n Ti\u1ebfn Th\u00e0nh\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/so-luoc-ve-noi-nha-tai-sinh-trong-nha-khoa\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/so-luoc-ve-noi-nha-tai-sinh-trong-nha-khoa\/\",\"name\":\"N\u1ed9i nha t\u00e1i sinh trong Nha khoa - 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