{"id":26311,"date":"2023-04-22T00:06:44","date_gmt":"2023-04-21T17:06:44","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26311"},"modified":"2023-05-02T10:11:14","modified_gmt":"2023-05-02T03:11:14","slug":"tai-tao-nga-tuy-va-mach-mau-tuy-rang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tai-tao-nga-tuy-va-mach-mau-tuy-rang\/","title":{"rendered":"N\u1ed9i nha t\u00e1i sinh: T\u00e1i t\u1ea1o ng\u00e0 &#8211; tu\u1ef7 v\u00e0 m\u1ea1ch m\u00e1u tu\u1ef7 r\u0103ng."},"content":{"rendered":"<p><strong>B\u00e0i vi\u1ebft n\u00e0y t\u1ed5ng quan v\u1ec1 c\u01a1 ch\u1ebf t\u00e1i t\u1ea1o ng\u00e0 &#8211; tu\u1ef7 v\u00e0 \u0111\u1eb7c bi\u1ec7t l\u00e0 quy tr\u00ecnh t\u00e1i t\u1ea1o m\u1ea1ch m\u00e1u tu\u1ef7 r\u0103ng, m\u1ed9t m\u1ea5u ch\u1ed1t quan tr\u1ecdng trong quy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha t\u00e1i sinh. C\u00f9ng t\u00ecm hi\u1ec3u r\u00f5 h\u01a1n \u1edf b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-medium wp-image-26317\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-406-300x200.png\" alt=\"mach-mau-tuy-rang-1\" width=\"300\" height=\"200\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-406-300x200.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-406-1024x684.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-406-768x513.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-406-1536x1026.png 1536w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-406-2048x1368.png 2048w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2>1. C\u01a1 ch\u1ebf t\u00e1i t\u1ea1o ng\u00e0 \u2013 tu\u1ef7<\/h2>\n<p>Nh\u1eefng nghi\u00ean c\u1ee9u \u0111ang th\u1ef1c hi\u1ec7n cho th\u1ea5y t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a th\u1ee7 thu\u1eadt t\u00e1i t\u1ea1o m\u1ea1ch m\u00e1u l\u00e0 r\u1ea5t cao, l\u00ean \u0111\u1ebfn 90%. Tuy nhi\u00ean, k\u1ebft qu\u1ea3 ban \u0111\u1ea7u n\u00e0y kh\u00f4ng ph\u1ea3n \u00e1nh \u0111\u01b0\u1ee3c th\u00f4ng tin t\u1eeb nh\u1eefng nghi\u00ean c\u1ee9u d\u00e0i h\u1ea1n v\u1edbi k\u00edch th\u01b0\u1edbc m\u1eabu l\u1edbn. C\u00e2u h\u1ecfi c\u00f2n \u0111\u1eb7t ra l\u00e0 li\u1ec7u t\u00e1i t\u1ea1o m\u1ea1ch m\u00e1u c\u00f3 gi\u00fap \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1ef1 t\u00e1i t\u1ea1o ph\u1ee9c h\u1ee3p ng\u00e0 \u2013 t\u1ee7y kh\u00f4ng, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m tra v\u1ec1 m\u1eb7t m\u00f4 h\u1ecdc, v\u00e0 cho th\u1ea5y c\u1ea5u tr\u00fac \u0111\u01b0\u1ee3c s\u1eafp x\u1ebfp c\u1ee7a m\u1ed9t l\u1edbp h\u00e0ng r\u00e0o nguy\u00ean b\u00e0o ng\u00e0 h\u01b0\u1edbng v\u1ec1 ph\u00eda l\u1edbp ng\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c kho\u00e1ng h\u00f3a.<\/p>\n<p>Theo k\u1ebft qu\u1ea3 m\u1ed9t v\u00e0i nghi\u00ean c\u1ee9u t\u1eeb \u0111\u1ed9ng v\u1eadt v\u00e0 m\u1ed9t v\u00e0i b\u00e1o c\u00e1o tr\u01b0\u1eddng h\u1ee3p r\u0103ng ng\u01b0\u1eddi \u0111\u00e3 nh\u1ed5, sau th\u1ee7 thu\u1eadt t\u00e1i t\u1ea1o m\u1ea1ch m\u00e1u, th\u00ec c\u00e2u tr\u1ea3 l\u1eddi l\u00e0 \u201ckh\u00f4ng\u201d. V\u1edbi nghi\u00ean c\u1ee9u tr\u00ean r\u0103ng nanh, Wang v\u00e0 c\u1ed9ng s\u1ef1 (2010) cho bi\u1ebft th\u1ee7 thu\u1eadt t\u00e1i t\u1ea1o m\u1ea1ch m\u00e1u d\u1eabn \u0111\u1ebfn h\u00ecnh th\u00e0nh m\u1ed9t m\u00f4 gi\u1ed1ng nh\u01b0 cement trong \u1ed1ng t\u1ee7y, li\u1ec1n k\u1ec1 th\u00e0nh ng\u00e0 \u1ed1ng t\u1ee7y. Ph\u00e1t hi\u1ec7n n\u00e0y c\u0169ng \u0111\u01b0\u1ee3c kh\u1eb3ng \u0111\u1ecbnh trong m\u1ed9t nghi\u00ean c\u1ee9u t\u01b0\u01a1ng t\u1ef1, khi t\u00e1c gi\u1ea3 nghi\u00ean c\u1ee9u nh\u1eadn th\u1ea5y s\u1ef1 v\u1eafng m\u1eb7t c\u1ee7a l\u1edbp nguy\u00ean b\u00e0o ng\u00e0 trong \u1ed1ng t\u1ee7y r\u0103ng nanh \u0111\u00e3 \u0111\u01b0\u1ee3c t\u00e1i t\u1ea1o m\u1ea1ch m\u00e1u. T\u01b0\u01a1ng t\u1ef1 nh\u01b0 v\u1eady, m\u1ed9t b\u00e1o c\u00e1o tr\u01b0\u1eddng h\u1ee3p r\u0103ng ng\u01b0\u1eddi \u0111\u00e3 nh\u1ed5 ch\u1ee9ng minh r\u1eb1ng khi x\u1ea3y ra s\u1ef1 th\u00e0nh l\u1eadp m\u00f4 l\u1ea1c ch\u1ed7 trong l\u00f2ng \u1ed1ng t\u1ee7y \u0111\u00e3 t\u00e1i t\u1ea1o m\u1ea1ch m\u00e1u, ch\u1ee7 y\u1ebfu bao g\u1ed3m x\u01b0\u01a1ng, cement v\u00e0 m\u00f4 s\u1ee3i, th\u00ec kh\u00f4ng th\u1ea5y c\u00f3 b\u1eb1ng ch\u1ee9ng c\u1ee7a m\u00f4 ng\u00e0 \u2013 t\u1ee7y. T\u1eeb nh\u1eefng th\u00f4ng tin tr\u00ean cho th\u1ea5y th\u1ee7 thu\u1eadt t\u00e1i t\u1ea1o m\u1ea1ch m\u00e1u c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng (v\u00ed d\u1ee5 nh\u01b0 PRP) th\u00ec kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng t\u00e1i t\u1ea1o ph\u1ee9c h\u1ee3p ng\u00e0 \u2013 t\u1ee7y v\u00e0 d\u1eabn \u0111\u1ebfn s\u1ef1 h\u00ecnh th\u00e0nh m\u00f4 l\u1ea1c ch\u1ed7 trong l\u00f2ng \u1ed1ng t\u1ee7y.<\/p>\n<p>Nh\u1eefng ch\u1ee9ng c\u1ee9 trong y\u00eau c\u1ea7u t\u00e1i t\u1ea1o m\u00f4 t\u1ee7y \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t t\u1eeb m\u1ed9t nghi\u00ean c\u1ee9u tr\u00ean chu\u1ed9t, trong \u0111\u00f3 t\u00e1i t\u1ea1o m\u00f4 t\u1ee7y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u1edbi s\u1ef1 c\u00f3 m\u1eb7t c\u1ee7a c\u1ea5y gh\u00e9p t\u1ebf b\u00e0o. Trong 2 nghi\u00ean c\u1ee9u \u0111\u00e3 \u0111\u01b0\u1ee3c xu\u1ea5t b\u1ea3n, l\u1edbp gi\u1ed1ng nguy\u00ean b\u00e0o ng\u00e0 \u0111\u00e3 s\u1eafp x\u1ebfp \u0111\u01b0\u1ee3c quan s\u00e1t th\u1ea5y trong nh\u00f3m c\u00f3 c\u1ea5y gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c trung m\u00f4 t\u1ee7y, trong khi nh\u1eefng nh\u00f3m kh\u00e1c kh\u00f4ng c\u00f3 s\u1ef1 c\u1ea5y gh\u00e9p t\u1ebf b\u00e0o th\u00ec thi\u1ebfu c\u1ea5u tr\u00fac ng\u00e0 t\u1ee7y \u0111\u01b0\u1ee3c s\u1eafp x\u1ebfp. M\u1ed9t l\u1ea7n n\u1eefa, nh\u1eefng nghi\u00ean c\u1ee9u tr\u00ean \u0111\u00e3 ch\u1ee9ng minh s\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a vi\u1ec7c c\u1ea5y gh\u00e9p t\u1ebf b\u00e0o t\u1ee7y \u0111\u1ed1i v\u1edbi s\u1ef1 t\u00e1i t\u1ea1o m\u00f4 ng\u00e0 \u2013 t\u1ee7y.<\/p>\n<p>M\u1ed9t c\u00e2u h\u1ecfi quan tr\u1ecdng n\u1eefa l\u00e0 t\u1ea1i sao th\u1ee7 thu\u1eadt t\u00e1i t\u1ea1o m\u1ea1ch m\u00e1u v\u1edbi s\u1ef1 h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng n\u1ed9i t\u1ee7y l\u1ea1i kh\u00f4ng t\u00e1i t\u1ea1o m\u00f4 t\u1ee7y, nh\u01b0ng l\u1ea1i cho ph\u00e9p h\u00ecnh th\u00e0nh m\u00f4 l\u1ea1c ch\u1ed7 nh\u01b0 m\u00f4 x\u01b0\u01a1ng, m\u00f4 cement ho\u1eb7c l\u00e0 m\u00f4 s\u1ee3i. C\u00e2u tr\u1ea3 l\u1eddi c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong nh\u1eefng nghi\u00ean c\u1ee9u tr\u01b0\u1edbc kia, cho th\u1ea5y t\u1ebf b\u00e0o g\u1ed1c trung m\u00f4 t\u1eeb nh\u1eefng ngu\u1ed3n m\u00f4 kh\u00e1c nhau s\u1ebd duy tr\u00ec kh\u1ea3 n\u0103ng bi\u1ec7t h\u00f3a c\u1ee7a ch\u00fang, v\u00e0 tr\u1ef1c ti\u1ebfp ph\u1ea3n \u00e1nh \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a m\u00f4 g\u1ed1c. Ch\u1eb3ng h\u1ea1n nh\u01b0, khi th\u1ef1c hi\u1ec7n c\u1ea5y gh\u00e9p tr\u00ean chu\u1ed9t b\u1ecb suy gi\u1ea3m mi\u1ec5n d\u1ecbch, t\u1ebf b\u00e0o g\u1ed1c trung m\u00f4 t\u1eeb t\u1ee7y x\u01b0\u01a1ng t\u1ea1o th\u00e0nh c\u00e1c n\u1ed1t x\u01b0\u01a1ng, t\u1ebf b\u00e0o g\u1ed1c trung m\u00f4 t\u1eeb m\u00f4 t\u1ee7y s\u1ebd h\u00ecnh th\u00e0nh m\u00f4 gi\u1ed1ng v\u1edbi ng\u00e0 \u2013 t\u1ee7y, v\u00e0 t\u1ebf b\u00e0o g\u1ed1c trung m\u00f4 t\u1eeb d\u00e2y ch\u1eb1ng nha chu t\u1ea1o th\u00e0nh m\u00f4 s\u1ee3i v\u00e0 m\u00f4 cement. Ng\u01b0\u1eddi ta cho l\u00e0 t\u1ebf b\u00e0o g\u1ed1c trung m\u00f4 t\u1eeb nh\u1eefng v\u1ecb tr\u00ed kh\u00e1c nhau c\u1ee7a r\u0103ng th\u00ec kh\u00e1c nhau. Theo \u0111\u00f3, ch\u1ea3y m\u00e1u n\u1ed9i t\u1ee7y s\u1ebd s\u1eed d\u1ee5ng t\u1ebf b\u00e0o g\u1ed1c trung m\u00f4 n\u1ed9i sinh, ch\u1ee7 y\u1ebfu l\u00e0 t\u1eeb m\u00f4 quanh ch\u00f3p, bao g\u1ed3m x\u01b0\u01a1ng \u1ed5 r\u0103ng v\u00e0 d\u00e2y ch\u1eb1ng nha chu, s\u1ebd d\u1eabn \u0111\u1ebfn s\u1ef1 bi\u1ec7t h\u00f3a t\u01b0\u01a1ng \u1ee9ng th\u00e0nh m\u00f4 x\u01b0\u01a1ng v\u00e0 m\u00f4 s\u1ee3i\/cement. V\u00ec th\u1ebf, d\u01b0\u1eddng nh\u01b0 s\u1ef1 t\u00e1i t\u1ea1o c\u1ee7a ng\u00e0 t\u1ee7y ch\u1ec9 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p d\u1ef1a tr\u00ean t\u1ebf b\u00e0o, m\u00e0 \u1edf th\u1eddi \u0111i\u1ec3m hi\u1ec7n t\u1ea1i ch\u1ec9 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf m\u1ee9c \u0111\u1ed9 ti\u1ec1n l\u00e2m s\u00e0ng. V\u00ec vi\u1ec7c t\u00e1i t\u1ea1o t\u1ee7y hi\u1ec7u qu\u1ea3 cao trong vi\u1ec7c lo\u1ea1i b\u1ecf vi\u00eam quanh ch\u00f3p, n\u00ean nh\u1eefng nghi\u00ean c\u1ee9u trong t\u01b0\u01a1ng lai c\u1ea7n t\u1eadp trung v\u00e0o k\u0129 thu\u1eadt t\u00e1i t\u1ea1o ng\u00e0 t\u1ee7y tr\u00ean l\u00e2m s\u00e0ng.<\/p>\n<p>L\u00e0m \u0111\u01b0\u1ee3c nh\u01b0 v\u1eady, c\u00e1c b\u00e1c s\u0129 n\u1ed9i nha c\u00f3 th\u1ec3 ph\u1ee5c h\u1ed3i t\u1ee7y s\u1ed1ng theo \u0111\u00fang ch\u1ee9c n\u0103ng c\u1ee7a n\u00f3, bao g\u1ed3m s\u1ef1 nh\u1ea1y c\u1ea3m v\u1edbi nh\u1eefng thay \u0111\u1ed5i m\u00f4i tr\u01b0\u1eddng, nh\u1eadn bi\u1ebft l\u1ef1c nhai, ph\u1ee5c h\u1ed3i c\u01a1 ch\u1ebf h\u00e0ng r\u00e0o mi\u1ec5n d\u1ecbch ch\u1ed1ng l\u1ea1i s\u1ef1 x\u00e2m nh\u1eadp c\u1ee7a vi khu\u1ea9n, ho\u00e0n t\u1ea5t s\u1ef1 ph\u00e1t tri\u1ec3n ch\u00e2n r\u0103ng v\u00e0 \u0111\u00f3ng ch\u00f3p.<\/p>\n<h2>2. K\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o m\u1ea1ch m\u00e1u t\u1ee7y r\u0103ng<\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb nh\u1eefng r\u0103ng ho\u1ea1i t\u1eed t\u1ee7y c\u00f3 l\u1ed7 ch\u00f3p m\u1edf c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng k\u0129 thu\u1eadt t\u00e1i t\u1ea1o m\u1ea1ch m\u00e1u, m\u00e0 k\u0129 thu\u1eadt n\u00e0y ph\u1ee5 thu\u1ed9c r\u1ea5t nhi\u1ec1u v\u00e0o k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng \u1ed1ng t\u1ee7y v\u00e0 vi\u00eam quanh ch\u00f3p.<\/p>\n<ul>\n<li>Trong l\u1ea7n h\u1eb9n \u0111\u1ea7u ti\u00ean, ti\u1ebfn h\u00e0nh lo\u1ea1i b\u1ecf m\u1ea3nh v\u1ee5n m\u00f4 trong \u1ed1ng t\u1ee7y v\u00e0 kh\u1eed tr\u00f9ng. Vi\u1ec7c kh\u1eed tr\u00f9ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n theo h\u1ea7u h\u1ebft c\u00e1c t\u00e0i li\u1ec7u \u0111\u01b0\u1ee3c xu\u1ea5t b\u1ea3n. Quan tr\u1ecdng l\u00e0 b\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c g\u00e2y t\u00ea b\u1eb1ng mepivacaine 3% kh\u00f4ng c\u00f3 thu\u1ed1c co m\u1ea1ch.\n<ul>\n<li>R\u0103ng n\u00ean \u0111\u01b0\u1ee3c c\u00f4 l\u1eadp b\u1eb1ng \u0111\u00ea cao su v\u00e0 t\u1ea1o l\u1ed1i v\u00e0o b\u1eb1ng m\u0169i khoan tr\u00f2n s\u1ed1 4 \u2013 6 \u0111\u1ec3 lo\u1ea1i b\u1ecf h\u1ebft m\u00f4 r\u0103ng s\u00e2u. C\u00e1c \u1ed1ng t\u1ee7y \u0111\u01b0\u1ee3c s\u1eeda so\u1ea1n nh\u1eb9 nh\u00e0ng t\u00f9y theo k\u00edch th\u01b0\u1edbc b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng file s\u1ed1 60 ISO cho c\u00e1c \u1ed1ng t\u1ee7y l\u1edbn ho\u1eb7c s\u1eed d\u1ee5ng h\u1ec7 th\u1ed1ng tr\u00e2m xoay, ch\u1eb3ng h\u1ea1n nh\u01b0 profile s\u1ed1 25 \u2013 40 v\u1edbi \u0111\u1ed9 thu\u1eadn 0.04 (Dentsply).<\/li>\n<li>M\u1ea3nh v\u1ee5n v\u00e0 m\u00f4 ho\u1ea1i t\u1eed ph\u1ea3i \u0111\u01b0\u1ee3c b\u01a1m r\u1eeda b\u1eb1ng 20 ml NaOCl 1.5% v\u00e0 r\u1eeda l\u1ea1i 10 ml n\u01b0\u1edbc mu\u1ed1i \u0111\u1ec3 lo\u1ea1i b\u1ecf l\u01b0\u1ee3ng NaOCl d\u01b0 th\u1eeba. \u00d4ng t\u1ee7y sau \u0111\u00f3 \u0111\u01b0\u1ee3c b\u0103ng thu\u1ed1c v\u1edbi Ca(OH)2 v\u00e0 r\u0103ng \u0111\u01b0\u1ee3c tr\u00e1m t\u1ea1m b\u1eb1ng IRM.<\/li>\n<\/ul>\n<\/li>\n<li>\u1ede l\u1ea7n h\u1eb9n th\u1ee9 2, vi\u1ec7c t\u00e1i t\u1ea1o m\u1ea1ch m\u00e1u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n sau khi r\u0103ng \u0111\u01b0\u1ee3c g\u00e2y t\u00ea, s\u1eed d\u1ee5ng mepivacaine 3% kh\u00f4ng c\u00f3 thu\u1ed1c co m\u1ea1ch, m\u1edf l\u1ed1i v\u00e0o sau khi \u0111\u1eb7t \u0111\u1ec1 cao su. \u00d4ng t\u1ee7y \u0111\u01b0\u1ee3c b\u01a1m r\u1eeda v\u1edbi 20 ml NaOC1 1.5% \u0111\u1ec3 lo\u1ea1i b\u1ecf Ca(OH)2 v\u00e0 EDTA 17% \u0111\u1ec3 lo\u1ea1i b\u1ecf m\u00f9n ng\u00e0 v\u00e0 r\u1eeda l\u1ea1i b\u1eb1ng n\u01b0\u1edbc mu\u1ed1i.\n<ul>\n<li>N\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u00e3 h\u1ebft tri\u1ec7u ch\u1ee9ng v\u00e0 \u1ed1ng t\u1ee7y kh\u00f4ng c\u00f2n t\u1ed3n t\u1ea1i nhi\u1ec5m tr\u00f9ng th\u00ec th\u1ef1c hi\u1ec7n t\u00e1i t\u1ea1o m\u1ea1ch m\u00e1u b\u1eb1ng c\u00e1ch g\u00e2y ch\u1ea3y m\u00e1u v\u1edbi file K s\u1ed1 25 \u2013 35.<\/li>\n<li>N\u1ebfu \u1ed1ng t\u1ee7y v\u1eabn c\u00f2n tri\u1ec7u ch\u1ee9ng th\u00ec n\u00ean b\u01a1m r\u1eeda ti\u1ebfp t\u1ee5c v\u1edbi NaOCl 1.5%, b\u0103ng thu\u1ed1c v\u1edbi Ca(OH)2 v\u00e0 tr\u00e1m t\u1ea1m.<\/li>\n<\/ul>\n<\/li>\n<li>\u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n nh\u01b0 v\u1eady, vi\u1ec7c t\u00e1i t\u1ea1o m\u1ea1ch m\u00e1u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf nh\u1eefng l\u1ea7n h\u1eb9n sau, t\u00f9y theo m\u1ee9c \u0111\u1ed9 nhi\u1ec5m tr\u00f9ng c\u00f2n l\u1ea1i trong \u1ed1ng t\u1ee7y v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n. Sau khi g\u00e2y ch\u1ea3y m\u00e1u \u0111\u1ebfn \u0111\u01b0\u1eddng n\u1ed1i men \u2013 cement, c\u1ea7m m\u00e1u v\u00e0 h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng sau \u0111\u00f3, ph\u1ea7n tr\u00ean c\u1ee7a \u1ed1ng t\u1ee7y \u0111\u01b0\u1ee3c tr\u00e1m b\u1eb1ng CollaPlug (Zimmer Dental) ho\u1eb7c v\u1eadt li\u1ec7u t\u01b0\u01a1ng t\u1ef1 v\u00e0 MTA (Dentsply) ho\u1eb7c c\u00e1c lo\u1ea1i cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc kh\u00e1c.\n<ul>\n<li>V\u00e0o l\u1ea7n h\u1eb9n cu\u1ed1i c\u00f9ng, 1 tu\u1ea7n sau \u0111i\u1ec1u tr\u1ecb, r\u0103ng \u0111\u01b0\u1ee3c ki\u1ec3m tra l\u1ea1i v\u1ecb tr\u00ed MTA v\u00e0 cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc, n\u1ebfu \u0111\u00e3 th\u1ea5y \u1ed5n th\u00ec tr\u00e1m k\u1ebft th\u00fac.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>B\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c h\u1eb9n t\u00e1i kh\u00e1m sau 6 th\u00e1ng v\u00e0 1 n\u0103m, th\u0103m kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 Xquang \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 \u0111\u00f3ng ch\u00f3p r\u0103ng v\u00e0 \u0111\u1ed9 d\u00e0y th\u00e0nh \u1ed1ng t\u1ee7y.<\/p>\n<p><em>Ngu\u1ed3n: <span class=\"c-bibliographic-information__value\">Clinical Guide for Optimal Treatment Outcome &#8211; Springer International Publishing Switzerland 2017<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u00e0i vi\u1ebft n\u00e0y t\u1ed5ng quan v\u1ec1 c\u01a1 ch\u1ebf t\u00e1i t\u1ea1o ng\u00e0 &#8211; tu\u1ef7 v\u00e0 \u0111\u1eb7c bi\u1ec7t l\u00e0 quy tr\u00ecnh t\u00e1i t\u1ea1o m\u1ea1ch m\u00e1u tu\u1ef7 r\u0103ng, m\u1ed9t m\u1ea5u ch\u1ed1t quan tr\u1ecdng trong quy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha t\u00e1i sinh. C\u00f9ng t\u00ecm hi\u1ec3u r\u00f5 h\u01a1n \u1edf b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y. 1. C\u01a1 ch\u1ebf t\u00e1i t\u1ea1o ng\u00e0 [&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":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>N\u1ed9i nha t\u00e1i sinh: T\u00e1i t\u1ea1o ng\u00e0 - tu\u1ef7 v\u00e0 m\u1ea1ch m\u00e1u tu\u1ef7 r\u0103ng. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00f3i v\u1ec1 c\u01a1 ch\u1ebf t\u00e1i t\u1ea1o ng\u00e0 - tu\u1ef7 v\u00e0 t\u00e1i t\u1ea1o m\u1ea1ch m\u00e1u tu\u1ef7 r\u0103ng, quan tr\u1ecdng trong quy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha t\u00e1i sinh. 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