{"id":26320,"date":"2023-04-22T00:17:24","date_gmt":"2023-04-21T17:17:24","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26320"},"modified":"2023-05-02T10:09:43","modified_gmt":"2023-05-02T03:09:43","slug":"noi-nha-tai-sinh-nhin-nhan-van-de-bao-ton-va-tuong-hop-sinh-hoc","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/noi-nha-tai-sinh-nhin-nhan-van-de-bao-ton-va-tuong-hop-sinh-hoc\/","title":{"rendered":"N\u1ed9i nha t\u00e1i sinh: Nh\u00ecn nh\u1eadn v\u1ea5n \u0111\u1ec1 b\u1ea3o t\u1ed3n v\u00e0 t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc."},"content":{"rendered":"<p><strong>B\u00e0i vi\u1ebft n\u00e0y t\u1ed5ng quan v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tu\u1ef7 b\u1ea3o t\u1ed3n, k\u00e8m theo \u0111\u00f3 l\u00e0 quy tr\u00ecnh tr\u00e1m b\u00edt t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc v\u1edbi v\u1eadt li\u1ec7u ph\u1ee5c h\u1ed3i trong quy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha t\u00e1i sinh. Cu\u1ed1i c\u00f9ng, b\u00e0i vi\u1ebft \u0111\u01b0a ra nh\u00ecn nh\u1eadn chung v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha n\u00e0y. C\u00f9ng t\u00ecm hi\u1ec3u r\u00f5 h\u01a1n \u1edf b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n<h2>1. \u0110i\u1ec1u tr\u1ecb t\u1ee7y b\u1ea3o t\u1ed3n<\/h2>\n<p>Nh\u1eefng h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb sau \u0111\u00e2y l\u00e0 cho che t\u1ee7y tr\u1ef1c ti\u1ebfp v\u00e0 l\u1ea5y t\u1ee7y bu\u1ed3ng. Sau khi ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t, r\u0103ng \u0111\u01b0\u1ee3c g\u00e2y t\u00ea t\u1ea1i ch\u1ed7, c\u00e1ch ly b\u1eb1ng \u0111\u1ec3 cao su v\u00e0 kh\u1eed tr\u00f9ng ph\u1ea7n th\u00e2n r\u0103ng b\u1eb1ng NaOC1 5.25 \u2013 8.25% ho\u1eb7c chlorhexidin 2 %. M\u1ea3nh v\u1ee5n m\u00f4 m\u1ec1m \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf b\u1eb1ng n\u1ea1o ng\u00e0; m\u1ed9t tay khoan high \u2013 speed v\u1edbi m\u0169i khoan kim c\u01b0\u01a1ng ho\u1eb7c m\u0169i khoan carbide \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 lo\u1ea1i b\u1ecf l\u1edbp men b\u1ecb suy y\u1ebfu. Chi\u1ebfu \u0111\u00e8n v\u00e0 s\u1eed d\u1ee5ng d\u1ee5ng c\u1ee5 ph\u00f3ng \u0111\u1ea1i \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch trong qu\u00e1 tr\u00ecnh lo\u1ea1i b\u1ecf m\u00f4 r\u0103ng s\u00e2u.<\/p>\n<ul>\n<li>Vi\u1ec7c lo\u1ea1i b\u1ecf m\u00f4 r\u0103ng s\u00e2u c\u00f2n \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 b\u1eb1ng s\u1eed d\u1ee5ng thu\u1ed1c nhu\u1ed9m ph\u00e1t hi\u1ec7n s\u00e2u r\u0103ng, d\u00f9ng n\u1ea1o ng\u00e0 v\u00e0 tay khoan low \u2013 speed, m\u0169i khoan tr\u00f2n carbide s\u1ed1 2 \u2013 6 cho \u0111\u1ebfn khi kh\u00f4ng c\u00f2n m\u00e0u ho\u1eb7c ch\u1ec9 c\u00f2n m\u00e0u h\u1ed3ng nh\u1ea1t.<\/li>\n<li>T\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 li\u00ean quan v\u00e0 x\u00e2m nh\u1eadp \u0111\u1ebfn t\u1ee7y r\u0103ng m\u00e0 b\u00e1c s\u0129 ph\u1ea3i \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 l\u00e0nh m\u1ea1nh c\u1ee7a m\u00f4 c\u00f2n l\u1ea1i v\u00e0 x\u00e1c \u0111\u1ecbnh kh\u1ea3 n\u0103ng b\u1ea3o t\u1ed3n m\u00f4 t\u1ee7y hay l\u00e0 ph\u1ea3i lo\u1ea1i b\u1ecf. N\u1ebfu \u1edf v\u1ecb tr\u00ed l\u1ed9, t\u1ee7y r\u0103ng c\u00f2n l\u00e0nh m\u1ea1nh th\u00ec c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n che t\u1ee7y tr\u1ef1c ti\u1ebfp sau khi c\u1ea7m m\u00e1u. Tuy nhi\u00ean v\u1edbi l\u1ea5y t\u1ee7y bu\u1ed3ng b\u00e1n ph\u1ea7n ho\u1eb7c l\u1ea5y t\u1ee7y bu\u1ed3ng to\u00e0n b\u1ed9 th\u00ec m\u00f4 ho\u1ea1i t\u1eed ph\u1ea3i \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf cho \u0111\u1ebfn khi ch\u1ec9 c\u00f2n m\u00f4 l\u00e0nh m\u1ea1nh, b\u1eb1ng tay khoan high \u2013 speed v\u1edbi m\u0169i khoan tr\u00f2n v\u00e0 tay x\u1ecbt n\u01b0\u1edbc.<\/li>\n<li>Ki\u1ec3m so\u00e1t c\u1ea7m m\u00e1u b\u1eb1ng c\u00e1ch \u0111\u1eb7t g\u00f2n \u1ea9m t\u1ea9m NaOCl 5.25 \u2013 8.25% v\u1edbi th\u1eddi gian ti\u1ebfp x\u00fac t\u1eeb 1 \u2013 10 ph\u00fat. N\u1ebfu sau 10 ph\u00fat v\u1eabn kh\u00f4ng c\u1ea7m m\u00e1u ho\u1eb7c tr\u1ea7n t\u1ee7y c\u00f2n l\u1ea1i b\u1ecb l\u1ea5y \u0111i trong qu\u00e1 tr\u00ecnh n\u1ea1o ng\u00e0 th\u00ec ch\u1ec9 \u0111\u1ecbnh l\u1ea5y t\u1ee7y bu\u1ed3ng to\u00e0n b\u1ed9 ho\u1eb7c l\u1ea5y t\u1ee7y bu\u1ed3ng.<\/li>\n<li>NaOCl d\u01b0 n\u00ean \u0111\u01b0\u1ee3c x\u1ecbt n\u01b0\u1edbc \u0111\u1ec3 lo\u1ea1i b\u1ecf s\u1ea1ch, ng\u00e0 r\u0103ng \u0111\u01b0\u1ee3c th\u1ed5i kh\u00f4 nh\u1eb9 nh\u00e0ng tr\u01b0\u1edbc khi \u0111\u1eb7t cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc. V\u1eadt li\u1ec7u \u0111\u01b0\u1ee3c tr\u1ed9n theo h\u01b0\u1edbng d\u1eabn c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t. V\u1eadt li\u1ec7u \u0111\u01b0\u1ee3c \u0111\u1eb7t tr\u1ef1c ti\u1ebfp l\u00ean v\u1ecb tr\u00ed t\u1ee7y l\u1ed9 v\u00e0 ch\u1ee7 y\u1ebfu l\u00e0 xung quanh ng\u00e0 r\u0103ng k\u1ebf c\u1eadn \u0111\u1ed1i v\u1edbi th\u1ee7 thu\u1eadt l\u1ea5y t\u1ee7y bu\u1ed3ng b\u00e1n ph\u1ea7n ho\u1eb7c l\u1ea5y t\u1ee7y bu\u1ed3ng to\u00e0n b\u1ed9. \u0110\u1eb7t cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc n\u00ean gi\u1edbi h\u1ea1n \u0111\u1ed9 d\u00e0y v\u00e0o kho\u1ea3ng 1.5 \u2013 2 mm trong che t\u1ee7y tr\u1ef1c ti\u1ebfp v\u00e0 d\u00e0y h\u01a1n khi b\u1eaft \u0111\u1ea7u th\u1ef1c hi\u1ec7n l\u1ea5y t\u1ee7y bu\u1ed3ng b\u00e1n ph\u1ea7n ho\u1eb7c l\u1ea5y t\u1ee7y bu\u1ed3ng to\u00e0n b\u1ed9. Cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c nh\u1ed3i \u00e9p xu\u1ed1ng b\u1eb1ng m\u1ed9t c\u1ee5c g\u00f2n \u1ea9m trong qu\u00e1 tr\u00ecnh \u0111\u1eb7t.<\/li>\n<li>V\u1edbi cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc t\u00e1c d\u1ee5ng ch\u1eadm, g\u00f2n \u1ea9m ho\u1eb7c g\u1ea1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1eb7t l\u00ean tr\u00ean l\u1edbp v\u1eadt li\u1ec7u v\u00e0 \u0111\u1eb7t v\u1eadt li\u1ec7u tr\u00e1m t\u1ea1m v\u1edbi k\u0129 thu\u1eadt 2 b\u01b0\u1edbc (two-step technique). B\u1ec7nh nh\u00e2n sau \u0111\u00f3 s\u1ebd \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u1ea1i \u1edf l\u1ea7n h\u1eb9n th\u1ee9 2, x\u00e1c \u0111\u1ecbnh \u0111\u1ed9 s\u1ed1ng c\u1ee7a t\u1ee7y b\u1eb1ng test th\u1eed l\u1ea1nh trong th\u1ee7 thu\u1eadt che t\u1ee7y tr\u1ef1c ti\u1ebfp v\u00e0 l\u1ea5y t\u1ee7y bu\u1ed3ng b\u00e1n ph\u1ea7n, sau khi ch\u1eafc ch\u1eafn th\u00ec ti\u1ebfn h\u00e0nh tr\u00e1m k\u1ebft th\u00fac.<\/li>\n<li>Khi s\u1eed d\u1ee5ng cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc t\u00e1c d\u1ee5ng nhanh, cement glass ionomer d\u1ea1ng nh\u1ef1a l\u1ecfng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u1ee7 l\u00ean tr\u00ean l\u1edbp cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc \u0111\u00e3 c\u1ee9ng, r\u1ed3i ti\u1ebfn h\u00e0nh tr\u00e1m k\u1ebft th\u00fac trong c\u00f9ng m\u1ed9t l\u1ea7n h\u1eb9n. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u0169ng c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng cho cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc t\u00e1c d\u1ee5ng ch\u1eadm, nh\u01b0ng nh\u01b0 v\u1eady c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 kh\u0103n khi c\u00f3 m\u1ed9t l\u01b0\u1ee3ng l\u1edbn cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc ch\u01b0a \u0111\u00f4ng c\u1ee9ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. Tr\u00e1m k\u1ebft th\u00fac b\u1eb1ng composite theo h\u01b0\u1edbng d\u1eabn c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t v\u1edbi s\u1eed d\u1ee5ng \u0111\u1ec3 cao su \u0111\u01b0\u1ee3c \u01b0a th\u00edch h\u01a1n l\u00e0 tr\u00e1m amalgam.<\/li>\n<li>Xquang theo d\u00f5i, test th\u1eed l\u1ea1nh v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng ch\u1ee7 quan n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 6 th\u00e1ng v\u00e0 12 th\u00e1ng sau \u0111i\u1ec1u tr\u1ecb che t\u1ee7y tr\u1ef1c ti\u1ebfp v\u00e0 l\u1ea5y t\u1ee7y bu\u1ed3ng b\u00e1n ph\u1ea7n, v\u00e0 m\u1ed7i n\u0103m sau \u0111\u00f3 n\u1ebfu c\u00f3 th\u1ec3. \u0110\u1ed1i v\u1edbi r\u0103ng v\u0129nh vi\u1ec5n ch\u01b0a tr\u01b0\u1edfng th\u00e0nh, b\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c theo d\u00f5i \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ch\u00e2n r\u0103ng. \u0110\u1ed1i v\u1edbi l\u1ea5y t\u1ee7y bu\u1ed3ng to\u00e0n b\u1ed9, r\u0103ng n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1eb1ng Xquang \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh kh\u00f4ng c\u00f3 b\u1ec7nh l\u00fd quanh ch\u00f3p ho\u1eb7c tri\u1ec7u ch\u1ee9ng sau 6 v\u00e0 12 th\u00e1ng, ti\u1ebfp t\u1ee5c theo d\u00f5i m\u1ed7i n\u0103m \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 \u0111\u00f3ng ch\u00f3p.<\/li>\n<\/ul>\n<h2>2. Tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y v\u1edbi cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc<\/h2>\n<p>Th\u1ee7 thu\u1eadt g\u00e2y \u0111\u00f3ng ch\u00f3p (apexifcation) \u0111\u1ed1i v\u1edbi r\u0103ng kh\u00f4ng c\u00f2n t\u1ee7y c\u00f3 l\u1ed7 ch\u00f3p m\u1edf y\u00eau c\u1ea7u g\u00e2y t\u00ea t\u1ea1i ch\u1ed7, c\u00f4 l\u1eadp t\u1ed1t v\u00e0 s\u1eeda so\u1ea1n \u1ed1ng t\u1ee7y t\u1ed1i thi\u1ec3u. \u0110\u00e2y l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb h\u1ee3p l\u00fd tr\u01b0\u1edbc nh\u1eefng kh\u00f3 kh\u0103n khi ki\u1ec3m so\u00e1t h\u00e0nh vi \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n tr\u1ebb em. Chi\u1ec1u d\u00e0i l\u00e0m vi\u1ec7c \u0111\u01b0\u1ee3c ghi nh\u1eadn, v\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a Xquang. B\u01a1m r\u1eeda th\u1ee5 \u0111\u1ed9ng v\u1edbi NaOCl 1.5% trong 15 \u2013 20 ph\u00fat \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o v\u00e0 th\u00f4ng su\u1ed1t d\u1ecdc theo th\u00e0nh \u1ed1ng t\u1ee7y b\u1eb1ng m\u1ed9t file K s\u1ed1 l\u1edbn v\u00ec m\u1edf r\u1ed9ng k\u00edch th\u01b0\u1edbc \u1ed1ng t\u1ee7y l\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft.<\/p>\n<ul>\n<li>Sau khi \u1ed1ng t\u1ee7y \u0111\u01b0\u1ee3c l\u00e0m kh\u00f4 b\u1eb1ng cone gi\u1ea5y s\u1ed1 l\u1edbn, cement bioceramic ho\u1eb7c cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u1edbi c\u00e2y nh\u1ed3i MTA ho\u1eb7c c\u00e2y nh\u1ed3i amalgam v\u00e0 cement \u0111\u01b0\u1ee3c n\u00e9n ch\u1eb7t xu\u1ed1ng \u1ed1ng t\u1ee7y b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng \u0111\u1ea7u tr\u00ean c\u1ee7a m\u1ed9t cone gi\u1ea5y s\u1ed1 l\u1edbn, cone Gutta percha, \u0111\u1ea7u nh\u1ed3i n\u1ed9i nha ho\u1eb7c d\u1ee5ng c\u1ee5 Glick. D\u00f9ng m\u1ed9t file K s\u1ed1 l\u1edbn \u0111\u1ec3 nh\u1ed3i cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc v\u1ec1 ph\u00eda ch\u00f3p v\u1edbi \u00e1p l\u1ef1c nh\u1eb9 nh\u00e0ng \u0111\u1ec3 tr\u00e1nh cement qu\u00e1 ch\u00f3p. M\u1eb7c d\u00f9 vi\u1ec7c cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc d\u01b0 kh\u00f4ng l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li>Nh\u00e0 l\u00e2m s\u00e0ng n\u00ean thao t\u00e1c c\u1ea9n th\u1eadn khi s\u1eed d\u1ee5ng thi\u1ebft b\u1ecb si\u00eau \u00e2m v\u1edbi \u0111\u1ea7u nh\u1ed3i n\u1ed9i nha \u0111\u1ec3 nh\u1ed3i MTA ho\u1eb7c c\u00e1c lo\u1ea1i cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc kh\u00e1c, v\u00ec cement qu\u00e1 ch\u00f3p l\u00e0 m\u1ed9t tr\u1edf ng\u1ea1i th\u01b0\u1eddng g\u1eb7p \u0111\u1ed1i v\u1edbi nh\u1eefng r\u0103ng c\u00f3 l\u1ed7 ch\u00f3p m\u1edf. Ng\u01b0\u1eddi ta th\u1ea5y r\u1eb1ng vi\u1ec7c nh\u1ed3i MTA nh\u01b0 b\u00ecnh th\u01b0\u1eddng v\u1eabn cho k\u1ebft qu\u1ea3 ch\u1eb7t, v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u01b0a th\u00edch h\u01a1n k\u0129 thu\u1eadt nh\u1ed3i si\u00eau \u00e2m.<\/li>\n<li>Khi kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c c\u1ea7m m\u00e1u th\u00ec ph\u1ea3i \u0111\u1eb7t m\u1ed9t l\u01b0\u1ee3ng l\u1edbn cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc v\u00e0 nh\u1ed3i th\u1eadt nhanh. C\u00f3 th\u1ec3 nh\u1ed3i m\u1ed9t l\u01b0\u1ee3ng l\u1edbn cement v\u00e0o trong \u1ed1ng t\u1ee7y b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng d\u1ee5ng c\u1ee5 Glick ho\u1eb7c b\u1eb1ng \u0111\u1ea7u nh\u1ed3i amalgam.<\/li>\n<li>S\u1eed d\u1ee5ng m\u1ed9t vi\u00ean g\u00f2n kh\u00f4 c\u00f3 ho\u1eb7c kh\u00f4ng t\u1ea9m b\u1ed9t calcium hydroxide ho\u1eb7c \u0111\u1ea7u tr\u00ean c\u1ee7a m\u1ed9t cone l\u1edbn \u00e1p l\u00ean l\u1edbp cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc v\u1edbi m\u1ed9t \u00e1p l\u1ef1c trung b\u00ecnh cho \u0111\u1ebfn khi c\u1ea7m m\u00e1u v\u00e0 cement c\u1ee9ng ch\u1eafc. Trong tr\u01b0\u1eddng h\u1ee3p v\u1eabn kh\u00f4ng c\u1ea7m m\u00e1u \u0111\u01b0\u1ee3c th\u00ec n\u00ean tr\u00e1m k\u00edn \u1ed1ng t\u1ee7y b\u1eb1ng Ca(OH)2 v\u00e0 b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c l\u00ean l\u1ecbch h\u1eb9n tr\u00e1m cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc v\u00e0o l\u1ea7n sau.<\/li>\n<li>N\u00ean ch\u1ee5p m\u1ed9t phim Xquang ki\u1ec3m tra sau khi \u0111\u1eb7t cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1eadt \u0111\u1ed9 v\u00e0 v\u1ecb tr\u00ed c\u1ee7a cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc so v\u1edbi t\u01b0\u01a1ng quan ch\u00f3p. Khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb th\u00ec k\u1ebft qu\u1ea3 l\u00fd t\u01b0\u1edfng nh\u1ea5t l\u00e0 cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc \u0111\u01b0\u1ee3c nh\u1ed3i xu\u1ed1ng 4\u20135 mm, \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o b\u1ecbt k\u00edn t\u1ed1t.<\/li>\n<li>N\u1ebfu th\u1ea5y k\u1ebft qu\u1ea3 \u0111\u1eb7t cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc \u0111\u00e3 ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c th\u00ec l\u01b0\u1ee3ng cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc d\u01b0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c r\u1eeda s\u1ea1ch b\u1eb1ng n\u01b0\u1edbc c\u1ea5t, s\u1eed d\u1ee5ng kim c\u00f3 l\u1ed7 tho\u00e1t m\u1eb7t b\u00ean v\u00e0 kho\u1ea3ng \u1ed1ng t\u1ee7y c\u00f2n l\u1ea1i s\u1ebd \u0111\u01b0\u1ee3c lau kh\u00f4 b\u1eb1ng cone gi\u1ea5y s\u1ed1 l\u1edbn. L\u01b0\u1ee3ng cement \u0111\u01b0\u1ee3c l\u00e0m ph\u1eb3ng b\u1eb1ng m\u1ed9t \u0111\u1ea7u nh\u1ed3i v\u00e0 \u1ed1ng t\u1ee7y \u0111\u01b0\u1ee3c tr\u00e1m b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p l\u00e8n d\u1ecdc Gutta percha n\u00f3ng. K\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb l\u00e0 t\u1ed1t nh\u1ea5t khi c\u00e1c l\u1ed7 v\u00e0o \u1ed1ng t\u1ee7y \u0111\u00e3 \u0111\u01b0\u1ee3c tr\u00e1m k\u00edn b\u1eb1ng v\u1eadt li\u1ec7u composite.<\/li>\n<li>Xquang theo d\u00f5i \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 \u0111\u00f3ng ch\u00f3p v\u00e0 s\u1ef1 l\u00e0nh th\u01b0\u01a1ng quanh ch\u00f3p \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o l\u00e0 sau \u0111i\u1ec1u tr\u1ecb 6 v\u00e0 12 th\u00e1ng, v\u00e0 ti\u1ebfp t\u1ee5c h\u00e0ng n\u0103m ho\u1eb7c 2 n\u0103m m\u1ed9t l\u1ea7n.<\/li>\n<\/ul>\n<figure id=\"attachment_26329\" aria-describedby=\"caption-attachment-26329\" style=\"width: 1208px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-26329 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-407.png\" alt=\"t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc-1\" width=\"1208\" height=\"1220\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-407.png 1208w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-407-297x300.png 297w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-407-1014x1024.png 1014w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-407-150x150.png 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-407-768x776.png 768w\" sizes=\"(max-width: 1208px) 100vw, 1208px\" \/><figcaption id=\"caption-attachment-26329\" class=\"wp-caption-text\">(a) Xquang c\u1eadn ch\u00f3p c\u1ee7a m\u1ed9t r\u0103ng c\u1eeda gi\u1eefa h\u00e0m tr\u00ean (T) b\u1ecb ch\u1ea5n th\u01b0\u01a1ng \u1edf m\u1ed9t b\u1ec7nh nh\u00e2n nam 8 tu\u1ed5i cho th\u1ea5y l\u1ed7 ch\u00f3p m\u1edf v\u00e0 v\u00f9ng th\u1ea5u quang l\u1edbn quanh ch\u00f3p (m\u0169i t\u00ean). (b) Xquang v\u1ecb tr\u00ed \u0111\u1eb7t tr\u00e2m g\u1ea7n \u0111\u00fang chi\u1ec1u d\u00e0i l\u00e0m vi\u1ec7c. (c) Xquang ki\u1ec3m tra v\u1ecb tr\u00ed \u0111\u1eb7t MTA ph\u00eda ch\u00f3p. (d) Xquang cu\u1ed1i c\u00f9ng sau khi tr\u00e1m b\u00edt v\u1edbi Gutta percha n\u00f3ng, l\u00e8n ch\u1eb7t v\u00e0 tr\u00e1m. (e) Xquang ki\u1ec3m tra 3 th\u00e1ng sau \u0111i\u1ec1u tr\u1ecb cho th\u1ea5y s\u1ef1 l\u00e0nh th\u01b0\u01a1ng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p. (f) Xquang ki\u1ec3m tra 4 n\u0103m 6 th\u00e1ng sau \u0111i\u1ec1u tr\u1ecb cho th\u1ea5y r\u0103ng \u0111\u00e3 \u0111\u00f3ng ch\u00f3p v\u00e0 l\u00e0nh th\u01b0\u01a1ng quanh ch\u00f3p ho\u00e0n to\u00e0n. B\u1ec7nh nh\u00e2n hi\u1ec7n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00f3 \u0111\u1ed5i m\u00e0u th\u00e2n r\u0103ng.<\/figcaption><\/figure>\n<h2>3. T\u1ed5ng k\u1ebft l\u1ea1i<\/h2>\n<p><span style=\"font-weight: 400;\">Trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, v\u1edbi s\u1ef1 quan t\u00e2m nhi\u1ec1u \u0111\u1ebfn vi\u1ec7c duy tr\u00ec s\u1ef1 s\u1ed1ng c\u1ee7a t\u1ee7y r\u0103ng, m\u1ed9t s\u1ed1 ph\u00e1t minh quan tr\u1ecdng \u0111\u00e3 g\u00f3p ph\u1ea7n v\u00e0o s\u1ef1 ti\u1ebfn b\u1ed9 c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p t\u00e1i t\u1ea1o trong n\u1ed9i nha. Tr\u01b0\u1edbc h\u1ebft ph\u1ea3i k\u1ec3 \u0111\u1ebfn, l\u00e0 s\u1ef1 ra \u0111\u1eddi c\u1ee7a c\u00e1c v\u1eadt li\u1ec7u c\u00f3 t\u00ednh t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc v\u00e0 v\u1eefng \u1ed5n v\u1ec1 k\u00edch th\u01b0\u1edbc nh\u01b0 MTA v\u00e0 c\u00e1c\u00a0 cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc kh\u00e1c, cho ph\u00e9p s\u1eeda ch\u1eefa, b\u1ea3o t\u1ed3n v\u00e0 t\u00e1i t\u1ea1o m\u1ed9t ph\u1ea7n hay to\u00e0n b\u1ed9 m\u00f4 t\u1ee7y.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u00e1c \u0111\u1eb7c tr\u01b0ng n\u1ed9i nha hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh \u0111\u1ec3 ti\u1ebfn xa h\u01a1n n\u1eefa so v\u1edbi c\u00e1c li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ee7y th\u00f4ng th\u01b0\u1eddng v\u00e0 m\u1edf ra c\u00e1c chi\u1ebfn l\u01b0\u1ee3c trong t\u01b0\u01a1ng lai v\u1ec1 \u0111i\u1ec1u tr\u1ecb t\u1ee7y b\u1ea3o t\u1ed3n v\u00e0 c\u00f4ng ngh\u1ec7 sinh h\u1ecdc. Nh\u1eefng con \u0111\u01b0\u1eddng \u0111i m\u1edbi n\u00e0y t\u1eadp trung v\u00e0o c\u00e1c nghi\u00ean c\u1ee9u v\u00e0 th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng v\u1edbi m\u1ee5c ti\u00eau ch\u00ednh l\u00e0 b\u1ea3o t\u1ed3n t\u1ee7y s\u1ed1ng v\u00e0 t\u00e1i t\u1ea1o m\u00f4 t\u1ee7y r\u0103ng \u1edf nh\u1eefng r\u0103ng ch\u1ebft. Nh\u1eefng s\u1ef1 ph\u00e1t tri\u1ec3n n\u00e0y ph\u00f9 h\u1ee3p v\u1edbi ti\u1ebfn b\u1ed9 ch\u1ee7 y\u1ebfu trong c\u00f4ng ngh\u1ec7 b\u00e1m d\u00ednh v\u00e0 vi\u1ec7c gi\u1edbi thi\u1ec7u c\u00e1c v\u1eadt li\u1ec7u ph\u1ee5c h\u1ed3i v\u0129nh vi\u1ec5n v\u00e0 v\u1eadt li\u1ec7u sinh h\u1ecdc \u0111\u00e1ng tin c\u1eady \u0111\u1ec3 b\u1ecbt k\u00edn v\u00e0 th\u00fac \u0111\u1ea9y s\u1ef1 b\u1ea3o v\u1ec7 m\u00f4 t\u1ee7y. B\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p d\u1ef1a tr\u00ean k\u0129 thu\u1eadt t\u1ebf b\u00e0o v\u00e0 s\u1ef1 ti\u1ebfn b\u1ed9 c\u1ee7a v\u1eadt li\u1ec7u sinh h\u1ecdc, \u0111\u00e3 gi\u00fap m\u1edf ra m\u1ed9t cu\u1ed9c c\u00e1ch m\u1ea1ng m\u1edbi trong vi\u1ec7c kh\u00f4i ph\u1ee5c, duy tr\u00ec, t\u00e1i t\u1ea1o m\u00f4 t\u1ee7y r\u0103ng v\u1ec1 m\u1eb7t ch\u1ee9c n\u0103ng. V\u00e0 cu\u1ed1i c\u00f9ng, sinh h\u1ecdc m\u00f4 t\u1ee7y v\u00e0 li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha \u0111ang c\u00f3 nh\u1eefng b\u01b0\u1edbc ti\u1ebfn song song nhau.<\/span><\/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 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tu\u1ef7 b\u1ea3o t\u1ed3n, k\u00e8m theo \u0111\u00f3 l\u00e0 quy tr\u00ecnh tr\u00e1m b\u00edt t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc v\u1edbi v\u1eadt li\u1ec7u ph\u1ee5c h\u1ed3i trong quy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha t\u00e1i sinh. Cu\u1ed1i c\u00f9ng, b\u00e0i vi\u1ebft \u0111\u01b0a ra nh\u00ecn nh\u1eadn chung v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha [&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: Nh\u00ecn nh\u1eadn v\u1ea5n \u0111\u1ec1 b\u1ea3o t\u1ed3n v\u00e0 t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc.<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y t\u1ed5ng quan \u0111i\u1ec1u tr\u1ecb tu\u1ef7 b\u1ea3o t\u1ed3n, quy tr\u00ecnh tr\u00e1m b\u00edt t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc v\u1edbi v\u1eadt li\u1ec7u ph\u1ee5c h\u1ed3i v\u00e0 nh\u00ecn nh\u1eadn chung. 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