{"id":27978,"date":"2023-04-24T17:37:18","date_gmt":"2023-04-24T10:37:18","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27978"},"modified":"2023-05-02T09:22:37","modified_gmt":"2023-05-02T02:22:37","slug":"tram-bit-ong-tuy-goc-nhin-tong-quan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/tram-bit-ong-tuy-goc-nhin-tong-quan\/","title":{"rendered":"Tr\u00e1m b\u00edt \u1ed1ng tu\u1ef7 – G\u00f3c nh\u00ecn t\u1ed5ng quan."},"content":{"rendered":"

Tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y l\u00e0 b\u01b0\u1edbc cu\u1ed1i c\u00f9ng c\u1ee7a b\u1ed9 ba n\u1ed9i nha bao g\u1ed3m s\u1eeda so\u1ea1n, kh\u1eed tr\u00f9ng v\u00e0 tr\u00e1m b\u00edt. M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb (ng\u0103n ng\u1eeba ho\u1eb7c lo\u1ea1i b\u1ecf vi\u00eam quanh ch\u00f3p) \u0111\u1ea1t \u0111\u01b0\u1ee3c nh\u1edd t\u00e1c d\u1ee5ng c\u1ee7a vi\u1ec7c tr\u00e1m b\u00edt (g\u1ed3m d\u00e1n k\u00edn, ti\u00eau di\u1ec7t vi khu\u1ea9n v\u00e0 l\u1ea5p k\u00edn kho\u1ea3ng tr\u1ed1ng), \u0111i\u1ec1u n\u00e0y c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ed9t v\u00e0i \u0111\u1eb7c t\u00ednh c\u1ee7a v\u1eadt li\u1ec7u tr\u00e1m b\u00edt. B\u00e0i vi\u1ebft n\u00e0y \u0111\u01b0a ra m\u1ed9t g\u00f3c nh\u00ecn bao qu\u00e1t v\u00e0 t\u1ed5ng quan nh\u1ea5t v\u1ec1 qu\u00e1 tr\u00ecnh tr\u00e1m b\u00edt \u1ed1ng tu\u1ef7, \u0111\u1ed3ng th\u1eddi gi\u1edbi thi\u1ec7u chung v\u1ec1 ti\u00eau chu\u1ea9n v\u1eadt li\u1ec7u li\u00ean quan \u0111\u1ebfn m\u1ee5c \u0111\u00edch, ch\u1ee9c n\u0103ng l\u00e2m s\u00e0ng v\u00e0 t\u00ednh ch\u1ea5t chung. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam.<\/strong><\/p>\n

\"tram-bit-ong-tuy\"<\/p>\n

1. T\u1ed5ng quan v\u1ec1 qu\u00e1 tr\u00ecnh tr\u00e1m b\u00edt \u1ed1ng tu\u1ef7 trong \u0111i\u1ec1u tr\u1ecb N\u1ed9i nha<\/h2>\n

Tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y l\u00e0 b\u01b0\u1edbc cu\u1ed1i c\u00f9ng c\u1ee7a b\u1ed9 ba n\u1ed9i nha bao g\u1ed3m s\u1eeda so\u1ea1n, kh\u1eed tr\u00f9ng v\u00e0 tr\u00e1m b\u00edt. M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb (ng\u0103n ng\u1eeba ho\u1eb7c lo\u1ea1i b\u1ecf vi\u00eam quanh ch\u00f3p) \u0111\u1ea1t \u0111\u01b0\u1ee3c nh\u1edd t\u00e1c d\u1ee5ng c\u1ee7a vi\u1ec7c tr\u00e1m b\u00edt (g\u1ed3m d\u00e1n k\u00edn, ti\u00eau di\u1ec7t vi khu\u1ea9n v\u00e0 l\u1ea5p k\u00edn kho\u1ea3ng tr\u1ed1ng), \u0111i\u1ec1u n\u00e0y c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ed9t v\u00e0i \u0111\u1eb7c t\u00ednh c\u1ee7a v\u1eadt li\u1ec7u tr\u00e1m b\u00edt.<\/p>\n

Qua th\u1eddi gian, s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u00e1c lo\u1ea1i v\u1eadt li\u1ec7u \u0111\u00e3 \u0111\u00f3ng g\u00f3p r\u1ea5t l\u1edbn v\u00e0o ti\u00ean l\u01b0\u1ee3ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha v\u00e0 k\u1ebft qu\u1ea3 l\u00e0nh th\u01b0\u01a1ng quanh ch\u00f3p t\u1ed1t sau \u0111i\u1ec1u tr\u1ecb. Nh\u1eefng lo\u1ea1i sealer d\u00f9ng trong n\u1ed9i nha hi\u1ec7n nay \u0111a s\u1ed1 th\u00edch h\u1ee3p cho vi\u1ec7c tr\u00e1m b\u00edt theo chi\u1ec1u d\u1ecdc nh\u01b0: ZnO-eugenol, resin t\u1ed5ng h\u1ee3p, silicone, Ca(OH)2-salicylate v\u00e0 v\u1eadt li\u1ec7u n\u1ec1n s\u1ee9 d\u01b0\u1eddng nh\u01b0 cho k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng r\u1ea5t t\u1ed1t. Tuy nhi\u00ean ch\u00fang c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u t\u00ednh ch\u1ea5t kh\u00e1c \u0111\u1ec3 ph\u1ee5c v\u1ee5 cho m\u1ee5c \u0111\u00edch tr\u00e1m b\u00edt. \u0110\u1ed1i v\u1edbi vi\u1ec7c tr\u00e1m ng\u01b0\u1ee3c hay s\u1eeda ch\u1eefa l\u1ed7 th\u1ee7ng, v\u1eadt li\u1ec7u \u0111\u00f2i h\u1ecfi ph\u1ea3i th\u00fac \u0111\u1ea9y s\u1ef1 ph\u1ee5c h\u1ed3i m\u00f4.<\/p>\n

Mineral trioxide aggregate (MTA) l\u00e0 m\u1ed9t h\u1ee3p ch\u1ea5t \u0111\u1ea1t ti\u00eau chu\u1ea9n trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, trong khi g\u1ea7n \u0111\u00e2y nh\u1eefng s\u1ea3n ph\u1ea9m calcium-phosphate c\u0169ng \u0111\u1ea7y h\u1ee9a h\u1eb9n nh\u01b0ng ch\u01b0a c\u00f3 nhi\u1ec1u t\u00e0i li\u1ec7u l\u00e2m s\u00e0ng r\u1ed9ng r\u00e3i.<\/p>\n

2. Gi\u1edbi thi\u1ec7u s\u01a1 l\u01b0\u1ee3c v\u1ec1 qu\u00e1 tr\u00ecnh tr\u00e1m b\u00edt<\/h2>\n

Tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y l\u00e0 b\u01b0\u1edbc r\u1ea5t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u00e2m s\u00e0ng. N\u00f3 bao g\u1ed3m t\u1ea5t c\u1ea3 c\u00e1c quy tr\u00ecnh v\u00e0 v\u1eadt li\u1ec7u \u0111\u1ec3 l\u1ea5p k\u00edn kho\u1ea3ng tr\u1ed1ng t\u1ea1o ra sau vi\u1ec7c s\u1eeda so\u1ea1n v\u00e0 l\u00e0m s\u1ea1ch. Th\u00f4ng th\u01b0\u1eddng, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha k\u1ebft th\u00fac \u0111\u1ebfn bu\u1ed3ng t\u1ee7y, nh\u01b0ng quan ni\u1ec7m v\u1ec1 s\u1ef1 r\u00f2 r\u1ec9 th\u00e2n r\u0103ng (coronal leakage) \u0111\u00e3 m\u1edf r\u1ed9ng th\u1ee7 thu\u1eadt n\u1ed9i nha bao g\u1ed3m c\u1ea3 ph\u1ea7n th\u00e2n r\u0103ng c\u1ee7a ph\u1ee5c h\u1ed3i sau c\u00f9ng.<\/p>\n

B\u1ea5t k\u00ec n\u1ed7 l\u1ef1c n\u00e0o li\u00ean quan gi\u1eefa th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng v\u1edbi ti\u00ean l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb \u0111\u1ec1u ph\u1ea3i s\u1eed d\u1ee5ng ch\u1ee9c n\u0103ng \u0111\u1ec3 l\u00e0m ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1. Sundqvist v\u00e0 Figdor \u0111\u00e3 \u0111\u1ec1 xu\u1ea5t m\u1ed9t m\u00f4 t\u1ea3 \u0111\u01a1n gi\u1ea3n v\u00e0 h\u1eefu \u00edch tr\u00ean l\u00e2m s\u00e0ng v\u1ec1 ch\u1ee9c n\u0103ng sau c\u00f9ng c\u1ee7a m\u1ed9t r\u0103ng \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb: n\u00f3 n\u00ean (1) ng\u0103n ng\u1eeba s\u1ef1 r\u00f2 r\u1ec9 th\u00e2n r\u0103ng, (2) ch\u00f4n v\u00f9i vi khu\u1ea9n c\u00f2n s\u00f3t trong nh\u1eefng \u1ed1ng t\u1ee7y \u0111\u00e3 s\u1eeda so\u1ea1n, (3) ng\u0103n d\u1ecbch t\u00edch l\u0169y \u0111\u1ec3 l\u00e0m ngu\u1ed3n dinh d\u01b0\u1ee1ng cho vi khu\u1ea9n x\u00e2m nh\u1eadp ho\u1eb7c vi khu\u1ea9n c\u00f2n s\u00f3t trong \u1ed1ng t\u1ee7y.
\nNh\u1edd v\u1eady, c\u1ea3 3 ch\u1ee9c n\u0103ng tr\u00ean \u0111\u1ec1u c\u1ed1 g\u1eafng h\u1ea1n ch\u1ebf ho\u1eb7c lo\u1ea1i b\u1ecf s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a vi khu\u1ea9n \u1edf trong v\u00e0 xung quanh \u1ed1ng t\u1ee7y, do \u0111\u00f3 ch\u00fang l\u00e0 m\u1ed9t ph\u1ea7n m\u1edf r\u1ed9ng c\u1ee7a m\u1ee5c \u0111\u00edch \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha n\u00f3i chung: ng\u0103n ch\u1eb7n ho\u1eb7c \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng trong \u1ed1ng t\u1ee7y v\u00e0 vi\u00eam quanh ch\u00f3p. Trong tr\u01b0\u1eddng h\u1ee3p m\u1ed9t l\u01b0\u1ee3ng l\u1edbn m\u00f4 li\u00ean k\u1ebft v\u00e0 m\u00f4 x\u01b0\u01a1ng b\u1ecb l\u1ed9 th\u00ec c\u00f3 th\u1ec3 c\u1ea7n th\u00eam ch\u1ee9c n\u0103ng th\u1ee9 t\u01b0 l\u00e0 th\u00fac \u0111\u1ea9y s\u1ef1 t\u00e1i t\u1ea1o c\u1ee7a m\u00f4.<\/p>\n

\u0110\u1ec3 vi\u1ec7c tr\u00e1m b\u00edt \u0111\u1ea1t \u0111\u01b0\u1ee3c nh\u1eefng ch\u1ee9c n\u0103ng n\u00e0y, v\u1eadt li\u1ec7u c\u1ea7n c\u00f3 nh\u1eefng \u0111\u1eb7c t\u00ednh quan tr\u1ecdng thi\u1ebft y\u1ebfu. D\u01b0\u1edbi \u0111\u00e2y t\u1ed5ng h\u1ee3p c\u00e1c m\u1ee5c \u0111\u00edch, ch\u1ee9c n\u0103ng, t\u00ednh ch\u1ea5t v\u00e0 m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m nghi\u1ec7m c\u1ee7a c\u00e1c lo\u1ea1i v\u1eadt li\u1ec7u:<\/p>\n

    \n
  • M\u1ee5c \u0111\u00edch:<\/strong>\n
      \n
    • Ng\u0103n ng\u1eeba ho\u1eb7c \u0111i\u1ec1u tr\u1ecb vi\u00eam quanh ch\u00f3p: Theo d\u00f5i l\u00e2m s\u00e0ng v\u00e0 so s\u00e1nh<\/li>\n
    • Th\u00fac \u0111\u1ea9y s\u1ef1 t\u00e1i t\u1ea1o m\u00f4: Nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng v\u00e0 th\u00ed nghi\u1ec7m tr\u00ean \u0111\u1ed9ng v\u1eadt<\/li>\n<\/ul>\n<\/li>\n
    • Ch\u1ee9c n\u0103ng l\u00e2m s\u00e0ng:<\/strong>\n
        \n
      • B\u1ecbt k\u00edn th\u00e2n r\u0103ng: Nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng v\u00e0 th\u00ed nghi\u1ec7m tr\u00ean \u0111\u1ed9ng v\u1eadt<\/li>\n
      • Ch\u00f4n v\u00f9i v\u00e0 ti\u00eau di\u1ec7t vi khu\u1ea9n: Nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng v\u00e0 th\u00ed nghi\u1ec7m tr\u00ean \u0111\u1ed9ng v\u1eadt<\/li>\n
      • Ng\u0103n ng\u1eeba d\u1ecbch \u1ee9 \u0111\u1ecdng: Nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng v\u00e0 th\u00ed nghi\u1ec7m tr\u00ean \u0111\u1ed9ng v\u1eadt<\/li>\n
      • Th\u00fac \u0111\u1ea9y s\u1ef1 bi\u1ec7t h\u00f3a t\u1ebf b\u00e0o: Nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng v\u00e0 th\u00ed nghi\u1ec7m tr\u00ean \u0111\u1ed9ng v\u1eadt<\/li>\n<\/ul>\n<\/li>\n
      • T\u00ednh ch\u1ea5t:<\/strong>\n
          \n
        • C\u00f3 kh\u1ea3 n\u0103ng kh\u00e1ng r\u00f2 r\u1ec9\/b\u1ecbt k\u00edn: Ki\u1ec3m tra ch\u1ee9c n\u0103ng: l\u1ecdc d\u1ecbch<\/li>\n
        • B\u00e1m d\u00ednh v\u00e0o ng\u00e0 r\u0103ng: Ki\u1ec3m tra ch\u1ee9c n\u0103ng b\u1eb1ng m\u00e1y ti\u00eau chu\u1ea9n<\/li>\n
        • Kh\u1ea3 n\u0103ng kh\u00e1ng khu\u1ea9n: Nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p invitro kh\u00e1c nhau<\/li>\n
        • V\u00f4 tr\u00f9ng: Nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p invitro kh\u00e1c nhau<\/li>\n
        • Kh\u00f4ng c\u00f3 \u0111\u1ed9c t\u00ednh, kh\u00f4ng g\u00e2y d\u1ecb \u1ee9ng, kh\u00f4ng g\u00e2y ung th\u01b0: Ti\u00eau chu\u1ea9n: ANSI\/ADA, ISO; CEN<\/li>\n
        • \u1ed4n \u0111\u1ecbnh v\u1ec1 k\u00edch th\u01b0\u1edbc v\u00e0 t\u00ednh ch\u1ea5t h\u00f3a h\u1ecdc: Ti\u00eau chu\u1ea9n: ANSI\/ADA, ISO; CEN<\/li>\n
        • \u0110\u1eb7c t\u00ednh thao t\u00e1c: th\u1eddi gian chu\u1ea9n b\u1ecb v\u00e0 th\u1eddi gian l\u00e0m vi\u1ec7c, \u0111\u1ed9 ch\u1ea3y nh\u1edbt, b\u1ec1 d\u00e0y: Ti\u00eau chu\u1ea9n: ANSI\/ADA, ISO; CEN<\/li>\n
        • C\u1ea3n quang: Ti\u00eau chu\u1ea9n: ANSI\/ADA, ISO; CEN<\/li>\n
        • Kh\u00f4ng nhi\u1ec5m m\u00e0u: B\u00e1o c\u00e1o ca l\u00e2m s\u00e0ng v\u00e0 kinh nghi\u1ec7m<\/li>\n
        • C\u00f3 th\u1ec3 l\u1ea5y \u0111i d\u1ec5 d\u00e0ng: Th\u1eed nghi\u1ec7m in vivo tr\u00ean r\u0103ng \u0111\u00e3 nh\u1ed5<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

          Vi\u1ec7c nghi\u00ean c\u1ee9u v\u00e0 ph\u00e1t tri\u1ec3n s\u1ea3n ph\u1ea9m th\u01b0\u1eddng h\u01b0\u1edbng t\u1edbi m\u1ed9t hay m\u1ed9t v\u00e0i \u0111\u1eb7c t\u00ednh c\u1ee7a v\u1eadt li\u1ec7u, nh\u01b0ng c\u00f3 nhi\u1ec1u \u0111\u1eb7c t\u00ednh c\u00f3 kh\u1ea3 n\u0103ng m\u00e2u thu\u1eabn v\u1edbi nhau. Do v\u1eady kh\u00f4ng th\u1ec3 ch\u1ec9 d\u1ef1a v\u00e0o m\u1ed9t \u0111\u1eb7c t\u00ednh n\u00e0o \u0111\u00f3 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o th\u00e0nh c\u00f4ng tr\u00ean l\u00e2m s\u00e0ng.<\/p>\n

          Nhi\u1ec1u t\u00ednh ch\u1ea5t c\u1ee7a v\u1eadt li\u1ec7u ch\u1ecbu \u1ea3nh h\u01b0\u1edfng b\u1edfi c\u00e1ch th\u1ee9c tr\u00e1m b\u00edt c\u0169ng nh\u01b0 \u0111\u1eb7c t\u00ednh h\u00f3a h\u1ecdc c\u1ee7a v\u1eadt li\u1ec7u, v\u00e0 v\u1eadt li\u1ec7u n\u1ed9i nha th\u01b0\u1eddng tr\u1ea3i qua nhi\u1ec1u giai \u0111o\u1ea1n v\u1edbi \u0111\u1ed9 ch\u1ea3y nh\u1edbt kh\u00e1c nhau, t\u1eeb v\u1eadt li\u1ec7u c\u1ee9ng ch\u1eafc qua v\u1eadt li\u1ec7u l\u00e0m m\u1ec1m b\u1eb1ng nhi\u1ec7t cho t\u1edbi v\u1eadt li\u1ec7u l\u1ecfng ho\u1eb7c sealer.<\/p>\n

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

          Tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y l\u00e0 b\u01b0\u1edbc cu\u1ed1i c\u00f9ng c\u1ee7a b\u1ed9 ba n\u1ed9i nha bao g\u1ed3m s\u1eeda so\u1ea1n, kh\u1eed tr\u00f9ng v\u00e0 tr\u00e1m b\u00edt. M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb (ng\u0103n ng\u1eeba ho\u1eb7c lo\u1ea1i b\u1ecf vi\u00eam quanh ch\u00f3p) \u0111\u1ea1t \u0111\u01b0\u1ee3c nh\u1edd t\u00e1c d\u1ee5ng c\u1ee7a vi\u1ec7c tr\u00e1m b\u00edt (g\u1ed3m d\u00e1n k\u00edn, ti\u00eau di\u1ec7t vi khu\u1ea9n v\u00e0 l\u1ea5p k\u00edn kho\u1ea3ng tr\u1ed1ng), […]<\/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":"\nTr\u00e1m b\u00edt \u1ed1ng tu\u1ef7 - G\u00f3c nh\u00ecn t\u1ed5ng quan. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft bao qu\u00e1t v\u1ec1 qu\u00e1 tr\u00ecnh tr\u00e1m b\u00edt \u1ed1ng tu\u1ef7, \u0111\u1ed3ng th\u1eddi gi\u1edbi thi\u1ec7u chung v\u1ec1 c\u00e1c ti\u00eau chu\u1ea9n v\u1eadt li\u1ec7u tr\u00e1m b\u00edt. 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