{"id":28215,"date":"2023-04-25T07:01:46","date_gmt":"2023-04-25T00:01:46","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28215"},"modified":"2023-05-02T09:07:33","modified_gmt":"2023-05-02T02:07:33","slug":"phuc-hoi-tam-sau-dieu-tri-noi-nha-dac-diem-chung","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/phuc-hoi-tam-sau-dieu-tri-noi-nha-dac-diem-chung\/","title":{"rendered":"Ph\u1ee5c h\u1ed3i t\u1ea1m sau \u0111i\u1ec1u tr\u1ecb N\u1ed9i nha – \u0110\u1eb7c \u0111i\u1ec3m chung."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00f3i v\u1ec1 \u0111\u1eb7c \u0111i\u1ec3m chung c\u1ee7a ph\u1ee5c h\u1ed3i t\u1ea1m sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha, \u0111\u1ed3ng th\u1eddi n\u00eau ra nh\u1eefng \u0111i\u1ec3m c\u1ea7n l\u01b0u \u00fd khi s\u1eed d\u1ee5ng lo\u1ea1i ph\u1ee5c h\u1ed3i n\u00e0y tr\u00ean r\u0103ng \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb tu\u1ef7 \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 t\u1ed1t nh\u1ea5t \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n tr\u00ean th\u1ef1c t\u1ebf l\u00e2m s\u00e0ng. C\u00f9ng t\u00ecm hi\u1ec3u s\u00e2u h\u01a1n v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/strong><\/p>\n

1. \u0110\u1eb7c \u0111i\u1ec3m chung c\u1ee7a ph\u1ee5c h\u1ed3i t\u1ea1m sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha<\/h2>\n

Ph\u1ee5c h\u1ed3i t\u1ea1m (provisional restoration \u2013 PR) ph\u1ea3i b\u1ec1n v\u00e0 ch\u1ed1ng h\u1edf \u0111\u1ec3 ng\u0103n ng\u1eeba vi l\u1eadu (microleakage) v\u00e0 s\u1ef1 x\u00e2m nh\u1eadp c\u1ee7a vi khu\u1ea9n. Vi l\u1eadu \u1edf th\u00e2n r\u0103ng \u0111\u01b0\u1ee3c xem l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y th\u1ea5t b\u1ea1i n\u1ed9i nha. Nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u00e3 kh\u1eb3ng \u0111\u1ecbnh r\u1eb1ng \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng t\u1ed1t ho\u1eb7c ph\u1ee5c h\u1ed3i th\u00e2n r\u0103ng kh\u00f4ng t\u1ed1t \u0111\u1ec1u g\u00f3p ph\u1ea7n l\u00e0m gia t\u0103ng vi l\u1eadu v\u00e0 \u0111\u1ed9 nh\u1ea1y c\u1ea3m v\u1edbi vi khu\u1ea9n hay c\u00e1c s\u1ea3n ph\u1ea9m ph\u1ee5 c\u1ee7a ch\u00fang.<\/p>\n

\"ph\u1ee5c-hoi-tam-1\"
Phim c\u1eadn ch\u00f3p c\u1ee7a c\u00e1c r\u0103ng c\u1ed1i l\u1edbn h\u00e0m tr\u00ean b\u00ean ph\u1ea3i th\u1ec3 hi\u1ec7n t\u00ecnh tr\u1ea1ng tr\u00e1m b\u00edt v\u1edbi c\u00f4n gutta percha ch\u1ea5t l\u01b0\u1ee3ng k\u00e9m. C\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y c\u00e1c \u1ed1ng t\u1ee7y kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u1ee5c h\u1ed3i kh\u00f4ng \u0111\u1ea1t chu\u1ea9n v\u1edbi nhi\u1ec1u kho\u1ea3ng tr\u1ed1ng v\u1eadt li\u1ec7u.<\/figcaption><\/figure>\n

S\u1ef1 t\u00e1i nhi\u1ec5m n\u01b0\u1edbc b\u1ecdt c\u1ee7a h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng v\u00e0 ti\u1ebfp x\u00fac v\u1edbi \u0111\u1ed9c t\u1ed1 c\u1ee7a vi khu\u1ea9n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi\u00eam quanh ch\u00f3p v\u00e0 g\u00e2y th\u1ea5t b\u1ea1i n\u1ed9i nha. Vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c mi\u1ebfng tr\u00e1m t\u1ea1m t\u1ed1t s\u1ebd l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng r\u00f2 r\u1ec9 vi khu\u1ea9n tr\u01b0\u1edbc, trong v\u00e0 sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha.<\/p>\n

Ph\u1ee5c h\u1ed3i t\u1ea1m th\u01b0\u1eddng c\u00f3 kh\u1ea3 n\u0103ng b\u1ecbt k\u00edn k\u00e9m. Ch\u00fang ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u1ee5c h\u1ed3i ng\u1eafn h\u1ea1n \u0111\u1ea3m b\u1ea3o th\u1ea9m m\u1ef9 v\u00e0 ch\u1ee9c n\u0103ng trong khi v\u1eabn b\u1ea3o v\u1ec7 m\u00f4 m\u1ec1m v\u00e0 m\u00f4 c\u1ee9ng, tr\u01b0\u1edbc khi ph\u1ee5c h\u1ed3i v\u0129nh vi\u1ec5n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n. Ph\u1ee5c h\u1ed3i t\u1ea1m t\u1ed1t s\u1ebd ng\u0103n ng\u1eeba \u0111\u01b0\u1ee3c nh\u1eefng th\u1ea5t b\u1ea1i c\u01a1 h\u1ecdc nh\u01b0 n\u1ee9t g\u00e3y v\u00e0 gi\u00fap tr\u00e1nh t\u00e1i nhi\u1ec5m vi khu\u1ea9n v\u00e0o \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng. M\u1ed9t nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u \u0111\u00e3 \u0111\u00e1nh gi\u00e1 775 r\u0103ng r\u0103ng \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb tu\u1ef7 \u1edf 508 b\u1ec7nh nh\u00e2n cho th\u1ea5y t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i cao h\u01a1n \u1edf r\u0103ng \u0111\u00e3 ph\u1ee5c h\u1ed3i l\u00e0 trong v\u00f2ng 2 tu\u1ea7n sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha.<\/p>\n

Th\u1eddi gian ph\u1ee5c h\u1ed3i t\u1ea1m ph\u1ea3i \u0111\u01b0\u1ee3c xem x\u00e9t tr\u01b0\u1edbc khi l\u1ef1a ch\u1ecdn v\u1eadt li\u1ec7u th\u00edch h\u1ee3p. \u0110\u1ed1i v\u1edbi ph\u1ee5c h\u1ed3i ng\u1eafn h\u1ea1n th\u00ec ng\u01b0\u1eddi ta khuy\u1ebfn c\u00e1o d\u00f9ng cement nh\u01b0 zinc oxide eugenol (ZOE) ch\u1ec9 trong th\u1eddi gian 1 \u2013 2 tu\u1ea7n. \u1ede giai \u0111o\u1ea1n d\u00e0i h\u01a1n, \u0111\u1eb7c bi\u1ec7t khi c\u00e1c ph\u1ee5c h\u1ed3i cu\u1ed1i c\u00f9ng c\u00f3 th\u1ec3 b\u1ecb tr\u00ec ho\u00e3n th\u00ec n\u00ean s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i cement ch\u1eafc h\u01a1n \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ef1 b\u1ecbt k\u00edn t\u1ed1t. Glass ionomers, zinc phosphate, polycarboxylate ho\u1eb7c h\u1ee3p ch\u1ea5t glass ionomer c\u00f3 nh\u1ef1a (resin modified glass ionomer \u2013 RMGI) cho kh\u1ea3 n\u0103ng b\u00edt k\u00edn ng\u00e0 r\u0103ng \u1edf m\u1ee9c ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c v\u00e0 c\u00f3 c\u00e1c t\u00ednh ch\u1ea5t v\u1eadt l\u00fd thu\u1eadn l\u1ee3i, l\u00e0m cho ch\u00fang th\u00edch h\u1ee3p \u0111\u1ec3 tr\u00e1m t\u1ea1m ng\u1eafn \u0111\u1ebfn d\u00e0i h\u1ea1n. Tuy nhi\u00ean, nh\u1eefng cement n\u00e0y kh\u00f4ng c\u00f3 c\u00e1c t\u00ednh ch\u1ea5t th\u00edch h\u1ee3p \u0111\u1ec3 s\u1eed d\u1ee5ng l\u00e0m ph\u1ee5c h\u1ed3i ch\u1eafc ch\u1eafn; do \u0111\u00f3, ch\u00fang c\u1ea7n \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf tr\u01b0\u1edbc khi \u0111\u1eb7t nh\u1eefng ph\u1ee5c h\u1ed3i v\u0129nh vi\u1ec5n. V\u1eadt li\u1ec7u tr\u00e1m t\u1ea1m calcium sulfate c\u00f3 khuynh h\u01b0\u1edbng d\u1ec5 b\u1ecb m\u00e0i m\u00f2n, kh\u00f4ng \u1ed5n \u0111\u1ecbnh theo th\u1eddi gian v\u00e0 h\u00fat \u1ea9m. Ch\u00fang ch\u1ec9 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1edbi th\u1eddi gian ng\u1eafn \u1edf nh\u1eefng xoang nh\u1ecf v\u00e0 ph\u1ea3i \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n b\u1eb1ng m\u1ed9t vi\u00ean g\u00f2n ho\u1eb7c g\u1ea1c tr\u01b0\u1edbc khi \u0111\u1eb7t ph\u1ee5c h\u1ed3i sau c\u00f9ng. Nghi\u00ean c\u1ee9u so s\u00e1nh v\u1ec1 s\u1ef1 r\u00f2 r\u1ec9 c\u1ee7a c\u00e1c v\u1eadt li\u1ec7u tr\u00e1m t\u1ea1m kh\u00e1c nhau (intermediate restoration material (IRM), CavitTM v\u00e0 TemBondTM) \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng kh\u00f4ng c\u00f3 v\u1eadt li\u1ec7u tr\u00e1m t\u1ea1m n\u00e0o ng\u0103n ng\u1eeba \u0111\u01b0\u1ee3c s\u1ef1 r\u00f2 r\u1ec9 khi th\u1eed nghi\u1ec7m trong 30 ng\u00e0y b\u1eb1ng k\u0129 thu\u1eadt \u0111\u00e1nh d\u1ea5u vi khu\u1ea9n. Nghi\u00ean c\u1ee9u c\u0169ng \u0111\u00e3 ch\u1ee9ng minh r\u1eb1ng vi\u1ec7c tr\u00ec ho\u00e3n ph\u1ee5c h\u1ed3i sau c\u00f9ng l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ti\u00ean l\u01b0\u1ee3ng r\u0103ng \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb tu\u1ef7. Khi so s\u00e1nh gi\u1eefa ph\u1ee5c h\u1ed3i v\u0129nh vi\u1ec5n v\u00e0 ph\u1ee5c h\u1ed3i t\u1ea1m th\u00ec ng\u01b0\u1eddi ta nh\u1eadn th\u1ea5y r\u0103ng \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb tu\u1ef7 \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i v\u1edbi ph\u1ee5c h\u1ed3i v\u0129nh vi\u1ec5n c\u00f3 t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i cao h\u01a1n l\u00e0 \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i v\u1edbi ph\u1ee5c h\u1ed3i t\u1ea1m, k\u1ec3 c\u1ea3 n\u1ebfu ph\u1ee5c h\u1ed3i v\u0129nh vi\u1ec5n c\u00f3 b\u1ecb tr\u00ec ho\u00e3n.<\/p>\n

2. L\u01b0u \u00fd khi ti\u1ebfn h\u00e0nh s\u1eed d\u1ee5ng tr\u00ean r\u0103ng \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb tu\u1ef7<\/h2>\n

Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u ph\u1ee5c h\u1ed3i cho r\u0103ng \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb tu\u1ef7, t\u1ea5t c\u1ea3 nh\u1eefng ph\u1ee5c h\u1ed3i hi\u1ec7n c\u00f3 n\u00ean \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf, tr\u1eeb khi m\u1edbi \u0111\u01b0\u1ee3c nha s\u0129 \u0111\u1eb7t v\u00e0o g\u1ea7n \u0111\u00e2y. K\u1ebd h\u1edf d\u01b0\u1edbi ph\u1ee5c h\u1ed3i h\u1ecfng l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh c\u1ee7a b\u1ec7nh l\u00fd n\u1ed9i nha m\u1edbi ho\u1eb7c b\u1ec7nh l\u00fd n\u1ed9i nha t\u00e1i ph\u00e1t. M\u00f4 ng\u00e0 s\u00e2u c\u0169ng n\u00ean \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n tr\u01b0\u1edbc khi m\u1edf l\u1ed1i v\u00e0o t\u1ee7y. N\u00ean th\u0103m kh\u00e1m l\u00e2m s\u00e0ng k\u1ef9 l\u01b0\u1ee1ng v\u00e0 ch\u1ee5p phim X quang \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y, s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a n\u1ee9t g\u00e3y v\u00e0 s\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a \u0111i\u1ec1u tr\u1ecb nha chu (v\u00ed d\u1ee5 nh\u01b0 l\u00e0m d\u00e0i th\u00e2n r\u0103ng). Khi c\u1ea5u tr\u00fac r\u0103ng hi\u1ec7n c\u00f3 kh\u00f4ng \u0111\u1ee7 th\u00ec c\u00f3 th\u1ec3 y\u00eau c\u1ea7u ph\u1ee5c h\u1ed3i t\u1ea1m tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u0103ng \u0111\u01b0\u1ee3c c\u00f4 l\u1eadp kh\u1ecfi m\u00f4i tr\u01b0\u1eddng mi\u1ec7ng v\u00e0 s\u1ef1 nhi\u1ec5m n\u01b0\u1edbc b\u1ecdt.<\/p>\n

\"phuc-hoi-tam-2\"
Phim X quang c\u1ee7a (a) 2 r\u0103ng c\u1ed1i nh\u1ecf h\u00e0m tr\u00ean b\u00ean tr\u00e1i b\u1ecb s\u00e2u n\u1eb7ng tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c c\u00e1ch ly l\u00e2m s\u00e0ng b\u1eb1ng cement glass ionomer trong \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. (b) Phim X quang sau c\u00f9ng c\u1ee7a c\u00e1c r\u0103ng c\u1ed1i nh\u1ecf \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i v\u1edbi ch\u1ed1t th\u00e9p kh\u00f4ng g\u1ec9 v\u00e0 tr\u00e1m t\u00e1i t\u1ea1o.<\/figcaption><\/figure>\n

Ch\u1eb3ng h\u1ea1n nh\u01b0 r\u0103ng b\u1ecb m\u1ea5t ch\u1ea5t l\u1edbn, nh\u1eefng h\u1ed9p b\u00ean s\u00e2u (deep proximal boxes) th\u00ec c\u00f3 th\u1ec3 tr\u00e1m t\u1ea1m nhanh b\u1eb1ng glass ionomer ho\u1eb7c h\u1ee3p ch\u1ea5t glass ionomer c\u00f3 nh\u1ef1a. L\u00e0m v\u1eady s\u1ebd t\u1ea1o \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i cho s\u1ef1 c\u00f4 l\u1eadp b\u1eb1ng \u0111\u00ea cao su v\u00e0 g\u00f3p ph\u1ea7n c\u1ea3i thi\u1ec7n h\u00ecnh th\u1ee9c s\u1eeda so\u1ea1n l\u1ed1i v\u00e0o. V\u1eadt li\u1ec7u m\u00e0u tr\u1eafng \u0111\u1ee5c ho\u1eb7c m\u00e0u xanh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u00ec d\u1ec5 ph\u00e2n bi\u1ec7t ch\u00fang v\u1edbi c\u1ea5u tr\u00fac r\u0103ng v\u00e0 d\u1ec5 d\u00e0ng l\u1ea5y \u0111i khi \u0111\u01b0\u1ee3c thay th\u1ebf b\u1edfi c\u00e1c ph\u1ee5c h\u1ed3i v\u0129nh vi\u1ec5n.<\/p>\n

Trong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha, s\u1ef1 lo\u1ea1i tr\u1eeb vi khu\u1ea9n kh\u1ecfi h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng l\u00e0 y\u00eau c\u1ea7u nghi\u00eam ng\u1eb7t. Do \u0111\u00f3 c\u1ea7n ph\u1ea3i \u0111\u1eb7t m\u1ed9t ph\u1ee5c h\u1ed3i t\u1ea1m b\u1ec1n ch\u1eb7t gi\u1eefa c\u00e1c bu\u1ed5i \u0111i\u1ec1u tr\u1ecb. B\u1ec1 d\u00e0y c\u1ee7a v\u1eadt li\u1ec7u ph\u1ee5c h\u1ed3i t\u1ea1m n\u00ean \u0111\u01b0\u1ee3c t\u1ed1i \u0111a h\u00f3a, trong khi chi\u1ec1u cao c\u1ee7a mi\u1ebfng g\u00f2n b\u00ean d\u01b0\u1edbi n\u00ean \u0111\u01b0\u1ee3c gi\u1ea3m t\u1ed1i thi\u1ec3u.<\/p>\n

G\u1ea1c t\u1ed5ng h\u1ee3p \u0111\u01b0\u1ee3c \u01b0a chu\u1ed9ng h\u01a1n b\u00f4ng g\u00f2n, v\u00ec n\u00f3 kh\u00f4ng h\u1ed7 tr\u1ee3 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a vi khu\u1ea9n.<\/p>\n

R\u0103ng h\u01b0 h\u1ecfng n\u1eb7ng c\u00f3 th\u1ec3 \u0111\u00f2i h\u1ecfi l\u00e0m m\u00e3o t\u1ea1m ho\u1eb7c onlay tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. M\u1ed9t v\u00e0i v\u1eadt li\u1ec7u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong vi\u1ec7c ch\u1ebf t\u1ea1o c\u00e1c ph\u1ee5c h\u1ed3i t\u1ea1m, bao g\u1ed3m nh\u1ef1a acrylic v\u00e0 composite. C\u00f4ng th\u1ee9c c\u1ee7a v\u1eadt li\u1ec7u nh\u1ef1a acrylic th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u1ea5t l\u00e0 d\u1ef1a tr\u00ean polymethyl methacrylate (PMMA). Nh\u1ef1a acrylic c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ebf t\u1ea1o ph\u1ee5c h\u1ed3i t\u1ea1m tr\u1ef1c ti\u1ebfp hay gi\u00e1n ti\u1ebfp. C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ee9ng minh r\u1eb1ng ph\u1ee5c h\u1ed3i \u0111\u01b0\u1ee3c l\u00e0m gi\u00e1n ti\u1ebfp gi\u00fap c\u1ea3i thi\u1ec7n t\u00ednh to\u00e0n v\u1eb9n c\u1ee7a b\u1edd ph\u1ee5c h\u1ed3i so v\u1edbi khi \u0111\u01b0\u1ee3c l\u00e0m tr\u1ef1c ti\u1ebfp.<\/p>\n

Ch\u1ebf t\u1ea1o gi\u00e1n ti\u1ebfp cung c\u1ea5p ph\u1ee5c h\u1ed3i t\u1ea1m c\u00f3 \u0111\u1ed9 b\u1ec1n cao \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho b\u1ec7nh nh\u00e2n y\u00eau c\u1ea7u h\u00e0m gi\u1ea3 b\u00e1n ph\u1ea7n c\u1ed1 \u0111\u1ecbnh v\u1edbi k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb d\u00e0i h\u1ea1n v\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 l\u1ef1c nhai tr\u00ean m\u1ee9c trung b\u00ecnh. C\u00e1c ph\u1ee5c h\u1ed3i t\u1ea1m \u0111\u01b0\u1ee3c l\u00e0m t\u1eeb polycarbonate, nh\u1ef1a composite ho\u1eb7c c\u00e1c v\u1eadt li\u1ec7u kh\u00e1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 thay th\u1ebf. Ph\u1ee5c h\u1ed3i n\u1ed9i th\u00e2n (intracoronal) v\u00e0 ngo\u1ea1i th\u00e2n (extracoronal) c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u00e0m t\u1eeb v\u1eadt li\u1ec7u composite.<\/p>\n

C\u00e1c r\u0103ng tr\u01b0\u1edbc v\u00e0 m\u1ed9t s\u1ed1 r\u0103ng c\u1ed1i nh\u1ecf b\u1ecb t\u1ed5n h\u1ea1i th\u00e2n r\u0103ng th\u00ec b\u00ean c\u1ea1nh ph\u1ee5c h\u1ed3i t\u1ea1m, c\u00f2n c\u00f3 th\u1ec3 \u0111\u00f2i h\u1ecfi ch\u1ed1t t\u1ea1m \u0111\u1ec3 t\u0103ng \u0111\u1ed9 b\u1ec1n ch\u1eafc v\u00e0 h\u00ecnh th\u1ee9c l\u01b0u gi\u1eef. \u0110\u1eb7t l\u00ean ch\u1ed1t t\u1ea1m l\u00e0m s\u1eb5n m\u1ed9t l\u01b0\u1ee3ng cement t\u1ed1i thi\u1ec3u \u0111\u1ec3 ch\u00fang c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng \u0111\u01b0\u1ee3c l\u1ea5y \u0111i l\u00fac \u0111\u1eb7t ph\u1ee5c h\u1ed3i sau c\u00f9ng. Nhi\u1ec1u v\u1eadt li\u1ec7u kh\u00e1c c\u0169ng \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u \u0111\u1ec3 s\u1eed d\u1ee5ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 ch\u1ed1t t\u1ea1m; tuy nhi\u00ean ch\u1ed1t v\u0129nh vi\u1ec5n l\u00e0m s\u1eb5n c\u0169ng c\u00f3 th\u1ec3 t\u1ea1o s\u1ef1 l\u01b0u gi\u1eef t\u1ed1t khi g\u1eafn t\u1ea1m b\u1eb1ng cement.<\/p>\n

Cement t\u1ea1m \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 g\u1eafn c\u00e1c m\u00e3o t\u1ea1m (thu\u1eadt ng\u1eef tr\u01b0\u1edbc \u0111\u00e2y l\u00e0 \u201ctemporary crowns\u201d) v\u00e0 ch\u1ed1t t\u1ea1m th\u01b0\u1eddng l\u00e0 xi m\u0103ng k\u1ebdm oxide. M\u1ed9t s\u1ed1 lo\u1ea1i c\u00f3 c\u00f4ng th\u1ee9c ch\u1ee9a eugenol, nh\u01b0ng c\u00e1c cement kh\u00f4ng eugenol c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i. N\u1ebfu s\u1eed d\u1ee5ng composite ho\u1eb7c cement nh\u1ef1a (cement resin) \u0111\u1ec3 t\u00e1i t\u1ea1o th\u00ec ng\u01b0\u1eddi ta khuy\u1ebfn c\u00e1o d\u00f9ng cement t\u1ea1m k\u1ebdm oxide kh\u00f4ng eugenol. Eugenol c\u00f3 kh\u1ea3 n\u0103ng \u1ee9c ch\u1ebf s\u1ef1 tr\u00f9ng h\u1ee3p nh\u1ef1a, v\u00ec th\u1ebf nh\u1eefng ch\u1ea5t tr\u00e1m ch\u1ee9a eugenol c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf c\u1ea9n th\u1eadn tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng v\u1eadt li\u1ec7u d\u00e1n ho\u1eb7c ph\u1ee5c h\u1ed3i c\u00f3 nh\u1ef1a. C\u00e1c k\u1ebft lu\u1eadn \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o li\u00ean quan \u0111\u1ebfn s\u1ef1 \u1ee9c ch\u1ebf tr\u00f9ng h\u1ee3p nh\u1ef1a c\u1ee7a eugenol c\u00f2n nhi\u1ec1u m\u00e2u thu\u1eabn. M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u th\u00ec m\u00f4 t\u1ea3 s\u1ef1 gi\u1ea3m l\u1ef1c li\u00ean k\u1ebft v\u1edbi ng\u00e0, trong khi c\u00e1c nghi\u00ean c\u1ee9u kh\u00e1c l\u1ea1i kh\u00f4ng t\u00ecm th\u1ea5y \u1ea3nh h\u01b0\u1edfng \u0111\u00f3. Tuy nhi\u00ean, c\u00e1c ph\u1ee5c h\u1ed3i th\u01b0\u1eddng b\u1ecb h\u1edf v\u00e0 c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 ch\u1ecbu cho b\u1ec7nh nh\u00e2n c\u00f3 t\u1ee7y r\u0103ng c\u00f2n s\u1ed1ng. Quan tr\u1ecdng h\u01a1n, ch\u00fang cho ph\u00e9p s\u1ef1 nhi\u1ec5m khu\u1ea9n v\u00e0o r\u0103ng khi \u0111ang \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha, \u0111\u1eb7c bi\u1ec7t n\u1ebfu s\u1eed d\u1ee5ng ch\u1ed1t t\u1ea1m. T\u01b0\u01a1ng t\u1ef1 nh\u01b0 c\u00e1c ph\u1ee5c h\u1ed3i v\u0129nh vi\u1ec5n, c\u00e1c ch\u1ed1t t\u1ea1m l\u00e0m s\u1eb5n ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u1eb7t tr\u01b0\u1edbc khi th\u00e1o \u0111\u1ec3 cao su.<\/p>\n

Sau khi ho\u00e0n t\u1ea5t \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha, n\u00ean \u0111\u1eb7t l\u1ea1i ph\u1ee5c h\u1ed3i t\u1ea1m b\u1ec1n ch\u1eafc \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o b\u1ea3o v\u1ec7 v\u00e0 b\u00edt k\u00edn t\u1ea1m th\u1eddi. T\u1ed1t nh\u1ea5t l\u00e0 ph\u1ee5c h\u1ed3i sau c\u00f9ng \u0111\u01b0\u1ee3c l\u00e0m t\u1eeb composite ho\u1eb7c amalgam n\u00ean \u0111\u01b0\u1ee3c \u0111\u1eb7t tr\u01b0\u1edbc khi th\u00e1o \u0111\u00ea. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 b\u1ea5t c\u1ee9 vi\u00ean g\u00f2n n\u00e0o b\u00ean d\u01b0\u1edbi \u0111\u1ec1u ph\u1ea3i \u0111\u01b0\u1ee3c l\u1ea5y \u0111i tr\u01b0\u1edbc khi \u0111\u1eb7t ph\u1ee5c h\u1ed3i sau c\u00f9ng: g\u00f2n \u1ea9m l\u00e0 v\u1eadt li\u1ec7u ho\u00e0n h\u1ea3o cho vi sinh v\u1eadt c\u00f3 h\u1ea1i v\u00e0 l\u00e0 l\u1edbp n\u1ec1n kh\u00f4ng v\u1eefng ch\u1eafc khi ch\u1ecbu l\u1ef1c t\u1ea3i t\u1eeb c\u00e1c ph\u1ee5c h\u1ed3i sau c\u00f9ng. C\u00e1c ph\u1ee5c h\u1ed3i t\u1ea1m c\u00f2n d\u01b0 nh\u01b0 CavitTM v\u00e0 IRM c\u0169ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u00ednh to\u00e0n v\u1eb9n c\u1ee7a ph\u1ee5c h\u1ed3i v\u0129nh vi\u1ec5n v\u00e0 ph\u1ea3i \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n kh\u1ecfi xoang.<\/p>\n

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

B\u00e0i vi\u1ebft n\u00f3i v\u1ec1 \u0111\u1eb7c \u0111i\u1ec3m chung c\u1ee7a ph\u1ee5c h\u1ed3i t\u1ea1m sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha, \u0111\u1ed3ng th\u1eddi n\u00eau ra nh\u1eefng \u0111i\u1ec3m c\u1ea7n l\u01b0u \u00fd khi s\u1eed d\u1ee5ng lo\u1ea1i ph\u1ee5c h\u1ed3i n\u00e0y tr\u00ean r\u0103ng \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb tu\u1ef7 \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 t\u1ed1t nh\u1ea5t \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n tr\u00ean th\u1ef1c t\u1ebf l\u00e2m s\u00e0ng. C\u00f9ng […]<\/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":"\nPh\u1ee5c h\u1ed3i t\u1ea1m sau \u0111i\u1ec1u tr\u1ecb N\u1ed9i nha - \u0110\u1eb7c \u0111i\u1ec3m chung. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00f3i v\u1ec1 \u0111\u1eb7c \u0111i\u1ec3m chung c\u1ee7a ph\u1ee5c h\u1ed3i t\u1ea1m sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha, \u0111\u1ed3ng th\u1eddi n\u00eau ra nh\u1eefng \u0111i\u1ec3m c\u1ea7n l\u01b0u \u00fd. 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