{"id":28220,"date":"2023-04-25T07:18:34","date_gmt":"2023-04-25T00:18:34","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28220"},"modified":"2023-05-02T08:55:25","modified_gmt":"2023-05-02T01:55:25","slug":"phuc-hoi-rang-phia-truoc-sau-dieu-tri-noi-nha-tong-quan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/phuc-hoi-rang-phia-truoc-sau-dieu-tri-noi-nha-tong-quan\/","title":{"rendered":"Ph\u1ee5c h\u1ed3i r\u0103ng ph\u00eda tr\u01b0\u1edbc sau \u0111i\u1ec1u tr\u1ecb N\u1ed9i nha – T\u1ed5ng quan."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y s\u01a1 l\u01b0\u1ee3c v\u1ec1 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i r\u0103ng tr\u01b0\u1edfng th\u00e0nh sau \u0111i\u1ec1u tr\u1ecb N\u1ed9i nha, \u0111\u1ed3ng th\u1eddi \u0111\u00e1nh gi\u00e1 ph\u1ee5c h\u1ed3i tr\u00ean nh\u00f3m r\u0103ng ph\u00eda tr\u01b0\u1edbc c\u00f2n nguy\u00ean v\u1eb9n – nh\u00f3m r\u0103ng th\u1ea9m m\u1ef9. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n

1. Ph\u1ee5c h\u1ed3i r\u0103ng tr\u01b0\u1edfng th\u00e0nh<\/h2>\n

Mi\u1ebfng tr\u00e1m n\u1ec1n n\u00ean \u0111\u01b0\u1ee3c \u0111\u1eb7t ngay l\u1eadp t\u1ee9c sau khi tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y v\u00e0 tr\u01b0\u1edbc khi th\u00e1o \u0111\u00ea cao su. Kh\u00f4ng c\u00f3 l\u1ee3i \u00edch g\u00ec khi tr\u00ec ho\u00e3n ph\u1ee5c h\u1ed3i nh\u1eb1m ch\u1edd m\u1ea5t \u0111i c\u00e1c tri\u1ec7u ch\u1ee9ng ho\u1eb7c ch\u1edd d\u1ea5u hi\u1ec7u l\u00e0nh th\u01b0\u01a1ng. Sau \u0111\u00f3 c\u00f4n GP ho\u1eb7c c\u00e1c v\u1eadt li\u1ec7u tr\u00e1m b\u00edt kh\u00e1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ea5y \u0111i c\u1ea9n th\u1eadn v\u00e0 ngay l\u1eadp t\u1ee9c s\u1eeda so\u1ea1n \u1ed1ng mang ch\u1ed1t, n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh, sau khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha ho\u1eb7c \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eeda so\u1ea1n trong ; su\u1ed1t qu\u00e1 tr\u00ecnh l\u00e0m th\u1ee7 thu\u1eadt. M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u ch\u1ec9 ra r\u1eb1ng kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 s\u1ef1 r\u00f2 r\u1ec9 c\u1ee7a v\u1eadt li\u1ec7u tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y khi s\u1eeda so\u1ea1n kho\u1ea3ng \u0111\u1eb7t ch\u1ed1t ngay sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. C\u00e1c m\u1ee5c ti\u00eau ch\u00ednh l\u00e0 lo\u1ea1i tr\u1eeb vi khu\u1ea9n v\u00e0 b\u1ea3o v\u1ec7 c\u1ea5u tr\u00fac r\u0103ng ph\u1ea3i \u0111\u01b0\u1ee3c t\u00f4n tr\u1ecdng trong t\u1ea5t c\u1ea3 c\u00e1c giai \u0111o\u1ea1n \u0111i\u1ec1u tr\u1ecb.<\/p>\n

Ph\u1ee5c h\u1ed3i t\u1ee9c th\u00ec c\u1ea5u tr\u00fac c\u1ee7a r\u0103ng ph\u00eda tr\u01b0\u1edbc, sau khi ho\u00e0n t\u1ea5t \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u1edbi ch\u1ed1t l\u00e0m s\u1eb5n v\u00e0 tr\u00e1m t\u00e1i t\u1ea1o composite n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh. Tuy nhi\u00ean, nh\u1eefng kh\u00f3 kh\u0103n li\u00ean quan \u0111\u1ebfn s\u1eed d\u1ee5ng ch\u1ed1t l\u00e0m s\u1eb5n \u1edf m\u1ed9t s\u1ed1 r\u0103ng tr\u01b0\u1edbc v\u1eabn c\u1ea7n nhi\u1ec1u c\u00e2n nh\u1eafc. Khi kho\u1ea3ng \u0111\u1eb7t ch\u1ed1t \u1edf ph\u1ea7n th\u00e2n r\u0103ng \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb tu\u1ef7 l\u00e0 qu\u00e1 r\u1ed9ng th\u00ec ph\u1ea7n ch\u1ed1t \u0111\u01b0\u1ee3c ph\u1ee7 cement ch\u1ec9 c\u00f3 th\u1ec3 ti\u1ebfp x\u00fac v\u1edbi r\u0103ng \u1edf \u0111o\u1ea1n v\u1ec1 ph\u00eda ch\u00f3p c\u1ee7a kho\u1ea3ng \u0111\u1eb7t ch\u1ed1t. V\u1edbi t\u00ecnh tr\u1ea1ng n\u00e0y th\u00ec s\u1ef1 l\u01b0u gi\u1eef ch\u1ee7 y\u1ebfu l\u00e0 d\u1ef1a v\u00e0o cement. Trong \u0111i\u1ec1u ki\u1ec7n c\u00f3 r\u1ea5t \u00edt ho\u1eb7c kh\u00f4ng c\u00f3 v\u00e0nh \u0111ai ng\u00e0 (ferulle) th\u00ec khi r\u0103ng ch\u1ecbu l\u1ef1c nhai, l\u1edbp cement d\u00e1n s\u1ebd b\u1ecb ph\u00e1 v\u1ee1, d\u1eabn \u0111\u1ebfn t\u1ea1o k\u1ebd h\u1edf, s\u00e2u r\u0103ng, m\u1ea5t \u0111i s\u1ef1 l\u01b0u gi\u1eef ch\u1ed1t v\u00e0 h\u01b0 h\u1ecfng m\u00e3o. Ngo\u00e0i ra, khi m\u1ed9t r\u0103ng tr\u01b0\u1edbc n\u00e0o \u0111\u00f3 (v\u00ed d\u1ee5 nh\u01b0 r\u0103ng nanh) v\u1edbi \u1ed1ng t\u1ee7y d\u1ea1ng b\u1ea7u d\u1ee5c \u0111\u01b0\u1ee3c s\u1eeda so\u1ea1n \u0111\u1ec3 g\u1eafn m\u1ed9t ch\u1ed1t l\u00e0m s\u1eb5n c\u00f3 thi\u1ebft di\u1ec7n tr\u00f2n th\u00ec khi s\u1eeda so\u1ea1n \u1ed1ng mang ch\u1ed1t ph\u1ea3i s\u1eed d\u1ee5ng m\u0169i khoan ph\u00f9 h\u1ee3p v\u1edbi ch\u1ed1t, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi\u1ec7c lo\u1ea1i b\u1ecf qu\u00e1 nhi\u1ec1u c\u1ea5u tr\u00fac r\u0103ng, nh\u01b0ng n\u1ebfu kh\u00f4ng th\u00ec ch\u1ed1t kh\u00f4ng th\u1ec3 ti\u1ebfp x\u00fac s\u00e1t v\u1edbi th\u00e0nh \u1ed1ng t\u1ee7y. Nh\u1eefng r\u0103ng ki\u1ec3u n\u00e0y c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng ch\u1ed1t \u0111\u00fac \u0111\u1ec3 th\u00edch h\u1ee3p v\u1edbi h\u00ecnh th\u00e1i \u1ed1ng t\u1ee7y h\u01a1n. M\u1eb7t kh\u00e1c, ph\u1ea7n l\u1edbn c\u00e1c r\u0103ng ph\u00eda sau kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1eb7t ch\u1ed1t th\u00ec c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u00e1i t\u1ea1o c\u00f9i sau khi tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y, nh\u1eb1m b\u00edt k\u00edn v\u00e0 b\u1ea3o v\u1ec7 \u1ed1ng t\u1ee7y \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha.<\/p>\n

\"phuc-hoi-rang-111\"
Phim trong mi\u1ec7ng c\u1ee7a (a) r\u0103ng c\u1ed1i l\u1edbn th\u1ee9 hai h\u00e0m d\u01b0\u1edbi b\u00ean tr\u00e1i, (b) r\u0103ng c\u1ed1i l\u1edbn th\u1ee9 nh\u1ea5t h\u00e0m tr\u00ean b\u00ean ph\u1ea3i, v\u00e0 (c) r\u0103ng c\u1ed1i l\u1edbn th\u1ee9 hai h\u00e0m d\u01b0\u1edbi b\u00ean ph\u1ea3i \u0111\u00e3 ph\u1ee5c h\u1ed3i v\u1edbi c\u00f9i composite m\u00e0 kh\u00f4ng \u0111\u1eb7t ch\u1ed1t.<\/figcaption><\/figure>\n

V\u1eadt li\u1ec7u tr\u00e1m b\u00edt d\u01b0 n\u00ean \u0111\u01b0\u1ee3c l\u1ea5y \u0111i 1 mm d\u01b0\u1edbi m\u1ee9c s\u00e0n t\u1ee7y, ho\u1eb7c h\u01a1i d\u01b0\u1edbi n\u1eefa \u0111\u1ed1i v\u1edbi r\u0103ng sau. Tr\u01b0\u1eddng h\u1ee3p nh\u1eefng r\u0103ng tr\u01b0\u1edbc c\u00f2n nguy\u00ean v\u1eb9n, ch\u1ec9 c\u00f3 l\u1ed7 m\u1edf t\u1ee7y, th\u00ec GP ho\u1eb7c v\u1eadt li\u1ec7u tr\u00e1m b\u00edt kh\u00e1c n\u00ean \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf ngay \u0111\u01b0\u1eddng n\u1ed1i men \u2013 cement ho\u1eb7c d\u01b0\u1edbi n\u1eefa. \u0110i\u1ec1u quan tr\u1ecdng kh\u00e1c l\u00e0 ph\u1ea3i lo\u1ea1i b\u1ecf sealer d\u01b0 kh\u1ecfi s\u00e0n t\u1ee7y v\u00e0 c\u00e1c th\u00e0nh b\u00ean trong sau khi tr\u00e1m b\u00edt. Sealer c\u00f3 k\u1ebdm oxide l\u00e0m \u1ee9c ch\u1ebf s\u1ef1 tr\u00f9ng h\u1ee3p c\u1ee7a composite c\u0169ng nh\u01b0 ng\u0103n glass ionomer k\u1ebft d\u00ednh v\u1edbi ng\u00e0 r\u0103ng. M\u1ed9t s\u1ed1 lo\u1ea1i sealer ZOE t\u00e1c d\u1ee5ng nhanh v\u00e0 c\u00f3 th\u1ec3 l\u1ea5y \u0111i b\u1eb1ng c\u01a1 h\u1ecdc. M\u1ed9t s\u1ed1 kh\u00e1c t\u00e1c d\u1ee5ng ch\u1eadm h\u01a1n v\u00e0 c\u1ea7n d\u00f9ng g\u00f2n t\u1ea9m c\u1ed3n v\u00e0\/ho\u1eb7c chlorofom \u0111\u1ec3 lo\u1ea1i b\u1ecf.<\/p>\n

2. \u0110\u1ed1i v\u1edbi r\u0103ng ph\u00eda tr\u01b0\u1edbc \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb tu\u1ef7 c\u00f2n nguy\u00ean v\u1eb9n<\/h2>\n

H\u1ea7u h\u1ebft \u0111\u1ed1i v\u1edbi nh\u00f3m r\u0103ng tr\u01b0\u1edbc c\u00f3 c\u1ea5u tr\u00fac r\u0103ng nguy\u00ean v\u1eb9n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i tr\u1ef1c ti\u1ebfp b\u1eb1ng composite. R\u0103ng \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb tu\u1ef7 ph\u00eda tr\u01b0\u1edbc v\u1edbi l\u1ed7 m\u1edf t\u1ee7y m\u1eb7t trong kh\u00f4ng \u0111\u00f2i h\u1ecfi l\u00e0m m\u00e3o to\u00e0n ph\u1ea7n tr\u1eeb khi c\u1ea5u tr\u00fac th\u00e2n r\u0103ng c\u00f2n l\u1ea1i y\u1ebfu do c\u00f3 ph\u1ee5c h\u1ed3i l\u1edbn ho\u1eb7c \u0111ang c\u00f3 nhi\u1ec1u ph\u1ee5c h\u1ed3i. C\u00e2n nh\u1eafc l\u00e0m m\u00e3o khi r\u0103ng \u0111\u00f3ng vai tr\u00f2 l\u00e0 r\u0103ng tr\u1ee5 cho ph\u1ee5c h\u1ed3i c\u1ed1 \u0111\u1ecbnh b\u00e1n ph\u1ea7n, ph\u1ee5c h\u1ed3i th\u00e1o l\u1eafp b\u00e1n ph\u1ea7n ho\u1eb7c c\u00f3 nh\u1eefng thay \u0111\u1ed5i \u0111\u00e1ng k\u1ec3 v\u1ec1 h\u00ecnh th\u00e1i hay b\u1ecb \u0111\u1ed5i m\u00e0u. B\u1ea3o t\u1ed3n c\u1ea5u tr\u00fac r\u0103ng lu\u00f4n l\u00e0 quan tr\u1ecdng nh\u1ea5t. Vi\u1ec7c s\u1eeda so\u1ea1n \u1ed1ng t\u1ee7y th\u01b0\u1eddng m\u1edf r\u1ed9ng c\u00e1c \u1ed1ng t\u1ee7y v\u00e0 bu\u1ed3ng t\u1ee7y l\u00e0m cho c\u00e1c th\u00e0nh r\u0103ng m\u1ecfng v\u00e0 y\u1ebfu \u0111i; m\u00e0i s\u1eeda so\u1ea1n c\u00f9i r\u0103ng c\u0169ng \u0111\u1ed3ng th\u1eddi g\u00f3p ph\u1ea7n l\u00e0m gi\u1ea3m \u0111\u1ed9 b\u1ec1n c\u1ee7a r\u0103ng.<\/p>\n

\u0110\u1ed1i v\u1edbi c\u00e1c r\u0103ng \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb tu\u1ef7 ph\u00eda tr\u01b0\u1edbc c\u00f2n nguy\u00ean v\u1eb9n ch\u1ec9 c\u00f3 l\u1ed7 m\u1edf t\u1ee7y th\u00ec \u01b0u ti\u00ean ph\u1ee5c h\u1ed3i tr\u1ef1c ti\u1ebfp m\u00e0 kh\u00f4ng lo\u1ea1i b\u1ecf th\u00eam c\u1ea5u tr\u00fac r\u0103ng. Gutta percha ho\u1eb7c v\u1eadt li\u1ec7u tr\u00e1m b\u00edt kh\u00e1c n\u00ean \u0111\u01b0\u1ee3c \u0111\u1eb7t d\u01b0\u1edbi \u0111\u01b0\u1eddng n\u1ed1i men \u2013 cement v\u00e0i milimet. M\u1ed9t v\u1eadt li\u1ec7u glass ionomer c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c tr\u00e1m l\u00ean Gutta percha \u0111\u1ec3 b\u1ea3o v\u1ec7 v\u1eadt li\u1ec7u tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y v\u00e0 gi\u1ea3m b\u1edbt l\u01b0\u1ee3ng composite c\u1ea7n thi\u1ebft. N\u1ebfu r\u0103ng b\u1ecb \u0111\u1ed5i m\u00e0u, t\u1ea9y tr\u1eafng b\u00ean trong b\u1eb1ng natri perbonate, kh\u00f4ng d\u00f9ng nhi\u1ec7t hay superoxyl, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 c\u1ea3i thi\u1ec7n t\u00f4ng m\u00e0u ho\u1eb7c \u0111\u1ed9 s\u00e1ng c\u1ee7a r\u0103ng. C\u00f9i s\u00e2u b\u00ean trong c\u00f3 th\u1ec3 d\u00f9ng composite opaque \u0111\u1ec3 c\u1ea3i thi\u1ec7n t\u00f4ng m\u00e0u, nh\u01b0ng ph\u1ee5c h\u00ecnh b\u00ean ngo\u00e0i th\u00ec n\u00ean c\u00f3 m\u00e0u t\u1ef1 nhi\u00ean. N\u1ebfu v\u1eabn kh\u00f4ng h\u00e0i l\u00f2ng v\u1ec1 \u0111\u1ed9 th\u1ea9m m\u1ef9 th\u00ec c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng veneer s\u1ee9.<\/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\u00e0y s\u01a1 l\u01b0\u1ee3c v\u1ec1 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i r\u0103ng tr\u01b0\u1edfng th\u00e0nh sau \u0111i\u1ec1u tr\u1ecb N\u1ed9i nha, \u0111\u1ed3ng th\u1eddi \u0111\u00e1nh gi\u00e1 ph\u1ee5c h\u1ed3i tr\u00ean nh\u00f3m r\u0103ng ph\u00eda tr\u01b0\u1edbc c\u00f2n nguy\u00ean v\u1eb9n – nh\u00f3m r\u0103ng th\u1ea9m m\u1ef9. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y. 1. 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