{"id":2846,"date":"2023-04-10T16:09:24","date_gmt":"2023-04-10T09:09:24","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=2846"},"modified":"2023-04-17T14:46:28","modified_gmt":"2023-04-17T07:46:28","slug":"bat-thuong-so-luong-rang-o-tre-thieu-hoac-thua","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/bat-thuong-so-luong-rang-o-tre-thieu-hoac-thua\/","title":{"rendered":"B\u1ea5t th\u01b0\u1eddng s\u1ed1 l\u01b0\u1ee3ng r\u0103ng \u1edf tr\u1ebb: Thi\u1ebfu ho\u1eb7c th\u1eeba."},"content":{"rendered":"

B\u1ea5t th\u01b0\u1eddng s\u1ed1 l\u01b0\u1ee3ng r\u0103ng \u1edf tr\u1ebb \u0111\u01b0\u1ee3c chia l\u00e0m hai nh\u00f3m: Thi\u1ebfu r\u0103ng ho\u1eb7c th\u1eeba r\u0103ng. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd cho c\u00e1c nha s\u0129 c\u00e1i nh\u00ecn t\u1ed5ng quan nh\u1ea5t v\u1ec1 d\u1ea1ng b\u1ea5t th\u01b0\u1eddng, nguy\u00ean nh\u00e2n v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m li\u00ean quan \u0111\u1ebfn s\u1ed1 l\u01b0\u1ee3ng r\u0103ng \u1edf tr\u1ebb.<\/strong><\/p>\n

1. B\u1ea5t th\u01b0\u1eddng s\u1ed1 l\u01b0\u1ee3ng r\u0103ng: Thi\u1ebfu r\u0103ng<\/h2>\n

1.1. \u0110\u1eb7c \u0111i\u1ec3m, t\u1ef7 l\u1ec7<\/h3>\n

1.1.1. Kh\u00f4ng r\u0103ng (anodontia)<\/h4>\n

Ho\u00e0n to\u00e0n kh\u00f4ng c\u00f3 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a r\u0103ng \u1edf m\u1ed9t ho\u1eb7c hai h\u00e0m.<\/p>\n

– C\u00f3 th\u1ec3 x\u1ea3y ra \u1edf c\u1ea3 hai h\u1ec7 r\u0103ng: r\u1ea5t hi\u1ebfm<\/p>\n

– C\u00f3 th\u1ec3 ch\u1ec9 x\u1ea3y ra \u1edf h\u1ec7 r\u0103ng v\u0129nh vi\u1ec5n.<\/p>\n

1.1.2. Thi\u1ebfu \u00edt r\u0103ng<\/h4>\n

– \u1ede h\u00e0m r\u0103ng s\u1eefa: \u00cdt g\u1eb7p, th\u01b0\u1eddng th\u1ea5y thi\u1ebfu r\u0103ng \u1edf h\u00e0m tr\u00ean. Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 thi\u1ebfu r\u0103ng c\u1eeda b\u00ean v\u1edbi t\u1ef7 l\u1ec7 kho\u1ea3ng 0,1 \u2013 0,9% \u1edf ng\u01b0\u1eddi da tr\u1eafng<\/p>\n

– \u1ede h\u00e0m r\u0103ng v\u0129nh vi\u1ec5n: T\u1ef7 l\u1ec7 kho\u1ea3ng 2 \u2013 10% tu\u1ef7 ch\u1ee7ng t\u1ed9c (kh\u00f4ng bao g\u1ed3m r\u0103ng h\u00e0n l\u1edbn th\u1ee9 ba). Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 r\u0103ng h\u00e0m l\u1edbn th\u1ee9 ba, ti\u1ebfp theo l\u00e0 r\u0103ng c\u1eeda b\u00ean h\u00e0m tr\u00ean, r\u0103ng h\u00e0m nh\u1ecf th\u1ee9 hai h\u00e0m d\u01b0\u1edbi, r\u0103ng h\u00e0m nh\u1ecf th\u1ee9 hai h\u00e0m tr\u00ean, r\u0103ng c\u1eeda h\u00e0m d\u01b0\u1edbi. \u1ede ng\u01b0\u1eddi Nh\u1eadt v\u00e0 Th\u1ee5y s\u0129, hay g\u1eb7p thi\u1ec3u r\u1eb1ng c\u1eeda h\u00e0m d\u01b0\u1edbi h\u01a1n so v\u1edbi c\u00e1c nh\u00f3m ng\u01b0\u1eddi kh\u00e1c.<\/p>\n

1.1.3. Thi\u1ebfu nhi\u1ec1u r\u0103ng (oligodontia)<\/h4>\n

– Khi thi\u1ebfu nhi\u1ec1u h\u01a1n 6 r\u0103ng.<\/p>\n

– \u1ede nh\u1eefng b\u1ec7nh nh\u00e2n thi\u1ebfu r\u0103ng \u1edf h\u00e0m r\u0103ng s\u1eefa th\u00ec 30 \u2013 50% tr\u01b0\u1eddng h\u1ee3p s\u1ebd c\u00f3 thi\u1ebfu r\u0103ng \u1edf h\u00e0m r\u0103ng v\u0129nh vi\u1ec5n.<\/p>\n

\"bat-thuong-so-luong-rang\"
B\u1ea5t th\u01b0\u1eddng s\u1ed1 l\u01b0\u1ee3ng r\u0103ng – H\u1ed9i ch\u1ee9ng lo\u1ea1n s\u1ea3n ngo\u1ea1i b\u00ec<\/figcaption><\/figure>\n

1.2. Nguy\u00ean nh\u00e2n b\u1ea5t th\u01b0\u1eddng s\u1ed1 l\u01b0\u1ee3ng: Thi\u1ebfu r\u0103ng<\/h3>\n

Nguy\u00ean nh\u00e2n c\u1ee7a thi\u1ebfu r\u0103ng \u0111\u01a1n \u0111\u1ed9c th\u01b0\u1eddng kh\u00f4ng r\u00f5 r\u00e0ng. C\u00f3 th\u1ec3 l\u00e0 do di truy\u1ec1n ho\u1eb7c do t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng trong qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n.<\/p>\n

– Thi\u1ebfu r\u0103ng th\u01b0\u1eddng c\u00f3 li\u00ean quan \u1edf nh\u1eefng tr\u1ebb \u0111a sinh, nh\u1eb9 c\u00e2n khi sinh, m\u1eb9 l\u1edbn tu\u1ed5i, m\u1eafc b\u1ec7nh rubella ho\u1eb7c do \u1ea3nh h\u01b0\u1edfng c\u1ee7a Thalidomide t\u1eeb th\u1eddi k\u1ef3 ph\u00f4i thai,<\/p>\n

– B\u1ec7nh lo\u1ea1n s\u1ea3n ngo\u1ea1i b\u1ec9: Th\u1ec3 b\u1ec7nh di truy\u1ec1n l\u1eadn li\u00ean k\u1ebft tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 X hay g\u1eb7p nh\u1ea5t. \u1ede b\u1ec7nh nh\u00e2n nam thi\u1ebfu nhi\u1ec1u r\u0103ng v\u00e0 c\u00e1c r\u0103ng c\u00f2n l\u1ea1i th\u01b0\u1eddng nh\u1ecf, h\u00ecnh n\u00f3n v\u00e0 ch\u1eadm m\u1ecdc. Ngo\u00e0i ra, c\u00f2n c\u00f3 d\u1ea5u hi\u1ec7u t\u00f3c m\u1ecfng th\u01b0a, v\u00e0ng, kh\u1ecf; da kh\u00f4; kh\u00f4ng c\u00f3 tuy\u1ebfn m\u1ed3 h\u00f4i m\u1ed9t ph\u1ea7n ho\u1eb7c ho\u00e0n to\u00e0n; gi\u1ea3m ti\u1ebft n\u01b0\u1edbc b\u1ecdt; tr\u00e1n nh\u1ecf; m\u0169i h\u00ecnh y\u00ean ng\u1ef1a. B\u1ec7nh nh\u00e2n n\u1eef d\u1ecb h\u1ee3p t\u1eed bi\u1ec3u hi\u1ec7n nh\u1eb9 h\u01a1n: thi\u1ebfu m\u1ed9t ho\u1eb7c hai r\u0103ng c\u1eeda b\u00ean h\u00e0m tr\u00ean v\u00e0\/ho\u1eb7c thi\u1ebfu r\u0103ng h\u00e0m nh\u1ecf th\u1ee9 hai h\u00e0m d\u01b0\u1edbi. Tr\u00ean m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n th\u1ea5y r\u0103ng c\u1eeda b\u00ean h\u00ecnh ch\u00e9n.<\/p>\n

– H\u1ed9i ch\u1ee9ng Down (3 NST 21): Thi\u1ebfu nhi\u1ec1u r\u0103ng.<\/p>\n

– \u0110\u1ed9t bi\u1ebfn gen MSXI tr\u00ean NST s\u1ed1 4: B\u1ec7nh di truy\u1ec1n tr\u1ed9i. Th\u01b0\u1eddng thi\u1ebfu r\u0103ng h\u00e0m l\u1edbn th\u1ee9 ba v\u00e0 r\u0103ng h\u00e0m nh\u1ecf th\u1ee9 hai.<\/p>\n

– \u0110\u1ed9t bi\u1ebfn gen PAX9 tr\u00ean NST s\u1ed1 14: Th\u01b0\u1eddng thi\u1ebfu r\u0103ng h\u00e0m l\u1edbn.<\/p>\n

– H\u1ed9i ch\u1ee9ng m\u1eb7t \u2014 mi\u1ec7ng \u2014 tay; Thi\u1ebfu s\u1ea3n m\u0169i, khe h\u1edf v\u00f2m mi\u1ec7ng, ng\u00f3n tay d\u1ecb d\u1ea1ng \u0111i k\u00e8m v\u1edbi thi\u1ebfu r\u0103ng.<\/p>\n

– B\u1ec7nh khe h\u1edf m\u00f4i, v\u00f2m mi\u1ec7ng: R\u0103ng c\u1eeda b\u00ean h\u00e0m tr\u00ean thi\u1ebfu ho\u1eb7c nh\u1ecf.<\/p>\n

1.3. \u0110i\u1ec1u tr\u1ecb<\/h3>\n

Nh\u00ecn chung, \u0111i\u1ec1u tr\u1ecb cho tr\u1ebb thi\u1ec3u nhi\u1ec1u r\u0103ng l\u00e0 m\u1ed9t \u0111i\u1ec1u tr\u1ecb ph\u1ee9c h\u1ee3p, l\u00e2u d\u00e0i li\u00ean quan \u0111\u1ebfn nhi\u1ec1u chuy\u00ean khoa: nha khoa tr\u1ebb em, ch\u1ec9nh nha, ph\u1ee5c h\u00ecnh v\u00e0 t\u01b0 v\u1ea5n di truy\u1ec1n h\u1ecdc<\/p>\n

– Kh\u00f4ng r\u0103ng: Ph\u1ee5c h\u00ecnh th\u00e1o l\u1eafp to\u00e0n h\u00e0m. Khi \u0111\u00e3 tr\u01b0\u1edfng th\u00e0nh, ph\u1ee5c h\u00ecnh th\u00e1o l\u1eafp c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c n\u00e2ng \u0111\u1ee1 b\u1eb1ng c\u00e1c implant.
\n– Thi\u1ebfu nhi\u1ec1u r\u0103ng:
\n+ Ph\u1ee5c h\u00ecnh th\u00e1o l\u1eafp b\u00e1n ph\u1ea7n, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c n\u00e2ng \u0111\u1ee1 b\u1eb1ng implant.
\n+ S\u1eed d\u1ee5ng implant.<\/p>\n

– Thi\u1ebfu \u00edt r\u0103ng: Tu\u1ef3 theo tr\u01b0\u1eddng h\u1ee3p, ph\u1ee5c h\u00ecnh ho\u1eb7c ch\u1ec9nh r\u0103ng.<\/p>\n

2. B\u1ea5t th\u01b0\u1eddng s\u1ed1 l\u01b0\u1ee3ng r\u0103ng: Th\u1eeba r\u0103ng<\/h2>\n

2.1. \u0110\u1eb7c \u0111i\u1ec3m, t\u1ef7 l\u1ec7<\/h3>\n

– T\u1ef7 l\u1ec7: Th\u1eeda r\u0103ng x\u1ea3y ra v\u1edbi t\u1ef7 l\u1ec7 kho\u1ea3ng 0,2 \u2013 0,8% \u1edf h\u00e0m r\u0103ng s\u1eefa v\u00e0 1,5 \u2013 3% \u1edf h\u00e0m r\u0103ng v\u0129nh vi\u1ec5n. T\u1ef7 l\u1ec7 nam: n\u1eef l\u00e0 2:1; h\u00e0m tr\u00ean: h\u00e0m d\u01b0\u1edbi l\u00e0 5:1.<\/p>\n

– R\u0103ng th\u1eeba th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n nhi\u1ec1u nh\u1ea5t \u1edf k\u1ebd hai r\u0103ng c\u1eeda h\u00e0m tr\u00ean (mesiodens), sau \u0111\u00f4 \u0111\u1ebfn v\u00f9ng r\u0103ng h\u00e0m (ph\u00eda m\u1ee7), v\u00f9ng r\u0103ng h\u00e0m nh\u1ecf th\u1ee9 hai h\u00e0m d\u01b0\u1edbi. C\u00f3 tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t hi\u1ec7n \u0111\u1ed1i x\u1ee9ng \u1edf hai b\u00ean cung h\u00e0m.<\/p>\n

– R\u0103ng th\u1eeba c\u00f3 th\u1ec3 c\u00f3 h\u00ecnh d\u1ea1ng b\u00ecnh th\u01b0\u1eddng (g\u1ecdi l\u00e0 r\u0103ng th\u00eam), \u0111a s\u1ed1 c\u00e1c r\u0103ng th\u1eeba th\u01b0\u1eddng nh\u1ecf, d\u1ecb d\u1ea1ng, c\u00f3 h\u00ecnh ch\u00f3p n\u00f3n hay h\u00ecnh c\u1ee7a<\/p>\n

– \u1ede nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 r\u0103ng th\u1eeba \u1edf h\u00e0m r\u0103ng s\u1eefa th\u00ec c\u00f3 t\u1edbi 30 \u2013 50% nguy c\u01a1 s\u1ebd c\u00f3 r\u1eb1ng th\u1eeba \u1edf h\u00e0m r\u0103ng v\u0129nh vi\u1ec5n.<\/p>\n

– C\u00e1c r\u0103ng th\u1eeba \u0111\u1ec1u c\u00f3 th\u1ec3 g\u00e2y ch\u1eadm m\u1ecdc, m\u1ecdc sai ch\u1ed7, ti\u00eau c\u00e1c ch\u00e2n r\u0103ng kh\u00e1c, th\u1eadm ch\u1ec9 l\u00e0m r\u0103ng b\u00ecnh th\u01b0\u1eddng kh\u00f4ng m\u1ecdc \u0111\u01b0\u1ee3c. N\u1ebfu r\u0103ng th\u1eeba kh\u00f4ng m\u1ecdc \u0111\u01b0\u1ee3c c\u00f3 th\u1ec3 g\u00e2y ra n\u00e0ng th\u00e2n r\u0103ng.<\/p>\n

2.2. Nguy\u00ean nh\u00e2n b\u1ea5t th\u01b0\u1eddng s\u1ed1 l\u01b0\u1ee3ng: Th\u1eeba r\u0103ng<\/h3>\n

C\u00f3 nhi\u1ec1u gi\u1ea3 thuy\u1ebft:<\/em><\/p>\n

– Do s\u1ef1 t\u0103ng tr\u01b0\u1edfng qu\u00e1 m\u1ee9c c\u1ee7a l\u00e1 r\u0103ng t\u1ea1o n\u00ean c\u00e1c m\u1ea7m r\u0103ng th\u1eeba ho\u1eb7c do s\u1ef1 d\u00e0i ra c\u1ee7a c\u00e1c l\u00e1 r\u0103ng.<\/p>\n

– Do s\u1ef1 ph\u00e2n \u0111\u00f4i c\u1ee7a m\u1ed9t m\u1ea7m r\u0103ng b\u00ecnh th\u01b0\u1eddng
\n+ N\u1ebfu s\u1ef1 ph\u00e2n chia \u0111\u1ed3ng \u0111\u1ec1u r\u0103ng th\u1eeba c\u00f3 h\u00ecnh d\u00e1ng b\u00ecnh th\u01b0\u1eddng.
\n+ N\u1ebfu s\u1ef1 ph\u00e2n chia kh\u00f4ng \u0111\u1ed3ng \u0111\u1ec1u \u2014 r\u0103ng th\u1eeba c\u00f3 h\u00ecnh d\u00e1ng b\u1ea5t th\u01b0\u1eddng.<\/p>\n

– R\u0103ng th\u1eeba c\u00f3 li\u00ean quan
\n+ Li\u00ean quan r\u00f5 r\u1ec7t v\u1edbi t\u00ecnh tr\u1ea1ng r\u0103ng l\u1ed9n v\u00e0o trong (Dens Invaginatus).
\n+ Khe h\u1edf m\u00f4i h\u00e0m \u1ebfch (40%).
\n+ H\u1ed9i ch\u1ee9ng lo\u1ea1n s\u1ea3n \u0111\u00f2n s\u1ecd,
\n+ H\u1ed9i ch\u1ee9ng Gardner; nhi\u1ec1u u x\u01b0\u01a1ng \u1edf x\u01b0\u01a1ng h\u00e0m; u x\u01a1, nang \u1edf da: polype ru\u1ed9t.
\n+ H\u1ed9i ch\u1ee9ng mi\u1ec7ng \u2014 m\u1eb7t \u2014 tay.<\/p>\n

2.3. \u0110i\u1ec1u tr\u1ecb<\/h3>\n

– R\u0103ng th\u1eeba th\u01b0\u1edfng g\u00e2y m\u1ea5t th\u1ea9m m\u1ef9, c\u1ea3n tr\u1edf kh\u1edbp c\u1eafn, kh\u00f3 l\u00e0m s\u1ea1ch th\u00ec n\u00ean nh\u1ed5 s\u1edbm.<\/p>\n

– Sau \u0111\u00f3, n\u1ebfu c\u1ea7n th\u00ec \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha. N\u1ebfu kh\u00f4ng g\u00e2y m\u1ea5t th\u1ea9m m\u1ef9 (r\u0103ng th\u1eeba v\u00f9ng r\u0103ng h\u00e0m), kh\u00f4ng g\u00e2y c\u1ea3n tr\u1edf kh\u1edbp c\u1eafn, kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn r\u0103ng kh\u00e1c th\u00ec c\u00f3 th\u1ec3 gi\u1eef l\u1ea1i.<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/p>\n

    \n
  1. R\u0103ng tr\u1ebb em – Nh\u00e0 xu\u1ea5t b\u1ea3n Gi\u00e1o d\u1ee5c Vi\u1ec7t Nam<\/em><\/li>\n
  2. Nha c\u01a1 s\u1edf – Nh\u00e0 xu\u1ea5t b\u1ea3n Gi\u00e1o d\u1ee5c Vi\u1ec7t Nam<\/em><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    B\u1ea5t th\u01b0\u1eddng s\u1ed1 l\u01b0\u1ee3ng r\u0103ng \u1edf tr\u1ebb \u0111\u01b0\u1ee3c chia l\u00e0m hai nh\u00f3m: Thi\u1ebfu r\u0103ng ho\u1eb7c th\u1eeba r\u0103ng. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd cho c\u00e1c nha s\u0129 c\u00e1i nh\u00ecn t\u1ed5ng quan nh\u1ea5t v\u1ec1 d\u1ea1ng b\u1ea5t th\u01b0\u1eddng, nguy\u00ean nh\u00e2n v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m li\u00ean quan \u0111\u1ebfn s\u1ed1 l\u01b0\u1ee3ng r\u0103ng \u1edf tr\u1ebb. 1. B\u1ea5t th\u01b0\u1eddng s\u1ed1 l\u01b0\u1ee3ng r\u0103ng: Thi\u1ebfu r\u0103ng […]<\/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":[3],"yoast_head":"\nB\u1ea5t th\u01b0\u1eddng s\u1ed1 l\u01b0\u1ee3ng r\u0103ng \u1edf tr\u1ebb: Thi\u1ebfu ho\u1eb7c th\u1eeba. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ea5t th\u01b0\u1eddng s\u1ed1 l\u01b0\u1ee3ng r\u0103ng \u1edf tr\u1ebb chia th\u00e0nh hai nh\u00f3m: Thi\u1ebfu ho\u1eb7c th\u1eeba r\u0103ng. 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