{"id":29302,"date":"2023-04-29T12:11:03","date_gmt":"2023-04-29T05:11:03","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29302"},"modified":"2023-05-01T23:19:44","modified_gmt":"2023-05-01T16:19:44","slug":"phan-tich-danh-gia-moc-giai-phau-cu-the-trong-phau-thuat-implant","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/phan-tich-danh-gia-moc-giai-phau-cu-the-trong-phau-thuat-implant\/","title":{"rendered":"Ph\u00e2n t\u00edch, \u0111\u00e1nh gi\u00e1 m\u1ed1c gi\u1ea3i ph\u1eabu c\u1ee5 th\u1ec3 trong ph\u1eabu thu\u1eadt Implant."},"content":{"rendered":"<p><strong>Nh\u1eadn di\u1ec7n v\u00e0 ph\u00e2n t\u00edch c\u00e1c c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu quan tr\u1ecdng l\u00e0 y\u1ebfu t\u1ed1 ch\u00ednh trong s\u1ef1 th\u00e0nh c\u00f4ng v\u00e0 tu\u1ed5i th\u1ecd c\u1ee7a implant nha khoa. <\/strong><strong>C\u00e1c c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu ph\u1ea3i \u0111\u01b0\u1ee3c t\u00f4n tr\u1ecdng khi \u0111\u1eb7t implant, v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh nh\u00f3m chung v\u00e0 nh\u00f3m c\u1ee5 th\u1ec3. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd c\u00f9ng nhau ph\u00e2n t\u00edch v\u00e0 \u0111\u00e1nh gi\u00e1 c\u00e1c m\u1ed1c gi\u1ea3i ph\u1eabu c\u1ee5 th\u1ec3 quan tr\u1ecdng \u0111\u1ed1i v\u1edbi th\u1ee7 thu\u1eadt Implant tr\u00ean b\u1ec7nh nh\u00e2n.<\/strong><\/p>\n<h2>1. T\u1ed5ng quan ph\u00e2n t\u00edch c\u00e1c m\u1ed1c gi\u1ea3i ph\u1eabu<\/h2>\n<figure id=\"attachment_29300\" aria-describedby=\"caption-attachment-29300\" style=\"width: 713px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-29300\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-495.png\" alt=\"phan-tich-1\" width=\"713\" height=\"816\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-495.png 713w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-495-262x300.png 262w\" sizes=\"(max-width: 713px) 100vw, 713px\" \/><figcaption id=\"caption-attachment-29300\" class=\"wp-caption-text\">Ph\u00e2n lo\u1ea1i c\u00e1c \u0110i\u1ec3m m\u1ed1c gi\u1ea3i ph\u1eabu theo nh\u00f3m Chung v\u00e0 nh\u00f3m C\u1ee5 th\u1ec3<\/figcaption><\/figure>\n<h2>2. Ph\u00e2n t\u00edch c\u00e1c m\u1ed1c gi\u1ea3i ph\u1eabu c\u1ee5 th\u1ec3<\/h2>\n<h3><strong>2.1. \u0110\u1ed1i v\u1edbi h\u00e0m tr\u00ean<\/strong><\/h3>\n<p><strong>Xoang h\u00e0m<\/strong><\/p>\n<p>Kh\u1ed1i l\u01b0\u1ee3ng s\u1ed1ng h\u00e0m c\u00f2n l\u1ea1i \u1edf v\u00f9ng r\u0103ng sau h\u00e0m tr\u00ean khi \u0111\u1eb7t implant b\u1ecb gi\u1edbi h\u1ea1n b\u1edfi s\u00e0n xoang h\u00e0m. Vi\u1ec7c x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c c\u1ea5u tr\u00fac n\u00e0y v\u00e0 ph\u1ea1m vi c\u1ee7a n\u00f3 tr\u00ean phim X-quang, bao g\u1ed3m c\u1ea3 v\u1ecb tr\u00ed v\u00e1ch ng\u0103n, l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u01b0\u1edbc l\u01b0\u1ee3ng th\u1ec3 t\u00edch x\u01b0\u01a1ng, nh\u1eb1m ng\u0103n ng\u1eeba vi\u1ec7c th\u1ee7ng s\u00e0n xoang khi \u0111i\u1ec1u tr\u1ecb. \u0110\u00e2y \u0111\u01b0\u1ee3c xem l\u00e0 nguy\u00ean nh\u00e2n ti\u1ec1m \u1ea9n g\u00e2y ra th\u1ea5t b\u1ea1i c\u1ee7a implant \u1edf v\u00f9ng r\u0103ng sau h\u00e0m tr\u00ean. Khi th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt n\u00e2ng xoang, c\u1ea7n c\u1ed1 g\u1eafng d\u1ef1 \u0111o\u00e1n v\u1ecb tr\u00ed c\u1ee7a \u0111\u1ed9ng m\u1ea1ch x\u01b0\u01a1ng \u1ed5 r\u0103ng tr\u00ean sau, m\u00e0 c\u00f3 th\u1ec3 quan s\u00e1t \u0111\u01b0\u1ee3c tr\u00ean phim CBCT, \u0111\u1ec3 ng\u0103n ng\u1eeba ch\u1ea3y m\u00e1u kh\u00f4ng mong mu\u1ed1n trong qu\u00e1 tr\u00ecnh \u0111\u1eb7t implant.<\/p>\n<p><strong>Ti\u1ec1n h\u00e0m h\u00e0m tr\u00ean<\/strong><\/p>\n<p>V\u00f9ng n\u00e0y c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 v\u00f9ng ch\u1ea5n th\u01b0\u01a1ng\/v\u00f9ng th\u1ea9m m\u1ef9. N\u00f3 bao g\u1ed3m s\u1ed1ng h\u00e0m c\u1ee7a ti\u1ec1n h\u00e0m h\u00e0m tr\u00ean v\u00e0 8 r\u0103ng tr\u01b0\u1edbc: 4 r\u0103ng c\u1eeda, 2 r\u0103ng nanh, v\u00e0 2 r\u0103ng c\u1ed1i nh\u1ecf th\u1ee9 nh\u1ea5t. C\u1ea5y gh\u00e9p nha khoa \u1edf v\u00f9ng r\u0103ng tr\u01b0\u1edbc h\u00e0m tr\u00ean l\u00e0 th\u00e1ch th\u1ee9c \u0111\u1ed1i v\u1edbi b\u00e1c s\u0129 l\u00e2m s\u00e0ng do nhu c\u1ea7u th\u1ea9m m\u1ef9 c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 kh\u00f3 kh\u0103n v\u1ec1 m\u1eb7t gi\u1ea3i ph\u1eabu, ch\u1eb3ng h\u1ea1n nh\u01b0 s\u1ef1 h\u00ecnh th\u00e0nh khuy\u1ebft m\u1eb7t ngo\u00e0i do m\u1ea5t r\u0103ng. \u0110i\u1ec1u n\u00e0y khi\u1ebfn cho vi\u1ec7c \u0111\u1eb7t implant v\u00e0o v\u1ecb tr\u00ed thu\u1eadn l\u1ee3i cho ph\u1ee5c h\u00ecnh tr\u1edf n\u00ean kh\u00f3 kh\u0103n v\u00e0 c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i gh\u00e9p x\u01b0\u01a1ng.<\/p>\n<p><strong>S\u00e0n c\u1ee7a h\u1ed1 m\u0169i<\/strong><\/p>\n<p>Kh\u1ed1i l\u01b0\u1ee3ng s\u1ed1ng h\u00e0m c\u00f2n l\u1ea1i \u1edf v\u00f9ng r\u0103ng tr\u01b0\u1edbc h\u00e0m tr\u00ean khi \u0111\u1eb7t implant b\u1ecb gi\u1edbi h\u1ea1n b\u1edfi s\u00e0n c\u1ee7a h\u1ed1 m\u0169i. Vi\u1ec7c x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c c\u1ea5u tr\u00fac n\u00e0y v\u00e0 ph\u1ea1m vi c\u1ee7a n\u00f3 tr\u00ean phim X-quang l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u01b0\u1edbc l\u01b0\u1ee3ng th\u1ec3 t\u00edch x\u01b0\u01a1ng nh\u1eb1m ng\u0103n ng\u1eeba vi\u1ec7c th\u1ee7ng s\u00e0n m\u0169i khi \u0111i\u1ec1u tr\u1ecb. \u0110\u00e2y \u0111\u01b0\u1ee3c xem l\u00e0 nguy\u00ean nh\u00e2n ti\u1ec1m \u1ea9n g\u00e2y ra th\u1ea5t b\u1ea1i c\u1ee7a implant \u1edf v\u00f9ng r\u0103ng tr\u01b0\u1edbc h\u00e0m tr\u00ean.<\/p>\n<p><strong>\u1ed0ng m\u0169i-kh\u1ea9u c\u00e1i<\/strong><\/p>\n<p>V\u1ecb tr\u00ed c\u1ee7a \u1ed1ng m\u0169i-kh\u1ea9u c\u00e1i quy\u1ebft \u0111\u1ecbnh v\u1ecb tr\u00ed c\u1ee7a implant \u1edf v\u00f9ng r\u0103ng c\u1eeda gi\u1eefa h\u00e0m tr\u00ean. \u1ed0ng m\u0169i-kh\u1ea9u c\u00e1i ch\u1ee9a th\u1ea7n kinh m\u0169i-kh\u1ea9u c\u00e1i, nh\u00e1nh d\u01b0\u1edbi c\u1ee7a \u0111\u1ed9ng m\u1ea1ch m\u0169i-kh\u1ea9u c\u00e1i, v\u00e0 m\u00f4 li\u00ean k\u1ebft s\u1ee3i, v\u00e0 n\u1eb1m gi\u1eefa kh\u1ea9u c\u00e1i, v\u1edbi \u0111\u1ea7u t\u1eadn ph\u00eda d\u01b0\u1edbi c\u1ee7a \u1ed1ng \u0111\u1ed5 ra ph\u00eda sau c\u00e1c r\u0103ng c\u1eeda gi\u1eefa h\u00e0m tr\u00ean. S\u1ef1 hi\u1ec3u bi\u1ebft v\u00e0 vi\u1ec7c nh\u1eadn di\u1ec7n v\u1ecb tr\u00ed c\u1ee7a \u1ed1ng n\u00e0y r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 tr\u00e1nh l\u00e0m th\u1ee7ng n\u00f3. B\u1ea5t k\u1ef3 s\u1ef1 ti\u1ebfp x\u00fac n\u00e0o gi\u1eefa implant v\u1edbi m\u00f4 th\u1ea7n kinh \u0111\u1ec1u c\u00f3 th\u1ec3 g\u00e2y th\u1ea5t b\u1ea1i cho s\u1ef1 t\u00edch h\u1ee3p x\u01b0\u01a1ng v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0a \u0111\u1ebfn c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng l\u00e2u d\u00e0i v\u1ec1 th\u1ea7n kinh. H\u00ecnh \u1ea3nh CBCT \u0111\u01b0\u1ee3c xem l\u00e0 c\u00f3 \u00edch trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed v\u00e0 h\u00ecnh th\u00e1i c\u1ee7a \u1ed1ng m\u0169i- kh\u1ea9u c\u00e1i trong c\u1ea3 3 m\u1eb7t ph\u1eb3ng tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt c\u1ea5y gh\u00e9p.<\/p>\n<p><strong>L\u1ed7 kh\u1ea9u c\u00e1i v\u00e0 \u0110\u1ed9ng m\u1ea1ch kh\u1ea9u c\u00e1i<\/strong><\/p>\n<p>V\u00f9ng l\u1ed7 kh\u1ea9u c\u00e1i l\u1edbn v\u00e0 l\u1ed7 kh\u1ea9u c\u00e1i b\u00e9 th\u01b0\u1eddng l\u00e0 v\u1ecb tr\u00ed thu ho\u1ea1ch m\u1ea3nh gh\u00e9p m\u00f4 m\u1ec1m b\u1edfi v\u00ec \u0111\u00e2y l\u00e0 n\u01a1i c\u00f3 m\u00f4 d\u00e0y nh\u1ea5t. Khi thu ho\u1ea1ch m\u1ea3nh gh\u00e9p, c\u1ea7n ph\u1ea3i tr\u00e1nh b\u00f3 m\u1ea1ch-th\u1ea7n kinh \u0111i v\u00e0o kh\u1ea9u c\u00e1i qua nh\u1eefng l\u1ed7 n\u00e0y. V\u1ecb tr\u00ed c\u1ee7a l\u1ed7 kh\u1ea9u c\u00e1i l\u1edbn v\u00e0 b\u00e9 n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 so v\u1edbi v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt d\u1ef1 ki\u1ebfn tr\u00ean h\u00ecnh \u1ea3nh CBCT \u0111\u1ec3 tr\u00e1nh l\u00e0m t\u1ed5n th\u01b0\u01a1ng b\u00f3 m\u1ea1ch-th\u1ea7n kinh.<\/p>\n<h3>2.2. \u0110\u1ed1i v\u1edbi h\u00e0m d\u01b0\u1edbi<\/h3>\n<p><strong>\u1ed0ng th\u1ea7n kinh x\u01b0\u01a1ng \u1ed5 d\u01b0\u1edbi (\u1ed0ng h\u00e0m d\u01b0\u1edbi) v\u00e0 L\u1ed7 c\u1eb1m<\/strong><\/p>\n<p>L\u01b0u \u00fd gi\u1ea3i ph\u1eabu quan tr\u1ecdng nh\u1ea5t khi \u0111\u1eb7t implant \u1edf v\u00f9ng r\u0103ng sau l\u00e0 v\u1ecb tr\u00ed c\u1ee7a \u1ed1ng th\u1ea7n kinh x\u01b0\u01a1ng \u1ed5 d\u01b0\u1edbi, trong \u0111\u00f3 ch\u1ee9a c\u00e1c b\u00f3 m\u1ea1ch-th\u1ea7n kinh. T\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u1ea5u tr\u00fac quan tr\u1ecdng nh\u01b0 th\u1ea7n kinh x\u01b0\u01a1ng \u1ed5 d\u01b0\u1edbi v\u00e0 \u0111\u1ed9ng m\u1ea1ch x\u01b0\u01a1ng \u1ed5 d\u01b0\u1edbi c\u00f3 th\u1ec3 g\u00e2y m\u1ea5t c\u1ea3m gi\u00e1c ho\u1eb7c d\u1ecb c\u1ea3m, \u0111au, ho\u1eb7c ch\u1ea3y m\u00e1u nhi\u1ec1u sau \u0111\u1eb7t implant.<\/p>\n<p>Th\u1ea7n kinh x\u01b0\u01a1ng \u1ed5 d\u01b0\u1edbi tho\u00e1t ra kh\u1ecfi \u1ed1ng h\u00e0m d\u01b0\u1edbi qua l\u1ed7 c\u1eb1m \u1edf b\u1ea3n x\u01b0\u01a1ng v\u1ecf ph\u00eda ngo\u00e0i gi\u1ed1ng nh\u01b0 th\u1ea7n kinh c\u1eb1m. B\u00ean trong \u1ed1ng, th\u1ea7n kinh c\u00f3 \u0111\u01b0\u1eddng k\u00ednh kho\u1ea3ng 3 mm, v\u00e0 c\u00f3 \u0111\u01b0\u1eddng \u0111i thay \u0111\u1ed5i. N\u00f3 c\u00f3 th\u1ec3 ch\u1ea1y cong nh\u1eb9 v\u1ec1 ph\u00eda l\u1ed7 c\u1eb1m, ho\u1eb7c c\u00f3 th\u1ec3 h\u01b0\u1edbng l\u00ean ho\u1eb7c h\u01b0\u1edbng xu\u1ed1ng.<\/p>\n<p>V\u1ecb tr\u00ed ngo\u00e0i-trong c\u1ee7a th\u1ea7n kinh x\u01b0\u01a1ng \u1ed5 d\u01b0\u1edbi c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh 3 lo\u1ea1i: \u1ed1ng lo\u1ea1i 1 (70% tr\u01b0\u1eddng h\u1ee3p), n\u1eb1m g\u1ea7n b\u1ea3n x\u01b0\u01a1ng v\u1ecf ph\u00eda trong c\u1ee7a c\u00e0nh \u0111\u1ee9ng v\u00e0 th\u00e2n x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi; \u1ed1ng lo\u1ea1i 2 (15%), n\u1eb1m gi\u1eefa c\u00e0nh \u0111\u1ee9ng x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi v\u00e0 ph\u00eda sau r\u0103ng c\u1ed1i l\u1edbn th\u1ee9 hai; \u1ed1ng lo\u1ea1i 3 (15%), n\u1eb1m g\u1ea7n gi\u1eefa c\u00e0nh \u0111\u1ee9ng v\u00e0 th\u00e2n x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi. V\u1ecb tr\u00ed tr\u00ean-d\u01b0\u1edbi c\u1ee7a \u1ed1ng h\u00e0m d\u01b0\u1edbi c\u0169ng \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i tr\u00ean phim X-quang th\u00e0nh cao \u2013 trong kho\u1ea3ng 2 mm so v\u1edbi ch\u00f3p r\u0103ng c\u1ed1i l\u1edbn th\u1ee9 nh\u1ea5t v\u00e0 th\u1ee9 hai \u2013 trung b\u00ecnh, v\u00e0 th\u1ea5p. C\u00f3 m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u1ecbnh v\u1ecb th\u1ea7n kinh x\u01b0\u01a1ng \u1ed5 d\u01b0\u1edbi khi l\u00ean k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb. \u0110\u00f3 l\u00e0 phim to\u00e0n c\u1ea3nh truy\u1ec1n th\u1ed1ng, ch\u1ee5p c\u1eaft l\u1edbp \u0111i\u1ec7n to\u00e1n ho\u1eb7c CBCT 3 chi\u1ec1u, v\u00e0 ph\u1eabu thu\u1eadt b\u1ed9c l\u1ed9 tr\u1ef1c ti\u1ebfp. Nh\u1eefng h\u1ea1n ch\u1ebf v\u00e0 thi\u1ebfu s\u00f3t c\u1ee7a phim to\u00e0n c\u1ea3nh v\u00e0 phim quanh ch\u00f3p trong vi\u1ec7c \u0111\u1ecbnh v\u1ecb ch\u00ednh x\u00e1c \u1ed1ng th\u1ea7n kinh x\u01b0\u01a1ng \u1ed5 d\u01b0\u1edbi v\u00e0 c\u00e1c bi\u1ebfn th\u1ec3 c\u1ee7a n\u00f3 \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn trong y v\u0103n.<\/p>\n<p>\u1ed0ng th\u1ea7n kinh x\u01b0\u01a1ng \u1ed5 d\u01b0\u1edbi chia \u0111\u00f4i \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn. M\u1eb7c d\u00f9 hi\u1ebfm g\u1eb7p nh\u01b0ng b\u00e1c s\u0129 l\u00e2m s\u00e0ng ph\u1ea3i l\u01b0u \u00fd nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y khi l\u00ean k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb c\u1ea5y gh\u00e9p.<\/p>\n<p><strong>M\u00f3c\/ph\u1ea7n m\u1edf r\u1ed9ng ph\u00eda tr\u01b0\u1edbc c\u1ee7a \u1ed1ng th\u1ea7n kinh x\u01b0\u01a1ng \u1ed5 d\u01b0\u1edbi<\/strong><\/p>\n<p>M\u00f3c ph\u00eda tr\u01b0\u1edbc l\u00e0 ph\u1ea7n m\u1edf r\u1ed9ng ph\u00eda tr\u01b0\u1edbc v\u1ec1 ph\u00eda l\u1ed7 c\u1eb1m c\u1ee7a th\u1ea7n kinh x\u01b0\u01a1ng \u1ed5 d\u01b0\u1edbi. L\u01b0u \u00fd tr\u00e1nh l\u00e0m t\u1ed5n th\u01b0\u01a1ng c\u1ea5u tr\u00fac n\u00e0y b\u1eb1ng c\u00e1ch nh\u1eadn di\u1ec7n n\u00f3 c\u1ea9n th\u1eadn tr\u00ean phim. N\u1ebfu kh\u00f4ng d\u1ec5 nh\u1eadn ra m\u00f3c ph\u00eda tr\u01b0\u1edbc tr\u00ean phim th\u00ec t\u1ed1t nh\u1ea5t n\u00ean ph\u1eabu thu\u1eadt \u0111\u1ec3 quan s\u00e1t v\u00f9ng n\u00e0y tr\u01b0\u1edbc khi \u0111\u1eb7t implant.<\/p>\n<p><strong>\u1ed0ng l\u01b0\u1ee1i<\/strong><\/p>\n<p>N\u1eb1m gi\u1eefa x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi. N\u00f3 mang c\u00e1c k\u00eanh m\u1ea1ch-th\u1ea7n kinh. C\u1ea5u tr\u00fac n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c quan s\u00e1t r\u00f5 tr\u00ean h\u00ecnh thi\u1ebft di\u1ec7n CBCT \u1edf v\u00f9ng gi\u1eefa h\u00e0m d\u01b0\u1edbi. L\u01b0u \u00fd tr\u00e1nh l\u00e0m th\u1ee7ng \u1ed1ng n\u00e0y trong qu\u00e1 tr\u00ecnh \u0111\u1eb7t implant v\u00ec c\u00f3 th\u1ec3 g\u00e2y ra \u0111au th\u1ea7n kinh.<\/p>\n<p><strong>V\u00f9ng gian l\u1ed7 c\u1eb1m<\/strong><\/p>\n<p>V\u00f9ng n\u00e0y l\u00e0 v\u00f9ng s\u1ed1ng h\u00e0m h\u00e0m d\u01b0\u1edbi ph\u00eda tr\u01b0\u1edbc n\u1eb1m gi\u1eefa 2 l\u1ed7 c\u1eb1m \u1edf 2 b\u00ean.<\/p>\n<p><strong>H\u1ed5 tuy\u1ebfn n\u01b0\u1edbc b\u1ecdt d\u01b0\u1edbi h\u00e0m<\/strong><\/p>\n<p>N\u1eb1m d\u01b0\u1edbi g\u1edd h\u00e0m m\u00f3ng c\u1ee7a x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi ph\u00eda sau. \u0110\u1ed9 l\u1edbn v\u00e0 h\u00ecnh d\u1ea1ng c\u1ee7a h\u1ed1 c\u00f3 nhi\u1ec1u bi\u1ebfn th\u1ec3, c\u00f3 th\u1ec3 h\u1ea1n ch\u1ebf vi\u1ec7c \u0111\u1eb7t implant theo g\u00f3c \u0111\u1ed9 mong mu\u1ed1n. \u0110\u00e1nh gi\u00e1 c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu n\u00e0y theo 3 chi\u1ec1u r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 tr\u00e1nh vi\u1ec7c implant l\u00e0m th\u1ee7ng n\u00f3, g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng.<\/p>\n<p><strong>H\u1ed5 d\u01b0\u1edbi l\u01b0\u1ee1i<\/strong><\/p>\n<p>H\u1ed3 d\u01b0\u1edbi l\u01b0\u1ee1i n\u1eb1m \u1edf m\u1eb7t trong x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi ph\u00eda tr\u01b0\u1edbc, c\u0169ng c\u00f3 th\u1ec3 l\u00e0m ph\u1ee9c t\u1ea1p vi\u1ec7c \u0111\u1eb7t implant n\u1ebfu h\u1ed3 qu\u00e1 l\u1edbn. H\u1ed1 n\u00e0y c\u00f3 th\u1ec3 g\u00e2y th\u1ee7ng m\u1eb7t trong khi \u0111\u1eb7t implant. M\u1eb7c d\u00f9 v\u00f9ng l\u1eb9m c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh khi kh\u00e1m trong mi\u1ec7ng, nh\u01b0ng \u0111\u00f4i khi \u0111\u1ed9 d\u00e0y c\u1ee7a m\u00f4 m\u1ec1m c\u00f3 th\u1ec3 che \u0111i \u0111\u1ed9 l\u1eb9m. Phim CBCT c\u00f3 th\u1ec3 cung c\u1ea5p c\u00e1i nh\u00ecn ch\u00ednh x\u00e1c v\u1ec1 c\u1ea5u tr\u00fac x\u01b0\u01a1ng \u1edf m\u1eb7t trong v\u00e0 gi\u00fap tr\u00e1nh nguy c\u01a1 xu\u1ea5t huy\u1ebft nguy hi\u1ec3m trong tr\u01b0\u1eddng h\u1ee3p v\u00f9ng l\u1eb9m d\u01b0\u1edbi l\u01b0\u1ee1i qu\u00e1 l\u1edbn.<\/p>\n<p><em>Ngu\u1ed3n t\u00e0i li\u1ec7u: Clinical Cases in Implant Dentistry, First Edition &#8211; Published 2017 by John Wiley &amp; Sons, Inc.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nh\u1eadn di\u1ec7n v\u00e0 ph\u00e2n t\u00edch c\u00e1c c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu quan tr\u1ecdng l\u00e0 y\u1ebfu t\u1ed1 ch\u00ednh trong s\u1ef1 th\u00e0nh c\u00f4ng v\u00e0 tu\u1ed5i th\u1ecd c\u1ee7a implant nha khoa. C\u00e1c c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu ph\u1ea3i \u0111\u01b0\u1ee3c t\u00f4n tr\u1ecdng khi \u0111\u1eb7t implant, v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh nh\u00f3m chung v\u00e0 nh\u00f3m c\u1ee5 th\u1ec3. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd [&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>Ph\u00e2n t\u00edch, \u0111\u00e1nh gi\u00e1 m\u1ed1c gi\u1ea3i ph\u1eabu c\u1ee5 th\u1ec3 trong ph\u1eabu thu\u1eadt Implant.<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y s\u1ebd c\u00f9ng nhau ph\u00e2n t\u00edch v\u00e0 \u0111\u00e1nh gi\u00e1 c\u00e1c m\u1ed1c gi\u1ea3i ph\u1eabu c\u1ee5 th\u1ec3 quan tr\u1ecdng \u0111\u1ed1i v\u1edbi th\u1ee7 thu\u1eadt Implant tr\u00ean b\u1ec7nh nh\u00e2n. 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