{"id":30876,"date":"2023-05-02T19:51:44","date_gmt":"2023-05-02T12:51:44","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30876"},"modified":"2023-05-03T15:41:46","modified_gmt":"2023-05-03T08:41:46","slug":"implant-duong-kinh-rong-tong-quan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/implant-duong-kinh-rong-tong-quan\/","title":{"rendered":"Implant \u0111\u01b0\u1eddng k\u00ednh r\u1ed9ng – T\u1ed5ng quan."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y t\u00f3m t\u1eaft nh\u1eefng s\u01a1 l\u01b0\u1ee3c nh\u1ea5t v\u1ec1 lo\u1ea1i Implant \u0111\u01b0\u1eddng k\u00ednh r\u1ed9ng v\u00e0 \u1ee9ng d\u1ee5ng c\u1ee5 th\u1ec3 c\u1ee7a ch\u00fang tr\u00ean l\u00e2m s\u00e0ng, h\u1ed7 tr\u1ee3 c\u00e1c Nha s\u0129 r\u1ea5t nhi\u1ec1u v\u00ec m\u1ed9t s\u1ed1 \u0111\u1eb7c \u0111i\u1ec3m \u01b0u vi\u1ec7t h\u01a1n so v\u1edbi lo\u1ea1i th\u00f4ng th\u01b0\u1eddng. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y sau \u0111\u00e2y.<\/strong><\/p>\n

1. T\u1ed5ng quan v\u1ec1 Implant \u0111\u01b0\u1eddng k\u00ednh r\u1ed9ng<\/strong><\/h2>\n

Trong v\u00e0i th\u1eadp k\u1ef7 nay, chi\u1ec1u r\u1ed9ng c\u1ee7a implant ng\u00e0y c\u00e0ng t\u0103ng l\u00ean, t\u1eeb d\u01b0\u1edbi 2 mm, ch\u1eb3ng h\u1ea1n nh\u01b0 implant c\u1ee7a Scialom v\u00e0o nh\u1eefng n\u0103m 1960, th\u00e0nh 3.75 mm khi l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u b\u1edfi Br\u00e5nemark. Implant \u0111\u01b0\u1eddng k\u00ednh 4 mm c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u nh\u01b0 implant “d\u1ef1 ph\u00f2ng” t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111\u00f3. V\u00e0o cu\u1ed1i nh\u1eefng n\u0103m 1990, c\u00e1c implant \u0111\u01b0\u1eddng k\u00ednh 5 mm ho\u1eb7c l\u1edbn h\u01a1n b\u1eaft \u0111\u1ea7u \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t, ch\u1ee7 y\u1ebfu l\u00e0 nh\u1eb1m t\u0103ng s\u1ef1 neo ch\u1eb7n x\u01b0\u01a1ng v\u00e0 \u0111\u1ed9 b\u1ec1n c\u01a1 h\u1ecdc \u0111\u1ec3 n\u00e2ng \u0111\u1ee1 ph\u1ee5c h\u00ecnh \u1edf v\u00f9ng r\u0103ng c\u1ed1i l\u1edbn. \u0110\u1ebfn nay th\u00ec ng\u01b0\u1eddi ta nh\u1ea5t tr\u00ed r\u1eb1ng implant 3.75-4.1 mm \u0111\u01b0\u1ee3c xem l\u00e0 implant \u0111\u01b0\u1eddng k\u00ednh ti\u00eau chu\u1ea9n, c\u00f2n nh\u1eefng implant c\u00f3 chi\u1ec1u r\u1ed9ng 25 mm th\u00ec \u0111\u01b0\u1ee3c xem l\u00e0 implant \u0111\u01b0\u1eddng k\u00ednh r\u1ed9ng. \u0110\u01b0\u1eddng k\u00ednh n\u00e0y l\u00e0 \u0111\u01b0\u1eddng k\u00ednh ph\u1ea7n n\u1eb1m trong x\u01b0\u01a1ng c\u1ee7a implant.<\/p>\n

Thu\u1eadt ng\u1eef implant \u201cb\u1ec7 r\u1ed9ng\u201d ho\u1eb7c \u201cc\u1ed5 r\u1ed9ng\u201d l\u00e0 n\u00f3i \u0111\u1ebfn b\u1ec7 ph\u1ee5c h\u00ecnh, trong c\u00e1c implant m\u1ed9t th\u00ec (ngang m\u00f4) th\u00ec n\u00f3 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a th\u00e2n implant v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh, trong khi \u0111\u00f3 \u1edf c\u00e1c implant 2 th\u00e0nh ph\u1ea7n (lo\u1ea1i ngang x\u01b0\u01a1ng) th\u00ec b\u1ec7 ph\u1ee5c h\u00ecnh \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1edfi abutment v\u00e0 c\u00f3 th\u1ec3 t\u00f9y ch\u1ec9nh.<\/p>\n

2. S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a lo\u1ea1i Implant n\u00e0y<\/strong><\/h2>\n

Implant \u0111\u01b0\u1eddng k\u00ednh r\u1ed9ng \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n d\u1ef1a tr\u00ean c\u00e1c quan ni\u1ec7m c\u01a1 b\u1ea3n v\u1ec1 s\u1ef1 t\u00edch h\u1ee3p x\u01b0\u01a1ng, b\u1edfi v\u00ec b\u1ec1 m\u1eb7t neo ch\u1eb7n r\u1ea5t c\u1ea7n thi\u1ebft cho s\u1ef1 \u1ed5n \u0111\u1ecbnh ban \u0111\u1ea7u cao h\u01a1n. C\u00e1c ch\u1ec9 \u0111\u1ecbnh c\u1ee7a implant \u0111\u01b0\u1eddng k\u00ednh r\u1ed9ng bao g\u1ed3m: (1) ch\u1ea5t l\u01b0\u1ee3ng x\u01b0\u01a1ng k\u00e9m, (2) thi\u1ebfu chi\u1ec1u cao x\u01b0\u01a1ng, v\u00e0 (3) thay th\u1ebf t\u1ee9c th\u00ec implant kh\u00f4ng t\u00edch h\u1ee3p x\u01b0\u01a1ng ho\u1eb7c b\u1ecb g\u00e3y. M\u1ed9t ch\u1ec9 \u0111\u1ecbnh n\u1eefa c\u1ee7a implant \u0111\u01b0\u1eddng k\u00ednh r\u1ed9ng l\u00e0 \u0111\u1eb7t implant t\u1ee9c th\u00ec sau nh\u1ed5 r\u0103ng. Do nhi\u1ec1u r\u0103ng ho\u1eb7c ch\u00e2n r\u0103ng c\u00f3 \u0111\u01b0\u1eddng k\u00ednh l\u1edbn h\u01a1n 4 mm, n\u00ean implant \u0111\u01b0\u1eddng k\u00ednh r\u1ed9ng s\u1ebd \u0103n kh\u1edbp v\u1edbi v\u00e1ch c\u1ee7a \u1ed5 nh\u1ed5 r\u0103ng t\u1ed1t h\u01a1n, v\u00e0 do \u0111\u00f3, l\u00e0m t\u0103ng \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh s\u01a1 kh\u1edfi. Trong tr\u01b0\u1eddng h\u1ee3p s\u1eed d\u1ee5ng implant 1 kh\u1ed1i (ngang m\u00f4), th\u00ec ch\u00fang c\u0169ng c\u00f3 th\u1ec3 t\u0103ng c\u01b0\u1eddng d\u1ea1ng tho\u1ea1i mong mu\u1ed1n c\u1ee7a m\u00e3o r\u0103ng nh\u1edd c\u00f3 \u0111\u01b0\u1eddng k\u00ednh v\u00f9ng c\u1ed5 r\u0103ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 r\u0103ng c\u1ed1i l\u1edbn, v\u00e0 do \u0111\u00f3 s\u1ebd th\u1ea9m m\u1ef9 h\u01a1n.<\/p>\n

M\u1edf r\u1ed9ng \u0111\u01b0\u1eddng k\u00ednh implant \u0111\u01b0\u1ee3c cho l\u00e0 l\u00e0m c\u1ea3i thi\u1ec7n hi\u1ec7u qu\u1ea3 c\u01a1 sinh h\u1ecdc c\u1ee7a ph\u1ee5c h\u00ecnh r\u0103ng c\u1ed1i l\u1edbn tr\u00ean implant. C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 b\u00e1o c\u00e1o r\u1eb1ng s\u1eed d\u1ee5ng implant r\u1ed9ng h\u01a1n c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i v\u00e0 t\u0103ng \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh s\u01a1 kh\u1edfi trong tr\u01b0\u1eddng h\u1ee3p x\u01b0\u01a1ng c\u00f3 m\u1eadt \u0111\u1ed9 th\u1ea5p. Ngo\u00e0i ra, \u0111\u01b0\u1eddng k\u00ednh c\u1ee7a th\u00e2n implant cho ph\u00e9p \u1ed5n \u0111\u1ecbnh 2 v\u1ecf x\u01b0\u01a1ng (ngo\u00e0i\/trong) \u1edf v\u00f9ng r\u0103ng c\u1ed1i l\u1edbn thu\u1eadn l\u1ee3i h\u01a1n, \u0111\u1eb7c bi\u1ec7t l\u00e0 ph\u00eda tr\u00ean th\u1ea7n kinh x\u01b0\u01a1ng \u1ed5 r\u0103ng d\u01b0\u1edbi l\u00e0 n\u01a1i kh\u00f3 \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1ef1 neo ch\u1eb7n 2 v\u1ecf x\u01b0\u01a1ng.<\/p>\n

Ng\u01b0\u1eddi ta th\u1ea5y r\u1eb1ng s\u1eed d\u1ee5ng implant \u0111\u01b0\u1eddng k\u00ednh l\u1edbn h\u01a1n kh\u00f4ng ch\u1ec9 l\u00e0m t\u0103ng \u0111\u1ed9 c\u1ee9ng c\u1ee7a implant m\u00e0 c\u00f2n l\u00e0m t\u0103ng b\u1ec1 m\u1eb7t ti\u1ebfp x\u00fac gi\u1eefa x\u01b0\u01a1ng v\u1edbi implant, t\u1eeb \u0111\u00f3 \u0111\u01b0a \u0111\u1ebfn s\u1ef1 \u0103n kh\u1edbp v\u1edbi x\u01b0\u01a1ng v\u1ecf t\u1ed1t h\u01a1n. S\u1eed d\u1ee5ng implant \u0111\u01b0\u1eddng k\u00ednh r\u1ed9ng c\u00f2n c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng ch\u1ecbu l\u1ef1c nhai \u1edf c\u00e1c implant r\u0103ng sau v\u00e0 t\u1ea1o ra b\u1ec7 r\u1ed9ng h\u01a1n cho thi\u1ebft k\u1ebf ph\u1ee5c h\u00ecnh ph\u00f9 h\u1ee3p.<\/p>\n

Tuy nhi\u00ean, n\u00ean h\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng implant \u0111\u01b0\u1eddng k\u00ednh r\u1ed9ng trong nh\u1eefng t\u00ecnh hu\u1ed1ng \u0111\u1ee7 k\u00edch th\u01b0\u1edbc ngo\u00e0i-trong. Trong th\u1ef1c t\u1ebf, implant qu\u00e1 l\u1edbn c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m s\u1ef1 n\u00e2ng \u0111\u1ee1 x\u01b0\u01a1ng v\u1ecf, \u0111\u1eb7c bi\u1ec7t l\u00e0 quanh c\u1ed5 implant, v\u00e0 do \u0111\u00f3 s\u1ebd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh s\u01a1 kh\u1edfi c\u1ee7a implant. S\u1eed d\u1ee5ng implant r\u1ed9ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t khi chi\u1ec1u r\u1ed9ng m\u00e0o x\u01b0\u01a1ng \u1ed5 \u2265 8 mm. M\u1ed9t tr\u1edf ng\u1ea1i sinh h\u1ecdc khi s\u1eed d\u1ee5ng implant \u0111\u01b0\u1eddng k\u00ednh r\u1ed9ng l\u00e0 c\u1ea5p m\u00e1u k\u00e9m do c\u00f2n r\u1ea5t \u00edt x\u01b0\u01a1ng x\u1ed1p. T\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i cao h\u01a1n \u1edf implant r\u1ed9ng \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn trong m\u1ed9t s\u1ed1 b\u00e1o c\u00e1o l\u00e2m s\u00e0ng, ch\u1ee7 y\u1ebfu li\u00ean quan \u0111\u1ebfn kinh nghi\u1ec7m c\u1ee7a ph\u1eabu thu\u1eadt vi\u00ean, m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng k\u00e9m, thi\u1ebft k\u1ebf implant, v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt, v\u00e0 do s\u1eed d\u1ee5ng \u0111\u01b0\u1eddng k\u00ednh n\u00e0y nh\u01b0 m\u1ed9t implant “d\u1ef1 ph\u00f2ng”.<\/p>\n

3, Thi\u1ebft k\u1ebf c\u1ee7a Implant \u0111\u01b0\u1eddng k\u00ednh r\u1ed9ng<\/h2>\n

Thi\u1ebft k\u1ebf c\u1ee7a implant ngang m\u00f4 bao g\u1ed3m ph\u1ea7n tr\u00ean m\u00e0o x\u01b0\u01a1ng v\u00e0 xuy\u00ean ni\u00eam m\u1ea1c \u0111\u01b0\u1ee3c gia c\u00f4ng (nh\u1eb5n) li\u00ean t\u1ee5c v\u1edbi implant. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 b\u1ea5t k\u1ef3 s\u1ef1 k\u1ebft n\u1ed1i n\u00e0o v\u1edbi c\u1ea5u tr\u00fac ph\u00eda tr\u00ean (m\u00e3o r\u0103ng, abutment t\u00f9y ch\u1ec9nh) \u0111\u1ec1u n\u1eb1m tr\u00ean x\u01b0\u01a1ng, tr\u1eeb khi implant \u0111\u01b0\u1ee3c \u0111\u1eb7t s\u00e2u h\u01a1n v\u00e0o b\u00ean trong m\u00e0o x\u01b0\u01a1ng (v\u00ed d\u1ee5 nh\u01b0 v\u00ec l\u00fd do th\u1ea9m m\u1ef9). Do \u0111\u00f3, c\u00e1c y\u1ebfu t\u1ed1 c\u01a1 h\u1ecdc ho\u1eb7c sinh h\u1ecdc c\u00f3 ti\u1ec1m n\u0103ng g\u00e2y ra ph\u1ea3n \u1ee9ng vi\u00eam \u1edf m\u00f4, ch\u1eb3ng h\u1ea1n nh\u01b0 s\u1ef1 k\u1ebft n\u1ed1i d\u01b0\u1edbi ni\u00eam m\u1ea1c ho\u1eb7c vi k\u1ebd gi\u1eefa implant v\u1edbi c\u1ea5u tr\u00fac ph\u00eda tr\u00ean, s\u1ebd n\u1eb1m s\u00e1t b\u1edd m\u00f4 m\u1ec1m, v\u00e0 do \u0111\u00f3 s\u1ebd \u0111\u01b0\u1ee3c gi\u1ea3m thi\u1ec3u. Ng\u01b0\u1eddi ta \u0111\u00e3 s\u1edbm nh\u1eadn th\u1ea5y thi\u1ebft k\u1ebf implant 1 kh\u1ed1i kh\u00f4ng c\u00f3 kho\u1ea3ng h\u1edf \u1edf v\u00f9ng xuy\u00ean ni\u00eam m\u1ea1c s\u1ebd t\u1ea1o thu\u1eadn l\u1ee3i cho s\u1ef1 h\u00ecnh th\u00e0nh giao di\u1ec7n m\u00f4 m\u1ec1m quanh implant t\u01b0\u01a1ng t\u1ef1 nh\u01b0 \u1edf r\u0103ng t\u1ef1 nhi\u00ean. Lo\u1ea1i thi\u1ebft k\u1ebf implant n\u00e0y l\u00e0 l\u00fd t\u01b0\u1edfng cho ph\u1eabu thu\u1eadt \u0111\u1eb7t implant m\u1ed9t th\u00ec. Thi\u1ebft k\u1ebf r\u00e3nh \u1edf ph\u1ea7n c\u1ed5 v\u1edbi k\u1ebft n\u1ed1i abutment trong s\u1ebd t\u0103ng c\u01b0\u1eddng c\u00e1c t\u00ednh ch\u1ea5t c\u01a1 h\u1ecdc c\u1ee7a ph\u1ee9c h\u1ee3p implant-abutment. K\u1ebft h\u1ee3p v\u1edbi vi\u1ec7c s\u1eed d\u1ee5ng abutment \u0111\u00fac s\u1eb5n cho ph\u1ee5c h\u00ecnh g\u1eafn xi m\u0103ng, \u0111\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u01a1n gi\u1ea3n v\u00e0 kinh t\u1ebf nh\u1ea5t \u0111\u1ec3 thay th\u1ebf m\u1ed9t r\u0103ng \u0111\u00e3 m\u1ea5t b\u1eb1ng ph\u1ee5c h\u00ecnh tr\u00ean implant.<\/p>\n

4. \u0110\u1ecbnh ngh\u0129a v\u1ec1 N\u1eb9p trong Implant nha khoa<\/h2>\n

Theo “B\u1ea3ng thu\u1eadt ng\u1eef ph\u1ee5c h\u00ecnh\u201d, n\u1eb9p (splinting) \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 “s\u1ef1 n\u1ed1i nhau gi\u1eefa 2 ho\u1eb7c nhi\u1ec1u r\u0103ng th\u00e0nh m\u1ed9t \u0111\u01a1n v\u1ecb c\u1ee9ng ch\u1eafc b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p c\u1ed1 \u0111\u1ecbnh ho\u1eb7c th\u00e1o l\u1eafp”. N\u1eb9p t\u1eeb l\u00e2u \u0111\u00e3 \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng c\u1ee7a \u0111i\u1ec1u tr\u1ecb kh\u1edbp c\u1eafn, nh\u1eb1m ki\u1ec3m so\u00e1t l\u1ef1c ph\u00e2n b\u1ed1 l\u00ean c\u00e1c r\u0103ng, v\u00e0 gi\u1ea3m t\u00e1c \u0111\u1ed9ng l\u00ean m\u00f4 nha chu b\u1eb1ng c\u00e1ch t\u0103ng c\u01b0\u1eddng s\u1ef1 \u1ed5n \u0111\u1ecbnh v\u1ecb tr\u00ed v\u00e0 ch\u1ee9c n\u0103ng c\u1ee7a to\u00e0n b\u1ed9 b\u1ed9 m\u00e1y nha chu. M\u1ed9t ch\u1ec9 \u0111\u1ecbnh l\u00e2m s\u00e0ng c\u1ed5 \u0111i\u1ec3n c\u1ee7a n\u1eb9p l\u00e0 t\u0103ng t\u1ef7 l\u1ec7 th\u00e2n\/ch\u00e2n. Tuy nhi\u00ean, d\u1eef li\u1ec7u th\u1ef1c ch\u1ee9ng \u1ee7ng h\u1ed9 ch\u1ec9 \u0111\u1ecbnh n\u00e0y \u1edf r\u0103ng th\u1eadt v\u1eabn c\u00f2n khi\u00eam t\u1ed1n, v\u00e0 \u1edf implant l\u1ea1i c\u00e0ng \u00edt h\u01a1n, v\u00e0 c\u00e1c th\u00f4ng s\u1ed1 trong t\u1eebng t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng t\u1ea1o thu\u1eadn l\u1ee3i c\u01a1 sinh h\u1ecdc sau khi n\u1eb9p c\u00e1c implant l\u00e0 kh\u00f4ng r\u00f5 r\u00e0ng.<\/p>\n

Ph\u1ee5c h\u00ecnh tr\u00ean implant \u0111\u01b0\u1ee3c n\u1eb9p b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p c\u1ed1 \u0111\u1ecbnh v\u00ec m\u1ed9t s\u1ed1 l\u00fd do kh\u00e1c v\u1edbi r\u0103ng th\u1eadt. N\u1eb9p t\u1ea1o ra s\u1ef1 \u1ed5n \u0111\u1ecbnh cho c\u00e1c r\u0103ng lung lay, trong khi \u0111\u00f3, implant l\u1ea1i kh\u00f4ng di \u0111\u1ed9ng. Do \u0111\u00f3, khi nh\u1eefng l\u1ef1c kh\u00f4ng theo h\u01b0\u1edbng tr\u1ee5c ho\u1eb7c theo chi\u1ec1u ngang t\u00e1c d\u1ee5ng l\u00ean implant, th\u00ec n\u00f3 kh\u00f4ng th\u1ec3 ngay l\u1eadp t\u1ee9c di chuy\u1ec3n ra xa kh\u1ecfi l\u1ef1c b\u1edfi v\u00ec n\u00f3 kh\u00f4ng xoay gi\u1ed1ng r\u0103ng th\u1eadt; thay v\u00e0o \u0111\u00f3, l\u1ef1c s\u1ebd t\u1eadp trung v\u00e0o ph\u1ea7n n\u1ed1i implant-abutment v\u00e0 m\u00e0o x\u01b0\u01a1ng n\u00e2ng \u0111\u1ee1. Qu\u00e1 t\u1ea3i l\u1ef1c s\u1ebd t\u1ea1o ra \u1ee9ng su\u1ea5t c\u00f3 th\u1ec3 g\u00e2y th\u1ea5t b\u1ea1i c\u01a1 h\u1ecdc cho th\u00e0nh ph\u1ea7n ph\u1ee5c h\u00ecnh v\u00e0 g\u00e2y vi n\u1ee9t x\u01b0\u01a1ng, cu\u1ed1i c\u00f9ng c\u00f3 th\u1ec3 g\u00e2y th\u1ea5t b\u1ea1i implant. Do \u0111\u00f3, m\u1ee5c \u0111\u00edch c\u1ee7a m\u00e3o n\u1ed1i nhau tr\u00ean implant l\u00e0 gi\u00fap ph\u00e2n b\u1ed1 thu\u1eadn l\u1ee3i nh\u1eefng l\u1ef1c t\u00e1c d\u1ee5ng l\u00ean c\u00e1c implant, gi\u1ea3m thi\u1ec3u l\u1ef1c l\u00ean giao di\u1ec7n implant-abutment, v\u00e0 gi\u1ea3m thi\u1ec3u nguy c\u01a1 qu\u00e1 t\u1ea3i l\u1ef1c theo chi\u1ec1u ngang cho giao di\u1ec7n x\u01b0\u01a1ng-implant.<\/p>\n

M\u1ed9t nghi\u00ean c\u1ee9u quang \u0111\u00e0n h\u1ed3i cho th\u1ea5y c\u00e1c ph\u1ee5c h\u00ecnh \u0111\u01b0\u1ee3c n\u1eb9p s\u1ebd ph\u00e2n chia t\u1ea3i l\u1ef1c nhai v\u00e0 ph\u00e2n b\u1ed1 \u1ee9ng su\u1ea5t gi\u1eefa c\u00e1c implant \u0111\u1ed3ng \u0111\u1ec1u h\u01a1n khi ch\u1ecbu t\u00e1c d\u1ee5ng c\u1ee7a l\u1ef1c l\u1ec7ch t\u00e2m. M\u1ed9t nghi\u00ean c\u1ee9u m\u00f4 h\u00ecnh ph\u1ea7n t\u1eed h\u1eefu h\u1ea1n ba chi\u1ec1u \u2013 trong \u0111\u00f3 \u0111\u00e1nh gi\u00e1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a vi\u1ec7c n\u1eb9p ph\u1ee5c h\u00ecnh l\u00ean \u1ee9ng su\u1ea5t x\u01b0\u01a1ng quanh implant \u1edf x\u01b0\u01a1ng c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng k\u00e9m \u2013 cho th\u1ea5y vi\u1ec7c n\u1eb9p m\u00e3o r\u0103ng tr\u00ean c\u00e1c implant k\u1ebf nhau b\u1eb1ng v\u1eadt li\u1ec7u ph\u1ee5c h\u1ed3i t\u01b0\u01a1ng \u0111\u1ed1i c\u1ee9ng ch\u1eafc \u0111\u00e3 l\u00e0m gi\u1ea3m \u1ee9ng su\u1ea5t x\u01b0\u01a1ng quanh implant khi ch\u1ecbu t\u1ea3i l\u1ef1c ngang, t\u1eeb \u0111\u00f3 \u0111\u01b0a \u0111\u1ebfn \u0111\u1ec1 xu\u1ea5t n\u1eb9p c\u00e1c implant trong tr\u01b0\u1eddng h\u1ee3p x\u01b0\u01a1ng c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng k\u00e9m [28]. \u01afu \u0111i\u1ec3m c\u1ee7a vi\u1ec7c ph\u00e2n chia t\u1ea3i l\u1ef1c b\u1eb1ng ph\u1ee5c h\u00ecnh n\u1ed1i nhau kh\u00f4ng ph\u1ea3i l\u00e0 tuy\u1ec7t \u0111\u1ed1i. C\u1ea7n l\u01b0u \u00fd nh\u1eefng tr\u01b0\u1eddng h\u1ee3p hai m\u00e3o r\u0103ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t \u0111\u00e1ng k\u1ec3 v\u1ec1 c\u01a1 sinh h\u1ecdc, ch\u1eb3ng h\u1ea1n nh\u01b0 s\u1eed d\u1ee5ng 1 implant ti\u00eau chu\u1ea9n \u1edf v\u00f9ng r\u0103ng c\u1ed1i nh\u1ecf v\u00e0 implant r\u1ed9ng ho\u1eb7c 2 implant \u1edf v\u00f9ng r\u0103ng c\u1ed1i l\u1edbn. Ngo\u00e0i ra, trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 h\u01b0\u1edbng d\u1eabn tr\u01b0\u1edbc d\u1ed1c \u2013 ch\u1eb3ng h\u1ea1n nh\u01b0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u1eafn s\u00e2u, s\u1ed1 l\u01b0\u1ee3ng \u0111i\u1ec3m ch\u1eb7n c\u1eafn kh\u1edbp t\u1ef1 nhi\u00ean \u00edt, ph\u1ee5c h\u00ecnh tr\u00ean implant bao g\u1ed3m c\u1ea3 r\u0103ng nanh, ho\u1eb7c nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 th\u00f3i quen c\u1eadn ch\u1ee9c n\u0103ng \u2013 th\u00ec vi\u1ec7c n\u1eb9p c\u00e1c implant \u1edf v\u00f9ng r\u0103ng tr\u01b0\u1edbc s\u1ebd t\u1ea1o thu\u1eadn l\u1ee3i. M\u1eb7t kh\u00e1c, h\u00ecnh th\u1ec3 b\u1ec1n v\u00e0 l\u01b0u c\u1ee7a ph\u1ee5c h\u00ecnh c\u1ed1 \u0111\u1ecbnh tr\u00ean implant l\u00e0 nh\u1eefng th\u00f4ng s\u1ed1 kh\u00e1c c\u1ea7n \u0111\u01b0\u1ee3c xem x\u00e9t khi \u0111\u00e1nh gi\u00e1 nhu c\u1ea7u n\u1eb9p.<\/p>\n

\u0110\u1eb7c bi\u1ec7t nh\u1edb r\u1eb1ng ph\u1ee5c h\u00ecnh n\u1ed1i nhau kh\u00f4ng \u0111\u01b0\u1ee3c g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng duy tr\u00ec v\u1ec7 sinh r\u0103ng mi\u1ec7ng c\u1ee7a b\u1ec7nh nh\u00e2n. Khi ch\u1ebf t\u00e1c ph\u1ee5c h\u00ecnh n\u1ed1i nhau, k\u1ef9 thu\u1eadt vi\u00ean labo c\u1ea7n thi\u1ebft k\u1ebf kho\u1ea3ng m\u1eb7t b\u00ean v\u00e0 khe h\u1edf ti\u1ebfp c\u1eadn cho ph\u00e9p c\u00e1c d\u1ee5ng c\u1ee5 v\u1ec7 sinh d\u1ec5 d\u00e0ng \u0111i v\u00e0o nh\u1eefng v\u00f9ng n\u00e0y, ch\u1eb3ng h\u1ea1n nh\u01b0 ch\u1ec9 lu\u1ed3n (superfloss), ch\u1ec9 nha khoa, ho\u1eb7c b\u00e0n ch\u1ea3i k\u1ebd. Nh\u1eefng t\u00ecnh tr\u1ea1ng \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb l\u00e0m ph\u1ee5c h\u00ecnh n\u1ed1i nhau tr\u00ean implant \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea trong \u1ea3nh d\u01b0\u1edbi \u0111\u00e2y.<\/p>\n

\"implant-duong-kinh-rong\"<\/p>\n

Ngu\u1ed3n t\u00e0i li\u1ec7u: Clinical Cases in Implant Dentistry, First Edition – Published 2017 by John Wiley & Sons, Inc.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y t\u00f3m t\u1eaft nh\u1eefng s\u01a1 l\u01b0\u1ee3c nh\u1ea5t v\u1ec1 lo\u1ea1i Implant \u0111\u01b0\u1eddng k\u00ednh r\u1ed9ng v\u00e0 \u1ee9ng d\u1ee5ng c\u1ee5 th\u1ec3 c\u1ee7a ch\u00fang tr\u00ean l\u00e2m s\u00e0ng, h\u1ed7 tr\u1ee3 c\u00e1c Nha s\u0129 r\u1ea5t nhi\u1ec1u v\u00ec m\u1ed9t s\u1ed1 \u0111\u1eb7c \u0111i\u1ec3m \u01b0u vi\u1ec7t h\u01a1n so v\u1edbi lo\u1ea1i th\u00f4ng th\u01b0\u1eddng. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y sau \u0111\u00e2y. […]<\/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":"\nImplant \u0111\u01b0\u1eddng k\u00ednh r\u1ed9ng - T\u1ed5ng quan. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y t\u00f3m t\u1eaft nh\u1eefng s\u01a1 l\u01b0\u1ee3c nh\u1ea5t v\u1ec1 lo\u1ea1i Implant \u0111\u01b0\u1eddng k\u00ednh r\u1ed9ng v\u00e0 \u1ee9ng d\u1ee5ng c\u1ee5 th\u1ec3 c\u1ee7a ch\u00fang tr\u00ean l\u00e2m s\u00e0ng. 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