{"id":30884,"date":"2023-05-02T21:45:40","date_gmt":"2023-05-02T14:45:40","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30884"},"modified":"2023-05-03T15:42:59","modified_gmt":"2023-05-03T08:42:59","slug":"yeu-to-be-mat-va-lanh-thuong-tich-hop-xuong-implant","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/yeu-to-be-mat-va-lanh-thuong-tich-hop-xuong-implant\/","title":{"rendered":"Y\u1ebfu t\u1ed1 b\u1ec1 m\u1eb7t v\u00e0 l\u00e0nh th\u01b0\u01a1ng – t\u00edch h\u1ee3p x\u01b0\u01a1ng Implant."},"content":{"rendered":"

S\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a c\u1ea5y gh\u00e9p nha khoa \u0111\u01b0\u1ee3c d\u1ef1a tr\u00ean vi\u1ec7c \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u01a1 h\u1ecdc t\u1ea1i v\u1ecb tr\u00ed implant, sau \u0111\u00f3 l\u00e0 s\u1ef1 \u1ed5n \u0111\u1ecbnh sinh h\u1ecdc theo th\u1eddi gian nh\u1edd s\u1ef1 t\u00edch h\u1ee3p x\u01b0\u01a1ng. \u0110\u1eb7c \u0111i\u1ec3m b\u1ec1 m\u1eb7t implant v\u00e0 nhi\u1ec1u y\u1ebfu t\u1ed1 kh\u00e1c ch\u1eb3ng h\u1ea1n nh\u01b0 t\u00ednh t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc c\u1ee7a v\u1eadt li\u1ec7u l\u00e0m implant, ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 kh\u1ed1i l\u01b0\u1ee3ng x\u01b0\u01a1ng, t\u00ecnh tr\u1ea1ng t\u1ea3i l\u1ef1c, v\u00e0 thi\u1ebft k\u1ebf implant \u2013 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u1ef7 l\u1ec7 v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng t\u00edch h\u1ee3p x\u01b0\u01a1ng. B\u00e0i vi\u1ebft n\u00e0y n\u1ed9i dung t\u1ed5ng quan v\u1ec1 y\u1ebfu t\u1ed1 b\u1ec1 m\u1eb7t li\u00ean quan \u0111\u1ebfn qu\u00e1 tr\u00ecnh l\u00e0nh th\u01b0\u01a1ng – t\u00edch h\u1ee3p x\u01b0\u01a1ng c\u1ee7a Implant. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n

1. \u0110\u1eb7c \u0111i\u1ec3m giao di\u1ec7n X\u01b0\u01a1ng – Implant l\u00e0 g\u00ec?<\/h2>\n

S\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a c\u1ea5y gh\u00e9p nha khoa \u0111\u01b0\u1ee3c d\u1ef1a tr\u00ean vi\u1ec7c \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u01a1 h\u1ecdc t\u1ea1i v\u1ecb tr\u00ed implant, sau \u0111\u00f3 l\u00e0 s\u1ef1 \u1ed5n \u0111\u1ecbnh sinh h\u1ecdc theo th\u1eddi gian nh\u1edd s\u1ef1 t\u00edch h\u1ee3p x\u01b0\u01a1ng. S\u1ef1 b\u00e1m d\u00ednh x\u01b0\u01a1ng tr\u1ef1c ti\u1ebfp v\u00e0o implant th\u01b0\u1eddng \u0111\u1ea1t 50-80% b\u1ec1 m\u1eb7t, t\u00f9y thu\u1ed9c v\u00e0o v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p v\u00e0 m\u00f4 m\u1ec1m, nh\u01b0ng \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 lu\u00f4n hi\u1ec7n di\u1ec7n t\u1ea1i giao di\u1ec7n. Tuy nhi\u00ean, vi\u1ec7c implant c\u00f3 ti\u1ebfp x\u00fac x\u01b0\u01a1ng-implant l\u1edbn h\u01a1n s\u1ebd t\u1ea1o ra \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh cao h\u01a1n l\u00e0 ch\u01b0a r\u00f5 r\u00e0ng.<\/p>\n

M\u1ed9t nghi\u00ean c\u1ee9u si\u00eau c\u1ea5u tr\u00fac nh\u1eadn th\u1ea5y x\u01b0\u01a1ng kho\u00e1ng h\u00f3a kh\u00f4ng ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi b\u1ec1 m\u1eb7t implant, nh\u01b0ng \u0111\u01b0\u1ee3c li\u00ean k\u1ebft b\u1edfi m\u1ed9t l\u1edbp ch\u1ea5t n\u1ec1n v\u00f4 \u0111\u1ecbnh h\u00ecnh, d\u00e0y \u0111\u1eb7c, n\u1eb1m xen gi\u1eefa, c\u00f3 \u0111\u1ed9 d\u00e0y trong kho\u1ea3ng 20 \u0111\u1ebfn 500 nm, b\u1ea5t k\u1ec3 th\u1eddi gian \u0111\u1eb7t implant l\u00e0 bao l\u00e2u. Do l\u1edbp xen gi\u1eefa n\u00e0y kh\u00f4ng hi\u1ec7n di\u1ec7n khi c\u00f3 giao di\u1ec7n m\u00f4 s\u1ee3i v\u1edbi implant, n\u00ean c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u gi\u1ea3 thuy\u1ebft r\u1eb1ng ch\u1ea5t n\u1ec1n n\u00e0y c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb khu\u00f4n x\u01b0\u01a1ng h\u1eefu c\u01a1. \u1ede l\u1edbp g\u1ea7n nh\u1ea5t, proteoglycans l\u1eafng \u0111\u1ecdng calcium, th\u1ec9nh tho\u1ea3ng ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi titanium, \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn.<\/p>\n

2. Y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 t\u00edch h\u1ee3p x\u01b0\u01a1ng c\u1ee7a Implant<\/h2>\n

\u0110\u1eb7c \u0111i\u1ec3m b\u1ec1 m\u1eb7t implant v\u00e0 nhi\u1ec1u y\u1ebfu t\u1ed1 kh\u00e1c ch\u1eb3ng h\u1ea1n nh\u01b0 t\u00ednh t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc c\u1ee7a v\u1eadt li\u1ec7u l\u00e0m implant, ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 kh\u1ed1i l\u01b0\u1ee3ng x\u01b0\u01a1ng, t\u00ecnh tr\u1ea1ng t\u1ea3i l\u1ef1c, v\u00e0 thi\u1ebft k\u1ebf implant \u2013 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u1ef7 l\u1ec7 v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng t\u00edch h\u1ee3p x\u01b0\u01a1ng. C\u00e1c nghi\u00ean c\u1ee9u ch\u00ednh trong h\u01a1n 40 n\u0103m qua \u0111\u00e3 t\u1eadp trung v\u00e0o vi\u1ec7c t\u0103ng c\u01b0\u1eddng c\u1ea5u tr\u00fac v\u00e0 t\u00ednh ch\u1ea5t h\u00f3a h\u1ecdc c\u1ee7a b\u1ec1 m\u1eb7t implant, v\u1edbi m\u1ee5c ti\u00eau l\u00e0 gia t\u0103ng ti\u1ebfp x\u00fac x\u01b0\u01a1ng- implant.<\/p>\n

M\u1eb7c d\u00f9 m\u1ed9t s\u1ed1 thay \u0111\u1ed5i b\u1ec1 m\u1eb7t \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 \u0111em l\u1ea1i k\u1ebft qu\u1ea3 h\u1ee9a h\u1eb9n trong c\u00e1c nghi\u00ean c\u1ee9u ng\u1eafn h\u1ea1n, nh\u01b0ng v\u1eabn ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng r\u00f5 r\u00e0ng v\u1ec1 vi\u1ec7c ch\u00fang \u0111em l\u1ea1i \u01b0u th\u1ebf cho s\u1ef1 t\u1ed3n t\u1ea1i d\u00e0i h\u1ea1n c\u1ee7a implant ho\u1eb7c s\u1ef1 duy tr\u00ec m\u00e0o x\u01b0\u01a1ng so v\u1edbi b\u1ec1 m\u1eb7t implant kh\u00f4ng x\u1eed l\u00fd.<\/p>\n

Do \u0111\u00f3, l\u1edbp ph\u1ee7 l\u1ed7 r\u1ed7 l\u00ean b\u1ec1 m\u1eb7t, l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n trong ph\u1eabu thu\u1eadt ch\u1ec9nh h\u00ecnh, sau n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng v\u00e0o nha khoa \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng \u0111\u1ed9 b\u1ec1n c\u1ee7a implant nh\u1edd s\u1ef1 t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng v\u00e0o b\u00ean trong c\u00e1c l\u1ed7 c\u1ee7a l\u1edbp ph\u1ee7.<\/p>\n

\"yeu-to-be-mat\"
V\u00ed d\u1ee5 v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u1eed l\u00fd b\u1ec1 m\u1eb7t l\u1ed7 r\u1ed7 bao g\u1ed3m (A) m\u1ea1 kim lo\u1ea1i \u0111i\u1ec7n ph\u00e2n (anodization), (B) ph\u1ee7 hydroxyapatite, (C) ph\u1ee7 titanium c\u1ea5u tr\u00fac x\u1ed1p, v\u00e0 (D) ph\u1ee7 h\u00e0n thi\u00eau k\u1ebft.<\/figcaption><\/figure>\n

Tuy nhi\u00ean, t\u1ea5t c\u1ea3 c\u00e1c l\u1edbp ph\u1ee7 l\u1ed7 r\u1ed7 l\u00ean b\u1ec1 m\u1eb7t hi\u1ec7n nay c\u00f3 \u0111\u1ed9 l\u1ed7 r\u1ed7 gi\u1edbi h\u1ea1n v\u00e0 k\u00edch th\u01b0\u1edbc l\u1ed7 kh\u00f4ng \u0111\u1ed3ng \u0111\u1ec1u cho s\u1ef1 t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng b\u00ean trong, v\u00e0 th\u01b0\u1eddng b\u1ecb n\u1ee9t, b\u1ecb d\u00e1t m\u1ecfng, ho\u1eb7c b\u1ecb h\u00f2a fan trong m\u00f4i tr\u01b0\u1eddng sinh h\u1ecdc.<\/p>\n

3. Nh\u1eefng thay \u0111\u1ed5i y\u1ebfu t\u1ed1 b\u1ec1 m\u1eb7t c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 l\u00e0nh th\u01b0\u01a1ng – t\u00edch h\u1ee3p x\u01b0\u01a1ng<\/h2>\n

M\u1ed9t s\u1ed1 v\u1eadt li\u1ec7u sinh h\u1ecdc c\u00f3 \u0111\u1ed9 l\u1ed7 r\u1ed7 cao \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n \u0111\u1ec3 s\u1eed d\u1ee5ng trong ph\u1eabu thu\u1eadt ch\u1ec9nh h\u00ecnh v\u00e0 nha khoa \u0111\u1ec3 kh\u1eafc ph\u1ee5c nh\u1eefng thi\u1ebfu s\u00f3t c\u1ee7a l\u1edbp ph\u1ee7 l\u1ed7 r\u1ed7. Trong su\u1ed1t nh\u1eefng n\u0103m 1970, c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e3 gi\u1edbi thi\u1ec7u implant l\u01b0\u1edbi s\u1ee3i titanium l\u00e0m b\u1eb1ng c\u00e1c d\u00e2y titanium u\u1ed1n cong, thi\u00eau k\u1ebft. V\u1eadt li\u1ec7u c\u00f3 \u0111\u1ed9 l\u1ed7 r\u1ed7 t\u1ed1i thi\u1ec3u 50% v\u00e0 h\u1ea7u h\u1ebft l\u1ed7 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 \u0111\u1ee7 l\u1edbn cho s\u1ef1 ph\u00e1t tri\u1ec3n x\u01b0\u01a1ng b\u00ean trong.<\/p>\n

M\u1eb7c d\u00f9 thi\u1ebft k\u1ebf \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1ef1 t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng gi\u1eefa c\u00e1c v\u00f2ng d\u00e2y v\u00e0 c\u00f3 s\u1ef1 t\u1ea1o x\u01b0\u01a1ng xung quanh th\u00e2n implant, nh\u01b0ng lu\u00f4n c\u00f3 giao di\u1ec7n m\u00f4 s\u1ee3i gi\u1eefa x\u01b0\u01a1ng v\u00e0 ph\u1ea7n kim lo\u1ea1i c\u1ee7a implant. \u0110\u00e2y c\u00f3 th\u1ec3 l\u00e0 do th\u1ef1c t\u1ebf l\u00e0 thi\u1ebft k\u1ebf implant h\u00ecnh tr\u1ee5 th\u00ec kh\u00f4ng c\u00f3 c\u00e1c ren ph\u00eda ngo\u00e0i cho s\u1ef1 \u1ed5n \u0111\u1ecbnh v\u00e0 kh\u00f4ng \u0111\u1ee7 h\u00e0ng r\u00e0o ng\u0103n ng\u1eeba bi\u1ec3u m\u00f4 t\u0103ng tr\u01b0\u1edfng xu\u1ed1ng d\u01b0\u1edbi.<\/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

1. Albrektsson T. Hard tissue implant interface. Aust Dent J 2008;53(Suppl 1):S34-S38.<\/em><\/p>\n

2. Lian Z, Guan H, Ivanovski S, et al. Effect of bone to implant contact percentage on bone remodeling surrounding a dental implant. Int J Oral Maxillofac Surg 2010;39(7):690-698.<\/em><\/p>\n

3. Br\u00e5nemark P-I. Introduction to osseointegration. In: Br\u00e5nemarkP-1, ZarbGA, AlbrektssonT (eds), Tissue-Integrated Prostheses, Osseointegration in Clinical Dentistry, 1st reprinting. Chicago, IL: Quintessence; 1985, pp 11-76.<\/em><\/p>\n

4. Albrektsson T. Bone tissue response. In: Br\u00e5nemarkP-1, ZarbGA, AlbrektssonT (eds), Tissue-Integrated Prostheses, Osseointegration in Clinical Dentistry, 1st reprinting. Chicago, IL: Quintessence; 1985, pp 129-143.<\/em><\/p>\n

5. Vandamme K, Naert I, Sloten JV, et al. Effect of implant surface roughness and loading on peri-implant bone formation. J Periodontol 2008;79(1):150-157<\/em><\/p>\n

6. Hujoel P, Becker W, Becker B. Monitoring failure rates of commercial implant brands; substantial equivalence in question? Clin Oral Implants Res 2013;24(7):725-729.<\/em><\/p>\n

7. Spector M. Historical review of porous-coated implants. J Arthroplasty 1987;2(2):163-177.<\/em><\/p>\n

8. L\u00fcthy H, Strub JR, Sch\u00e4rer P. Analysis of plasma flame- sprayed coatings on endosseous oral titanium implants exfoliated in man: preliminary results. Int J Oral Maxillofac Implants 1987;2(4):197-202.<\/em><\/p>\n

9. Weiss MB, Rostoker W. Development of an endosseous dental implant (I). Quintessence Int Dent Dig 1977;8(9):87-91.<\/em><\/p>\n

10. Weiss MB, Rostoker W. Development of a new endosseous dental implant. Part I: animal studies. J Prosthet Dent 1981;46(6):646-651.<\/em><\/p>\n

11. Weiss MB, Rostoker W. Development of a new endosseous dental implant. Part II: human studies. J Prosthet Dent 1982;47(6):633-645.<\/em><\/p>\n

12. Weiss MB. Titanium fiber-mesh metal implant. J Oral Implantol 1986;12(3):498-507<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

S\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a c\u1ea5y gh\u00e9p nha khoa \u0111\u01b0\u1ee3c d\u1ef1a tr\u00ean vi\u1ec7c \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u01a1 h\u1ecdc t\u1ea1i v\u1ecb tr\u00ed implant, sau \u0111\u00f3 l\u00e0 s\u1ef1 \u1ed5n \u0111\u1ecbnh sinh h\u1ecdc theo th\u1eddi gian nh\u1edd s\u1ef1 t\u00edch h\u1ee3p x\u01b0\u01a1ng. \u0110\u1eb7c \u0111i\u1ec3m b\u1ec1 m\u1eb7t implant v\u00e0 nhi\u1ec1u y\u1ebfu t\u1ed1 kh\u00e1c ch\u1eb3ng h\u1ea1n nh\u01b0 t\u00ednh t\u01b0\u01a1ng h\u1ee3p […]<\/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":"\nY\u1ebfu t\u1ed1 b\u1ec1 m\u1eb7t v\u00e0 l\u00e0nh th\u01b0\u01a1ng - t\u00edch h\u1ee3p x\u01b0\u01a1ng Implant.<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y n\u1ed9i dung t\u1ed5ng quan v\u1ec1 y\u1ebfu t\u1ed1 b\u1ec1 m\u1eb7t li\u00ean quan \u0111\u1ebfn qu\u00e1 tr\u00ecnh l\u00e0nh th\u01b0\u01a1ng - t\u00edch h\u1ee3p x\u01b0\u01a1ng c\u1ee7a Implant. 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