{"id":30903,"date":"2023-05-02T22:08:11","date_gmt":"2023-05-02T15:08:11","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30903"},"modified":"2023-05-03T15:46:38","modified_gmt":"2023-05-03T08:46:38","slug":"vat-lieu-tantalum-cua-tru-implant-nha-khoa","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/vat-lieu-tantalum-cua-tru-implant-nha-khoa\/","title":{"rendered":"V\u1eadt li\u1ec7u Tantalum c\u1ee7a tr\u1ee5 Implant Nha khoa."},"content":{"rendered":"

V\u1eadt li\u1ec7u Tantalum l\u00e0 m\u1ed9t lo\u1ea1i v\u1eadt li\u1ec7u \u0111\u00e3 xu\u1ea5t hi\u1ec7n t\u1eeb kh\u00e1 l\u00e2u, tuy nhi\u00ean l\u1ea1i c\u00f2n \u0111ang m\u1edbi m\u1ebb \u0111\u1ed1i v\u1edbi l\u0129nh v\u1ef1c ph\u1eabu thu\u1eadt Implant Nha khoa. C\u00f9ng t\u00ecm hi\u1ec3u t\u1ed5ng quan v\u1ec1 v\u1eadt li\u1ec7u n\u00e0y, \u0111\u1ed3ng th\u1eddi, xem x\u00e9t nh\u1eefng nghi\u00ean c\u1ee9u \u0111\u1ed1i v\u1edbi l\u0129nh v\u1ef1c v\u1eadt li\u1ec7u \u0111\u1eb7c bi\u1ec7t.<\/strong><\/p>\n

1. T\u1ed5ng quan v\u1ec1 v\u1eadt li\u1ec7u Tantalum \u0111\u1ed1i v\u1edbi Implant nha khoa<\/h2>\n

V\u1eadt li\u1ec7u Tantalum (v\u00ed d\u1ee5 l\u00e0 tr\u1ee5 Implant Trabecular Metal (TM) – Zimmer TMT), m\u1ed9t khung m\u00f4 ph\u1ecfng sinh h\u1ecdc m\u00f4 ph\u1ecfng c\u1ea5u tr\u00fac l\u1ed7 r\u1ed7 v\u00e0 t\u00ednh ch\u1ea5t \u0111\u00e0n h\u1ed3i c\u1ee7a x\u01b0\u01a1ng b\u00e8, \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n b\u1edfi c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u trong l\u0129nh v\u1ef1c ph\u1eabu thu\u1eadt ch\u1ec9nh h\u00ecnh.<\/p>\n

\"vat-lieu-tantalum-1\"<\/p>\n

TM (Zimmer TMT) \u0111\u01b0\u1ee3c ch\u1ebf t\u1ea1o b\u1eb1ng c\u00e1ch ph\u1ee7 Tantalum nguy\u00ean ch\u1ea5t l\u00ean khung carbon th\u1ee7y tinh th\u00f4ng qua qu\u00e1 tr\u00ecnh k\u1ebft t\u1ee7a h\u01a1i h\u00f3a h\u1ecdc.<\/p>\n

\"vat-lieu-tantalum-2\"
C\u1ea5u tr\u00fac TM<\/figcaption><\/figure>\n
\"vat-lieu-tantalum-3\"
Thi\u1ebft di\u1ec7n c\u1eaft ngang c\u1ee7a TM cho th\u1ea5y l\u1edbp Tantalum d\u00e0y (a) ph\u1ee7 l\u00ean l\u00f5i carbon th\u1ee7y tinh (b).<\/figcaption><\/figure>\n
\"\"
K\u1ebft c\u1ea5u vi th\u1ec3 c\u1ee7a b\u1ec1 m\u1eb7t TM<\/figcaption><\/figure>\n

K\u1ec3 t\u1eeb \u0111\u1ea7u nh\u1eefng n\u0103m 1940, v\u1eadt li\u1ec7u Tantalum, chi\u1ebfm kho\u1ea3ng 98% TM, \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i l\u00e0m v\u1eadt li\u1ec7u c\u1ea5y gh\u00e9p trong y khoa, v\u00e0 l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u l\u00e0m v\u1eadt li\u1ec7u c\u1ea5y gh\u00e9p nha khoa v\u00e0o n\u0103m 1947. L\u00f5i carbon th\u1ee7y tinh, chi\u1ebfm kho\u1ea3ng 2% TM, c\u0169ng t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0m v\u1eadt li\u1ec7u c\u1ea5y gh\u00e9p nha khoa trong su\u1ed1t nh\u1eefng n\u0103m 1970. Vi\u1ec7c TM v\u1edbi h\u1ee3p kim titanium \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i tr\u00ean l\u00e2m s\u00e0ng trong ph\u1eabu thu\u1eadt ch\u1ec9nh h\u00ecnh v\u00e0 c\u1ea5y gh\u00e9p nha khoa \u0111\u00e3 kh\u1eb3ng \u0111\u1ecbnh t\u00ednh t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc v\u00e0 t\u00ednh kh\u00e1ng m\u00f2n c\u1ee7a tantalum, carbon th\u1ee7y tinh, v\u00e0 h\u1ee3p kim titanium \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong thi\u1ebft k\u1ebf implant.<\/p>\n

Ngo\u00e0i s\u1ef1 t\u00edch h\u1ee3p x\u01b0\u01a1ng th\u00f4ng th\u01b0\u1eddng, implant TM c\u00f2n \u0111\u01b0\u1ee3c t\u0103ng c\u01b0\u1eddng b\u1eb1ng s\u1ef1 t\u0103ng tr\u01b0\u1edfng c\u1ee7a x\u01b0\u01a1ng v\u00e0o trong v\u1eadt li\u1ec7u l\u1ed7 r\u1ed7, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 s\u1ef1 k\u1ebft h\u1ee3p x\u01b0\u01a1ng. M\u1eb7c d\u00f9 s\u1ef1 k\u1ebft h\u1ee3p x\u01b0\u01a1ng \u0111\u00e3 \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng trong c\u1ea5y gh\u00e9p ph\u1eabu thu\u1eadt ch\u1ec9nh h\u00ecnh g\u1ea7n 20 n\u0103m nay, nh\u01b0ng implant Trabecular Metal (Zimmer Dental Inc.) v\u1eabn c\u00f2n kh\u00e1 m\u1edbi m\u1ebb \u0111\u1ed1i v\u1edbi c\u1ea5y gh\u00e9p nha khoa. Do \u0111\u00f3, nh\u1eefng d\u1eef li\u1ec7u l\u00e2m s\u00e0ng c\u1ee7a thi\u1ebft k\u1ebf n\u00e0y trong c\u00e1c \u1ea5n ph\u1ea9m t\u1ed5ng quan v\u1eabn \u0111ang b\u1ecf ng\u1ecf, v\u00e0 m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng v\u1eabn \u0111ang \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh.<\/p>\n

2. B\u00e0n lu\u1eadn c\u00e1c nghi\u00ean c\u1ee9u tr\u00ean th\u1ebf gi\u1edbi<\/h2>\n

Trong m\u00f4 h\u00ecnh r\u0103ng nanh, Kim v\u00e0 c\u1ed9ng s\u1ef1 (2013) \u0111\u00e3 so s\u00e1nh implant lai tantalum-titanium Trabecular Metal v\u1edbi implant ti\u00eau chu\u1ea9n Tapered-Screw Vente (Zimmer Dental Inc.) sau 0, 2, 4, 8, v\u00e0 12 tu\u1ea7n l\u00e0nh th\u01b0\u01a1ng. Kh\u00f4ng c\u00f3 c\u00e1c bi\u1ebfn ch\u1ee9ng trong v\u00e0 sau ph\u1eabu thu\u1eadt. \u0110\u1ed9 \u1ed5n \u0111\u1ecbnh c\u1ee7a implant, \u0111\u01b0\u1ee3c \u0111o b\u1eb1ng ph\u00e2n t\u00edch t\u1ea7n s\u1ed1 c\u1ed9ng h\u01b0\u1edfng, kh\u00f4ng kh\u00e1c bi\u1ec7t \u0111\u00e1ng k\u1ec3 gi\u1eefa thi\u1ebft k\u1ebf implant th\u1eed nghi\u1ec7m v\u00e0 ch\u1ee9ng t\u1ea1i m\u1ecdi th\u1eddi \u0111i\u1ec3m. T\u1ef7 l\u1ec7 ti\u1ebfp x\u00fac x\u01b0\u01a1ng v\u1ecf-implant v\u01b0\u1ee3t tr\u00ean 65% v\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t th\u1ed1ng k\u00ea gi\u1eefa 2 thi\u1ebft k\u1ebf implant \u1edf t\u1ea5t c\u1ea3 c\u00e1c th\u1eddi \u0111i\u1ec3m. Ph\u00e2n t\u00edch m\u00f4 h\u1ecdc v\u00e0 ph\u00e2n t\u00edch hi\u1ec3n vi \u0111i\u1ec7n t\u1eed qu\u00e9t t\u00e1n x\u1ea1 cho th\u1ea5y s\u1ef1 t\u00edch h\u1ee3p x\u01b0\u01a1ng d\u1ea7n d\u1ea7n v\u1edbi b\u1ec1 m\u1eb7t implant (t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng b\u00ean ngo\u00e0i) c\u00f9ng v\u1edbi s\u1ef1 t\u0103ng tr\u01b0\u1edfng v\u00e0 tr\u01b0\u1edfng th\u00e0nh x\u01b0\u01a1ng b\u00ean trong v\u1eadt li\u1ec7u tantalum l\u1ed7 r\u1ed7 qua c\u00e1c th\u1eddi \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1. T\u1ef7 l\u1ec7 ti\u1ebfp x\u00fac x\u01b0\u01a1ng-implant v\u00e0 x\u01b0\u01a1ng b\u00ean trong TM c\u00f3 m\u1ed1i t\u01b0\u01a1ng quan thu\u1eadn c\u00f3 \u00fd ngh\u0129a.<\/p>\n

Schlee v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 b\u00e1o c\u00e1o k\u1ebft qu\u1ea3 t\u1ea1m th\u1eddi 1 n\u0103m t\u1eeb m\u1ed9t nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng ti\u1ebfn c\u1ee9u 3 n\u0103m v\u1ec1 t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec c\u1ee7a implant Trabecular Metal. B\u00e1o c\u00e1o t\u1ea1m th\u1eddi bao g\u1ed3m 22 implant Trabecular Metal \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf 17 \u0111\u1ed1i t\u01b0\u1ee3ng (10 n\u1eef, 7 nam). Implant \u0111\u01b0\u1ee3c l\u00e0m ph\u1ee5c h\u00ecnh t\u1ea1m h\u1edf kh\u1edbp trong v\u00f2ng 48 gi\u1edd sau khi \u0111\u1eb7t implant, v\u00e0 \u0111\u01b0\u1ee3c t\u1ea3i l\u1ef1c ch\u00ednh th\u1ee9c trong v\u00f2ng 14 ng\u00e0y. Kh\u00f4ng c\u00f3 th\u1ea5t b\u1ea1i implant ho\u1eb7c t\u00e1c d\u1ee5ng ph\u1ee5 \u1edf nh\u00f3m t\u1ea1m th\u1eddi, v\u00e0 m\u1ee9c ti\u00eau m\u00e0o x\u01b0\u01a1ng trung b\u00ecnh l\u00e0 0.43 \u00b1 0.41 mm.<\/p>\n

Trong nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng th\u1ee9 hai, Schlee v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 b\u00e1o c\u00e1o k\u1ebft qu\u1ea3 t\u1ea1m th\u1eddi 1 n\u0103m t\u1eeb m\u1ed9t \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng qu\u1ed1c t\u1ebf \u0111a trung t\u00e2m, ti\u1ebfn c\u1ee9u, kh\u00f4ng ng\u1eabu nhi\u00ean v\u1ec1 implant Trabecular Metal trong giai \u0111o\u1ea1n ph\u00e1t tri\u1ec3n c\u1ee7a n\u00f3 (2010-2011). M\u1ee5c ti\u00eau c\u1ee7a nghi\u00ean c\u1ee9u 5 n\u0103m n\u00e0y l\u00e0 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng c\u1ee7a implant TM \u1edf m\u1ed9t nh\u00f3m b\u1ec7nh nh\u00e2n c\u1eaft ngang m\u00e0 b\u00e1c s\u0129 l\u00e2m s\u00e0ng th\u01b0\u1eddng xuy\u00ean \u0111i\u1ec1u tr\u1ecb trong qu\u00e1 tr\u00ecnh th\u1ef1c h\u00e0nh. Nh\u1eefng nghi\u00ean c\u1ee9u kh\u00f4ng quan thi\u1ec7p \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 tr\u00e1nh thi\u00ean v\u1ecb nh\u00e0 s\u1ea3n xu\u1ea5t b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c s\u1ea3n ph\u1ea9m nh\u01b0 trong th\u1ef1c h\u00e0nh nha khoa th\u00f4ng th\u01b0\u1eddng. D\u1eef li\u1ec7u \u0111\u01b0\u1ee3c th\u1ed1ng k\u00ea v\u00e0 ph\u00e2n t\u00edch h\u1ec7 th\u1ed1ng \u0111\u1ec3 t\u00ecm ra c\u00e1c k\u1ebft qu\u1ea3 c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea. Trong nghi\u00ean c\u1ee9u n\u00e0y, ch\u01b0\u01a1ng tr\u00ecnh thu th\u1eadp s\u1ed1 li\u1ec7u theo chi\u1ec1u d\u1ecdc \u0111\u00e3 \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp \u0111\u1ec3 theo d\u00f5i d\u1eef li\u1ec7u nghi\u00ean c\u1ee9u v\u00e0 cung c\u1ea5p cho nghi\u00ean c\u1ee9u vi\u00ean m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p thu th\u1eadp s\u1ed1 li\u1ec7u an to\u00e0n nh\u1edd nh\u1eefng m\u1eabu b\u00e1o c\u00e1o case k\u1ef9 thu\u1eadt s\u1ed1 \u0111\u01b0\u1ee3c l\u01b0u tr\u1eef th\u00e0nh c\u01a1 s\u1edf d\u1eef li\u1ec7u c\u00f3 m\u1eadt kh\u1ea9u b\u1ea3o v\u1ec7. S\u1ef1 l\u1ef1a ch\u1ecdn b\u1ec7nh nh\u00e2n v\u00e0 k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 chuy\u00ean m\u00f4n b\u1edfi c\u00e1c nghi\u00ean c\u1ee9u vi\u00ean gi\u00e0u kinh nghi\u1ec7m, v\u00e0 s\u1ef1 gi\u00e1m s\u00e1t 22 v\u1ecb tr\u00ed nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c \u1ee6y ban \u0111\u00e1nh gi\u00e1 thu\u1ed9c 5 qu\u1ed1c gia c\u1ee7a Li\u00ean minh Ch\u00e2u \u00c2u. T\u1ed5ng c\u1ed9ng 268 \u0111\u1ed1i t\u01b0\u1ee3ng \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o ch\u01b0\u01a1ng tr\u00ecnh thu th\u1eadp s\u1ed1 li\u1ec7u theo chi\u1ec1u d\u1ecdc v\u00e0 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi 377 implant TM (nh\u00f3m tham chi\u1ebfu). Schlee v\u00e0 c\u1ed9ng s\u1ef1 [6] \u0111\u00e3 c\u00f4ng b\u1ed1 b\u00e1o c\u00e1o t\u1ea1m th\u1eddi v\u1ec1 m\u1ed9t nh\u00f3m nh\u1ecf t\u1ea5t c\u1ea3 c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 implant \u0111\u01b0\u1ee3c \u0111\u1eb7t trong giai \u0111o\u1ea1n ph\u00e1t tri\u1ec3n t\u1eeb th\u00e1ng 10\/2010 \u0111\u1ebfn th\u00e1ng 06\/2011, v\u00e0 \u0111\u00e3 ho\u00e0n t\u1ea5t theo d\u00f5i l\u00e2m s\u00e0ng 1 n\u0103m sau khi \u0111\u1eb7t 1 implant (nh\u00f3m tr\u1ecdng \u0111i\u1ec3m). T\u1ed5ng c\u1ed9ng 105 \u0111\u1ed1i t\u01b0\u1ee3ng \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng 57 implant h\u00e0m tr\u00ean v\u00e0 88 implant h\u00e0m d\u01b0\u1edbi b\u1edfi c\u00e1c nghi\u00ean c\u1ee9u vi\u00ean. C\u00e1c \u1ee6y ban \u0111\u00e1nh gi\u00e1 \u0111\u00e3 \u0111\u01b0a ra \u0111\u00e1nh gi\u00e1 v\u1ec1 nghi\u00ean c\u1ee9u. Trong nh\u00f3m nghi\u00ean c\u1ee9u n\u00e0y, 26.7% \u0111\u1ed1i t\u01b0\u1ee3ng (n = 17\/105) c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe \u0111i k\u00e8m c\u00f3 kh\u1ea3 n\u0103ng l\u00e0m t\u0103ng nguy c\u01a1 ti\u00eau m\u00e0o x\u01b0\u01a1ng v\u00e0\/ho\u1eb7c th\u1ea5t b\u1ea1i implant l\u00e2u d\u00e0i: h\u00fat thu\u1ed1c l\u00e1 (n = 17\/105) , ti\u1ec1n s\u1eed vi\u00eam nha chu (n = 11\/105), ti\u1ec1n s\u1eed lo\u00e3ng x\u01b0\u01a1ng (n = 2\/105) , ti\u1ec1n s\u1eed nghi\u1ebfn r\u0103ng ho\u1eb7c si\u1ebft ch\u1eb7t r\u0103ng (n = 4\/105) , ti\u1ec1n s\u1eed nh\u1ed3i m\u00e1u c\u01a1 tim ho\u1eb7c b\u1ec7nh tim (n = 4\/105) , v\u00e0 nhi\u1ec5m tr\u00f9ng trong mi\u1ec7ng (n = 1\/105) . T\u00e1m \u0111\u1ed1i t\u01b0\u1ee3ng (28.6%) c\u00f3 \u00edt nh\u1ea5t hai v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe \u0111i k\u00e8m. T\u1ed5ng c\u1ed9ng 7 implant \u0111\u00e3 th\u1ea5t b\u1ea1i: 2 do kh\u00f4ng t\u00edch h\u1ee3p x\u01b0\u01a1ng v\u00e0 2 do nhi\u1ec5m tr\u00f9ng. Sau 1 n\u0103m th\u1ef1c hi\u1ec7n ch\u1ee9c n\u0103ng, m\u1ee9c ti\u00eau x\u01b0\u01a1ng trung b\u00ecnh l\u00e0 0.43 \u00b1 0.57 mm v\u00e0 t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i t\u00edch l\u0169y c\u1ee7a implant l\u00e0 95.2% (n = 138\/145) . Implant Trabecular Metal \u0111\u00e3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng trong nhi\u1ec1u t\u00ecnh hu\u1ed1ng kh\u00e1c nhau \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe k\u00e8m theo.<\/p>\n

Trong m\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c g\u1ea7n \u0111\u00e2y (2014) \u0111ang ch\u1edd xu\u1ea5t b\u1ea3n, Clemente de Arriba v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 \u0111\u00e1nh gi\u00e1 \u0111\u00e1p \u1ee9ng m\u00f4 v\u1edbi c\u00e1c tr\u1ee5 TM \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o x\u01b0\u01a1ng h\u00e0m \u1edf ng\u01b0\u1eddi. Hai m\u01b0\u01a1i ba t\u00ecnh nguy\u1ec7n vi\u00ean kh\u1ecfe m\u1ea1nh b\u1ecb m\u1ea5t r\u0103ng b\u00e1n ph\u1ea7n \u0111\u00e3 \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn ng\u1eabu nhi\u00ean v\u00e0 \u0111\u01b0\u1ee3c l\u00ean k\u1ebf ho\u1ea1ch \u0111\u1eb7t 1 ho\u1eb7c 2 tr\u1ee5 TM 3 mm x 5 mm \u1edf v\u00f9ng m\u1ea5t r\u0103ng h\u00e0m tr\u00ean v\u00e0\/ho\u1eb7c h\u00e0m d\u01b0\u1edbi. \u1ede m\u1ed7i v\u00f9ng m\u1ea5t r\u0103ng \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn, x\u01b0\u01a1ng \u1ed5 r\u0103ng \u0111\u01b0\u1ee3c b\u1ed9c l\u1ed9c ph\u1eabu thu\u1eadt v\u00e0 ti\u1ebfn h\u00e0nh khoan x\u01b0\u01a1ng b\u1eb1ng c\u00e1ch khoan d\u1ea7n d\u1ea7n v\u1edbi m\u0169i khoan c\u00f3 \u0111\u01b0\u1eddng k\u00ednh t\u0103ng d\u1ea7n c\u00f3 n\u01b0\u1edbc b\u01a1m r\u1eeda b\u00ean trong. M\u1ed7i tr\u1ee5 \u0111\u01b0\u1ee3c \u0111\u1eb7t h\u01a1i tr\u00ean \u0111\u1ec9nh s\u1ed1ng h\u00e0m v\u00e0 kh\u00f4ng ph\u1ee7 m\u00e0ng. M\u00f4 m\u1ec1m \u0111\u01b0\u1ee3c kh\u00e2u \u0111\u00f3ng \u0111\u1ec3 \u0111\u1ea1t s\u1ef1 \u0111\u00f3ng k\u00edn ban \u0111\u1ea7u. \u0110a s\u1ed1 tr\u1ee5 (58%) \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf v\u00f9ng r\u0103ng c\u1ed1i l\u1edbn. C\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng \u0111\u01b0\u1ee3c d\u1ef1 ki\u1ebfn th\u00e1o tr\u1ee5 sau 2, 3, 6 ho\u1eb7c 12 tu\u1ea7n l\u00e0nh th\u01b0\u01a1ng. M\u1ed7i th\u1eddi \u0111i\u1ec3m s\u1ebd c\u00f3 6 tr\u1ee5 \u0111\u01b0\u1ee3c th\u00e1o ra. M\u1eabu \u0111\u01b0\u1ee3c chu\u1ea9n b\u1ecb, c\u1eaft l\u00e1t, r\u1ed3i ph\u00e2n t\u00edch m\u00f4 h\u1ecdc v\u00e0 \u0111\u1ecbnh l\u01b0\u1ee3ng x\u01b0\u01a1ng. S\u1ef1 th\u00e2m nhi\u1ec5m m\u00f4 v\u00e0 m\u1ea1ch m\u00e1u \u0111\u01b0\u1ee3c quan s\u00e1t b\u00ean trong l\u00f2ng l\u1ed7 v\u00e0 c\u00e1c t\u1ebf b\u00e0o c\u1ee7a tr\u1ee5 TM sau 2 tu\u1ea7n l\u00e0nh th\u01b0\u01a1ng. S\u1ef1 t\u00e2n t\u1ea1o x\u01b0\u01a1ng v\u00e0 m\u1ed9t v\u00e0i m\u1ea3nh x\u01b0\u01a1ng c\u0169 \u0111\u01b0\u1ee3c quan s\u00e1t b\u00ean trong l\u1ed7 ngo\u1ea1i vi \u1edf m\u1ed9t s\u1ed1 m\u1eabu sau 3 tu\u1ea7n l\u00e0nh th\u01b0\u01a1ng. S\u1ef1 ph\u00e1t tri\u1ec3n x\u01b0\u01a1ng v\u00e0 m\u1ea1ch m\u00e1u b\u00ean trong c\u00e1c l\u1ed7 c\u0169ng nh\u01b0 s\u1ef1 b\u00e1m d\u00ednh x\u01b0\u01a1ng m\u1edbi v\u00e0o b\u1ec1 m\u1eb7t trong v\u00e0 ngo\u00e0i c\u1ee7a tr\u1ee5 TM \u0111\u00e3 \u0111\u01b0\u1ee3c quan s\u00e1t t\u1eeb tu\u1ea7n 3 \u0111\u1ebfn 12 c\u1ee7a s\u1ef1 l\u00e0nh th\u01b0\u01a1ng. Sau 12 tu\u1ea7n l\u00e0nh th\u01b0\u01a1ng, t\u1ef7 l\u1ec7 trung b\u00ecnh c\u1ee7a x\u01b0\u01a1ng calci h\u00f3a so v\u1edbi t\u1ee7y x\u01b0\u01a1ng l\u00e0 22.74% \u1edf \u0111\u1ed9 s\u00e2u 0.5 mm, 16.77% \u1edf \u0111\u1ed9 s\u00e2u 1 mm, v\u00e0 14.95% \u1edf to\u00e0n b\u1ed9 tr\u1ee5 TM c\u00f2n l\u1ea1i. X\u01b0\u01a1ng v\u1eabn ti\u1ebfp t\u1ee5c ph\u00e1t tri\u1ec3n v\u00e0 tr\u01b0\u1edfng th\u00e0nh b\u00ean trong c\u00e1c tr\u1ee5.<\/p>\n

\u0110\u1ed9 s\u00e2u th\u1ef1c t\u1ebf c\u1ee7a v\u1eadt li\u1ec7u tantalum l\u1ed7 r\u1ed7 \u1edf implant Trabecular Metal dao \u0111\u1ed9ng t\u1eeb kho\u1ea3ng 0.65 \u0111\u1ebfn 0.76 mm, t\u00f9y theo \u0111\u01b0\u1eddng k\u00ednh implant. D\u1ef1a tr\u00ean nh\u1eefng k\u00edch th\u01b0\u1edbc n\u00e0y, t\u1ef7 l\u1ec7 trung b\u00ecnh c\u1ee7a m\u00f4 x\u01b0\u01a1ng b\u00ean trong c\u00e1c tr\u1ee5 TM \u1edf \u0111\u1ed9 s\u00e2u 0.5 mm, 1mm, v\u00e0 ph\u1ea7n c\u00f2n l\u1ea1i \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 (Clemente de Arriba v\u00e0 c\u1ed9ng s\u1ef1, k\u1ebft qu\u1ea3 ch\u01b0a \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1, 2014). K\u1ebft qu\u1ea3 cho th\u1ea5y implant Trabecular Metal c\u00f3 kh\u1ea3 n\u0103ng \u0111\u1ea1t kho\u1ea3ng 23% s\u1ef1 t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng b\u00ean trong \u1edf v\u00f9ng m\u1ea5t r\u1eb1ng b\u00e1n ph\u1ea7n sau 12 tu\u1ea7n l\u00e0nh th\u01b0\u01a1ng, t\u00f9y thu\u1ed9c v\u00e0o \u0111\u01b0\u1eddng k\u00ednh implant v\u00e0 v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p tr\u00ean x\u01b0\u01a1ng h\u00e0m. K\u1ebft qu\u1ea3 kho\u1ea3ng 23% t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng b\u00ean trong kh\u00f4ng g\u00e2y b\u1ea5t ng\u1edd, b\u1edfi v\u00ec ph\u1ea7n l\u1edbn c\u00e1c tr\u1ee5 (n = 14\/24) \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf v\u00f9ng r\u0103ng sau l\u00e0 n\u01a1i c\u00f3 th\u1ec3 t\u00edch x\u01b0\u01a1ng b\u00e8 trung b\u00ecnh t\u1ea1i v\u00f9ng r\u0103ng c\u1ed1i l\u1edbn th\u1ee9 nh\u1ea5t n\u1eb1m trong kho\u1ea3ng 24% \u1edf nam v\u00e0 18% \u1edf n\u1eef. T\u01b0\u01a1ng t\u1ef1, n\u00e2ng xoang th\u01b0\u1eddng \u0111\u1ea1t kho\u1ea3ng 25% x\u01b0\u01a1ng s\u1ed1ng khi \u0111\u00e1nh gi\u00e1 m\u00f4 h\u1ecdc sau 6-8 th\u00e1ng.<\/p>\n

Cho \u0111\u1ebfn nay, r\u1ea5t \u00edt d\u1eef li\u1ec7u b\u00ecnh duy\u1ec7t \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 v\u1ec1 kinh nghi\u1ec7m c\u1ee7a b\u00e1c s\u0129 l\u00e2m s\u00e0ng v\u1edbi implant Trabecular Metal trong th\u1ef1c h\u00e0nh nha khoa h\u00e0ng ng\u00e0y. Spinato v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 b\u00e1o c\u00e1o v\u1ec1 th\u1ea5t b\u1ea1i c\u1ee7a m\u1ed9t implant Trabecular Metal sau 4 th\u00e1ng c\u1ea5y gh\u00e9p t\u1ea1i v\u1ecb tr\u00ed r\u0103ng c\u1ed1i nh\u1ecf th\u1ee9 hai h\u00e0m tr\u00ean b\u00ean ph\u1ea3i \u1edf m\u1ed9t b\u1ec7nh nh\u00e2n n\u1eef 54 tu\u1ed5i c\u00f3 ti\u1ec1n s\u1eed vi\u00eam nha chu m\u1ea1n m\u1ee9c \u0111\u1ed9 trung b\u00ecnh. B\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nha chu v\u00e0 implant \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1eb7t d\u01b0\u1edbi t\u00ecnh tr\u1ea1ng thu\u1eadn l\u1ee3i. Sau 4 th\u00e1ng th\u00ec xu\u1ea5t hi\u1ec7n t\u00ecnh tr\u1ea1ng vi\u00eam quanh implant \u1edf 1\/3 c\u1ed5 implant. V\u1edbi s\u1ef1 \u0111\u1ed3ng \u00fd c\u1ee7a b\u1ec7nh nh\u00e2n, implant \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt l\u1ea5y ra v\u00e0 \u0111em ph\u00e2n t\u00edch m\u00f4 h\u1ecdc, cho th\u1ea5y s\u1ef1 t\u1ea1o x\u01b0\u01a1ng quanh v\u1eadt li\u1ec7u TM \u1edf gi\u1eefa implant nhi\u1ec1u h\u01a1n so v\u1edbi quanh c\u1ed5 implant kh\u00f4ng l\u1ed7 r\u1ed7. TM \u0111\u01b0\u1ee3c bao quanh b\u1edfi b\u00e8 x\u01b0\u01a1ng ng\u1eafn, d\u00e0y, bao g\u1ed3m h\u1ed7n h\u1ee3p x\u01b0\u01a1ng l\u01b0\u1edbi v\u00e0 x\u01b0\u01a1ng phi\u1ebfn \u0111ang t\u0103ng tr\u01b0\u1edfng v\u00e0o b\u00ean trong c\u00e1c l\u1ed7 ngo\u1ea1i vi c\u1ee7a implant.<\/p>\n

Cho \u0111\u1ebfn nay, t\u00f4i \u0111\u00e3 \u0111\u1eb7t 75 implant Trabecular Metal (Zimmer Dental Inc.) cho 35 tr\u01b0\u1eddng h\u1ee3p v\u1edbi k\u1ebft qu\u1ea3 \u0111\u00e1ng kh\u00edch l\u1ec7 v\u00e0 kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng \u0111\u00e1ng k\u1ec3. Theo th\u1eddi gian, c\u1ea7n theo d\u00f5i xem li\u1ec7u TM (Zimmer TMT) c\u00f3 mang l\u1ea1i l\u1ee3i \u00edch l\u00e2u d\u00e0i n\u00e0o cho s\u1ef1 b\u1ea3o t\u1ed3n x\u01b0\u01a1ng v\u00e0 th\u1ea9m m\u1ef9 d\u1ef1a tr\u00ean nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m c\u01a1 h\u1ecdc \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn c\u1ee7a m\u00ecnh hay kh\u00f4ng.<\/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":"

V\u1eadt li\u1ec7u Tantalum l\u00e0 m\u1ed9t lo\u1ea1i v\u1eadt li\u1ec7u \u0111\u00e3 xu\u1ea5t hi\u1ec7n t\u1eeb kh\u00e1 l\u00e2u, tuy nhi\u00ean l\u1ea1i c\u00f2n \u0111ang m\u1edbi m\u1ebb \u0111\u1ed1i v\u1edbi l\u0129nh v\u1ef1c ph\u1eabu thu\u1eadt Implant Nha khoa. C\u00f9ng t\u00ecm hi\u1ec3u t\u1ed5ng quan v\u1ec1 v\u1eadt li\u1ec7u n\u00e0y, \u0111\u1ed3ng th\u1eddi, xem x\u00e9t nh\u1eefng nghi\u00ean c\u1ee9u \u0111\u1ed1i v\u1edbi l\u0129nh v\u1ef1c v\u1eadt li\u1ec7u \u0111\u1eb7c bi\u1ec7t. 1. […]<\/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":"\nV\u1eadt li\u1ec7u Tantalum c\u1ee7a tr\u1ee5 Implant Nha khoa. - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00f9ng t\u00ecm hi\u1ec3u t\u1ed5ng quan v\u1ec1 v\u1eadt li\u1ec7u tantalum, \u0111\u1ed3ng th\u1eddi, xem x\u00e9t nh\u1eefng nghi\u00ean c\u1ee9u \u0111\u1ed1i v\u1edbi l\u0129nh v\u1ef1c v\u1eadt li\u1ec7u \u0111\u1eb7c bi\u1ec7t v\u00e0 c\u00f2n m\u1edbi m\u1ebb n\u00e0y.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"V\u1eadt li\u1ec7u Tantalum c\u1ee7a tr\u1ee5 Implant Nha khoa. - Vinmec\" \/>\n<meta property=\"og:description\" content=\"C\u00f9ng t\u00ecm hi\u1ec3u t\u1ed5ng quan v\u1ec1 v\u1eadt li\u1ec7u tantalum, \u0111\u1ed3ng th\u1eddi, xem x\u00e9t nh\u1eefng nghi\u00ean c\u1ee9u \u0111\u1ed1i v\u1edbi l\u0129nh v\u1ef1c v\u1eadt li\u1ec7u \u0111\u1eb7c bi\u1ec7t v\u00e0 c\u00f2n m\u1edbi m\u1ebb n\u00e0y.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/vat-lieu-tantalum-cua-tru-implant-nha-khoa\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-02T15:08:11+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-03T08:46:38+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-2.png\" \/>\n<meta name=\"author\" content=\"Tr\u1ea7n Ti\u1ebfn Th\u00e0nh\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Tr\u1ea7n Ti\u1ebfn Th\u00e0nh\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"10 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/vat-lieu-tantalum-cua-tru-implant-nha-khoa\/\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/vat-lieu-tantalum-cua-tru-implant-nha-khoa\/\",\"name\":\"V\u1eadt li\u1ec7u Tantalum c\u1ee7a tr\u1ee5 Implant Nha khoa. - 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