{"id":30919,"date":"2023-05-02T22:37:39","date_gmt":"2023-05-02T15:37:39","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30919"},"modified":"2023-05-03T15:48:41","modified_gmt":"2023-05-03T08:48:41","slug":"implant-ngan-trong-nha-khoa-tong-quan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/implant-ngan-trong-nha-khoa-tong-quan\/","title":{"rendered":"Implant ng\u1eafn trong Nha khoa – T\u1ed5ng quan."},"content":{"rendered":"

\u0110\u1ecbnh ngh\u0129a implant ng\u1eafn l\u00e0 kh\u00f4ng r\u00f5 r\u00e0ng, v\u00e0 m\u1ed7i nghi\u00ean c\u1ee9u \u0111\u1ec1u c\u00f3 \u0111\u1ecbnh ngh\u0129a ri\u00eang, \u0111ang thay \u0111\u1ed5i. Implant t\u1eebng \u0111\u01b0\u1ee3c xem l\u00e0 chi\u1ec1u d\u00e0i ti\u00eau chu\u1ea9n b\u00e2y gi\u1edd c\u00f3 th\u1ec3 b\u1ecb xem l\u00e0 qu\u00e1 d\u00e0i \u0111\u1ec3 s\u1eed d\u1ee5ng th\u01b0\u1eddng quy. B\u00e0i vi\u1ebft cung c\u1ea5p g\u00f3c nh\u00ecn t\u1ed5ng quan nh\u1ea5t v\u1ec1 lo\u1ea1i Implant n\u00e0y trong Nha khoa, \u0111\u1ed3ng th\u1eddi d\u1ef1a v\u00e0o c\u00e1c nghi\u00ean c\u1ee9u xem x\u00e9t m\u1ee9c \u0111\u1ed9 th\u00e0nh c\u00f4ng tr\u00ean l\u00e2m s\u00e0ng. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n

\"implant-ngan-1\"<\/p>\n

1. \u0110\u1ecbnh ngh\u0129a v\u1ec1 Implant ng\u1eafn trong Nha khoa<\/h2>\n

\u0110\u1ecbnh ngh\u0129a implant ng\u1eafn l\u00e0 kh\u00f4ng r\u00f5 r\u00e0ng, v\u00e0 m\u1ed7i nghi\u00ean c\u1ee9u \u0111\u1ec1u c\u00f3 \u0111\u1ecbnh ngh\u0129a ri\u00eang. Tuy nhi\u00ean, 10 mm l\u00e0 ng\u01b0\u1ee1ng \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn b\u1edfi \u0111a s\u1ed1 b\u00e1c s\u0129 l\u00e2m s\u00e0ng \u0111\u1ec3 ph\u00e2n bi\u1ec7t implant “ng\u1eafn” ho\u1eb7c “d\u00e0i\u201d. Trong giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a c\u1ea5y gh\u00e9p nha khoa, 10 mm chi\u1ec1u cao x\u01b0\u01a1ng c\u00f2n l\u1ea1i \u0111\u01b0\u1ee3c xem l\u00e0 l\u01b0\u1ee3ng x\u01b0\u01a1ng t\u1ed1i thi\u1ec3u c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1eb7t m\u1ed9t implant “chi\u1ec1u d\u00e0i ti\u00eau chu\u1ea9n”. Implant c\u00f3 chi\u1ec1u d\u00e0i 210 mm \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 implant ti\u00eau chu\u1ea9n ho\u1eb7c implant d\u00e0i. Nh\u1eefng th\u1eed nghi\u1ec7m \u0111\u1ea7u ti\u00ean s\u1eed d\u1ee5ng implant b\u1ec1 m\u1eb7t nh\u1eb5n \u0111\u00e3 cho th\u1ea5y t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i cao h\u01a1n c\u1ee7a implant ng\u1eafn (<10 mm) so v\u1edbi implant d\u00e0i. Nhi\u1ec1u n\u0103m sau, m\u1ed9t nghi\u00ean c\u1ee9u \u0111\u1ea7u ti\u00ean ghi nh\u1eadn \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng th\u00e0nh c\u00f4ng (t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i t\u00edch l\u0169y: 95.5% trong 5 n\u0103m; 93.2% trong 10 n\u0103m) trong th\u1eddi gian d\u00e0i (trung b\u00ecnh 8 n\u0103m, dao \u0111\u1ed9ng t\u1eeb 1-14 n\u0103m) c\u1ee7a c\u00e1c implant ng\u1eafn thu\u1ed9c h\u1ec7 th\u1ed1ng Br\u00e5nemark (247 implant 3.75 mm x 7 mm v\u00e0 13 implant 5 mm x6 mm). G\u1ea7n \u0111\u00e2y, m\u1ed9t v\u00e0i nghi\u00ean c\u1ee9u \u0111\u00e3 \u0111\u1ecbnh ngh\u0129a implant d\u00e0i 36 mm l\u00e0 implant “si\u00eau ng\u1eafn\u201d v\u00e0 \u0111\u00e3 ghi nh\u1eadn k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng th\u00e0nh c\u00f4ng. Trong hai t\u00ecnh hu\u1ed1ng n\u00e0y, ch\u00fang t\u00f4i \u0111\u1ecbnh ngh\u0129a implant ng\u1eafn l\u00e0 implant c\u00f3 chi\u1ec1u d\u00e0i d\u01b0\u1edbi 10 mm.<\/p>\n

Ng\u00e0y nay, implant b\u1ec1 m\u1eb7t nh\u00e1m \u0111\u01b0\u1ee3c ghi nh\u1eadn l\u00e0 c\u00f3 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m c\u01a1 h\u1ecdc v\u00e0 sinh h\u1ecdc t\u1ed1t h\u01a1n so v\u1edbi implant b\u1ec1 m\u1eb7t \u0111\u01b0\u1ee3c gia c\u00f4ng truy\u1ec1n th\u1ed1ng. Chi\u1ec1u d\u00e0i c\u1ee7a implant c\u00f3 th\u1ec3 kh\u00f4ng c\u00f2n l\u00e0 m\u1ed1i lo ng\u1ea1i trong h\u1ea7u h\u1ebft t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng n\u1eefa. Do \u0111\u00f3, implant lo\u1ea1i n\u00e0y c\u00f3 th\u1ec3 s\u1ebd kh\u00f4ng c\u00f2n \u0111\u01b0\u1ee3c xem l\u00e0 “ng\u1eafn” trong t\u01b0\u01a1ng lai. V\u1edbi th\u00f3i quen s\u1eed d\u1ee5ng c\u00e1c implant c\u00f3 chi\u1ec1u d\u00e0i ng\u1eafn h\u01a1n (<10 mm), \u0111\u1ecbnh ngh\u0129a v\u1ec1 implant lo\u1ea1i n\u00e0y d\u01b0\u1eddng nh\u01b0 \u0111ang thay \u0111\u1ed5i, v\u00e0 c\u00f3 th\u1ec3 l\u00e0 ch\u1ec9 c\u00f3 nh\u1eefng implant ng\u1eafn h\u01a1n 6 mm m\u1edbi \u0111\u01b0\u1ee3c xem l\u00e0 “ng\u1eafn” trong t\u01b0\u01a1ng lai.<\/p>\n

2. V\u1ea5n \u0111\u1ec1 ng\u01b0\u1ee1ng \u0111\u1eb7t Implant<\/h2>\n

Nh\u01b0 \u0111\u00e3 th\u1ea3o lu\u1eadn \u1edf ph\u1ea7n tr\u00ean, \u0111\u1ecbnh ngh\u0129a v\u1ec1 implant ng\u1eafn \u0111ang thay \u0111\u1ed5i. Implant t\u1eebng \u0111\u01b0\u1ee3c xem l\u00e0 chi\u1ec1u d\u00e0i ti\u00eau chu\u1ea9n b\u00e2y gi\u1edd c\u00f3 th\u1ec3 b\u1ecb xem l\u00e0 qu\u00e1 d\u00e0i \u0111\u1ec3 s\u1eed d\u1ee5ng th\u01b0\u1eddng quy. Nhi\u1ec1u v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p kh\u00f4ng c\u00f3 \u0111\u1ee7 chi\u1ec1u cao x\u01b0\u01a1ng do ti\u00eau x\u01b0\u01a1ng nhi\u1ec1u ho\u1eb7c thi\u1ebfu h\u1ed3ng x\u01b0\u01a1ng. Ch\u00fang ta c\u00f3 th\u1ec3 hy v\u1ecdng v\u00e0o vi\u1ec7c \u1ee9ng d\u1ee5ng implant ng\u1eafn \u1edf h\u1ea7u h\u1ebft v\u1ecb tr\u00ed m\u1ea5t r\u0103ng d\u1ef1a tr\u00ean s\u1ef1 th\u00e0nh c\u00f4ng ng\u1eafn h\u1ea1n v\u00e0 d\u00e0i h\u1ea1n c\u1ee7a n\u00f3. Tuy nhi\u00ean, ng\u01b0\u1ee1ng \u0111\u1eb7t implant lo\u1ea1i n\u00e0y trong c\u00e1c t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng kh\u00e1c nhau v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh. Nh\u00ecn chung, ng\u01b0\u1eddi ta ch\u1ea5p nh\u1eadn v\u1ec1 vi\u1ec7c ch\u1ec9 \u0111\u1ecbnh implant lo\u1ea1i n\u00e0y \u1edf s\u1ed1ng h\u00e0m thi\u1ebfu chi\u1ec1u cao nh\u01b0ng \u0111\u1ee7 chi\u1ec1u r\u1ed9ng.<\/p>\n

H\u00e0m tr\u00ean v\u00e0 h\u00e0m d\u01b0\u1edbi b\u1ecb teo s\u1ebd d\u1eabn \u0111\u1ebfn nh\u1eefng gi\u1edbi h\u1ea1n gi\u1ea3i ph\u1eabu v\u00e0 c\u00e1c c\u1ea5u tr\u00fac quan tr\u1ecdng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c \u0111\u1eb7t implant d\u00e0i, bao g\u1ed3m xoang h\u00e0m, th\u1ea7n kinh x\u01b0\u01a1ng \u1ed5 d\u01b0\u1edbi, l\u1ed7 c\u1eb1m, v\u00e0 h\u00f5m m\u1eb7t trong. Khi \u0111\u1ed1i di\u1ec7n v\u1edbi nh\u1eefng t\u00ecnh hu\u1ed1ng n\u00e0y, n\u00ean tr\u00ecnh b\u00e0y ph\u01b0\u01a1ng \u00e1n \u0111\u1eb7t implant ng\u1eafn h\u01a1n v\u1edbi b\u1ec7nh nh\u00e2n. \u0110\u1eb7c bi\u1ec7t, khi b\u1ec7nh nh\u00e2n c\u00f3 v\u1ea5n \u0111\u1ec1 y khoa m\u00e0 kh\u00f4ng th\u1ec3 ch\u1ecbu \u0111\u01b0\u1ee3c nhi\u1ec1u ph\u1eabu thu\u1eadt ho\u1eb7c khi ph\u1eabu thu\u1eadt gh\u00e9p x\u01b0\u01a1ng l\u00e0 th\u00e1ch th\u1ee9c l\u1edbn (ch\u1eb3ng h\u1ea1n nh\u01b0 gh\u00e9p x\u01b0\u01a1ng theo chi\u1ec1u d\u1ecdc), th\u00ec implant lo\u1ea1i n\u00e0y c\u00f3 th\u1ec3 l\u00e0 ph\u01b0\u01a1ng \u00e1n t\u1ed1t h\u01a1n nh\u1eb1m gi\u1ea3m kh\u1ea3 n\u0103ng bi\u1ebfn ch\u1ee9ng. Implant ng\u1eafn c\u0169ng c\u00f3 th\u1ec3 l\u00e0 ph\u01b0\u01a1ng \u00e1n cu\u1ed1i c\u00f9ng n\u1ebfu gh\u00e9p x\u01b0\u01a1ng th\u1ea5t b\u1ea1i.<\/p>\n

3. K\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng<\/h2>\n

Thi\u1ebfu chi\u1ec1u cao x\u01b0\u01a1ng l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 \u0111\u00e1ng lo ng\u1ea1i khi \u0111\u1eb7t implant. Gh\u00e9p x\u01b0\u01a1ng theo chi\u1ec1u d\u1ecdc \u0111\u1ec3 t\u0103ng chi\u1ec1u cao x\u01b0\u01a1ng l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt nh\u1ea1y c\u1ea3m v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng b\u1ec7nh l\u00fd ho\u1eb7c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng sau ph\u1eabu thu\u1eadt. Th\u1ee7 thu\u1eadt n\u00e2ng xoang \u1edf v\u00f9ng r\u0103ng sau h\u00e0m tr\u00ean c\u00f3 ti\u00ean l\u01b0\u1ee3ng kh\u1ea3 quan h\u01a1n th\u1ee7 thu\u1eadt gh\u00e9p x\u01b0\u01a1ng theo chi\u1ec1u d\u1ecdc, b\u1edfi v\u00ec v\u1eadt li\u1ec7u gh\u00e9p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c gi\u1eef trong xoang v\u1edbi \u0111\u1ee7 ngu\u1ed3n c\u1ea5p m\u00e1u t\u1eeb x\u01b0\u01a1ng \u1ed5 r\u0103ng v\u00e0 m\u00e0ng xoang. Tuy nhi\u00ean, nh\u1eefng th\u1ee7 thu\u1eadt n\u00e0y lu\u00f4n l\u00e0m t\u0103ng chi ph\u00ed, b\u1ec7nh l\u00fd, v\u00e0 th\u1eddi gian \u0111i\u1ec1u tr\u1ecb. \u0110\u1eb7t implant ng\u1eafn l\u00e0 m\u1ed9t ph\u01b0\u01a1ng \u00e1n thay th\u1ebf trong nh\u1eefng t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng n\u00e0y, v\u00e0 c\u00f3 m\u1ed9t s\u1ed1 b\u1eb1ng ch\u1ee9ng l\u00e2m s\u00e0ng \u1ee7ng h\u1ed9 ti\u00ean l\u01b0\u1ee3ng c\u1ee7a n\u00f3.<\/p>\n

M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng \u0111\u00e3 cho th\u1ea5y t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng cao (t\u1eeb 94 \u0111\u1ebfn 99%) v\u00e0 k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng kh\u1ea3 quan c\u1ee7a implant ng\u1eafn v\u1edbi th\u1eddi gian theo d\u00f5i d\u00e0i h\u1ea1n l\u00ean \u0111\u1ebfn 10 n\u0103m. M\u1ed9t nghi\u00ean c\u1ee9u \u0111o\u00e0n h\u1ec7 h\u1ed3i c\u1ee9u \u0111\u00e3 ghi nh\u1eadn t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i t\u00edch l\u0169y l\u00e0 97.5% c\u1ee7a 410 implant lo\u1ea1i n\u00e0y (5-8 mm) trong th\u1eddi gian theo d\u00f5i trung b\u00ecnh 20 th\u00e1ng. Ngay c\u1ea3 nh\u1eefng implant ng\u1eafn 4 mm c\u0169ng c\u00f3 t\u1ef7 l\u1ec7 k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng kh\u1ea3 quan v\u1edbi t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i 92.3% v\u00e0 s\u1ef1 thay \u0111\u1ed5i m\u00e0o x\u01b0\u01a1ng ch\u1ec9 kho\u1ea3ng 0.5 mm trong 2 n\u0103m. M\u1ed9t v\u00e0i t\u1ed5ng quan h\u1ec7 th\u1ed1ng v\u1ec1 implant lo\u1ea1i n\u00e0y c\u0169ng cho th\u1ea5y t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i ho\u1eb7c t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng cao. M\u1ed9t nghi\u00ean c\u1ee9u v\u00e0o n\u0103m 2012 bao g\u1ed3m 6193 implant lo\u1ea1i n\u00e0y (<10 mm) \u0111\u00e3 cho th\u1ea5y t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i t\u00edch l\u0169y 99.1% trong th\u1eddi gian theo d\u00f5i trung b\u00ecnh 3.2 \u00b1 1.7 n\u0103m. T\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng m\u00e0 kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng sinh h\u1ecdc ho\u1eb7c c\u01a1 sinh h\u1ecdc l\u1ea7n l\u01b0\u1ee3t l\u00e0 98.8% v\u00e0 99.8%. M\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c v\u00e0o n\u0103m 2012 cho th\u1ea5y t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i \u01b0\u1edbc t\u00ednh c\u1ee7a implant ng\u1eafn (6-9 mm) l\u00e0 88.1% v\u00e0 c\u1ee7a implant ti\u00eau chu\u1ea9n (210 mm) l\u00e0 86.7% trong th\u1eddi gian theo d\u00f5i 168 th\u00e1ng, s\u1ef1 kh\u00e1c bi\u1ec7t kh\u00f4ng c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea.<\/p>\n

Trong t\u1ed5ng quan m\u1edf r\u1ed9ng c\u1ee7a c\u00f9ng nh\u00f3m nghi\u00ean c\u1ee9u, chi\u1ec1u d\u00e0i ho\u1eb7c \u0111\u01b0\u1eddng k\u00ednh c\u1ee7a implant ng\u1eafn d\u01b0\u1eddng nh\u01b0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i c\u1ee7a implant. Trong m\u1ed9t nghi\u00ean c\u1ee9u si\u00eau ph\u00e2n t\u00edch t\u1eadp trung v\u00e0o c\u00e1c implant Straumann 6 mm, t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i t\u00edch l\u0169y l\u00e0 93.7% (th\u1eddi gian theo d\u00f5i t\u1eeb 1-8 n\u0103m. Nh\u1eefng nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o c\u00e1c t\u1ed5ng quan n\u00e0y \u0111\u00e3 s\u1eed d\u1ee5ng nh\u1eefng lo\u1ea1i ph\u1ee5c h\u00ecnh kh\u00e1c nhau, bao g\u1ed3m ph\u1ee5c h\u00ecnh c\u1ed1 \u0111\u1ecbnh to\u00e0n h\u00e0m, ph\u1ee5c h\u00ecnh c\u1ed1 \u0111\u1ecbnh b\u00e1n ph\u1ea7n, h\u00e0m ph\u1ee7 tr\u00ean implant, v\u00e0 ph\u1ee5c h\u00ecnh l\u1ea1i. C\u00e1c k\u1ebft qu\u1ea3 \u0111\u00e3 \u1ee7ng h\u1ed9 vi\u1ec7c s\u1eed d\u1ee5ng implant ng\u1eafn \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i b\u1eb1ng nhi\u1ec1u lo\u1ea1i ph\u1ee5c h\u00ecnh kh\u00e1c nhau.<\/p>\n

\u0110\u1ed1i v\u1edbi v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p, d\u01b0\u1eddng nh\u01b0 implant ng\u1eafn c\u00f3 t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i \u1edf h\u00e0m tr\u00ean cao h\u01a1n h\u00e0m d\u01b0\u1edbi. Implant ti\u00eau chu\u1ea9n c\u0169ng \u0111\u01b0\u1ee3c ghi nh\u1eadn l\u00e0 c\u00f3 t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i \u1edf h\u00e0m tr\u00ean cao h\u01a1n. Nguy\u00ean nh\u00e2n c\u1ee7a t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i cao h\u01a1n khi \u0111\u1eb7t implant \u1edf h\u00e0m tr\u00ean c\u00f3 l\u1ebd l\u00e0 do m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng th\u1ea5p ho\u1eb7c x\u01b0\u01a1ng b\u00e8 c\u00f3 h\u01b0\u1edbng l\u1ed9n x\u1ed9n, do \u0111\u00f3 c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh s\u01a1 kh\u1edfi t\u1ea1i th\u1eddi \u0111i\u1ec3m c\u1ea5y gh\u00e9p v\u00e0 t\u1eeb \u0111\u00f3 l\u00e0m t\u0103ng nguy c\u01a1 th\u1ea5t b\u1ea1i. Tuy nhi\u00ean, nh\u1eefng nghi\u00ean c\u1ee9u n\u00e0y c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf, ch\u1eb3ng h\u1ea1n nh\u01b0 s\u1eed d\u1ee5ng implant b\u1ec1 m\u1eb7t \u0111\u01b0\u1ee3c gia c\u00f4ng ho\u1eb7c c\u1ee1 m\u1eabu nh\u1ecf. V\u00ec v\u1eady, c\u1ea7n c\u00f3 th\u00eam nh\u1eefng th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng \u0111\u1ec3 so s\u00e1nh t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i gi\u1eefa implant ng\u1eafn b\u1ec1 m\u1eb7t nh\u00e1m \u1edf h\u00e0m tr\u00ean so v\u1edbi h\u00e0m d\u01b0\u1edbi.<\/p>\n

C\u00e1c nghi\u00ean c\u1ee9u ph\u1ea7n t\u1eed h\u1eefu h\u1ea1n \u0111\u00e3 cho th\u1ea5y s\u1ef1 bi\u1ebfn d\u1ea1ng m\u00e0o x\u01b0\u01a1ng quanh implant ng\u1eafn cao h\u01a1n \u0111\u00e1ng k\u1ec3 so v\u1edbi implant d\u00e0i, v\u00e0 \u0111i\u1ec1u n\u00e0y tr\u00ean l\u00fd thuy\u1ebft c\u00f3 li\u00ean quan v\u1edbi s\u1ef1 ti\u00eau m\u00e0o x\u01b0\u01a1ng. Tuy nhi\u00ean, nguy\u00ean nh\u00e2n n\u00e0y kh\u00f4ng \u0111\u01b0\u1ee3c \u1ee7ng h\u1ed9 b\u1edfi nh\u1eefng b\u1eb1ng ch\u1ee9ng khoa h\u1ecdc tr\u00ean l\u00e2m s\u00e0ng hi\u1ec7n c\u00f3. Nh\u1eefng thay \u0111\u1ed5i \u1edf x\u01b0\u01a1ng quanh implant lo\u1ea1i n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 t\u01b0\u01a1ng t\u1ef1 nh\u01b0 \u1edf c\u00e1c implant d\u00e0i h\u01a1n. M\u1ed9t nghi\u00ean c\u1ee9u v\u00e0o n\u0103m 2000 \u0111\u00e3 ghi nh\u1eadn m\u1ee9c \u0111\u1ed9 ti\u00eau m\u00e0o x\u01b0\u01a1ng trung b\u00ecnh \u1edf 270 implant ng\u1eafn trong 10 n\u0103m l\u00e0 0.9 \u00b1 0.6 mm. M\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c ghi nh\u1eadn m\u1ee9c \u0111\u1ed9 ti\u00eau x\u01b0\u01a1ng c\u1ee7a 15 implant ng\u1eafn trong 3 n\u0103m l\u00e0 O.13 \u00b1 0.12 mm. Renouard v\u00e0 c\u1ed9ng s\u1ef1 v\u00e0o n\u0103m 2005 \u0111\u00e3 ghi nh\u1eadn m\u1ee9c \u0111\u1ed9 ti\u00eau x\u01b0\u01a1ng c\u1ee7a 96 implant ng\u1eafn trong 2 n\u0103m l\u00e0 0.44 \u00b1 0.52 mm. M\u1ed9t nghi\u00ean c\u1ee9u \u0111o\u00e0n h\u1ec7 h\u1ed3i c\u1ee9u \u0111\u00e3 ghi nh\u1eadn m\u1ee9c \u0111\u1ed9 ti\u00eau m\u00e0o x\u01b0\u01a1ng trung b\u00ecnh \u1edf h\u00e0m tr\u00ean v\u00e0 h\u00e0m d\u01b0\u1edbi l\u1ea7n l\u01b0\u1ee3t l\u00e0 0.36 mm v\u00e0 0.04 mm, c\u1ee7a 97 implant ng\u1eafn (5 mm x 8 mm) sau th\u1eddi gian theo d\u00f5i trung b\u00ecnh 5.9 n\u0103m.<\/p>\n

T\u00f3m l\u1ea1i, c\u00e1c nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng v\u1ec1 implant ng\u1eafn \u0111\u00e3 ch\u1ee9ng minh \u0111\u01b0\u1ee3c t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i cao, l\u01b0\u1ee3ng x\u01b0\u01a1ng \u1ed5n \u0111\u1ecbnh, v\u00e0 t\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng th\u1ea5p c\u1ee7a n\u00f3. Nh\u1eefng nghi\u00ean c\u1ee9u n\u00e0y \u0111\u00e3 x\u00e1c nh\u1eadn t\u00ednh kh\u1ea3 thi v\u00e0 ti\u00ean l\u01b0\u1ee3ng kh\u1ea3 quan.<\/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":"

\u0110\u1ecbnh ngh\u0129a implant ng\u1eafn l\u00e0 kh\u00f4ng r\u00f5 r\u00e0ng, v\u00e0 m\u1ed7i nghi\u00ean c\u1ee9u \u0111\u1ec1u c\u00f3 \u0111\u1ecbnh ngh\u0129a ri\u00eang, \u0111ang thay \u0111\u1ed5i. Implant t\u1eebng \u0111\u01b0\u1ee3c xem l\u00e0 chi\u1ec1u d\u00e0i ti\u00eau chu\u1ea9n b\u00e2y gi\u1edd c\u00f3 th\u1ec3 b\u1ecb xem l\u00e0 qu\u00e1 d\u00e0i \u0111\u1ec3 s\u1eed d\u1ee5ng th\u01b0\u1eddng quy. B\u00e0i vi\u1ebft cung c\u1ea5p g\u00f3c nh\u00ecn t\u1ed5ng quan nh\u1ea5t v\u1ec1 lo\u1ea1i Implant […]<\/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 ng\u1eafn trong Nha khoa - T\u1ed5ng quan. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft cung c\u1ea5p g\u00f3c nh\u00ecn t\u1ed5ng quan nh\u1ea5t v\u1ec1 Implant ng\u1eafn trong Nha khoa, \u0111\u1ed3ng th\u1eddi xem x\u00e9t m\u1ee9c \u0111\u1ed9 th\u00e0nh c\u00f4ng tr\u00ean l\u00e2m s\u00e0ng. 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