{"id":31061,"date":"2023-05-03T14:51:07","date_gmt":"2023-05-03T07:51:07","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31061"},"modified":"2023-05-03T15:51:53","modified_gmt":"2023-05-03T08:51:53","slug":"viem-quanh-implant-va-dac-diem-thiet-ke-abutment-cua-implant","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/viem-quanh-implant-va-dac-diem-thiet-ke-abutment-cua-implant\/","title":{"rendered":"Vi\u00eam quanh Implant v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m thi\u1ebft k\u1ebf Abutment Implant."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y t\u1ed5ng quan c\u00e1c kh\u00e1i ni\u1ec7m s\u01a1 l\u01b0\u1ee3c v\u1ec1 vi\u00eam ni\u00eam m\u1ea1c quanh Implant, vi\u00eam quanh Implant v\u00e0 \u0111\u1ed3ng th\u1eddi ph\u00e2n t\u00edch v\u1ec1 c\u00e1c d\u1ea1ng Abutment \u0111\u1ed1i v\u1edbi ph\u1ee5c h\u1ed3i Implant tr\u00ean b\u1ec7nh nh\u00e2n. C\u00f9ng t\u00ecm hi\u1ec3u s\u00e2u v\u00e0o v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/strong><\/p>\n

1. Vi\u00eam ni\u00eam m\u1ea1c quanh Implant l\u00e0 g\u00ec?<\/h2>\n

Vi\u00eam ni\u00eam m\u1ea1c quanh implant l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng m\u00e0 trong \u0111\u00f3 ni\u00eam m\u1ea1c quanh implant \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi ph\u1ea3n \u1ee9ng vi\u00eam. Theo \u0111\u1ecbnh ngh\u0129a n\u00e0y th\u00ec n\u00f3 c\u00f3 b\u1ec7nh c\u0103n t\u01b0\u01a1ng t\u1ef1 nh\u01b0 vi\u00eam quanh implant. Tuy nhi\u00ean, kh\u00e1c v\u1edbi vi\u00eam quanh implant, vi\u00eam ni\u00eam m\u1ea1c quanh implant ch\u1ec9 gi\u1edbi h\u1ea1n \u1edf m\u00f4 m\u1ec1m quanh implant v\u00e0 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u ti\u00eau\/ph\u00e1 h\u1ee7y m\u00e0o x\u01b0\u01a1ng v\u01b0\u1ee3t qu\u00e1 s\u1ef1 t\u00e1i c\u1ea5u tr\u00fac b\u00ecnh th\u01b0\u1eddng sau l\u00e0nh th\u01b0\u01a1ng c\u1ee7a ph\u1eabu thu\u1eadt c\u1ea5y gh\u00e9p. Vi\u00eam ni\u00eam m\u1ea1c quanh implant t\u01b0\u01a1ng t\u1ef1 nh\u01b0 vi\u00eam n\u01b0\u1edbu \u1edf r\u1eb1ng th\u1eadt. Gi\u1ed1ng nh\u01b0 vi\u00eam n\u01b0\u1edbu, nh\u1eefng d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5c b\u1eb1ng c\u00e1ch c\u1ea3i thi\u1ec7n v\u1ec7 sinh r\u0103ng mi\u1ec7ng, ho\u1eb7c k\u1ecbp th\u1eddi lo\u1ea1i tr\u1eeb d\u1ecb v\u1eadt x\u00e2m l\u1ea5n trong tr\u01b0\u1eddng h\u1ee3p ph\u1ea3n \u1ee9ng vi\u00eam ni\u00eam m\u1ea1c c\u1ea5p do d\u1ecb v\u1eadt. Vi\u00eam ni\u00eam m\u1ea1c quanh implant \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng m\u00f4 h\u1ecdc b\u1edfi s\u1ef1 gia t\u0103ng t\u1ebf b\u00e0o T \u1edf t\u1ed5n th\u01b0\u01a1ng vi\u00eam ni\u00eam m\u1ea1c v\u00e0 gi\u1edbi h\u1ea1n trong h\u00e0ng r\u00e0o bi\u1ec3u m\u00f4. Nh\u1eefng d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng, ch\u1eb3ng h\u1ea1n nh\u01b0 ch\u1ea3y m\u00e1u khi th\u0103m kh\u00e1m (BOP), ni\u00eam m\u1ea1c quanh implant \u0111\u1ecf, ho\u1eb7c m\u01b0ng m\u1ee7, \u0111\u1ec1u c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a vi\u00eam ni\u00eam m\u1ea1c quanh implant.<\/p>\n

2. \u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a vi\u00eam quanh Implant<\/h2>\n

Vi\u00eam quanh implant, gi\u1ed1ng nh\u01b0 vi\u00eam ni\u00eam m\u1ea1c quanh implant, c\u0169ng \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi ph\u1ea3n \u1ee9ng vi\u00eam. Tuy nhi\u00ean, kh\u00e1c v\u1edbi vi\u00eam ni\u00eam m\u1ea1c quanh implant, vi\u00eam quanh implant m\u1edf r\u1ed9ng ra ngo\u00e0i m\u00f4 m\u1ec1m, th\u01b0\u1eddng g\u00e2y ph\u00e1 h\u1ee7y s\u1ef1 b\u00e1m d\u00ednh m\u00f4 c\u1ee9ng v\u00e0 m\u00f4 m\u1ec1m \u1edf th\u00e2n implant. So v\u1edbi r\u0103ng t\u1ef1 nhi\u00ean, vi\u00eam quanh implant c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem l\u00e0 gi\u1ed1ng nh\u01b0 vi\u00eam nha chu. Kh\u00e1c v\u1edbi vi\u00eam ni\u00eam m\u1ea1c quanh implant b\u1ecb gi\u1edbi h\u1ea1n m\u00f4 h\u1ecdc \u0111\u1ebfn h\u00e0ng r\u00e0o bi\u1ec3u m\u00f4, vi\u00eam ni\u00eam m\u1ea1c quanh implant m\u1edf r\u1ed9ng v\u1ec1 ph\u00eda ch\u00f3p th\u00e0nh t\u00fai bi\u1ec3u m\u00f4. Ph\u00e2n t\u00edch m\u00f4 h\u1ecdc cho th\u1ea5y c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n s\u1ed1 l\u01b0\u1ee3ng l\u1edbn t\u01b0\u01a1ng b\u00e0o, lympho b\u00e0o, \u0111\u1ea1i th\u1ef1c b\u00e0o, v\u00e0 b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n. Gi\u1ed1ng nh\u01b0 vi\u00eam ni\u00eam m\u1ea1c quanh implant, vi\u00eam quanh implant c\u0169ng c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5c n\u1ebfu c\u00e1c y\u1ebfu t\u1ed1 b\u1ec7nh c\u0103n t\u1ea1i ch\u1ed7 v\u00e0\/ho\u1eb7c to\u00e0n th\u00e2n \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft k\u1ecbp th\u1eddi. Tuy nhi\u00ean, n\u1ebfu c\u00e1c y\u1ebfu t\u1ed1 b\u1ec7nh c\u0103n (ch\u1eb3ng h\u1ea1n nh\u01b0 xi m\u0103ng d\u01b0 nh\u01b0 trong t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng tr\u00ecnh b\u00e0y \u1edf \u0111\u00e2y) kh\u00f4ng \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft, th\u00ec ti\u00eau m\u00e0o x\u01b0\u01a1ng c\u00f3 th\u1ec3 x\u1ea3y ra, t\u1eeb \u0111\u00f3 c\u00f3 th\u1ec3 d\u1eabn t\u1edbi m\u1ea5t t\u00edch h\u1ee3p x\u01b0\u01a1ng v\u00e0 c\u1ea5y gh\u00e9p th\u1ea5t b\u1ea1i.<\/p>\n

3. T\u1ed5ng quan v\u1ec1 Abutment Zirconia<\/h2>\n

Abutment n\u00e2ng \u0111\u1ee1 cho ph\u1ee5c h\u00ecnh g\u1eafn xi m\u0103ng (v\u00ed d\u1ee5 nh\u01b0 m\u00e3o tr\u00ean m\u1ed9t implant ho\u1eb7c c\u1ea7u r\u0103ng tr\u00ean nhi\u1ec1u implant) th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ebf t\u00e1c theo m\u1ed9t trong ba ki\u1ec3u thi\u1ebft k\u1ebf.<\/p>\n

\"viem-quanh-implant\"
Minh h\u1ecda abutment \u0111\u00fac s\u1eb5n (b\u00ean tr\u00e1i), abutment b\u00e1n gi\u1ea3i ph\u1eabu (c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh) (\u1edf gi\u1eefa), v\u00e0 abutment gi\u1ea3i ph\u1eabu \u0111\u1eb7c hi\u1ec7u cho b\u1ec7nh nh\u00e2n (t\u00f9y ch\u1ec9nh CAD\/CAM) (b\u00ean ph\u1ea3i).<\/figcaption><\/figure>\n

M\u1ed7i thi\u1ebft k\u1ebf c\u00f3 s\u1ef1 ph\u00e2n nh\u00e1nh v\u1ec1 ti\u00ean l\u01b0\u1ee3ng c\u1ee7a vi\u1ec7c \u0111\u1eb7t v\u1ecb tr\u00ed b\u1edd so v\u1edbi ni\u00eam m\u1ea1c quanh implant. Thi\u1ebft k\u1ebf th\u00f4 s\u01a1 nh\u1ea5t l\u00e0 abutment \u0111\u00fac s\u1eb5n. Abutment \u0111\u00fac s\u1eb5n th\u01b0\u1eddng c\u00f3 chi\u1ec1u cao ph\u1ea7n c\u1ed5 \u0111\u1ecbnh s\u1eb5n \u0111\u1ec3 t\u1ea1o ra h\u00ecnh th\u1ec3 b\u1ec1n v\u00e0 l\u01b0u cho ph\u1ee5c h\u00ecnh, c\u00f9ng v\u1edbi c\u00e1c l\u1ef1a ch\u1ecdn v\u1ec1 chi\u1ec1u r\u1ed9ng v\u00e0 chi\u1ec1u cao ph\u1ea7n tho\u00e1t c\u1ed5 r\u0103ng, t\u00f9y theo h\u1ec7 th\u1ed1ng implant ho\u1eb7c nh\u00e0 s\u1ea3n xu\u1ea5t. Abutment \u0111\u00fac s\u1eb5n c\u00f2n \u0111\u1eb7c tr\u01b0ng b\u1edfi b\u1ec7 ph\u1ee5c h\u00ecnh tr\u00f2n ph\u1eb3ng m\u00e0 kh\u00f4ng t\u00ednh \u0111\u1ebfn nh\u1eefng bi\u1ebfn th\u1ec3 gi\u1ea3i ph\u1eabu c\u1ee7a ni\u00eam m\u1ea1c quanh implant, v\u00e0 th\u01b0\u1eddng l\u00e0m b\u1eb1ng titanium. Chuy\u1ec3n sang thi\u1ebft k\u1ebf h\u01a1i ph\u1ee9c t\u1ea1p h\u01a1n, nhi\u1ec1u nh\u00e0 s\u1ea3n xu\u1ea5t implant \u0111\u00e3 \u0111\u01b0a ra thi\u1ebft k\u1ebf b\u00e1n gi\u1ea3i ph\u1eabu \u0111\u00fac s\u1eb5n, ch\u1eb3ng h\u1ea1n nh\u01b0 b\u1ec7 ph\u1ee5c h\u00ecnh d\u1ea1ng v\u1ecf s\u00f2, ho\u1eb7c nhi\u1ec1u l\u1ef1a ch\u1ecdn v\u1ec1 chi\u1ec1u r\u1ed9ng v\u00e0 chi\u1ec1u cao c\u1ee7a ph\u1ea7n tho\u00e1t c\u1ed5 r\u0103ng ho\u1eb7c chi\u1ec1u cao ph\u1ea7n c\u1ed5. Nhi\u1ec1u abutment b\u00e1n gi\u1ea3i ph\u1eabu c\u00f2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh (b\u1eb1ng c\u00e1ch m\u00e0i) trong gi\u1edbi h\u1ea1n cho ph\u00e9p b\u1edfi k\u1ef9 thu\u1eadt vi\u00ean labo \u0111\u1ec3 ph\u00f9 h\u1ee3p v\u1edbi y\u00eau c\u1ea7u c\u1ee7a m\u1ed9t k\u1ebft c\u1ea5u ni\u00eam m\u1ea1c \u0111\u1eb7c tr\u01b0ng quanh implant. Lo\u1ea1i thi\u1ebft k\u1ebf abutment n\u00e0y th\u01b0\u1eddng s\u1eed d\u1ee5ng v\u1eadt li\u1ec7u sinh h\u1ecdc titanium ho\u1eb7c zirconia. M\u1eb7c d\u00f9 c\u00f3 nhi\u1ec1u t\u00ednh n\u0103ng v\u01b0\u1ee3t tr\u1ed9i h\u01a1n so v\u1edbi abutment \u0111\u00fac s\u1eb5n, nh\u01b0ng abutment b\u00e1n gi\u1ea3i ph\u1eabu v\u1eabn g\u1eb7p ph\u1ea3i m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf v\u1ec1 v\u1ecb tr\u00ed b\u1edd v\u00e0 bi\u00ean d\u1ea1ng c\u1ee7a ph\u1ea7n tho\u00e1t c\u1ed5 r\u0103ng. V\u1edbi s\u1ef1 ra \u0111\u1eddi c\u1ee7a c\u00f4ng ngh\u1ec7 CAD\/ CAM, nhi\u1ec1u nh\u00e0 s\u1ea3n xu\u1ea5t implant hi\u1ec7n nay \u0111\u00e3 cung c\u1ea5p abutment t\u00f9y ch\u1ec9nh gi\u1ea3i ph\u1eabu to\u00e0n b\u1ed9, cho ph\u00e9p c\u1eaft ra h\u00ecnh th\u1ec3 gi\u1ea3i ph\u1eabu t\u1eeb h\u00ecnh th\u1ec3 to\u00e0n di\u1ec7n (full contour) d\u1ef1 ki\u1ebfn, gi\u1ed1ng nh\u01b0 m\u00e3o r\u0103ng. Nh\u1eefng y\u1ebfu t\u1ed1 nh\u01b0 chi\u1ec1u r\u1ed9ng ph\u1ea7n tho\u00e1t, h\u00ecnh d\u1ea1ng ph\u1ea7n xuy\u00ean ni\u00eam m\u1ea1c, chi\u1ec1u cao abutment, v\u00e0 v\u1ecb tr\u00ed b\u1edd so v\u1edbi ni\u00eam m\u1ea1c quanh implant th\u01b0\u1eddng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh theo y\u00eau c\u1ea7u c\u1ee7a b\u00e1c s\u0129 l\u00e2m s\u00e0ng. Abutment CAD\/CAM th\u01b0\u1eddng s\u1eed d\u1ee5ng titanium m\u00e0u v\u00e0ng ho\u1eb7c truy\u1ec1n th\u1ed1ng, hay zirconia v\u1edbi nhi\u1ec1u m\u00e0u kh\u00e1c nhau. \u1ede lo\u1ea1i thi\u1ebft k\u1ebf n\u00e0y, abutment v\u1edbi thi\u1ebft k\u1ebf ph\u1ee9c t\u1ea1p h\u01a1n s\u1ebd gi\u00fap b\u00e1c s\u0129 l\u00e2m s\u00e0ng ki\u1ec3m so\u00e1t v\u1ecb tr\u00ed c\u1ee7a b\u1edd ph\u1ee5c h\u00ecnh sau c\u00f9ng so v\u1edbi vi\u1ec1n n\u01b0\u1edbu k\u1ebf c\u1eadn t\u1ed1t h\u01a1n.<\/p>\n

M\u1ed9t nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y c\u1ee7a Linkevicius v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 ch\u1ee9ng minh \u1ea3nh h\u01b0\u1edfng c\u1ee7a v\u1ecb tr\u00ed b\u1edd abutment l\u00ean s\u1ef1 l\u01b0u gi\u1eef xi m\u0103ng d\u01b0 l\u1ea1i vi\u1ec1n ni\u00eam m\u1ea1c quanh implant. Trong nghi\u00ean c\u1ee9u n\u00e0y, 53 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1ee5c h\u00ecnh tr\u00ean m\u1ed9t implant v\u00e0 s\u1eed d\u1ee5ng abutment fitanium \u0111\u00fac s\u1eb5n \u0111\u1ec3 n\u00e2ng \u0111\u1ee1 m\u00e3o. Nh\u01b0 \u0111\u00e3 tr\u00ecnh b\u00e0y trong c\u00e2u tr\u1ea3 l\u1eddi cho c\u00e2u h\u1ecfi C, nh\u1eefng abutment n\u00e0y c\u00f3 b\u1ec7 ph\u1ee5c h\u00ecnh ph\u1eb3ng tr\u00f2n. Trong khi \u0111\u00f3, v\u1ec1 m\u1eb7t gi\u1ea3i ph\u1eabu, ng\u01b0\u1eddi ta th\u1ea5y r\u1eb1ng g\u1edd x\u01b0\u01a1ng \u1ed5 v\u00e0 ni\u00eam m\u1ea1c th\u01b0\u1eddng c\u00f3 d\u1ea1ng v\u1ecf s\u00f2, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi c\u00f3 ti\u1ebfp x\u00fac b\u00ean gi\u00fap n\u00e2ng \u0111\u1ee1 ph\u1ea7n y\u00ean ng\u1ef1a \u1edf k\u1ebd r\u0103ng. Nghi\u00ean c\u1ee9u n\u00e0y \u0111o \u0111\u1ea1c 4 v\u1ecb tr\u00ed d\u01b0\u1edbi n\u01b0\u1edbu c\u1ee7a t\u1eebng abutment \u0111\u00fac s\u1eb5n (g\u1ea7n, xa, ngo\u00e0i, trong). Ph\u1ee5c h\u00ecnh g\u1eafn xi m\u0103ng h\u1edf kh\u1edbp \u0111\u01b0\u1ee3c g\u1eafn b\u1edfi m\u1ed9t b\u00e1c s\u0129 l\u00e2m s\u00e0ng gi\u00e0u kinh nghi\u1ec7m. Sau khi l\u00e0m s\u1ea1ch xi m\u0103ng d\u01b0, th\u00ec ch\u1ee5p phim quanh ch\u00f3p. Sau khi s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2, quan s\u00e1t, X-quang \u0111\u1ec3 x\u00e1c nh\u1eadn xi m\u0103ng d\u01b0 \u0111\u00e3 \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch, ti\u1ebfn h\u00e0nh th\u00e1o ph\u1ea7n \u0111\u1eady l\u1ed7 v\u00edt v\u00e0 ngay l\u1eadp t\u1ee9c th\u00e1o ph\u1ee9c h\u1ee3p abutment-m\u00e3o. Khe n\u01b0\u1edbu quanh implant v\u00e0 ph\u1ee9c h\u1ee3p abutment-m\u00e3o \u0111\u01b0\u1ee3c ch\u1ee5p \u1ea3nh, v\u00e0 c\u00e1c d\u1eef li\u1ec7u n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u1ecbnh l\u01b0\u1ee3ng di\u1ec7n t\u00edch b\u1ec1 m\u1eb7t c\u1ee7a xi m\u0103ng tr\u00ean ph\u1ee9c h\u1ee3p implant-abutment so v\u1edbi di\u1ec7n t\u00edch b\u1ec1 m\u1eb7t to\u00e0n b\u1ed9. Nh\u1eefng k\u1ebft qu\u1ea3 c\u1ee7a nghi\u00ean c\u1ee9u n\u00e0y cho th\u1ea5y khi giao di\u1ec7n abutment-m\u00e3o n\u1eb1m d\u01b0\u1edbi vi\u1ec1n n\u01b0\u1edbu, th\u00ec nh\u1eefng v\u00f9ng h\u1ed9i t\u1ee5 n\u00e0y c\u00f3 s\u1ef1 gia t\u0103ng l\u01b0\u1ee3ng xi m\u0103ng d\u1ef1 tr\u00ean l\u00e2m s\u00e0ng c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea. Ngo\u00e0i ra, c\u00e1c t\u00e1c gi\u1ea3 c\u00f2n nh\u1eadn th\u1ea5y m\u1eb7c d\u00f9 phim X- quang kh\u00f4ng cho th\u1ea5y b\u1eb1ng ch\u1ee9ng v\u1ec1 xi m\u0103ng d\u01b0, nh\u01b0ng \u0111a s\u1ed1 ph\u1ee9c h\u1ee3p abutment-m\u00e3o khi quan s\u00e1t sau khi th\u00e1o kh\u1ecfi implant \u0111\u1ec1u c\u00f3 xi m\u0103ng d\u01b0. C\u00e1c t\u00e1c gi\u1ea3 k\u1ebft lu\u1eadn r\u1eb1ng phim X-quang c\u00f3 th\u1ec3 kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1ng tin c\u1eady \u0111\u1ec3 gi\u00fap b\u00e1c s\u0129 l\u00e2m s\u00e0ng \u0111\u00e1nh gi\u00e1 c\u00f2n xi m\u0103ng d\u01b0 hay kh\u00f4ng trong qu\u00e1 tr\u00ecnh g\u1eafn xi m\u0103ng. Nghi\u00ean c\u1ee9u n\u00e0y cho \u0111\u1ed9c gi\u1ea3 th\u1ea5y r\u1eb1ng abutment \u0111\u00fac s\u1eb5n, th\u01b0\u1eddng c\u00f3 b\u1ec7 ph\u1ee5c h\u00ecnh \u0111\u1ed3ng nh\u1ea5t\/tr\u00f2n ph\u1eb3ng, c\u00f3 th\u1ec3 v\u00f4 t\u00ecnh g\u00e2y ra bi\u1ebfn ch\u1ee9ng vi\u00eam ni\u00eam m\u1ea1c quanh implant ho\u1eb7c vi\u00eam quanh implant sau \u0111i\u1ec1u tr\u1ecb v\u00ec nh\u1eefng l\u00fd do n\u00eau tr\u00ean. Kh\u00f4ng may l\u00e0 v\u1eabn ch\u01b0a c\u00f3 nh\u1eefng th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ti\u1ebfn c\u1ee9u \u0111\u00e1nh gi\u00e1 xem li\u1ec7u abutment CAD\/CAM v\u1edbi gi\u1ea3i ph\u1eabu ch\u00ednh x\u00e1c c\u00f3 gi\u00fap c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng n\u00e0y b\u1eb1ng c\u00e1ch \u0111\u1eb7t b\u1ec7 ph\u1ee5c h\u00ecnh \u1edf v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu ch\u00ednh x\u00e1c v\u00e0 d\u1ec5 ti\u1ebfp c\u1eadn \u0111\u1ec3 b\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 l\u00e0m s\u1ea1ch xi m\u0103ng trong qu\u00e1 tr\u00ecnh g\u1eafn hay kh\u00f4ng.<\/p>\n

C\u00e1c nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y \u0111\u00e3 \u0111\u00e1nh gi\u00e1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a c\u00f4ng th\u1ee9c xi m\u0103ng ho\u1eb7c lo\u1ea1i xi m\u0103ng l\u00ean kh\u1ea3 n\u0103ng ph\u00e1t hi\u1ec7n xi m\u0103ng d\u01b0 t\u1ea1i giao di\u1ec7n abutment- m\u00e3o tr\u00ean phim X-quang c\u1ee7a b\u00e1c s\u0129 l\u00e2m s\u00e0ng. Theo Linkevicius v\u00e0 c\u1ed9ng s\u1ef1, ph\u1ea7n l\u1edbn tr\u01b0\u1eddng h\u1ee3p c\u00f3 xi m\u0103ng d\u01b0 tr\u00ean th\u1ef1c t\u1ebf \u0111\u00e3 kh\u00f4ng b\u1ecb ph\u00e1t hi\u1ec7n b\u1eb1ng phim X-quang th\u00f4ng th\u01b0\u1eddng. Wadhwani v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 \u0111\u00e1nh gi\u00e1 m\u1eadt \u0111\u1ed9 b\u1ee9c x\u1ea1 t\u01b0\u01a1ng \u0111\u1ed1i c\u1ee7a c\u00e1c lo\u1ea1i xi m\u0103ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 g\u1eafn ph\u1ee5c h\u00ecnh tr\u00ean implant. Trong c\u1ea3 hai nghi\u00ean c\u1ee9u tr\u00ean c\u00f9ng v\u1edbi m\u1ed9t nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 c\u1ee7a Peffe v\u00e0 c\u1ed9ng s\u1ef1, c\u00e1c xi m\u0103ng th\u01b0\u1eddng s\u1eed d\u1ee5ng \u0111\u00e3 \u0111\u01b0\u1ee3c chu\u1ea9n b\u1ecb trong c\u00e1c \u0111\u0129a chu\u1ea9n h\u00f3a c\u00f3 \u0111\u1ed9 d\u00e0y t\u1eeb 0.5 \u0111\u1ebfn 2.0 mm. C\u00e1c m\u1eabu xi m\u0103ng n\u00e0y sau \u0111\u00f3 \u0111\u01b0\u1ee3c \u0111\u1eb7t c\u1ea1nh m\u1ed9t ch\u00eam aluminum b\u1ee9c x\u1ea1 ti\u00eau chu\u1ea9n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 c\u1ea3n quang t\u01b0\u01a1ng \u0111\u1ed1i c\u1ee7a xi m\u0103ng. Ch\u1ee5p phim X-quang chu\u1ea9n h\u00f3a \u1edf 60 v\u00e0 70 kVp \u0111\u1ed3ng th\u1eddi chu\u1ea9n h\u00f3a m\u1eabu b\u1eb1ng \u0111\u1ed9 x\u00e1m so v\u1edbi ch\u00eam. Trong c\u1ea3 hai nghi\u00ean c\u1ee9u, c\u00e1c t\u00e1c gi\u1ea3 nh\u1eadn th\u1ea5y \u0111\u1ed9 x\u00e1m cao nh\u1ea5t \u0111\u1ec1u \u0111\u01b0\u1ee3c ghi nh\u1eadn \u1edf nh\u1eefng xi m\u0103ng ch\u1ee9a k\u1ebdm (v\u00ed d\u1ee5 nh\u01b0 TempBond Original, TempBond NE, v\u00e0 Fleck’s). C\u00e1c xi m\u0103ng \u0111\u01b0\u1ee3c qu\u1ea3ng c\u00e1o l\u00e0 \u0111\u1eb7c hi\u1ec7u cho implant (v\u00ed d\u1ee5 nh\u01b0 Improv, Premier Implant Cement) ho\u1eb7c ch\u1ec9 b\u1ecb ph\u00e1t hi\u1ec7n \u1edf m\u1eabu d\u00e0y nh\u1ea5t 2.0 mm ho\u1eb7c ho\u00e0n to\u00e0n kh\u00f4ng b\u1ecb ph\u00e1t hi\u1ec7n. K\u1ebft qu\u1ea3 t\u1eeb nh\u1eefng nghi\u00ean c\u1ee9u ban \u0111\u1ea7u v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y cho th\u1ea5y xi m\u0103ng ch\u1ee9a k\u1ebdm c\u00f3 th\u1ec3 ph\u00f9 h\u1ee3p v\u1edbi ph\u1ee5c h\u00ecnh tr\u00ean implant h\u01a1n, nh\u1edd c\u00f3 \u0111\u1ed9 c\u1ea3n quang t\u01b0\u01a1ng \u0111\u1ed1i cao h\u01a1n. Ph\u00e1t hi\u1ec7n tr\u00ean phim X- quang (m\u1eb7c d\u00f9 kh\u00f4ng ph\u1ea3i lu\u00f4n lu\u00f4n \u0111\u1ea7y \u0111\u1ee7) \u0111\u01b0\u1ee3c xem l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 c\u00f3 th\u1ec3 gi\u1ea3m nguy c\u01a1 d\u01b0 xi m\u0103ng sau khi g\u1eafn ph\u1ee5c h\u00ecnh tr\u00ean implant. Nh\u01b0 v\u1eady, \u0111\u00e2y c\u00f3 v\u1ebb l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 h\u1eefu \u00edch \u0111\u1ec3 l\u00e0m gi\u1ea3m t\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng sinh h\u1ecdc do xi m\u0103ng.<\/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\u1ed5ng quan c\u00e1c kh\u00e1i ni\u1ec7m s\u01a1 l\u01b0\u1ee3c v\u1ec1 vi\u00eam ni\u00eam m\u1ea1c quanh Implant, vi\u00eam quanh Implant v\u00e0 \u0111\u1ed3ng th\u1eddi ph\u00e2n t\u00edch v\u1ec1 c\u00e1c d\u1ea1ng Abutment \u0111\u1ed1i v\u1edbi ph\u1ee5c h\u1ed3i Implant tr\u00ean b\u1ec7nh nh\u00e2n. C\u00f9ng t\u00ecm hi\u1ec3u s\u00e2u v\u00e0o v\u1ea5n \u0111\u1ec1 n\u00e0y. 1. Vi\u00eam ni\u00eam m\u1ea1c quanh Implant l\u00e0 g\u00ec? Vi\u00eam ni\u00eam m\u1ea1c […]<\/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":"\nVi\u00eam quanh Implant v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m thi\u1ebft k\u1ebf Abutment Implant.<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y t\u1ed5ng quan c\u00e1c kh\u00e1i ni\u1ec7m s\u01a1 l\u01b0\u1ee3c v\u1ec1 vi\u00eam ni\u00eam m\u1ea1c quanh Implant, vi\u00eam quanh Implant v\u00e0 \u0111\u1ed3ng th\u1eddi ph\u00e2n t\u00edch v\u1ec1 c\u00e1c d\u1ea1ng Abutment.\" \/>\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=\"Vi\u00eam quanh Implant v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m thi\u1ebft k\u1ebf 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