{"id":31086,"date":"2023-05-03T15:34:14","date_gmt":"2023-05-03T08:34:14","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31086"},"modified":"2023-05-03T15:55:38","modified_gmt":"2023-05-03T08:55:38","slug":"vai-tro-cua-nuou-sung-hoa-quanh-rang-that-va-quanh-implant","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/vai-tro-cua-nuou-sung-hoa-quanh-rang-that-va-quanh-implant\/","title":{"rendered":"Vai tr\u00f2 c\u1ee7a n\u01b0\u1edbu s\u1eebng ho\u00e1 quanh r\u0103ng th\u1eadt v\u00e0 quanh Implant."},"content":{"rendered":"

Vai tr\u00f2 c\u1ee7a n\u01b0\u1edbu s\u1eebng h\u00f3a \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe implant l\u00e0 m\u1ed9t ch\u1ee7 \u0111\u1ec1 \u0111\u01b0\u1ee3c tranh lu\u1eadn trong nh\u1eefng n\u0103m qua. M\u1ed9t s\u1ed1 b\u00e0i b\u00e1o t\u1ed5ng quan \u0111\u00e3 k\u1ebft lu\u1eadn r\u1eb1ng kh\u00f4ng \u0111\u1ee7 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y s\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a n\u01b0\u1edbu s\u1eebng h\u00f3a \u0111\u1ed1i v\u1edbi s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u1ee7a m\u00f4 quanh implant. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd l\u00e0m c\u1ee5 th\u1ec3 v\u00e0 s\u00e1ng t\u1ecf c\u00e1c v\u1ea5n \u0111\u1ec1 tr\u00ean. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n

1. Kh\u00e1i ni\u1ec7m v\u1ec1 n\u01b0\u1edbu s\u1eebng ho\u00e1<\/h2>\n

N\u01b0\u1edbu s\u1eebng h\u00f3a l\u00e0 ph\u1ea7n ni\u00eam m\u1ea1c mi\u1ec7ng bao quanh c\u1ed5 r\u0103ng v\u00e0 bao ph\u1ee7 ph\u1ea7n x\u01b0\u01a1ng \u1ed5 c\u1ee7a r\u0103ng. N\u00f3 k\u00e9o d\u00e0i t\u1eeb vi\u1ec1n n\u01b0\u1edbu \u0111\u1ebfn \u0111\u01b0\u1eddng n\u1ed1i ni\u00eam m\u1ea1c- n\u01b0\u1edbu (MGJ). N\u01b0\u1edbu s\u1eebng h\u00f3a \u0111\u01b0\u1ee3c l\u00f3t b\u1edfi bi\u1ec3u m\u00f4 s\u1eebng h\u00f3a, v\u00e0 ph\u1ea7n n\u01b0\u1edbu s\u1eebng h\u00f3a b\u00e1m ch\u1eb7t v\u00e0o x\u01b0\u01a1ng \u1ed5 r\u0103ng b\u00ean d\u01b0\u1edbi ho\u1eb7c x\u00ea m\u0103ng c\u1ee7a r\u0103ng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 n\u01b0\u1edbu d\u00ednh s\u1eebng h\u00f3a. Chi\u1ec1u r\u1ed9ng c\u1ee7a n\u01b0\u1edbu d\u00ednh s\u1eebng h\u00f3a \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 kho\u1ea3ng c\u00e1ch t\u1eeb \u0111\u01b0\u1eddng n\u1ed1i ni\u00eam m\u1ea1c- n\u01b0\u1edbu \u0111\u1ebfn \u0111\u00e1y khe n\u01b0\u1edbu\/t\u00fai nha chu. N\u01b0\u1edbu r\u1eddi s\u1eebng h\u00f3a kh\u00f4ng b\u00e1m v\u00e0o x\u01b0\u01a1ng \u1ed5 r\u0103ng v\u00e0 x\u00ea m\u0103ng. Chi\u1ec1u r\u1ed9ng c\u1ee7a n\u01b0\u1edbu r\u1eddi s\u1eebng h\u00f3a \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 kho\u1ea3ng c\u00e1ch t\u1eeb \u0111\u00e1y khe n\u01b0\u1edbu\/t\u00fai nha chu \u0111\u1ebfn vi\u1ec1n n\u01b0\u1edbu.<\/p>\n

2. Vai tr\u00f2 c\u1ee7a n\u01b0\u1edbu s\u1eebng ho\u00e1 quanh r\u0103ng th\u1eadt v\u00e0 quanh Implant<\/h2>\n

N\u01b0\u1edbu d\u00ednh s\u1eebng h\u00f3a \u1edf r\u0103ng t\u1ef1 nhi\u00ean ch\u1ee9a c\u00e1c s\u1ee3i n\u01b0\u1edbc l\u00e0m t\u1eeb collagen lo\u1ea1i I. Nh\u1eefng s\u1ee3i collagen n\u00e0y t\u1ea1o ra l\u1edbp v\u1ecf c\u01a1 h\u1ecdc cho n\u01b0\u1edbu v\u00e0 c\u00f3 ch\u1ee9c n\u0103ng nh\u01b0 h\u00e0ng r\u00e0o ch\u1ed1ng l\u1ea1i vi khu\u1ea9n mi\u1ec7ng. N\u01b0\u1edbu d\u00ednh s\u1eebng h\u00f3a c\u00f2n c\u00f3 kh\u1ea3 n\u0103ng ch\u1ed1ng l\u1ea1i s\u1ef1 ma s\u00e1t sinh ra trong qu\u00e1 tr\u00ecnh nhai, khi c\u00e1c h\u1ea1t th\u1ee9c \u0103n ch\u1ea1y t\u1eeb b\u1ea3n nhai qua n\u01b0\u1edbu s\u1eebng h\u00f3a xu\u1ed1ng ng\u00e1ch h\u00e0nh lang. Ngo\u00e0i ra, do n\u01b0\u1edbu d\u00ednh s\u1eebng h\u00f3a b\u00e1m ch\u1eb7t v\u00e0o c\u00e1c c\u1ea5u tr\u00fac b\u00ean d\u01b0\u1edbi, n\u00ean n\u00f3 kh\u00f4ng di \u0111\u1ed9ng, v\u00e0 do \u0111\u00f3 cho ph\u00e9p l\u00e0m s\u1ea1ch m\u1ea3ng b\u00e1m hi\u1ec7u qu\u1ea3 b\u1eb1ng nh\u1eefng d\u1ee5ng c\u1ee5 v\u1ec7 sinh nh\u01b0 b\u00e0n ch\u1ea3i v\u00e0 ch\u1ec9 nha khoa.<\/p>\n

B\u1ed9 m\u00e1y b\u00e1m d\u00ednh c\u1ee7a n\u01b0\u1edbu d\u00ednh s\u1eebng h\u00f3a quanh implant kh\u00e1c so v\u1edbi r\u0103ng t\u1ef1 nhi\u00ean. Nh\u1eefng s\u1ee3i n\u01b0\u1edbu \u1edf r\u0103ng t\u1ef1 nhi\u00ean th\u00ec v\u00f9i vu\u00f4ng g\u00f3c v\u00e0o x\u00ea m\u0103ng. Ng\u01b0\u1ee3c l\u1ea1i, s\u1ee3i m\u00f4 li\u00ean k\u1ebft quanh implant ph\u1ea7n l\u1edbn l\u1ea1i ch\u1ea1y song song v\u1edbi implant v\u00e0 kh\u00f4ng b\u00e1m d\u00ednh v\u1edbi b\u1ec1 m\u1eb7t titanium c\u1ee7a implant. Ngo\u00e0i ra, b\u1ed9 m\u00e1y b\u00e1m d\u00ednh quanh implant ch\u1ee7 y\u1ebfu l\u00e0 b\u00e1m d\u00ednh bi\u1ec3u m\u00f4 k\u1ebft n\u1ed1i d\u00e0i ch\u1ee9 kh\u00f4ng ph\u1ea3i b\u00e1m d\u00ednh m\u00f4 li\u00ean k\u1ebft. Do nh\u1eefng kh\u00e1c bi\u1ec7t c\u1ea5u tr\u00fac n\u00e0y m\u00e0 b\u1ed9 m\u00e1y b\u00e1m d\u00ednh quanh implant d\u1ec5 b\u1ecb t\u1ed5n th\u01b0\u01a1ng h\u01a1n so v\u1edbi r\u0103ng t\u1ef1 nhi\u00ean khi c\u00f3 s\u1ef1 t\u00edch t\u1ee5 m\u1ea3ng b\u00e1m.<\/p>\n

Vai tr\u00f2 c\u1ee7a n\u01b0\u1edbu s\u1eebng h\u00f3a \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe implant l\u00e0 m\u1ed9t ch\u1ee7 \u0111\u1ec1 \u0111\u01b0\u1ee3c tranh lu\u1eadn trong nh\u1eefng n\u0103m qua. M\u1ed9t s\u1ed1 b\u00e0i b\u00e1o t\u1ed5ng quan \u0111\u00e3 k\u1ebft lu\u1eadn r\u1eb1ng kh\u00f4ng \u0111\u1ee7 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y s\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a n\u01b0\u1edbu s\u1eebng h\u00f3a \u0111\u1ed1i v\u1edbi s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u1ee7a m\u00f4 quanh implant. Tuy nhi\u00ean, c\u00e1c t\u1ed5ng quan h\u1ec7 th\u1ed1ng kh\u00e1c l\u1ea1i b\u00e1o c\u00e1o r\u1eb1ng c\u00f3 s\u1ef1 t\u00edch t\u1ee5 m\u1ea3ng b\u00e1m v\u00e0 vi\u00eam nhi\u1ec1u h\u01a1n n\u1ebfu thi\u1ebfu n\u01b0\u1edbu s\u1eebng h\u00f3a quanh implant. B\u1edfi v\u00ec t\u1ed5 ch\u1ee9c c\u1ee7a b\u1ed9 m\u00e1y b\u00e1m d\u00ednh quanh implant khi\u1ebfn m\u00f4 m\u1ec1m quanh implant d\u1ec5 b\u1ecb t\u1ed5n th\u01b0\u01a1ng khi c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a m\u1ea3ng b\u00e1m, n\u00ean c\u00f3 l\u1ebd vi\u1ec7c c\u00f3 \u0111\u1ee7 chi\u1ec1u r\u1ed9ng n\u01b0\u1edbu d\u00ednh s\u1eebng h\u00f3a quanh implant l\u00e0 kh\u00e1 quan tr\u1ecdng.<\/p>\n

3. V\u1ea5n \u0111\u1ec1 l\u00e2m s\u00e0ng n\u1ea3y sinh khi kh\u00f4ng \u0111\u1ee7 n\u01b0\u1edbu s\u1eebng ho\u00e1<\/h2>\n

Khi thi\u1ebfu n\u01b0\u1edbu s\u1eebng h\u00f3a quanh implant, th\u00ec ph\u1ea7n l\u1edbn m\u00f4 m\u1ec1m quanh implant s\u1ebd l\u00e0 ni\u00eam m\u1ea1c x\u01b0\u01a1ng \u1ed5. B\u1edfi v\u00ec ni\u00eam m\u1ea1c x\u01b0\u01a1ng \u1ed5 l\u00e0 m\u00f4 di \u0111\u1ed9ng, n\u00ean r\u1ea5t kh\u00f3 \u0111\u1ec3 b\u1ec7nh nh\u00e2n gi\u1eef cho implant kh\u00f4ng c\u00f3 m\u1ea3ng b\u00e1m. Ni\u00eam m\u1ea1c x\u01b0\u01a1ng \u1ed5 quanh implant s\u1ebd di \u0111\u1ed9ng c\u00f9ng v\u1edbi l\u00f4ng b\u00e0n ch\u1ea3i khi b\u1ec7nh nh\u00e2n ch\u1ea3i implant. Do \u0111\u00f3, thi\u1ebfu n\u01b0\u1edbu s\u1eebng h\u00f3a quanh implant c\u00f3 th\u1ec3 l\u00e0m t\u0103ng l\u01b0u gi\u1eef m\u1ea3ng b\u00e1m v\u00e0 vi\u00eam n\u01b0\u1edbu. V\u00ec b\u1ed9 m\u00e1y b\u00e1m d\u00ednh m\u00f4 m\u1ec1m quanh implant d\u01b0\u1eddng nh\u01b0 \u00edt \u0111\u1ec1 kh\u00e1ng v\u1edbi vi\u00eam n\u01b0\u1edbu, n\u00ean b\u1ec7nh nh\u00e2n s\u1ebd c\u00f3 nhi\u1ec1u nguy c\u01a1 ph\u00e1t tri\u1ec3n vi\u00eam ni\u00eam m\u1ea1c quanh implant v\u00e0 vi\u00eam quanh implant.<\/p>\n

Ngo\u00e0i ra, trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7t implant \u1edf s\u1ed1ng h\u00e0m teo nhi\u1ec1u v\u00e0 thi\u1ebfu n\u01b0\u1edbu s\u1eebng h\u00f3a quanh implant, th\u00ec kho\u1ea3ng h\u00e0nh lang quanh implant c\u0169ng th\u01b0\u1eddng b\u1ecb gi\u1edbi h\u1ea1n, kh\u00f4ng \u0111\u1ee7 ch\u1ed7 cho d\u1ee5ng c\u1ee5 v\u1ec7 sinh r\u0103ng mi\u1ec7ng (v\u00ed d\u1ee5 nh\u01b0 b\u00e0n ch\u1ea3i) l\u00e0m s\u1ea1ch m\u1ea3ng b\u00e1m v\u00e0 m\u1ea3nh v\u1ee5n th\u1ee9c \u0103n. H\u00ecnh d\u01b0\u1edbi \u0111\u00e2y cho th\u1ea5y kh\u00f4ng \u0111\u1ee7 n\u01b0\u1edbc s\u1eebng h\u00f3a \u1edf m\u1eb7t ngo\u00e0i c\u1ee7a implant #45 v\u00e0 #46, thi\u1ebfu ng\u00e1ch h\u00e0nh lang th\u1ec3 hi\u1ec7n qua s\u1ef1 h\u00ecnh th\u00e0nh n\u1ebfp g\u1ea5p ni\u00eam m\u1ea1c (m\u0169i t\u00ean) quanh khe h\u1edf ti\u1ebfp c\u1eadn gi\u1eefa r\u0103ng #44, implant #45, v\u00e0 implant #46.<\/p>\n

\"vai-tro-cua-nuou-1\"
N\u1ebfp g\u1ea5p ni\u00eam m\u1ea1c (m\u0169i t\u00ean m\u00e0u v\u00e0ng) \u1edf ni\u00eam m\u1ea1c x\u01b0\u01a1ng \u1edf m\u1eb7t ngo\u00e0i l\u00e0 d\u1ea5u v\u1ebft c\u1ee7a khe h\u1edf ti\u1ebfp c\u1eadn gi\u1eefa r\u0103ng #44, implant #45 v\u00e0 implant #46. N\u1ebfp g\u1ea5p ni\u00eam m\u1ea1c cho th\u1ea5y ni\u00eam m\u1ea1c \u1ed5 r\u0103ng n\u1eb1m s\u00e1t v\u1edbi m\u1eb7t ngo\u00e0i c\u1ee7a ph\u1ee5c h\u00ecnh tr\u00ean implant #45 v\u00e0 #46, g\u1ee3i \u00fd r\u1eb1ng kh\u00f4ng \u0111\u1ee7 kho\u1ea3ng h\u00e0nh lang quanh implant.<\/figcaption><\/figure>\n

C\u00f3 s\u1ef1 t\u00edch t\u1ee5 m\u1ea3nh v\u1ee5n th\u1ee9c \u0103n v\u00e0 m\u1ea3ng b\u00e1m quanh c\u00e1c implant. Th\u00e1o ph\u1ee5c h\u00ecnh tr\u00ean implant #45 v\u00e0 #46 cho th\u1ea5y ho\u00e0n to\u00e0n kh\u00f4ng c\u00f3 n\u01b0\u1edbu s\u1eebng h\u00f3a m\u1eb7t ngo\u00e0i (h\u00ecnh d\u01b0\u1edbi \u0111\u00e2y).<\/p>\n

\"thieu-nuou-sung-hoa-2\"
Thi\u1ebfu n\u01b0\u1edbu s\u1eebng h\u00f3a \u1edf m\u1eb7t ngo\u00e0i quanh implant c\u00e0ng th\u1ea5y r\u00f5 h\u01a1n sau khi th\u00e1o ph\u1ee5c h\u00ecnh tr\u00ean implant.<\/figcaption><\/figure>\n

H\u00ecnh d\u01b0\u1edbi \u0111\u00e2y cho th\u1ea5y thi\u1ebfu n\u01b0\u1edbu s\u1eebng h\u00f3a \u1edf m\u1eb7t ngo\u00e0i implant #41 v\u00e0 \u0111i\u1ec3m b\u00e1m th\u1eafng (m\u0169i t\u00ean) g\u00e2y c\u1ea3n tr\u1edf cho vi\u1ec7c ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m hi\u1ec7u qu\u1ea3.<\/p>\n

\"thieu-nuou-sung-hoa-3\"
Implant #41 c\u00f3 chi\u1ec1u r\u1ed9ng n\u01b0\u1edbu s\u1eebng h\u00f3a r\u1ea5t \u00edt v\u00e0 b\u1ecb bao ph\u1ee7 b\u1edfi m\u1ea3ng b\u00e1m v\u00e0 v\u00f4i r\u0103ng. Th\u1eafng b\u00e1m sai ch\u1ed7 \u1edf ph\u00eda g\u1ea7n c\u1ee7a implant #41 (m\u0169i t\u00ean m\u00e0u v\u00e0ng) c\u00f3 th\u1ec3 c\u1ea3n tr\u1edf vi\u1ec7c ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m hi\u1ec7u qu\u1ea3.<\/figcaption><\/figure>\n

Ren c\u1ee7a implant b\u1ecb l\u1ed9 v\u00e0 b\u1ecb ph\u1ee7 b\u1edfi m\u1ea3ng b\u00e1m v\u00e0 v\u00f4i r\u0103ng, c\u0169ng quan s\u00e1t \u0111\u01b0\u1ee3c tr\u00ean phim X-quang (h\u00ecnh d\u01b0\u1edbi \u0111\u00e2y).<\/p>\n

\"\"
Ti\u00eau m\u00e0o x\u01b0\u01a1ng quanh implant \u1edf ph\u00eda g\u1ea7n c\u1ee7a implant #41. Ch\u00fa \u00fd c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y v\u00f4i r\u0103ng tr\u00ean phim X- quang.<\/figcaption><\/figure>\n

C\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 thi\u1ebfu n\u01b0\u1edbu s\u1eebng h\u00f3a quanh implant, thi\u1ebfu kho\u1ea3ng h\u00e0nh lang quanh implant, v\u00e0 th\u1eafng b\u00e1m kh\u00f4ng thu\u1eadn l\u1ee3i quanh implant \u0111\u00e3 c\u1ea3n tr\u1edf vi\u1ec7c l\u00e0m s\u1ea1ch m\u1ea3ng b\u00e1m hi\u1ec7u qu\u1ea3 v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra vi\u00eam ni\u00eam m\u1ea1c quanh implant v\u00e0\/ho\u1eb7c vi\u00eam quanh implant.<\/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":"

Vai tr\u00f2 c\u1ee7a n\u01b0\u1edbu s\u1eebng h\u00f3a \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe implant l\u00e0 m\u1ed9t ch\u1ee7 \u0111\u1ec1 \u0111\u01b0\u1ee3c tranh lu\u1eadn trong nh\u1eefng n\u0103m qua. M\u1ed9t s\u1ed1 b\u00e0i b\u00e1o t\u1ed5ng quan \u0111\u00e3 k\u1ebft lu\u1eadn r\u1eb1ng kh\u00f4ng \u0111\u1ee7 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y s\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a n\u01b0\u1edbu s\u1eebng h\u00f3a \u0111\u1ed1i v\u1edbi s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u1ee7a m\u00f4 quanh implant. B\u00e0i […]<\/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":"\nVai tr\u00f2 c\u1ee7a n\u01b0\u1edbu s\u1eebng ho\u00e1 quanh r\u0103ng th\u1eadt v\u00e0 quanh Implant.<\/title>\n<meta name=\"description\" content=\"C\u00f9ng t\u00ecm hi\u1ec3u kh\u00e1i ni\u1ec7m v\u1ec1 n\u01b0\u1edbu s\u1eebng ho\u00e1 v\u00e0 vai tr\u00f2 c\u1ee7a n\u00f3 quanh r\u0103ng th\u1eadt v\u00e0 quanh Implant, \u0111\u1ed3ng th\u1eddi c\u00e1c v\u1ea5n \u0111\u1ec1 n\u1ea3y sinh khi kh\u00f4ng c\u00f3 ch\u00fang.\" \/>\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=\"Vai tr\u00f2 c\u1ee7a n\u01b0\u1edbu s\u1eebng ho\u00e1 quanh r\u0103ng 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