{"id":31149,"date":"2023-05-03T16:33:34","date_gmt":"2023-05-03T09:33:34","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31149"},"modified":"2023-05-03T21:57:37","modified_gmt":"2023-05-03T14:57:37","slug":"phau-thuat-ghep-mo-lien-ket-duoi-bieu-mo-sectg-tong-quan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/phau-thuat-ghep-mo-lien-ket-duoi-bieu-mo-sectg-tong-quan\/","title":{"rendered":"Ph\u1eabu thu\u1eadt gh\u00e9p m\u00f4 li\u00ean k\u1ebft d\u01b0\u1edbi bi\u1ec3u m\u00f4 (SeCTG) – T\u1ed5ng quan."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y \u0111\u1ec1 c\u1eadp \u0111\u1ebfn t\u1ed5ng quan v\u1ec1 gh\u00e9p m\u00f4 li\u00ean k\u1ebft d\u01b0\u1edbi bi\u1ec3u m\u00f4 (SeCTG), \u0111\u1ed3ng th\u1eddi so s\u00e1nh s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa hai ph\u01b0\u01a1ng ph\u00e1p gh\u00e9p, v\u00e0 \u0111\u00e1nh gi\u00e1 d\u1ea1ng sinh h\u1ecdc c\u1ee7a n\u01b0\u1edbu\/ni\u00eam m\u1ea1c. C\u00f9ng t\u00ecm hi\u1ec3u k\u1ef9 h\u01a1n trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n

\"SeCTG\"<\/p>\n

1. T\u1ed5ng quan v\u1ec1 gh\u00e9p m\u00f4 li\u00ean k\u1ebft d\u01b0\u1edbi bi\u1ec3u m\u00f4 (SeCTG) trong Implant Nha khoa<\/h2>\n

Gh\u00e9p m\u00f4 li\u00ean k\u1ebft d\u01b0\u1edbi bi\u1ec3u m\u00f4 (SeCTG) l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 kh\u1eafc ph\u1ee5c d\u1ecb d\u1ea1ng ni\u00eam m\u1ea1c-n\u01b0\u1edbu, ch\u1eb3ng h\u1ea1n nh\u01b0 khi\u1ebfm khuy\u1ebft s\u1ed1ng h\u00e0m ho\u1eb7c che ph\u1ee7 ch\u00e2n r\u0103ng. Mi\u1ebfng gh\u00e9p th\u01b0\u1eddng \u0111\u01b0\u1ee3c thu ho\u1ea1ch t\u1eeb ni\u00eam m\u1ea1c nhai c\u1ee7a kh\u1ea9u c\u00e1i c\u1ee9ng v\u00e0\/ho\u1eb7c l\u1ed7i c\u1ee7. Gh\u00e9p m\u00f4 li\u00ean k\u1ebft d\u01b0\u1edbi bi\u1ec3u m\u00f4 (SeCTG) bao g\u1ed3m m\u00f4 tuy\u1ebfn, m\u00f4 m\u1ee1 v\u00e0 m\u00f4 li\u00ean k\u1ebft, v\u1edbi t\u1ef7 l\u1ec7 kh\u00e1c nhau t\u00f9y theo v\u1ecb tr\u00ed v\u00e0 c\u01a1 \u0111\u1ecba b\u1ec7nh nh\u00e2n. K\u1ef9 thu\u1eadt gh\u00e9p inlay to\u00e0n b\u1ed9, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh thi\u1ebfu m\u00f4 m\u1ec1m b\u1eb1ng c\u00e1ch th\u00eam \u0111\u1ed9 d\u00e0y trung b\u00ecnh 2-4 mm.<\/p>\n

2. S\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa gh\u00e9p n\u01b0\u1edbu r\u1eddi (FGG) v\u00e0 gh\u00e9p m\u00f4 li\u00ean k\u1ebft d\u01b0\u1edbi bi\u1ec3u m\u00f4 (SeCTG)<\/h2>\n

M\u1ea3nh gh\u00e9p n\u01b0\u1edbu r\u1eddi (FGG) c\u1ee7a ni\u00eam m\u1ea1c kh\u1ea9u c\u00e1i \u0111\u01b0\u1ee3c t\u1eadn d\u1ee5ng \u0111\u1ec3 t\u0103ng chi\u1ec1u r\u1ed9ng m\u00f4 s\u1eebng h\u00f3a \u1edf b\u1ec7nh nh\u00e2n m\u1ea5t r\u0103ng ho\u1eb7c quanh implant. FGG c\u00f2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi ph\u1eabu thu\u1eadt ng\u00e1ch h\u00e0nh lang \u0111\u1ec3 t\u0103ng di\u1ec7n t\u00edch n\u00e2ng \u0111\u1ee1 c\u1ee7a n\u1ec1n h\u00e0m gi\u1ea3 th\u00e1o l\u1eafp. FGG \u0111i\u1ec3n h\u00ecnh bao g\u1ed3m m\u00f4 m\u1ee1, m\u00f4 li\u00ean k\u1ebft, v\u00e0 bi\u1ec3u m\u00f4. Mi\u1ebfng gh\u00e9p n\u00e0y \u0111\u01b0\u1ee3c \u1ed5n \u0111\u1ecbnh b\u1eb1ng ch\u1ec9 kh\u00e2u \u0111\u1ec3 ph\u1ee7 l\u00ean v\u1ecb tr\u00ed nh\u1eadn gh\u00e9p \u0111\u00e3 \u0111\u01b0\u1ee3c kh\u1eed bi\u1ec3u m\u00f4 v\u00e0 b\u1ed9c l\u1ed9 m\u00f4 li\u00ean k\u1ebft b\u00ean d\u01b0\u1edbi. Nh\u01b0 \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u1edf tr\u00ean, m\u1ea3nh gh\u00e9p m\u00f4 li\u00ean k\u1ebft d\u01b0\u1edbi bi\u1ec3u m\u00f4 (SeCTG) \u0111\u01b0\u1ee3c t\u1eadn d\u1ee5ng t\u1eeb kh\u1ea9u c\u00e1i c\u1ee9ng ho\u1eb7c l\u1ed3i c\u1ee7. Gh\u00e9p m\u00f4 li\u00ean k\u1ebft d\u01b0\u1edbi bi\u1ec3u m\u00f4 (SeCTG) th\u01b0\u1eddng kh\u00f4ng ch\u1ee9a bi\u1ec3u m\u00f4, nh\u01b0ng th\u1ec9nh tho\u1ea3ng c\u00f3 th\u1ec3 c\u00f3 m\u1ed9t l\u1edbp m\u1ecfng d\u1ecdc theo m\u1ed9t c\u1ea1nh. V\u1ecb tr\u00ed nh\u1eadn gh\u00e9p \u0111\u01b0\u1ee3c chu\u1ea9n b\u1ecb b\u1eb1ng c\u00e1ch l\u1eadt v\u1ea1t b\u1ea3n ph\u1ea7n b\u00ean d\u01b0\u1edbi n\u01a1i \u0111\u1eb7t mi\u1ebfng gh\u00e9p m\u00f4 li\u00ean k\u1ebft; cu\u1ed1i c\u00f9ng, v\u1ea1t b\u1ea3n ph\u1ea7n \u0111\u01b0\u1ee3c kh\u00e2u tr\u1edf l\u1ea1i v\u1ecb tr\u00ed ban \u0111\u1ea7u ho\u1eb7c v\u1ec1 ph\u00eda th\u00e2n r\u0103ng, t\u00f9y theo m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb. Gh\u00e9p n\u01b0\u1edbu r\u1eddi (FGG) kh\u00f4ng c\u00f2n ph\u00f9 h\u1ee3p trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb khi\u1ebfm khuy\u1ebft t\u1ee5t n\u01b0\u1edbu v\u00ec l\u00fd do th\u1ea9m m\u1ef9 n\u1eefa. Th\u1ee7 thu\u1eadt n\u00e0y khi\u1ebfn b\u1ec7nh nh\u00e2n kh\u00f4ng tho\u1ea3i m\u00e1i, v\u00e0 kh\u00f4ng th\u1ec3 d\u1ef1 \u0111o\u00e1n \u0111\u01b0\u1ee3c s\u1ef1 gi\u1ed1ng m\u00e0u v\u1edbi m\u00f4 xung quanh.<\/p>\n

3. D\u1ea1ng sinh h\u1ecdc n\u01b0\u1edbu\/ni\u00eam m\u1ea1c<\/h2>\n

Seiberf v\u00e0 Lindhe v\u00e0o n\u0103m 1989 \u0111\u00e3 \u0111\u1ec1 xu\u1ea5t thu\u1eadt ng\u1eef “d\u1ea1ng sinh h\u1ecdc nha chu” \u0111\u1ec3 m\u00f4 t\u1ea3 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m kh\u00e1c nhau (c\u1ee5 th\u1ec3 l\u00e0 ph\u1eb3ng-d\u00e0y v\u00e0 d\u1ea1ng v\u1ecf s\u00f2- m\u1ecfng) c\u1ee7a m\u00f4 nha chu, bao g\u1ed3m c\u1ea3 x\u01b0\u01a1ng \u1ed5 r\u0103ng b\u00ean d\u01b0\u1edbi. Thu\u1eadt ng\u1eef “d\u1ea1ng sinh h\u1ecdc nha chu\u201d \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ea3o lu\u1eadn v\u00e0 m\u00f4 t\u1ea3 trong y v\u0103n b\u1edfi nhi\u1ec1u t\u00e1c gi\u1ea3. Nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y cho th\u1ea5y \u0111\u1eb7c \u0111i\u1ec3m h\u00ecnh th\u00e1i c\u1ee7a n\u01b0\u1edbu v\u00e0 m\u00f4 nha chu c\u00f3 li\u00ean quan \u0111\u1ebfn k\u00edch th\u01b0\u1edbc m\u1ecfm x\u01b0\u01a1ng \u1ed5, h\u00ecnh d\u1ea1ng r\u0103ng, v\u00e0 \u0111\u1ed9 nghi\u00eang c\u0169ng nh\u01b0 v\u1ecb tr\u00ed sau c\u00f9ng c\u1ee7a r\u0103ng \u0111\u00e3 m\u1ecdc ho\u00e0n to\u00e0n. Nh\u01b0 v\u1eady, m\u1ed9t r\u0103ng c\u00f3 th\u00e2n r\u0103ng thu\u00f4n v\u00e0 v\u00f9ng ti\u1ebfp x\u00fac b\u00ean \u00edt th\u00ec th\u01b0\u1eddng c\u00f3 d\u1ea1ng sinh h\u1ecdc nha chu m\u1ecfng v\u00e0 x\u01b0\u01a1ng bao quanh m\u1ecfng. Ng\u01b0\u1ee3c l\u1ea1i, r\u0103ng c\u00f3 th\u00e2n r\u0103ng ng\u1eafn v\u00e0 r\u1ed9ng v\u1edbi v\u00f9ng ti\u1ebfp x\u00fac l\u1edbn s\u1ebd th\u01b0\u1eddng c\u00f3 d\u1ea1ng sinh h\u1ecdc nha chu d\u00e0y v\u00e0 x\u01b0\u01a1ng bao quanh d\u00e0y.<\/p>\n

\u1ea2nh h\u01b0\u1edfng c\u1ee7a s\u1ef1 h\u00ecnh th\u00e0nh kho\u1ea3ng sinh h\u1ecdc l\u00ean s\u1ef1 ti\u00eau m\u00e0o x\u01b0\u01a1ng quanh implant \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ea3o lu\u1eadn s\u00f4i n\u1ed5i trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u1ea7y. Ng\u01b0\u1eddi ta nh\u1eadn th\u1ea5y ni\u00eam m\u1ea1c l\u00e0nh m\u1ea1nh quanh implant s\u1ebd t\u1ea1o ra h\u00e0ng r\u00e0o quanh giao di\u1ec7n implant-abutment g\u1ed3m hai v\u00f9ng: m\u1ed9t l\u00e0 bi\u1ec3u m\u00f4 k\u1ebft n\u1ed1i v\u00e0 m\u1ed9t l\u00e0 m\u00f4 li\u00ean k\u1ebft gi\u00e0u collagen nh\u01b0ng ngh\u00e8o t\u1ebf b\u00e0o. S\u1ef1 m\u1edf r\u1ed9ng m\u00f4 m\u1ec1m n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 kho\u1ea3ng sinh h\u1ecdc quanh implant, v\u00e0 n\u00f3 c\u00f3 t\u00e1c d\u1ee5ng nh\u01b0 m\u1ed9t c\u01a1 ch\u1ebf b\u1ea3o v\u1ec7 cho x\u01b0\u01a1ng b\u00ean d\u01b0\u1edbi. M\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 \u0111\u1ec1 ngh\u1ecb r\u1eb1ng n\u1ebfu kh\u00f4ng \u0111\u1ee7 k\u00edch th\u01b0\u1edbc ni\u00eam m\u1ea1c t\u1ed1i thi\u1ec3u, th\u00ec ti\u00eau x\u01b0\u01a1ng c\u00f3 th\u1ec3 x\u1ea3y ra \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o cho s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a kho\u1ea3ng sinh h\u1ecdc. Nh\u1eefng k\u1ebft qu\u1ea3 n\u00e0y c\u0169ng ph\u00f9 h\u1ee3p v\u1edbi c\u00e1c nghi\u00ean c\u1ee9u tr\u01b0\u1edbc \u0111\u00f3 tr\u00ean r\u0103ng th\u1eadt, trong \u0111\u00f3 cho th\u1ea5y s\u1ef1 thi\u1ebft l\u1eadp kho\u1ea3ng sinh h\u1ecdc sau ph\u1eabu thu\u1eadt l\u00e0m d\u00e0i th\u00e2n r\u0103ng c\u00f3 li\u00ean quan v\u1edbi s\u1ef1 ti\u00eau m\u00e0o x\u01b0\u01a1ng. Tuy nhi\u00ean, nh\u1eefng d\u1eef li\u1ec7u v\u1ec1 m\u1ed1i quan h\u1ec7 gi\u1eefa \u0111\u1ed9 d\u00e0y ni\u00eam m\u1ea1c (k\u00edch th\u01b0\u1edbc ngo\u00e0i-trong) v\u1edbi s\u1ef1 ti\u00eau m\u00e0o x\u01b0\u01a1ng quanh implant v\u1eabn c\u00f2n kh\u00e1 hi\u1ebfm. Trong m\u1ed9t th\u00ed nghi\u1ec7m tr\u00ean \u0111\u1ed9ng v\u1eadt, Lindhe v\u00e0 Berglundh \u0111\u00e3 b\u00e1o c\u00e1o r\u1eb1ng m\u00f4 xung quanh m\u1ecfng c\u00f3 th\u1ec3 g\u00e2y ti\u00eau b\u1edd x\u01b0\u01a1ng trong qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh l\u1edbp v\u1ecf ni\u00eam m\u1ea1c quanh implant. K\u1ebft qu\u1ea3 trong m\u1ed9t nghi\u00ean c\u1ee9u m\u00f4 h\u1ecdc kh\u00e1c cho th\u1ea5y implant \u0111\u01b0\u1ee3c bao quanh b\u1edfi ni\u00eam m\u1ea1c m\u1ecfng s\u1ebd c\u00f3 khuynh h\u01b0\u1edbng ti\u00eau x\u01b0\u01a1ng theo chi\u1ec1u \u0111\u1ee9ng, trong khi nh\u1eefng v\u1ecb tr\u00ed implant c\u00f3 d\u1ea1ng sinh h\u1ecdc ni\u00eam m\u1ea1c d\u00e0y l\u1ea1i c\u00f3 m\u00f4 h\u00ecnh ti\u00eau x\u01b0\u01a1ng theo chi\u1ec1u ngang. Tuy nhi\u00ean, b\u1eb1ng ch\u1ee9ng t\u1eeb c\u00e1c nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf ch\u1eb7t ch\u1ebd v\u1eabn c\u00f2n h\u1ea1n ch\u1ebf, do \u0111\u00f3 l\u00e0m gi\u1ea3m \u0111i t\u00ednh kh\u00e1i qu\u00e1t c\u1ee7a nh\u1eefng k\u1ebft qu\u1ea3 k\u1ec3 tr\u00ean v\u00e0o th\u1ef1c t\u1ebf l\u00e2m s\u00e0ng. Ngo\u00e0i ra, ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng n\u00e0o v\u1ec1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a \u0111\u1ed9 d\u00e0y m\u00f4 l\u00ean s\u1ef1 \u1ed5n \u0111\u1ecbnh x\u01b0\u01a1ng quanh implant.<\/p>\n

Trong m\u1ed9t th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng c\u00f3 nh\u00f3m ch\u1ee9ng g\u1ea7n \u0111\u00e2y, Linkevicius v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 \u0111\u00e1nh gi\u00e1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a \u0111\u1ed9 d\u00e0y m\u00f4 n\u01b0\u1edbu l\u00ean s\u1ef1 ti\u00eau b\u1edd x\u01b0\u01a1ng quanh implant; c\u00e1c t\u00e1c gi\u1ea3 \u0111\u00e3 \u0111\u1ec1 ngh\u1ecb tr\u00e1nh \u0111\u1eb7t implant tr\u00ean m\u00e0o x\u01b0\u01a1ng trong tr\u01b0\u1eddng h\u1ee3p d\u1ea1ng sinh h\u1ecdc ni\u00eam m\u1ea1c m\u1ecfng. D\u1ef1a tr\u00ean b\u1eb1ng ch\u1ee9ng n\u00e0y, ng\u01b0\u1eddi ta \u0111\u1ec1 ngh\u1ecb n\u00ean xem x\u00e9t l\u00e0m d\u00e0y ni\u00eam m\u1ea1c m\u1ecfng tr\u01b0\u1edbc khi \u0111\u1eb7t implant \u0111\u1ec3 gi\u1ea3m thi\u1ec3u s\u1ef1 xu\u1ea5t hi\u1ec7n bi\u1ebfn ch\u1ee9ng.<\/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 \u0111\u1ec1 c\u1eadp \u0111\u1ebfn t\u1ed5ng quan v\u1ec1 gh\u00e9p m\u00f4 li\u00ean k\u1ebft d\u01b0\u1edbi bi\u1ec3u m\u00f4 (SeCTG), \u0111\u1ed3ng th\u1eddi so s\u00e1nh s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa hai ph\u01b0\u01a1ng ph\u00e1p gh\u00e9p, v\u00e0 \u0111\u00e1nh gi\u00e1 d\u1ea1ng sinh h\u1ecdc c\u1ee7a n\u01b0\u1edbu\/ni\u00eam m\u1ea1c. C\u00f9ng t\u00ecm hi\u1ec3u k\u1ef9 h\u01a1n trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y. 1. T\u1ed5ng quan v\u1ec1 gh\u00e9p m\u00f4 li\u00ean […]<\/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":"\nPh\u1eabu thu\u1eadt gh\u00e9p m\u00f4 li\u00ean k\u1ebft d\u01b0\u1edbi bi\u1ec3u m\u00f4 (SeCTG) - T\u1ed5ng quan.<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft t\u1ed5ng quan v\u1ec1 gh\u00e9p m\u00f4 li\u00ean k\u1ebft d\u01b0\u1edbi bi\u1ec3u m\u00f4 (SeCTG), so s\u00e1nh kh\u00e1c bi\u1ec7t gi\u1eefa ph\u01b0\u01a1ng ph\u00e1p, v\u00e0 \u0111\u00e1nh gi\u00e1 d\u1ea1ng sinh h\u1ecdc c\u1ee7a n\u01b0\u1edbu\/ni\u00eam m\u1ea1c.\" \/>\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=\"Ph\u1eabu thu\u1eadt gh\u00e9p m\u00f4 li\u00ean k\u1ebft d\u01b0\u1edbi bi\u1ec3u m\u00f4 (SeCTG) - 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