{"id":31180,"date":"2023-05-03T17:47:53","date_gmt":"2023-05-03T10:47:53","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31180"},"modified":"2023-05-03T21:49:09","modified_gmt":"2023-05-03T14:49:09","slug":"ngach-hanh-lang-nong-thang-bam-bat-thuong-implant-nha-khoa","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/ngach-hanh-lang-nong-thang-bam-bat-thuong-implant-nha-khoa\/","title":{"rendered":"Ng\u00e1ch h\u00e0nh lang n\u00f4ng, th\u1eafng b\u00e1m b\u1ea5t th\u01b0\u1eddng – Implant Nha khoa."},"content":{"rendered":"

Thi\u1ebfu \u0111\u1ed9 s\u00e2u ng\u00e1ch h\u00e0nh lang (ng\u00e1ch h\u00e0nh lang n\u00f4ng) quanh implant s\u1ebd c\u1ea3n tr\u1edf kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m c\u1ee7a b\u1ec7nh nh\u00e2n b\u1edfi v\u00ec kh\u00f4ng c\u00f3 ch\u1ed7 cho d\u1ee5ng c\u1ee5 v\u1ec7 sinh. Th\u1eafng b\u00e1m cao quanh implant c\u00f3 th\u1ec3 gi\u1ed1ng nh\u01b0 h\u00e0ng r\u00e0o c\u1ea3n tr\u1edf s\u1ef1 l\u00e0m s\u1ea1ch ph\u1ee5c h\u00ecnh tr\u00ean implant v\u00e0 m\u00f4 quanh implant. Ngo\u00e0i ra, n\u1ebfu n\u01b0\u1edbu quanh implant, n\u01a1i c\u00f3 th\u1eafng b\u00e1m, b\u1ecb m\u1ecfng, th\u00ec l\u1ef1c k\u00e9o n\u01b0\u1edbu do th\u1eafng g\u00e2y ra c\u00f3 th\u1ec3 g\u00e2y t\u1ee5t n\u01b0\u1edbu quanh implant. C\u00f9ng t\u00ecm hi\u1ec3u k\u1ef9 h\u01a1n v\u1ec1 c\u00e1c v\u1ea5n \u0111\u1ec1 tr\u00ean.<\/strong><\/p>\n

1. Kh\u00e1i ni\u1ec7m ph\u1eabu thu\u1eadt ng\u00e1ch h\u00e0nh lang v\u00e0 c\u1eaft th\u1eafng trong Implant Nha khoa<\/h2>\n

H\u00e0nh lang trong xoang mi\u1ec7ng l\u00e0 kh\u00f4ng gian n\u1eb1m gi\u1eefa r\u0103ng v\u1edbi m\u1eb7t trong c\u1ee7a m\u00e1 v\u00e0 m\u00f4i. H\u00e0nh lang mi\u1ec7ng l\u00e0 n\u01a1i l\u01b0u gi\u1eef t\u1ea1m th\u1eddi c\u1ee7a c\u00e1c h\u1ea1t th\u1ee9c \u0103n trong qu\u00e1 tr\u00ecnh nhai. H\u00e0nh lang \u0111\u1ee7 \u0111\u1ed9 s\u00e2u s\u1ebd t\u1ea1o thu\u1eadn l\u1ee3i cho s\u1ef1 ch\u0103m s\u00f3c v\u1ec7 sinh r\u0103ng mi\u1ec7ng t\u1ea1i nh\u00e0 b\u1eb1ng c\u00e1ch t\u1ea1o ch\u1ed7 cho d\u1ee5ng c\u1ee5 v\u1ec7 sinh (v\u00ed d\u1ee5 nh\u01b0 b\u00e0n ch\u1ea3i, ch\u1ec9 nha khoa). Th\u1eafng trong xoang mi\u1ec7ng l\u00e0 n\u1ebfp g\u1ea5p m\u00f4 g\u1eafn m\u1eb7t trong c\u1ee7a m\u00f4i, m\u00e1 v\u00e0 s\u00e0n mi\u1ec7ng v\u00e0o ni\u00eam m\u1ea1c x\u01b0\u01a1ng \u1ed5, n\u01b0\u1edbu, v\u00e0\/ho\u1eb7c m\u00e0ng x\u01b0\u01a1ng b\u00ean d\u01b0\u1edbi. Th\u1eafng h\u1ea1n ch\u1ebf s\u1ef1 di \u0111\u1ed9ng c\u1ee7a m\u00f4 m\u00e0 n\u00f3 b\u00e1m v\u00e0o. V\u00ed d\u1ee5, th\u1eafng l\u01b0\u1ee1i s\u1ebd h\u1ea1n ch\u1ebf s\u1ef1 di \u0111\u1ed9ng c\u1ee7a l\u01b0\u1ee1i.<\/p>\n

Thi\u1ebfu \u0111\u1ed9 s\u00e2u ng\u00e1ch h\u00e0nh lang quanh implant s\u1ebd c\u1ea3n tr\u1edf kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m c\u1ee7a b\u1ec7nh nh\u00e2n b\u1edfi v\u00ec kh\u00f4ng c\u00f3 ch\u1ed7 cho d\u1ee5ng c\u1ee5 v\u1ec7 sinh. Th\u1eafng b\u00e1m cao quanh implant c\u00f3 th\u1ec3 gi\u1ed1ng nh\u01b0 h\u00e0ng r\u00e0o c\u1ea3n tr\u1edf s\u1ef1 l\u00e0m s\u1ea1ch ph\u1ee5c h\u00ecnh tr\u00ean implant v\u00e0 m\u00f4 quanh implant. Ngo\u00e0i ra, n\u1ebfu n\u01b0\u1edbu quanh implant, n\u01a1i c\u00f3 th\u1eafng b\u00e1m, b\u1ecb m\u1ecfng, th\u00ec l\u1ef1c k\u00e9o n\u01b0\u1edbu do th\u1eafng g\u00e2y ra c\u00f3 th\u1ec3 g\u00e2y t\u1ee5t n\u01b0\u1edbu quanh implant.<\/p>\n

H\u00ecnh 6: Th\u1eafng b\u00e1m b\u1ea5t th\u01b0\u1eddng (m\u0169i t\u00ean m\u00e0u v\u00e0ng), co k\u00e9o th\u1eafng, ph\u1ee5c h\u00ecnh kh\u00f4ng kh\u00edt s\u00e1t, v\u00e0 t\u00edch t\u1ee5 m\u1ea3ng b\u00e1m\/v\u1edbi r\u0103ng do v\u1ec7 sinh r\u0103ng mi\u1ec7ng k\u00e9m g\u00e2y ra vi\u00eam quanh implant \u1edf implant #41.<\/p>\n

T\u1ea5t c\u1ea3 nh\u1eefng t\u00ecnh hu\u1ed1ng n\u00e0y \u0111\u1ec1u c\u00f3 th\u1ec3 l\u00e0m t\u0103ng l\u01b0u gi\u1eef m\u1ea3ng b\u00e1m. Do \u0111\u00f3, nguy c\u01a1 ph\u00e1t tri\u1ec3n vi\u00eam ni\u00eam m\u1ea1c quanh implant v\u00e0 vi\u00eam quanh implant s\u1ebd t\u0103ng l\u00ean b\u1edfi v\u00ec v\u1ec7 sinh r\u0103ng mi\u1ec7ng k\u00e9m do l\u00e0m s\u1ea1ch m\u1ea3ng b\u00e1m kh\u00f4ng hi\u1ec7u qu\u1ea3 l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a c\u00e1c b\u1ec7nh l\u00fd quanh implant. Vi\u00eam n\u01b0\u1edbu do t\u00edch t\u1ee5 m\u1ea3ng b\u00e1m quanh implant c\u00f3 kh\u1ea3 n\u0103ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u00f4 c\u1ee9ng v\u00e0 m\u00f4 m\u1ec1m quanh implant, t\u1eeb \u0111\u00f3 g\u00e2y h\u1ea1i cho ch\u1ee9c n\u0103ng v\u00e0 th\u1ea9m m\u1ef9 c\u1ee7a ph\u1ee5c h\u00ecnh tr\u00ean implant.<\/p>\n

2. Nguy\u00ean nh\u00e2n g\u00e2y ra tr\u01b0\u1eddng h\u1ee3p n\u00e0y?<\/h2>\n

M\u1ecfm x\u01b0\u01a1ng \u1ed5 l\u00e0 c\u1ea5u tr\u00fac ph\u1ee5 thu\u1ed9c v\u00e0o r\u0103ng v\u00e0 s\u1ebd thay \u0111\u1ed5i \u0111\u00e1ng k\u1ec3 sau khi m\u1ea5t r\u0103ng. \u0110\u1ed9ng h\u1ecdc v\u00e0 m\u1ee9c \u0111\u1ed9 c\u1ee7a nh\u1eefng thay \u0111\u1ed5i n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c kh\u1ea3o s\u00e1t th\u00f4ng qua c\u00e1c nghi\u00ean c\u1ee9u tr\u00ean ch\u00f3 [6, 7] v\u00e0 tr\u00ean ng\u01b0\u1eddi [8, 9]. C\u00e1c nghi\u00ean c\u1ee9u n\u00e0y \u0111\u00e3 ghi nh\u1eadn \u0111\u01b0\u1ee3c r\u1eb1ng nh\u1eefng qu\u00e1 tr\u00ecnh c\u1ea5u tr\u00fac v\u00e0 t\u00e1i c\u1ea5u tr\u00fac m\u00f4 ch\u00ednh cu\u1ed1i c\u00f9ng s\u1ebd d\u1eabn t\u1edbi s\u1ef1 gi\u1ea3m k\u00edch th\u01b0\u1edbc s\u1ed1ng h\u00e0m to\u00e0n b\u1ed9 v\u1edbi s\u1ef1 thay \u0111\u1ed5i \u0111\u00e1ng k\u1ec3 \u1edf c\u1ea3 m\u00e0o x\u01b0\u01a1ng ngo\u00e0i v\u00e0 trong. S\u1ef1 gi\u1ea3m chi\u1ec1u cao v\u00e0 chi\u1ec1u r\u1ed9ng s\u1ed1ng h\u00e0m sau \u0111\u00f3 s\u1ebd l\u00e0m gi\u1ea3m \u0111\u1ed9 s\u00e2u ng\u00e1ch h\u00e0nh lang.<\/p>\n

T\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 t\u0103ng chi\u1ec1u r\u1ed9ng v\u00e0 chi\u1ec1u cao s\u1ed1ng h\u00e0m. Nh\u1eefng th\u1ee7 thu\u1eadt n\u00e0y th\u01b0\u1eddng s\u1eed d\u1ee5ng \u0111\u01b0\u1eddng r\u1ea1ch ni\u00eam m\u1ea1c m\u00e0ng x\u01b0\u01a1ng \u0111\u1ec3 t\u1ea1o v\u1ea1t m\u00f4 m\u1ec1m v\u1ec1 ph\u00eda th\u00e2n r\u0103ng nh\u1eb1m \u0111\u00f3ng k\u00edn ban \u0111\u1ea7u cho ph\u00e9p s\u1ef1 t\u1ea1o x\u01b0\u01a1ng m\u1edbi. Tuy nhi\u00ean, n\u1ebfu t\u1ea1o v\u1ea1t c\u1ea3i ti\u1ebfn th\u00e2n r\u0103ng, \u0111\u1ed9 s\u00e2u ng\u00e1ch h\u00e0nh lang s\u1ebd ng\u1eafn \u0111i. S\u1ef1 r\u00fat ng\u1eafn \u0111\u1ed9 s\u00e2u ng\u00e1ch h\u00e0nh lang s\u1ebd c\u00e0ng r\u00f5 r\u1ec7t h\u01a1n khi v\u1ea1t c\u1ea3i ti\u1ebfn th\u00e2n r\u0103ng ph\u1ee7 qua s\u1ed1ng h\u00e0m b\u1ecb ti\u00eau x\u01b0\u01a1ng tr\u1ea7m tr\u1ecdng theo chi\u1ec1u \u0111\u1ee9ng v\u00e0 ng\u00e1ch h\u00e0nh lang ban \u0111\u1ea7u c\u1ea1n.<\/p>\n

Th\u1eafng b\u00e1m b\u1ea5t th\u01b0\u1eddng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n d\u01b0\u1edbi d\u1ea1ng m\u00f4 s\u1eb9o do ph\u1eabu thu\u1eadt t\u1ea1o \u0111\u01b0\u1eddng r\u1ea1ch gi\u1ea3m c\u0103ng \u0111\u1ee9ng tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n

\"ngach-hanh-lang-nong-1\"
M\u1ed9t c\u1ea5u tr\u00fac gi\u1ed1ng th\u1eafng b\u00e1m v\u00e0o r\u0103ng #25 c\u00f3 th\u1ec3 c\u1ea3n tr\u1edf ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m hi\u1ec7u qu\u1ea3. N\u1ebfp g\u1ea5p m\u00f4 “th\u1eeba” \u1edf ni\u00eam m\u1ea1c m\u1eb7t ngo\u00e0i c\u1ee7a implant #25 c\u0169ng \u0111\u01b0\u1ee3c th\u1ea5y r\u00f5.<\/figcaption><\/figure>\n

 <\/p>\n

\"ngach-hanh-lang-nong-2\"
Ph\u1eabu thu\u1eadt ng\u00e1ch h\u00e0nh lang v\u00e0 ph\u1eabu thu\u1eadt c\u1eaft th\u1eafng k\u1ebft h\u1ee3p gh\u00e9p n\u01b0\u1edbu t\u1ea1i r\u0103ng #25 v\u00e0 implant #26. (A) L\u1eadt v\u1ea1t b\u1ea3n ph\u1ea7n t\u1ea1i \u0111\u01b0\u1eddng n\u1ed1i ni\u00eam m\u1ea1c-n\u01b0\u1edbu. (B) M\u1ea3nh gh\u00e9p n\u01b0\u1edbu \u0111\u01b0\u1ee3c thu ho\u1ea1ch t\u1eeb kh\u1ea9u c\u00e1i b\u00ean tr\u00e1i. (C) M\u1ea3nh gh\u00e9p n\u01b0\u1edbu c\u00f3 k\u00edch th\u01b0\u1edbc kho\u1ea3ng 25 mm x 7 mm. (D) M\u1ea3nh gh\u00e9p n\u01b0\u1edbu \u0111\u01b0\u1ee3c kh\u00e2u v\u00e0o v\u1ecb tr\u00ed nh\u1eadn gh\u00e9p b\u1eb1ng m\u0169i kh\u00e2u r\u1eddi \u0111\u01a1n \u0111i qua mi\u1ebfng gh\u00e9p v\u00e0 m\u00e0ng x\u01b0\u01a1ng. (E) Ba tu\u1ea7n sau ph\u1eabu thu\u1eadt cho th\u1ea5y s\u1ef1 l\u00e0nh th\u01b0\u01a1ng b\u00ecnh th\u01b0\u1eddng. (F) Ng\u00e1ch h\u00e0nh lang \u0111\u00e3 \u0111\u01b0\u1ee3c l\u00e0m s\u00e2u v\u00e0 kh\u00f4ng c\u00f2n th\u1eafng b\u00e1m sau 4 th\u00e1ng theo d\u00f5i. \u0110\u1ee7 d\u1ea3i n\u01b0\u1edbu s\u1eebng h\u00f3a \u1edf m\u1eb7t ngo\u00e0i implant #26.<\/figcaption><\/figure>\n

Ngo\u00e0i ra, th\u1eafng b\u00e1m b\u1ea5t th\u01b0\u1eddng \u0111\u1ed1i khi c\u00f3 th\u1ec3 l\u00e0 b\u1ea9m sinh (v\u00ed d\u1ee5 nh\u01b0 th\u1eafng b\u00e1m s\u00e1t v\u1edbi vi\u1ec1n n\u01b0\u1edbu t\u1ef1 do). \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 b\u00e1c s\u0129 l\u00e2m s\u00e0ng ph\u1ea3i trao \u0111\u1ed5i v\u1edbi b\u1ec7nh nh\u00e2n v\u1ec1 kh\u1ea3 n\u0103ng ph\u1ea3i c\u1eaft ho\u1eb7c \u0111\u1ecbnh v\u1ecb l\u1ea1i th\u1eafng quanh implant \u0111\u1ec3 t\u1ea1o thu\u1eadn l\u1ee3i cho vi\u1ec7c ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m.<\/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

1. Armitage GC; Research, Science and Therapy Committee of the American Academy of Periodontology. Diagnosis of periodontal diseases. J Periodontol 2003; 74(8):1237-1247.<\/em>
\n2. Lang NP, Berglundh T; Working Group 4 of Seventh European Workshop on Periodontology. Periimplant diseases: where are we now? – Consensus of the Seventh European Workshop on Periodontology. J Clin Periodontol 2011;38(Suppl 11):178\u2013181.<\/em>
\n3. Kwok V, Caton JG. Commentary: prognosis revisited: a system for assigning periodontal prognosis. J Periodontol 2007;78(11):2063-2071.<\/em>
\n4. Seibert JS. Reconstruction of deformed, partially edentulous ridges, using full thickness onlay grafts. Part II. Prosthetic\/periodontal interrelationships. Compend Contin Educ Dent 1983;4:549-562.<\/em>
\n5. Heitz-Mayfield LJ. Peri-implant diseases: diagnosis and risk indicators. J Clin Periodontol 2008;35(8 Suppl):292\u2013304.<\/em>
\n6. Kuboki Y, Hashimoto F, Ishibashi K. Time-dependent changes of collagen crosslinks in the socket after tooth extraction in rabbits. J Dental Res 1988;67:944-948.<\/em>
\n7. Devlin H, Hoyland J, Newall JF, Ayad S. Trabecular bone formation in the healing of the rodent molar tooth extraction socket. J Bone Mineral Res 1997;12:2061-2067.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Thi\u1ebfu \u0111\u1ed9 s\u00e2u ng\u00e1ch h\u00e0nh lang (ng\u00e1ch h\u00e0nh lang n\u00f4ng) quanh implant s\u1ebd c\u1ea3n tr\u1edf kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m c\u1ee7a b\u1ec7nh nh\u00e2n b\u1edfi v\u00ec kh\u00f4ng c\u00f3 ch\u1ed7 cho d\u1ee5ng c\u1ee5 v\u1ec7 sinh. Th\u1eafng b\u00e1m cao quanh implant c\u00f3 th\u1ec3 gi\u1ed1ng nh\u01b0 h\u00e0ng r\u00e0o c\u1ea3n tr\u1edf s\u1ef1 l\u00e0m s\u1ea1ch ph\u1ee5c h\u00ecnh tr\u00ean implant v\u00e0 […]<\/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":"\nNg\u00e1ch h\u00e0nh lang n\u00f4ng, th\u1eafng b\u00e1m b\u1ea5t th\u01b0\u1eddng - Implant Nha khoa.<\/title>\n<meta name=\"description\" content=\"Thi\u1ebfu \u0111\u1ed9 s\u00e2u ng\u00e1ch h\u00e0nh lang (ng\u00e1ch h\u00e0nh lang n\u00f4ng) quanh implant s\u1ebd c\u1ea3n tr\u1edf kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m. 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