{"id":31246,"date":"2023-05-03T18:19:32","date_gmt":"2023-05-03T11:19:32","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31246"},"modified":"2023-05-03T21:45:57","modified_gmt":"2023-05-03T14:45:57","slug":"phau-thuat-tang-song-ham-tong-quan-chung","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/phau-thuat-tang-song-ham-tong-quan-chung\/","title":{"rendered":"Ph\u1eabu thu\u1eadt t\u0103ng s\u1ed1ng h\u00e0m – T\u1ed5ng quan chung."},"content":{"rendered":"

Ph\u1eabu thu\u1eadt t\u0103ng s\u1ed1ng h\u00e0m l\u00e0 m\u1ed9t nh\u00f3m c\u00e1c k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 l\u00e0m t\u0103ng k\u00edch th\u01b0\u1edbc ngo\u00e0i- trong ho\u1eb7c tr\u00ean-d\u01b0\u1edbi c\u1ee7a s\u1ed1ng h\u00e0m. Hi\u1ec7n nay c\u00f3 m\u1ed9t s\u1ed1 k\u1ef9 thu\u1eadt, v\u00e0 t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn GBR l\u00e0 m\u1ed9t trong s\u1ed1 \u0111\u00f3. M\u1ed7i k\u1ef9 thu\u1eadt c\u00f3 nh\u1eefng \u01b0u \u0111i\u1ec3m v\u00e0 nh\u01b0\u1ee3c \u0111i\u1ec3m ri\u00eang, v\u00e0 ti\u00ean l\u01b0\u1ee3ng thay \u0111\u1ed5i t\u00f9y t\u1eebng tr\u01b0\u1eddng h\u1ee3p. T\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng s\u1ebd cho bi\u1ebft k\u1ef9 thu\u1eadt n\u00e0o \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd gi\u1edbi thi\u1ec7u qua v\u1ec1 k\u1ef9 thu\u1eadt c\u0169ng nh\u01b0 minh ho\u1ea1 m\u1ed9t ca l\u00e2m s\u00e0ng s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y.<\/strong><\/p>\n

1. Ph\u00e2n lo\u1ea1i s\u1ed1ng h\u00e0m theo Seibert<\/h2>\n

C\u00f3 m\u1ed9t s\u1ed1 c\u00e1ch ph\u00e2n lo\u1ea1i bi\u1ebfn d\u1ea1ng s\u1ed1ng h\u00e0m, nh\u01b0ng ph\u00e2n lo\u1ea1i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 ph\u00e2n lo\u1ea1i c\u1ee7a Seibert n\u0103m 1983. Ph\u00e2n lo\u1ea1i n\u00e0y ban \u0111\u1ea7u \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t cho c\u1ea3i thi\u1ec7n m\u00f4 m\u1ec1m, nh\u01b0ng hi\u1ec7n nay n\u00f3 \u0111\u00e3 \u0111\u01b0\u1ee3c thay \u0111\u1ed5i v\u00e0 s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong tr\u01b0\u1eddng h\u1ee3p chu\u1ea9n b\u1ecb v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p.<\/p>\n

Seibert ph\u00e2n lo\u1ea1i s\u1ed1ng h\u00e0m th\u00e0nh 3 lo\u1ea1i d\u1ef1a tr\u00ean h\u00ecnh d\u1ea1ng c\u1ee7a n\u00f3. Lo\u1ea1i I l\u00e0 thi\u1ebfu h\u1ed3ng theo chi\u1ec1u ngang (ngo\u00e0i-trong), trong khi lo\u1ea1i II v\u00e0 lo\u1ea1i III l\u1ea7n l\u01b0\u1ee3t l\u00e0 thi\u1ebfu h\u1ed3ng theo chi\u1ec1u \u0111\u1ee9ng v\u00e0 thi\u1ebfu h\u1ed3ng c\u1ea3 chi\u1ec1u ngang l\u1eabn chi\u1ec1u \u0111\u1ee9ng. Trong t\u00ecnh hu\u1ed1ng n\u00e0y, ti\u00eau s\u1ed1ng h\u00e0m ch\u1ee7 y\u1ebfu x\u1ea3y ra theo chi\u1ec1u ngang, nh\u01b0ng c\u00f3 ti\u00eau m\u00e0 x\u01b0\u01a1ng nh\u1eb9, n\u00ean n\u00f3 \u0111\u01b0\u1ee3c x\u1ebfp lo\u1ea1i III Seiberf.<\/p>\n

\"phau-thuat-tang-song-ham-1\"
Ph\u00e2n lo\u1ea1i s\u1ed1ng h\u00e0m theo Seibert C\u00f3 3 lo\u1ea1i bi\u1ebfn d\u1ea1ng s\u1ed1ng h\u00e0m theo Seibert l\u00e0: Lo\u1ea1i I \u2013 ti\u00eau x\u01b0\u01a1ng theo chi\u1ec1u ngo\u00e0i trong; Lo\u1ea1i II \u2013 ti\u00eau x\u01b0\u01a1ng theo chi\u1ec1u tr\u00ean-d\u01b0\u1edbi; Lo\u1ea1i III \u2013 k\u1ebft h\u1ee3p ti\u00eau x\u01b0\u01a1ng theo chi\u1ec1u ngo\u00e0i-trong v\u00e0 tr\u00ean-d\u01b0\u1edbi.<\/figcaption><\/figure>\n

2. T\u1ed5ng quan v\u1ec1 k\u1ef9 thu\u1eadt<\/h2>\n

Ph\u1eabu thu\u1eadt t\u0103ng s\u1ed1ng h\u00e0m l\u00e0 m\u1ed9t nh\u00f3m c\u00e1c k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 l\u00e0m t\u0103ng k\u00edch th\u01b0\u1edbc ngo\u00e0i- trong ho\u1eb7c tr\u00ean-d\u01b0\u1edbi c\u1ee7a s\u1ed1ng h\u00e0m. Hi\u1ec7n nay c\u00f3 m\u1ed9t s\u1ed1 k\u1ef9 thu\u1eadt, v\u00e0 t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn GBR l\u00e0 m\u1ed9t trong s\u1ed1 \u0111\u00f3. M\u1ed7i k\u1ef9 thu\u1eadt c\u00f3 nh\u1eefng \u01b0u \u0111i\u1ec3m v\u00e0 nh\u01b0\u1ee3c \u0111i\u1ec3m ri\u00eang, v\u00e0 ti\u00ean l\u01b0\u1ee3ng thay \u0111\u1ed5i t\u00f9y t\u1eebng tr\u01b0\u1eddng h\u1ee3p. T\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng s\u1ebd cho bi\u1ebft k\u1ef9 thu\u1eadt n\u00e0o \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn. Tr\u01b0\u1edbc \u0111\u00e2y, GBR \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n ch\u1ec9 s\u1eed d\u1ee5ng m\u00e0ng \u0111\u01a1n thu\u1ea7n, nh\u01b0ng hi\u1ec7n nay, x\u01b0\u01a1ng gh\u00e9p k\u1ebft h\u1ee3p v\u1edbi m\u00e0ng \u0111\u00e3 tr\u1edf th\u00e0nh ti\u00eau chu\u1ea9n \u0111i\u1ec1u tr\u1ecb cho GBR. GBR \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt r\u1ea5t \u0111\u00e1ng tin c\u1eady trong vi\u1ec7c \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u00edch th\u01b0\u1edbc ngang (ngo\u00e0i-trong) nh\u1eb1m t\u1ea1o thu\u1eadn l\u1ee3i cho vi\u1ec7c \u0111\u1eb7t implant, nh\u01b0 ch\u00fang t\u00f4i \u0111\u00e3 th\u1ef1c hi\u1ec7n cho b\u1ec7nh nh\u00e2n n\u00e0y.<\/p>\n

Gi\u1ed1ng nh\u01b0 nh\u1eefng quy tr\u00ecnh ph\u1eabu thu\u1eadt nha chu kh\u00e1c, c\u00e1c y\u1ebfu t\u1ed1 to\u00e0n th\u00e2n c\u1ee7a b\u1ec7nh nh\u00e2n, ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ho\u1eb7c cao huy\u1ebft \u00e1p kh\u00f4ng ki\u1ec3m so\u00e1t, s\u1ebd \u1ea3nh h\u01b0\u1edfng r\u1ea5t x\u1ea5u \u0111\u1ebfn k\u1ebft qu\u1ea3 c\u1ee7a k\u1ef9 thu\u1eadt n\u00e0y. Do \u0111\u00f3, l\u1ef1a ch\u1ecdn b\u1ec7nh nh\u00e2n v\u00e0 v\u1ecb tr\u00ed ph\u00f9 h\u1ee3p l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 t\u0103ng kh\u1ea3 n\u0103ng th\u00e0nh c\u00f4ng.<\/p>\n

Bi\u1ebfn d\u1ea1ng s\u1ed1ng h\u00e0m nghi\u00eam tr\u1ecdng th\u01b0\u1eddng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u1ea3 th\u1ea9m m\u1ef9 l\u1eabn ch\u1ee9c n\u0103ng. Gh\u00e9p m\u00f4 m\u1ec1m, m\u00f4 c\u1ee9ng, ho\u1eb7c c\u1ea3 hai c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n l\u00e0m gi\u1ea3m nh\u1eefng khi\u1ebfm khuy\u1ebft n\u00e0y; t\u00e1i c\u1ea5u tr\u00fac m\u00f4 m\u1ec1m th\u01b0\u1eddng h\u1eefu \u00edch trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nh\u1eb9. Thi\u1ebfu h\u1ed5ng n\u1eb7ng c\u00f3 th\u1ec3 ph\u1ea3i gh\u00e9p m\u1ed9t th\u00ec m\u00f4 c\u1ee9ng v\u00e0 m\u00f4 m\u1ec1m. Vi\u1ec7c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i ph\u1ee5c h\u00ecnh. V\u00ed d\u1ee5, n\u1ebfu l\u00ean k\u1ebf ho\u1ea1ch l\u00e0m c\u1ea7u r\u0103ng th\u00ec gh\u00e9p m\u00f4 m\u1ec1m \u0111\u01b0\u1ee3c \u01b0u ti\u00ean h\u01a1n, trong khi \u0111\u00f3, gh\u00e9p m\u00f4 c\u1ee9ng \u0111\u01b0\u1ee3c \u01b0u ti\u00ean h\u01a1n n\u1ebfu \u0111i\u1ec1u tr\u1ecb c\u1ea5y gh\u00e9p nha khoa \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn.<\/p>\n

\"tang-song-ham-2\"
V\u00ed d\u1ee5 m\u1ed9t ca l\u00e2m s\u00e0ng c\u1ee5 th\u1ec3: Sau giai \u0111o\u1ea1n \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c nh\u1ed5 r\u0103ng #12 v\u00e0 #22. Sau khi g\u00e2y t\u00ea t\u1ea1i ch\u1ed7 v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt, nh\u1ed5 r\u0103ng kh\u00f4ng sang ch\u1ea5n s\u1eed d\u1ee5ng periotome v\u00e0 k\u1ec1m th\u00f4ng d\u1ee5ng; kh\u00f4ng l\u1eadt v\u1ea1t. Kh\u00e2u \u0111\u00f3ng m\u00e9p m\u00f4 m\u1ec1m. C\u1eaft ch\u1ec9 sau 2 tu\u1ea7n, v\u00e0 ch\u1edd th\u00eam 6 tu\u1ea7n \u0111\u1ec3 l\u00e0nh th\u01b0\u01a1ng. Sau 8 tu\u1ea7n, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn cho v\u00f9ng #12 – #22. Sau khi g\u00e2y t\u00ea t\u1ea1i ch\u1ed7, l\u1eadt v\u1ea1t to\u00e0n ph\u1ea7n m\u1eb7t ngo\u00e0i v\u00e0 m\u1eb7t trong. R\u1ea1ch gi\u1eefa m\u00e0o x\u01b0\u01a1ng t\u1ea1i v\u1ecb tr\u00ed #12 \u0111\u1ebfn #22, m\u1edf r\u1ed9ng sang r\u0103ng k\u1ebf b\u00ean gi\u1ed1ng nh\u01b0 \u0111\u01b0\u1eddng r\u1ea1ch trong khe n\u01b0\u1edbu. Khoan x\u01b0\u01a1ng v\u1ecf c\u1ee7a x\u01b0\u01a1ng b\u00ean d\u01b0\u1edbi b\u1eb1ng m\u0169i khoan tr\u00f2n nh\u1ecf \u0111\u1ec3 t\u1ebf b\u00e0o m\u00e1u t\u1eeb x\u01b0\u01a1ng thu\u1eadn l\u1ee3i \u0111i v\u00e0o mi\u1ebfng gh\u00e9p. T\u1ea1o c\u1ee7a s\u1ed5 m\u00e0ng x\u01b0\u01a1ng c\u1ee7a v\u1ea1t ph\u00eda ngo\u00e0i \u0111\u1ec3 c\u1ea3i thi\u1ec7n s\u1ef1 di \u0111\u1ed9ng c\u1ee7a ph\u1ea7n v\u1ea1t ph\u00eda th\u00e2n r\u0103ng, cho ph\u00e9p \u0111\u00f3ng k\u00edn ban \u0111\u1ea7u m\u00e0 kh\u00f4ng g\u00e2y c\u0103ng. K\u00edch th\u01b0\u1edbc c\u1ee7a m\u00e0ng \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh d\u1ef1a tr\u00ean k\u00edch th\u01b0\u1edbc c\u1ee7a thi\u1ebfu h\u1ed5ng v\u00e0 \u0111\u01b0\u1ee3c c\u1eaft t\u1ec9a t\u01b0\u01a1ng \u1ee9ng. M\u00e0ng ph\u1ea3i m\u1edf r\u1ed9ng qua thi\u1ebfu h\u1ed3ng \u00edt nh\u1ea5t 3 mm.<\/figcaption><\/figure>\n

 <\/p>\n

\"tang-song-ham-5\"
X\u01b0\u01a1ng h\u1ea1t \u0111\u1ed3ng lo\u1ea1i \u0111\u01b0\u1ee3c h\u00f2a tan b\u00e3o h\u00f2a trong n\u01b0\u1edbc c\u1ea5t kh\u1eed ion r\u1ed3i cho v\u00e0o v\u00f9ng thi\u1ebfu h\u1ed3ng. M\u00e0ng \u0111\u01b0\u1ee3c l\u00e8n v\u00e0o b\u00ean d\u01b0\u1edbi v\u1ea1t ph\u00eda ngo\u00e0i v\u00e0 ph\u00eda trong \u0111\u1ec3 bao ph\u1ee7 ho\u00e0n to\u00e0n x\u01b0\u01a1ng h\u1ea1t. V\u1ea1t \u0111\u01b0\u1ee3c \u0111\u1ecbnh v\u1ecb v\u00e0 kh\u00e2u c\u1ed1 \u0111\u1ecbnh b\u1eb1ng ch\u1ec9 kh\u00f4ng ti\u00eau. \u0110\u1ea7u ti\u00ean s\u1eed d\u1ee5ng m\u0169i kh\u00e2u \u0111\u1ec7m ngang \u0111\u1ec3 k\u00e9o m\u00e9p v\u1ea1t l\u1ea1i g\u1ea7n nhau, sau \u0111\u00f3 kh\u00e2u m\u0169i r\u1eddi \u0111\u1ec3 \u0111\u00f3ng k\u00edn ban \u0111\u1ea7u<\/figcaption><\/figure>\n
\"\"
G\u1eafn ph\u1ee5c h\u00ecnh t\u1ea1m (b\u1eb1ng nh\u1ef1a Essix) cho b\u1ec7nh nh\u00e2n v\u00e0o ng\u00e0y ph\u1eabu thu\u1eadt, \u0111\u1ea3m b\u1ea3o h\u1edf v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt \u00edt nh\u1ea5t 2 mm. C\u1eaft ch\u1ec9 sau 2 tu\u1ea7n, ngo\u00e0i tr\u1eeb m\u0169i kh\u00e2u \u0111\u1ec7m ngang \u0111\u01b0\u1ee3c gi\u1eef l\u1ea1i th\u00eam 2 tu\u1ea7n n\u1eefa. V\u00f9ng n\u00e0y \u0111\u01b0\u1ee3c lau nh\u1eb9 nh\u00e0ng v\u1edbi chlorhexidine tr\u01b0\u1edbc v\u00e0 sau khi c\u1eaft ch\u1ec9. C\u00e1c r\u0103ng k\u1ebf c\u1eadn \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch m\u1ea3ng b\u00e1m nh\u1eb9 nh\u00e0ng b\u1eb1ng d\u1ee5ng c\u1ee5 c\u1ea1o v\u00f4i tay, v\u00e0 g\u1eafn c\u1ea7u r\u0103ng t\u1ea1m #12 – #22 v\u00e0o c\u00f9ng bu\u1ed5i h\u1eb9n. (A, B) Ph\u1ee5c h\u00ecnh t\u1ea1m sau 4 tu\u1ea7n ph\u1eabu thu\u1eadt t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn GBR<\/figcaption><\/figure>\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":"

Ph\u1eabu thu\u1eadt t\u0103ng s\u1ed1ng h\u00e0m l\u00e0 m\u1ed9t nh\u00f3m c\u00e1c k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 l\u00e0m t\u0103ng k\u00edch th\u01b0\u1edbc ngo\u00e0i- trong ho\u1eb7c tr\u00ean-d\u01b0\u1edbi c\u1ee7a s\u1ed1ng h\u00e0m. Hi\u1ec7n nay c\u00f3 m\u1ed9t s\u1ed1 k\u1ef9 thu\u1eadt, v\u00e0 t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn GBR l\u00e0 m\u1ed9t trong s\u1ed1 \u0111\u00f3. M\u1ed7i k\u1ef9 thu\u1eadt c\u00f3 nh\u1eefng \u01b0u \u0111i\u1ec3m v\u00e0 nh\u01b0\u1ee3c […]<\/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 t\u0103ng s\u1ed1ng h\u00e0m - T\u1ed5ng quan chung. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y s\u1ebd gi\u1edbi thi\u1ec7u qua v\u1ec1 k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt t\u0103ng s\u1ed1ng h\u00e0m c\u0169ng nh\u01b0 minh ho\u1ea1 m\u1ed9t ca l\u00e2m s\u00e0ng s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y.\" \/>\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 t\u0103ng s\u1ed1ng h\u00e0m - 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