{"id":31290,"date":"2023-05-03T20:54:50","date_gmt":"2023-05-03T13:54:50","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31290"},"modified":"2023-05-03T21:42:31","modified_gmt":"2023-05-03T14:42:31","slug":"mang-tieu-dynamatrix-trong-phau-thuat-tai-sinh-xuong-gbr","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/mang-tieu-dynamatrix-trong-phau-thuat-tai-sinh-xuong-gbr\/","title":{"rendered":"M\u00e0ng ti\u00eau DynaMatrix trong ph\u1eabu thu\u1eadt t\u00e1i sinh x\u01b0\u01a1ng (GBR)."},"content":{"rendered":"<p><strong>M\u00e0ng ngo\u1ea1i b\u00e0o DynaMatrix l\u00e0 m\u00e0ng gh\u00e9p d\u1ecb lo\u1ea1i c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb m\u00f4 d\u01b0\u1edbi ni\u00eam m\u1ea1c ru\u1ed9t non c\u1ee7a l\u1ee3n, t\u1ea1o thu\u1eadn l\u1ee3i cho s\u1ef1 l\u00e0nh th\u01b0\u01a1ng m\u00f4 m\u1ec1m v\u00e0 t\u00e1i c\u1ea5u tr\u00fac th\u00e0nh m\u00f4 t\u1ef1 nhi\u00ean. DynaMatrix gi\u1eef l\u1ea1i nh\u1eefng th\u00e0nh ph\u1ea7n t\u1ef1 nhi\u00ean g\u1ed3m collagen lo\u1ea1i I, III, IV, glycosaminoglycan (hyaluronic acid, chondroitin sulfate A v\u00e0 B, heparin, v\u00e0 heparin sulfate), proteoglycans, c\u00e1c y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng (y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng nguy\u00ean b\u00e0o s\u1ee3i-2, y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng chuy\u1ec3n d\u1ea1ng-\u00df), v\u00e0 fibronectin. B\u00e0i vi\u1ebft n\u00e0y ch\u1ee7 y\u1ebfu t\u1eadp trung v\u00e0o qu\u00e1 tr\u00ecnh \u0111\u00e1nh gi\u00e1 v\u1ec1 lo\u1ea1i m\u00e0ng n\u00e0y trong ph\u1eabu thu\u1eadt t\u00e1i sinh x\u01b0\u01a1ng. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n<h2>1. \u0110\u00e1nh gi\u00e1 v\u1ec1 Implant tr\u00ean s\u1ed1ng h\u00e0m \u0111\u00e3 ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt t\u00e1i sinh x\u01b0\u01a1ng<\/h2>\n<p>\u0110\u1eb7t implant \u1edf b\u1ec7nh nh\u00e2n m\u1ea5t r\u0103ng b\u00e1n ph\u1ea7n \u0111\u00e3 ph\u1eabu thu\u1eadt gh\u00e9p theo chi\u1ec1u \u0111\u1ee9ng ho\u1eb7c chi\u1ec1u ngang cho t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i implant t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi \u1edf x\u01b0\u01a1ng t\u1ef1 nhi\u00ean kh\u00f4ng gh\u00e9p. Theo d\u1eef li\u1ec7u theo d\u00f5i 12-60 th\u00e1ng sau khi t\u1ea3i l\u1ef1c tr\u00ean implant, implant \u0111\u1eb7t \u1edf s\u1ed1ng h\u00e0m gh\u00e9p theo chi\u1ec1u \u0111\u1ee9ng c\u00f3 t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i l\u00e0 95-100%, c\u00f2n implant \u0111\u1eb7t \u1edf s\u1ed1ng h\u00e0m gh\u00e9p theo chi\u1ec1u ngang c\u00f3 t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i l\u00e0 96.9-100%.<\/p>\n<p>Tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt gh\u00e9p, c\u1ea7n th\u1ef1c hi\u1ec7n nhi\u1ec1u b\u01b0\u1edbc \u0111\u1ec3 l\u00ean k\u1ebf ho\u1ea1ch; \u0111\u00e1nh gi\u00e1 x\u01b0\u01a1ng c\u00f2n l\u1ea1i v\u00e0 th\u1ec3 t\u00edch x\u01b0\u01a1ng c\u1ea7n thi\u1ebft cho implant c\u0169ng nh\u01b0 ph\u1ee5c h\u00ecnh d\u1ef1 ki\u1ebfn l\u00e0 m\u1ed9t b\u01b0\u1edbc quan tr\u1ecdng trong vi\u1ec7c l\u00ean k\u1ebf ho\u1ea1ch cho ph\u1eabu thu\u1eadt gh\u00e9p. M\u1eabu s\u00e1p ch\u1ea9n \u0111o\u00e1n c\u1ee7a ph\u1ee5c h\u00ecnh sau c\u00f9ng s\u1ebd h\u1eefu \u00edch trong vi\u1ec7c tr\u00ecnh b\u00e0y k\u1ebft qu\u1ea3 sau c\u00f9ng v\u1edbi b\u1ec7nh nh\u00e2n; m\u1eabu s\u00e1p ch\u1ea9n \u0111o\u00e1n n\u00e0y sau \u0111\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chuy\u1ec3n th\u00e0nh m\u00e1ng h\u01b0\u1edbng d\u1eabn ph\u1eabu thu\u1eadt. CBCT c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng khi l\u00ean k\u1ebf ho\u1ea1ch chu\u1ea9n b\u1ecb v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p, trong \u0111\u00f3 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng m\u00e1ng h\u01b0\u1edbng d\u1eabn ph\u1eabu thu\u1eadt \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed implant v\u00e0 m\u1ee9c \u0111\u1ed9 gh\u00e9p c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c v\u1ecb tr\u00ed mong mu\u1ed1n.<\/p>\n<h2>2. \u0110\u00e1nh gi\u00e1 v\u1ec1 m\u00e0ng ti\u00eau trong th\u1ee7 thu\u1eadt t\u00e1i sinh x\u01b0\u01a1ng &#8211; Ph\u00e2n t\u00edch m\u00e0ng DynaMatrix<\/h2>\n<p>M\u00e0ng ngo\u1ea1i b\u00e0o DynaMatrix l\u00e0 m\u00e0ng gh\u00e9p d\u1ecb lo\u1ea1i c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb m\u00f4 d\u01b0\u1edbi ni\u00eam m\u1ea1c ru\u1ed9t non c\u1ee7a l\u1ee3n, t\u1ea1o thu\u1eadn l\u1ee3i cho s\u1ef1 l\u00e0nh th\u01b0\u01a1ng m\u00f4 m\u1ec1m v\u00e0 t\u00e1i c\u1ea5u tr\u00fac th\u00e0nh m\u00f4 t\u1ef1 nhi\u00ean. DynaMatrix gi\u1eef l\u1ea1i nh\u1eefng th\u00e0nh ph\u1ea7n t\u1ef1 nhi\u00ean g\u1ed3m collagen lo\u1ea1i I, III, IV, glycosaminoglycan (hyaluronic acid, chondroitin sulfate A v\u00e0 B, heparin, v\u00e0 heparin sulfate), proteoglycans, c\u00e1c y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng (y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng nguy\u00ean b\u00e0o s\u1ee3i-2, y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng chuy\u1ec3n d\u1ea1ng-\u00df), v\u00e0 fibronectin. C\u00e1c protein v\u00e0 ph\u00e2n t\u1eed ho\u1ea1t \u0111\u1ed9ng b\u00ean trong DynaMatrix t\u01b0\u01a1ng t\u00e1c v\u1edbi c\u01a1 th\u1ec3 th\u00f4ng qua t\u00edn hi\u1ec7u v\u1edbi m\u00f4 xung quanh \u0111\u1ec3 t\u0103ng tr\u01b0\u1edfng qua gi\u00e1 th\u1ec3. Nh\u1eefng protein ho\u1ea1t \u0111\u1ed9ng n\u00e0y c\u00f2n h\u1ed7 tr\u1ee3 qu\u00e1 tr\u00ecnh l\u00e0nh th\u01b0\u01a1ng t\u1ef1 nhi\u00ean b\u1eb1ng c\u00e1ch thu h\u00fat t\u1ebf b\u00e0o v\u00e0 ch\u1ea5t dinh d\u01b0\u1ee1ng \u0111\u1ebfn v\u1ebft th\u01b0\u01a1ng.<\/p>\n<figure id=\"attachment_31293\" aria-describedby=\"caption-attachment-31293\" style=\"width: 850px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-31293\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Creating-the-3D-ST-prototype-A-DynaMatrix-R-membrane-cut-into-small-squares-for.png\" alt=\"dynamatrix\" width=\"850\" height=\"226\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Creating-the-3D-ST-prototype-A-DynaMatrix-R-membrane-cut-into-small-squares-for.png 850w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Creating-the-3D-ST-prototype-A-DynaMatrix-R-membrane-cut-into-small-squares-for-300x80.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Creating-the-3D-ST-prototype-A-DynaMatrix-R-membrane-cut-into-small-squares-for-768x204.png 768w\" sizes=\"(max-width: 850px) 100vw, 850px\" \/><figcaption id=\"caption-attachment-31293\" class=\"wp-caption-text\">DynaMatrix gi\u1eef l\u1ea1i nh\u1eefng th\u00e0nh ph\u1ea7n t\u1ef1 nhi\u00ean g\u1ed3m collagen lo\u1ea1i I, III, IV, glycosaminoglycan (hyaluronic acid, chondroitin sulfate A v\u00e0 B, heparin, v\u00e0 heparin sulfate), proteoglycans, c\u00e1c y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng (y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng nguy\u00ean b\u00e0o s\u1ee3i-2, y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng chuy\u1ec3n d\u1ea1ng-\u00df), v\u00e0 fibronectin<\/figcaption><\/figure>\n<p>Ph\u1eabu thu\u1eadt t\u0103ng s\u1ed1ng h\u00e0m l\u00e0 m\u1ed9t trong nh\u1eefng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a m\u00e0ng DynaMatrix, n\u00f3 s\u1ebd ng\u0103n m\u00f4 m\u1ec1m \u0111i xu\u1ed1ng d\u01b0\u1edbi, k\u00edch th\u00edch c\u00e1c t\u1ebf b\u00e0o sinh x\u01b0\u01a1ng ch\u1ecdn l\u1ecdc bi\u1ec7t h\u00f3a \u0111\u1ec3 t\u1ea1o x\u01b0\u01a1ng m\u00e0 kh\u00f4ng b\u1ecb m\u00f4 m\u1ec1m c\u1ea3n tr\u1edf. M\u00e0ng DynaMatrix c\u00f2n c\u00f3 nhi\u1ec1u ch\u1ec9 \u0111\u1ecbnh kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 ph\u1eabu thu\u1eadt t\u0103ng m\u00f4 m\u1ec1m, \u0111\u00f3ng c\u1eeda s\u1ed5 trong th\u1ee7 thu\u1eadt n\u00e2ng xoang, v\u00e0 s\u1eeda ch\u1eefa th\u1ee7ng m\u00e0ng xoang trong th\u1ee7 thu\u1eadt n\u00e2ng xoang.<\/p>\n<p>L\u1ed9 m\u00e0ng s\u1edbm c\u00f3 th\u1ec3 x\u1ea3y ra trong nh\u1eefng ng\u00e0y \u0111\u1ea7u sau ph\u1eabu thu\u1eadt t\u0103ng s\u1ed1ng h\u00e0m. L\u1ed9 m\u00e0ng c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m k\u1ebft qu\u1ea3 t\u00e1i t\u1ea1o, t\u1eeb \u0111\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 kh\u1ed1i l\u01b0\u1ee3ng x\u01b0\u01a1ng. M\u00f4 m\u1ec1m b\u1ecb h\u1edf g\u00e2y l\u1ed9 m\u00e0ng \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o dao \u0111\u1ed9ng t\u1eeb 28% \u0111\u1ebfn 40%. Ph\u1ea7n l\u1edbn m\u00e0ng ti\u00eau sinh h\u1ecdc kh\u00f4ng n\u00ean b\u1ecb l\u1ed9 trong su\u1ed1t qu\u00e1 tr\u00ecnh l\u00e0nh th\u01b0\u01a1ng. DynaMatrix l\u00e0 enzyme, c\u00f3 t\u00ednh kh\u00e1ng khu\u1ea9n v\u00e0 c\u00f3 th\u1ec3 \u0111\u1ec3 l\u1ed9 t\u1ea1i v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt. L\u1ed9 m\u00e0ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o sau khi s\u1eed d\u1ee5ng trong ph\u1eabu thu\u1eadt gh\u00e9p x\u01b0\u01a1ng \u1ed5; tuy nhi\u00ean, d\u01b0\u1eddng nh\u01b0 l\u00e0 m\u1eb7c d\u00f9 b\u1ecb l\u1ed9 nh\u01b0ng m\u00e0ng n\u00e0y v\u1eabn ho\u1ea1t \u0111\u1ed9ng nh\u01b0 m\u1ed9t m\u00e0ng ng\u0103n. Trong m\u1ed9t nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y, \u1ed5 r\u0103ng b\u1ea3o t\u1ed3n s\u1ed1ng h\u00e0m kh\u00f4ng \u0111\u01b0\u1ee3c bao ph\u1ee7 ban \u0111\u1ea7u b\u1edfi m\u00e0ng (m\u00e0ng \u0111\u01b0\u1ee3c \u0111\u1ec3 l\u1ed9), nh\u01b0ng v\u1ecb tr\u00ed n\u00e0y v\u1eabn \u0111\u1ea1t \u0111\u01b0\u1ee3c c\u00e1c k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng v\u00e0 X-quang t\u01b0\u01a1ng t\u1ef1 nh\u01b0 k\u1ef9 thu\u1eadt \u0111\u00f3ng v\u1ea1t ban \u0111\u1ea7u.<\/p>\n<p><em>Ngu\u1ed3n t\u00e0i li\u1ec7u: Clinical Cases in Implant Dentistry, First Edition &#8211; Published 2017 by John Wiley &amp; Sons, Inc.<\/em><\/p>\n<p><em>1. Kahnberg KE, Nystrom E, Bartholdsson L. Combined use of bone grafts and Br\u00e5nemark fixtures in the treatment of severely resorbed maxillae. Int J Oral Maxillofac Implants 1989;4(4):297-304.<\/em><br \/>\n<em>2. Keller EE, Van Roekel NB, Desjardins RP, Tolman DE. Prosthetic-surgical reconstruction of the severely resorbed maxilla with iliac bone grafting and tissue- integrated prostheses. Int J Oral Maxillofac Implants 1987;2(3):155-165.<\/em><br \/>\n<em>3. Nystrom E, Kahnberg KE, Gunne J. Bone grafts and Br\u00e5nemark implants in the treatment of the severely resorbed maxilla: a 2-year longitudinal study. Int J Oral Maxillofac Implants 1993;8(1):45-53.<\/em><br \/>\n<em>4. Jensen SS, Terheyden H. Bone augmentation procedures in localized defects in the alveolar ridge: clinical results with different bone grafts and bone-substitute materials. Int J Oral Maxillofac Implants 2009;24(Suppl):218-236.<\/em><br \/>\n<em>5. Shah KC, Lum MG. Treatment planning for the single- tooth implant restoration &#8211; general considerations and the pretreatment evaluation. J Calif Dent Assoc 2008;36(11):827-834.<\/em><br \/>\n<em>6. Nevins M, Nevins ML, Camelo M, et al. The clinical efficacy of DynaMatrix extracellular membrane in augmenting keratinized tissue. Int J Periodontics Restorative Dent 2010;30(2):151-161.<\/em><br \/>\n<em>7. Kim DM, Nevins M, Camelo M, et al. The feasibility of demineralized bone matrix and cancellous bone chips in conjunction with an extracellular matrix membrane for alveolar ridge preservation: a case series.<\/em><br \/>\n<em>8. Int J Periodontics Restorative Dent 2011;31(1):39-47. 19. Saroff SA. The use of DynaMatrix extracellular membrane for gingival augmentation and root coverage: a case series. J Implant Adv Clin Dent 2011;3(3):19-30.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>M\u00e0ng ngo\u1ea1i b\u00e0o DynaMatrix l\u00e0 m\u00e0ng gh\u00e9p d\u1ecb lo\u1ea1i c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb m\u00f4 d\u01b0\u1edbi ni\u00eam m\u1ea1c ru\u1ed9t non c\u1ee7a l\u1ee3n, t\u1ea1o thu\u1eadn l\u1ee3i cho s\u1ef1 l\u00e0nh th\u01b0\u01a1ng m\u00f4 m\u1ec1m v\u00e0 t\u00e1i c\u1ea5u tr\u00fac th\u00e0nh m\u00f4 t\u1ef1 nhi\u00ean. DynaMatrix gi\u1eef l\u1ea1i nh\u1eefng th\u00e0nh ph\u1ea7n t\u1ef1 nhi\u00ean g\u1ed3m collagen lo\u1ea1i I, III, IV, glycosaminoglycan (hyaluronic acid, [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>M\u00e0ng ti\u00eau DynaMatrix trong ph\u1eabu thu\u1eadt t\u00e1i sinh x\u01b0\u01a1ng (GBR).<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y ch\u1ee7 y\u1ebfu t\u1eadp trung v\u00e0o qu\u00e1 tr\u00ecnh \u0111\u00e1nh gi\u00e1 v\u1ec1 lo\u1ea1i m\u00e0ng DynaMatrix trong ph\u1eabu thu\u1eadt t\u00e1i sinh x\u01b0\u01a1ng. 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