{"id":31330,"date":"2023-05-03T21:20:59","date_gmt":"2023-05-03T14:20:59","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31330"},"modified":"2023-05-03T21:40:56","modified_gmt":"2023-05-03T14:40:56","slug":"tieu-song-ham-do-nho-rang-tai-sinh-xuong-co-huong-dan-gbr","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/tieu-song-ham-do-nho-rang-tai-sinh-xuong-co-huong-dan-gbr\/","title":{"rendered":"Ti\u00eau s\u1ed1ng h\u00e0m do nh\u1ed5 r\u0103ng – T\u00e1i sinh x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR)."},"content":{"rendered":"

Ph\u1eabu thu\u1eadt gi\u1ea3m ti\u00eau 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 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 v\u00e0i 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\u1edbi ti\u00ean l\u01b0\u1ee3ng theo \u0111\u1ed5i t\u00f9y theo t\u1eebng tr\u01b0\u1eddng h\u1ee3p. T\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng s\u1ebd cho bi\u1ebft k\u1ef9 thu\u1eadt c\u1ea7n l\u1ef1a ch\u1ecdn. B\u00e0i vi\u1ebft n\u00e0y \u0111\u01b0a ra m\u1ed9t v\u00ed d\u1ee5 c\u1ee5 th\u1ec3 tr\u01b0\u1eddng h\u1ee3p t\u00e1i sinh x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn \u0111\u1ed1i v\u1edbi qu\u00e1 tr\u00ecnh t\u0103ng k\u00edch th\u01b0\u1edbc x\u01b0\u01a1ng, thu\u1eadn l\u1ee3i cho vi\u1ec7c \u0111\u1eb7t Implant d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n

1. Ti\u00eau s\u1ed1ng h\u00e0m do nh\u1ed5 r\u0103ng<\/h2>\n

Nh\u1ed5 r\u0103ng c\u00f3 th\u1ec3 l\u00e0m ti\u00eau s\u1ed1ng h\u00e0m (\u1edf m\u1eb7t ngo\u00e0i nhi\u1ec1u h\u01a1n), v\u00e0 ti\u00eau x\u01b0\u01a1ng ch\u1ee7 y\u1ebfu x\u1ea3y ra trong 6 th\u00e1ng \u0111\u1ea7u. Nh\u1eefng y\u1ebfu t\u1ed1 kh\u00e1c c\u00f3 th\u1ec3 l\u00e0m bi\u1ebfn d\u1ea1ng s\u1ed1ng h\u00e0m bao g\u1ed3m ch\u1ea5n th\u01b0\u01a1ng, ph\u00e1t tri\u1ec3n, l\u1ea5y nang ho\u1eb7c b\u01b0\u1edbu, v\u00e0 \u0111ang ho\u1eb7c t\u1eebng b\u1ecb b\u1ec7nh nha chu. 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 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 v\u00e0i 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\u1edbi ti\u00ean l\u01b0\u1ee3ng theo \u0111\u1ed5i t\u00f9y theo t\u1eebng tr\u01b0\u1eddng h\u1ee3p. T\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng s\u1ebd cho bi\u1ebft k\u1ef9 thu\u1eadt c\u1ea7n l\u1ef1a ch\u1ecdn. Tr\u01b0\u1edbc \u0111\u00e2y, GBR ch\u1ec9 s\u1eed d\u1ee5ng m\u00e0ng ng\u0103n \u0111\u01a1n thu\u1ea7n, nh\u01b0ng hi\u1ec7n nay, s\u1eed d\u1ee5ng x\u01b0\u01a1ng gh\u00e9p k\u1ebft h\u1ee3p v\u1edbi m\u00e0ng trong GBR \u0111\u00e3 tr\u1edf th\u00e0nh ti\u00eau chu\u1ea9n \u0111i\u1ec1u tr\u1ecb.<\/p>\n

Gi\u1ed1ng nh\u01b0 c\u00e1c ph\u1eabu thu\u1eadt nha chu kh\u00e1c, nh\u1eefng y\u1ebfu t\u1ed1 to\u00e0n th\u00e2n c\u1ee7a b\u1ec7nh nh\u00e2n, ch\u1eb3ng h\u1ea1n nh\u01b0 h\u00fat thu\u1ed1c l\u00e1 v\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng kh\u00f4ng ki\u1ec3m so\u00e1t, s\u1ebd \u1ea3nh h\u01b0\u1edfng c\u1ef1c k\u1ef3 b\u1ea5t l\u1ee3i \u0111\u1ebfn k\u1ebft qu\u1ea3 c\u1ee7a k\u1ef9 thu\u1eadt n\u00e0y . V\u00ec v\u1eady, 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

GBR \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt r\u1ea5t \u0111\u00e1ng tin c\u1eady \u0111\u1ec3 t\u0103ng 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 v\u00ed d\u1ee5 ca l\u00e2m s\u00e0ng \u0111\u00e3 th\u1ef1c hi\u1ec7n \u1edf b\u1ec7nh nh\u00e2n d\u01b0\u1edbi \u0111\u00e2y.<\/p>\n

2. Ca l\u00e2m s\u00e0ng c\u1ee5 th\u1ec3<\/h2>\n

B\u1ec7nh nh\u00e2n \u0111\u1ebfn ph\u00f2ng kh\u00e1m v\u1edbi t\u00ecnh tr\u1ea1ng vi\u00eam n\u01b0\u1edbu do m\u1ea3ng b\u00e1m k\u00e8m theo bi\u1ebfn d\u1ea1ng ni\u00eam m\u1ea1c-n\u01b0\u1edbu \u1edf s\u1ed1ng h\u00e0m m\u1ea5t r\u0103ng. B\u1ec7nh nh\u00e2n ti\u00eau x\u01b0\u01a1ng nh\u1eb9 theo chi\u1ec1u \u0111\u1ee9ng \u1edf m\u00e0o x\u01b0\u01a1ng t\u1ea1i v\u1ecb tr\u00ed #14. K\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n n\u00e0y l\u00e0 \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u bao g\u1ed3m c\u1ea1o v\u00f4i r\u0103ng v\u00e0 h\u01b0\u1edbng d\u1eabn v\u1ec7 sinh r\u0103ng mi\u1ec7ng \u0111\u1ec3 gi\u1ea3i quy\u1ebft vi\u00eam n\u01b0\u1edbu. Ti\u1ebfp theo l\u00e0 ph\u1eabu thu\u1eadt t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn GBR \u0111\u1ec3 kh\u1eafc ph\u1ee5c thi\u1ebfu h\u1ed3ng ngo\u00e0i-trong c\u1ee7a s\u1ed1ng h\u00e0m. Sau khi v\u1ecb tr\u00ed gh\u00e9p \u0111\u00e3 l\u00e0nh th\u01b0\u01a1ng, ti\u1ebfn h\u00e0nh \u0111\u1eb7t implant. Sau khi \u0111\u1ee7 th\u1eddi gian t\u00edch h\u1ee3p x\u01b0\u01a1ng th\u00ec l\u00e0m ph\u1ee5c h\u00ecnh tr\u00ean implant.<\/p>\n

Sau giai \u0111o\u1ea1n \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u, b\u1ec7nh nh\u00e2n b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb GBR. Nh\u1ecbp c\u1ea7u tr\u01b0\u1edbc \u0111\u00f3 \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eaft v\u00e0 l\u1ea5y ra tr\u01b0\u1edbc ph\u1eabu thu\u1eadt.<\/p>\n

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T\u00ecnh tr\u1ea1ng sau khi th\u00e1o nh\u1ecbp c\u1ea7u (m\u1eb7t nhai)<\/figcaption><\/figure>\n

Sau khi g\u00e2y t\u00ea t\u1ea1i ch\u1ed7 v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt, l\u1eadt v\u1ea1t to\u00e0n b\u1ed9 \u1edf ph\u00eda ngo\u00e0i v\u00e0 ph\u00eda trong. R\u1ea1ch gi\u1eefa m\u00e0o x\u01b0\u01a1ng t\u1ea1i v\u1ecb tr\u00ed #15 v\u00e0 #14, m\u1edf r\u1ed9ng sang r\u0103ng k\u1ebf c\u1eadn gi\u1ed1ng nh\u01b0 \u0111\u01b0\u1eddng r\u1ea1ch 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 t\u1eeb x\u01b0\u01a1ng d\u1ec5 d\u00e0ng \u0111i v\u00e0o v\u00f9ng gh\u00e9p trong qu\u00e1 tr\u00ecnh l\u00e0nh th\u01b0\u01a1ng.<\/p>\n

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Th\u1ef1c hi\u1ec7n GBR sau khi l\u1eadt v\u1ea1t to\u00e0n b\u1ed9 (A), khoan x\u01b0\u01a1ng v\u1ecf c\u1ee7a x\u01b0\u01a1ng b\u00ean d\u01b0\u1edbi (B), ti\u1ebfp theo l\u00e0 \u0111\u1eb7t m\u00e0ng (C) v\u00e0 x\u01b0\u01a1ng gh\u00e9p h\u1ea1t \u0111\u1ed3ng lo\u1ea1i (D). V\u1ea1t \u0111\u01b0\u1ee3c k\u00e9o l\u1ea1i v\u00e0 kh\u00e2u \u0111\u1ec3 \u0111\u00f3ng k\u00edn v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt (E, F). R\u1ea1ch gi\u1eefa m\u00e0o x\u01b0\u01a1ng t\u1ea1i v\u1ecb tr\u00ed #15 v\u00e0 #14, m\u1edf r\u1ed9ng sang r\u0103ng k\u1ebf c\u1eadn gi\u1ed1ng nh\u01b0 \u0111\u01b0\u1eddng r\u1ea1ch 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 t\u1eeb x\u01b0\u01a1ng d\u1ec5 d\u00e0ng \u0111i v\u00e0o v\u00f9ng gh\u00e9p trong qu\u00e1 tr\u00ecnh l\u00e0nh th\u01b0\u01a1ng. X\u01b0\u01a1ng gh\u00e9p 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 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 che ph\u1ee7 to\u00e0n b\u1ed9 x\u01b0\u01a1ng gh\u00e9p h\u1ea1t.<\/figcaption><\/figure>\n

T\u00e1ch m\u00e0ng x\u01b0\u01a1ng \u1edf v\u1ea1t ph\u00eda ngo\u00e0i \u0111\u1ec3 t\u0103ng th\u00eam s\u1ef1 di \u0111\u1ed9ng cho ph\u1ea7n v\u1ea1t ph\u00eda tr\u00ean nh\u1eb1m \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1ef1 \u0111\u00f3ng k\u00edn ban \u0111\u1ea7u (ho\u00e0n to\u00e0n) m\u00e0 kh\u00f4ng b\u1ecb c\u0103ng. K\u00edch th\u01b0\u1edbc c\u1ee7a m\u00e0ng \u0111\u01b0\u1ee3c quy\u1ebft \u0111\u1ecbnh d\u1ef1a tr\u00ean k\u00edch th\u01b0\u1edbc c\u1ee7a thi\u1ebfu h\u1ed3ng v\u00e0 \u0111\u01b0\u1ee3c c\u1eaft t\u1ec9a t\u01b0\u01a1ng \u1ee9ng. M\u00e0ng ph\u1ea3i l\u1edbn h\u01a1n thi\u1ebfu h\u1ed3ng \u00edt nh\u1ea5t 3 mm. X\u01b0\u01a1ng gh\u00e9p 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 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 che ph\u1ee7 to\u00e0n b\u1ed9 x\u01b0\u01a1ng gh\u00e9p h\u1ea1t.<\/p>\n

V\u1ea1t \u0111\u01b0\u1ee3c \u0111\u1ecbnh v\u1ecb v\u00e0 kh\u00e2u 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, sau \u0111\u00f3 s\u1eed d\u1ee5ng m\u0169i kh\u00e2u r\u1eddi \u0111\u1ec3 \u0111\u00f3ng k\u00edn ban \u0111\u1ea7u. Sau 2 tu\u1ea7n, c\u1eaft ch\u1ec9 v\u00e0 lau v\u00f9ng n\u00e0y b\u1eb1ng chlorhexidine. C\u00e1c r\u0103ng k\u1ebf c\u1eadn \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch nh\u1eb9 nh\u00e0ng b\u1eb1ng d\u1ee5ng c\u1ee5 c\u1ea1o v\u00f4i tay. Sau 4 th\u00e1ng l\u00e0nh th\u01b0\u01a1ng, x\u01b0\u01a1ng ph\u00eda ngo\u00e0i \u0111\u00e3 t\u0103ng l\u00ean \u0111\u00e1ng k\u1ec3, v\u00e0 2 implant (\u0111\u01b0\u1eddng k\u00ednh 3.5 mm x chi\u1ec1u cao 11 mm) \u0111\u01b0\u1ee3c \u0111\u1eb7t (theo h\u01b0\u1edbng d\u1eabn c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t) m\u00e0 kh\u00f4ng c\u1ea7n ph\u1ea3i gh\u00e9p th\u00eam. Hai th\u00e1ng sau c\u1ea5y gh\u00e9p, ti\u1ebfn h\u00e0nh l\u00e0m ph\u1ee5c h\u00ecnh tr\u00ean implant.<\/p>\n

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(A) B\u1ed1n th\u00e1ng sau ph\u1eabu thu\u1eadt GBR. (B) \u0110\u1ee7 x\u01b0\u01a1ng chi\u1ec1u ngang t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111\u1eb7t implant. Implant \u0111\u01b0\u1ee3c \u0111\u1eb7t (C) v\u00e0 l\u00e0m ph\u1ee5c h\u00ecnh (D). (E) Phim quanh ch\u00f3p c\u1ee7a implant \u0111\u00e3 l\u00e0m ph\u1ee5c h\u00ecnh. Sau 4 th\u00e1ng l\u00e0nh th\u01b0\u01a1ng, x\u01b0\u01a1ng ph\u00eda ngo\u00e0i \u0111\u00e3 t\u0103ng l\u00ean \u0111\u00e1ng k\u1ec3, v\u00e0 2 implant (\u0111\u01b0\u1eddng k\u00ednh 3.5 mm x chi\u1ec1u cao 11 mm) \u0111\u01b0\u1ee3c \u0111\u1eb7t (theo h\u01b0\u1edbng d\u1eabn c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t) m\u00e0 kh\u00f4ng c\u1ea7n ph\u1ea3i gh\u00e9p th\u00eam. Hai th\u00e1ng sau c\u1ea5y gh\u00e9p, ti\u1ebfn h\u00e0nh l\u00e0m ph\u1ee5c h\u00ecnh tr\u00ean implant.<\/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 gi\u1ea3m ti\u00eau 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 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 v\u00e0i 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 […]<\/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":"\nTi\u00eau s\u1ed1ng h\u00e0m do nh\u1ed5 r\u0103ng - T\u00e1i sinh x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR).<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft v\u00ed d\u1ee5 c\u1ee5 th\u1ec3 tr\u01b0\u1eddng h\u1ee3p t\u00e1i sinh x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn \u0111\u1ed1i v\u1edbi s\u1ef1 ti\u00eau s\u1ed1ng h\u00e0m v\u00f9ng m\u1ea5t r\u0103ng, thu\u1eadn l\u1ee3i cho vi\u1ec7c \u0111\u1eb7t Implant d\u01b0\u1edbi \u0111\u00e2y.\" \/>\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=\"Ti\u00eau s\u1ed1ng h\u00e0m do nh\u1ed5 r\u0103ng - 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