{"id":31343,"date":"2023-05-03T21:34:48","date_gmt":"2023-05-03T14:34:48","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31343"},"modified":"2023-05-03T21:39:09","modified_gmt":"2023-05-03T14:39:09","slug":"ky-thuat-tai-tao-xuong-co-huong-dan-tong-quan-va-so-sanh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/ky-thuat-tai-tao-xuong-co-huong-dan-tong-quan-va-so-sanh\/","title":{"rendered":"T\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn – Ph\u00e2n t\u00edch k\u1ef9 thu\u1eadt v\u00e0 so s\u00e1nh."},"content":{"rendered":"

T\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn GBR l\u00e0 m\u1ed9t trong nh\u1eefng k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u0103ng x\u01b0\u01a1ng \u1ed5 r\u0103ng. N\u00f3i chung, nh\u1eefng k\u1ef9 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ph\u1eabu thu\u1eadt t\u0103ng s\u1ed1ng h\u00e0m. Kh\u00e1c v\u1edbi c\u00e1c k\u1ef9 thu\u1eadt t\u0103ng s\u1ed1ng h\u00e0m kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 gh\u00e9p x\u01b0\u01a1ng kh\u1ed1i t\u1ef1 th\u00e2n, GBR t\u01b0\u01a1ng \u0111\u1ed1i kh\u00f4ng x\u00e2m l\u1ea5n, v\u00e0 th\u1ef1c t\u1ebf l\u00e0 GBR ch\u1ee7 y\u1ebfu s\u1eed d\u1ee5ng nh\u1eefng v\u1eadt li\u1ec7u gh\u00e9p kh\u00f4ng ph\u1ea3i x\u01b0\u01a1ng t\u1ef1 th\u00e2n c\u1ee7a b\u1ec7nh nh\u00e2n, do \u0111\u00f3 kh\u00f4ng c\u1ea7n th\u00eam v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt th\u1ee9 hai \u0111\u1ec3 l\u1ea5y x\u01b0\u01a1ng. C\u00f9ng ph\u00e2n t\u00edch k\u1ef9 thu\u1eadt n\u00e0y theo g\u00f3c nh\u00ecn so s\u00e1nh v\u1edbi c\u00e1c k\u1ef9 thu\u1eadt kh\u00e1c v\u00e0 ph\u00e2n t\u00edch c\u1ee5 th\u1ec3 v\u1ea5n \u0111\u1ec1 h\u01a1n.<\/strong><\/p>\n

1. T\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR) l\u00e0 g\u00ec?<\/h2>\n

T\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn GBR l\u00e0 m\u1ed9t trong nh\u1eefng k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u0103ng x\u01b0\u01a1ng \u1ed5 r\u0103ng. N\u00f3i chung, nh\u1eefng k\u1ef9 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ph\u1eabu thu\u1eadt t\u0103ng s\u1ed1ng h\u00e0m. Kh\u00e1c v\u1edbi c\u00e1c k\u1ef9 thu\u1eadt t\u0103ng s\u1ed1ng h\u00e0m kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 gh\u00e9p x\u01b0\u01a1ng kh\u1ed1i t\u1ef1 th\u00e2n, GBR t\u01b0\u01a1ng \u0111\u1ed1i kh\u00f4ng x\u00e2m l\u1ea5n, v\u00e0 th\u1ef1c t\u1ebf l\u00e0 GBR ch\u1ee7 y\u1ebfu s\u1eed d\u1ee5ng nh\u1eefng v\u1eadt li\u1ec7u gh\u00e9p kh\u00f4ng ph\u1ea3i x\u01b0\u01a1ng t\u1ef1 th\u00e2n c\u1ee7a b\u1ec7nh nh\u00e2n, do \u0111\u00f3 kh\u00f4ng c\u1ea7n th\u00eam v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt th\u1ee9 hai \u0111\u1ec3 l\u1ea5y x\u01b0\u01a1ng. Tr\u01b0\u1edbc \u0111\u00e2y, GBR \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gh\u00e9p s\u1ed1ng h\u00e0m nh\u1eb1m c\u1ea3i thi\u1ec7n h\u00ecnh d\u1ea1ng s\u1ed1ng h\u00e0m tr\u01b0\u1edbc khi l\u00e0m ph\u1ee5c h\u00ecnh to\u00e0n h\u00e0m ho\u1eb7c \u0111\u1ec3 c\u1ea3i thi\u1ec7n v\u1ecb tr\u00ed nh\u1ecbp c\u1ea7u v\u00ec m\u1ee5c \u0111\u00edch th\u1ea9m m\u1ef9. Hi\u1ec7n nay, GBR ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p t\u0103ng th\u1ec3 t\u00edch x\u01b0\u01a1ng c\u1ea7n thi\u1ebft \u0111\u1ec3 t\u1ea1o thu\u1eadn l\u1ee3i cho vi\u1ec7c \u0111\u1eb7t implant.<\/p>\n

2. Kh\u00e1c bi\u1ec7t so v\u1edbi k\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o m\u00f4 c\u00f3 h\u01b0\u1edbng d\u1eabn (GTR)<\/h2>\n

M\u1eb7c d\u00f9 c\u1ea3 hai th\u1ee7 thu\u1eadt \u0111\u1ec1u ho\u1ea1t \u0111\u1ed9ng d\u1ef1a tr\u00ean nh\u1eefng nguy\u00ean t\u1eafc t\u01b0\u01a1ng t\u1ef1 nhau l\u00e0 lo\u1ea1i tr\u1eeb t\u1ebf b\u00e0o ch\u1ecdn l\u1ecdc v\u00e0 duy tr\u00ec kho\u1ea3ng, nh\u01b0ng ch\u00fang l\u1ea1i kh\u00e1c nhau \u1edf m\u00f4 \u0111\u00edch \u0111\u01b0\u1ee3c t\u00e1i t\u1ea1o. T\u00e1i t\u1ea1o m\u00f4 c\u00f3 h\u01b0\u1edbng d\u1eabn GTR \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng xung quanh ch\u00e2n r\u0103ng c\u1ee7a r\u0103ng b\u1ecb nha chu \u0111\u1ec3 t\u00e1i t\u1ea1o m\u00f4 nha chu b\u1ecb m\u1ea5t \u2013 c\u1ee5 th\u1ec3 l\u00e0 d\u00e2y ch\u1eb1ng nha chu m\u1edbi, x\u01b0\u01a1ng m\u1edbi, v\u00e0 x\u00ea m\u0103ng m\u1edbi \u2013 tr\u00ean b\u1ec1 m\u1eb7t ch\u00e2n r\u0103ng b\u1ec7nh l\u00fd tr\u01b0\u1edbc \u0111\u00f3. Do \u0111\u00f3, m\u1ee5c ti\u00eau ch\u00ednh c\u1ee7a GTR l\u00e0 t\u00e1i t\u1ea1o c\u1ea3 m\u00f4 c\u1ee9ng l\u1eabn m\u00f4 m\u1ec1m, trong khi \u0111\u00f3, GBR ch\u1ee7 y\u1ebfu t\u00e1i t\u1ea1o x\u01b0\u01a1ng m\u1edbi (m\u00f4 c\u1ee9ng) tr\u00ean n\u1ec1n x\u01b0\u01a1ng c\u00f3 s\u1eb5n c\u1ee7a b\u1ec7nh nh\u00e2n. \u0110i\u1ec1u quan tr\u1ecdng c\u1ea7n ghi nh\u1edb l\u00e0 c\u00e1c ph\u1eabu thu\u1eadt gh\u00e9p x\u01b0\u01a1ng xung quanh implant t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111\u1eb7t implant hay sau \u0111\u00f3 th\u00ec \u0111\u1ec1u \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 GBR.<\/p>\n

3. Kh\u00e1c bi\u1ec7t so v\u1edbi k\u1ef9 thu\u1eadt b\u1ea3o t\u1ed3n s\u1ed1ng h\u00e0m<\/h2>\n

M\u1eb7c d\u00f9 x\u01b0\u01a1ng l\u00e0 m\u00f4 \u0111\u00edch s\u1ebd \u0111\u01b0\u1ee3c t\u00e1i t\u1ea1o khi l\u1ef1a ch\u1ecdn k\u1ef9 thu\u1eadt GBR ho\u1eb7c b\u1ea3o t\u1ed3n s\u1ed1ng h\u00e0m\/\u1ed5 r\u0103ng, nh\u01b0ng hai k\u1ef9 thu\u1eadt n\u00e0y l\u1ea1i kh\u00e1c nhau \u1edf th\u1eddi \u0111i\u1ec3m th\u1ef1c hi\u1ec7n trong tr\u00ecnh t\u1ef1 \u0111i\u1ec1u tr\u1ecb c\u0169ng nh\u01b0 m\u1ee5c \u0111\u00edch ch\u00ednh c\u1ee7a ch\u00fang. GBR th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 m\u1ed9t quy tr\u00ecnh ri\u00eang (\u0111\u1ec3 t\u0103ng s\u1ed1ng h\u00e0m) sau khi nh\u1ed5 r\u0103ng v\u00e0 tr\u01b0\u1edbc ho\u1eb7c t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111\u1eb7t implant. Ng\u01b0\u1ee3c l\u1ea1i, b\u1ea3o t\u1ed3n s\u1ed1ng h\u00e0m\/\u1ed5 r\u0103ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i th\u1eddi \u0111i\u1ec3m nh\u1ed5 r\u0103ng \u0111\u1ec3 h\u1ea1n ch\u1ebf s\u1ef1 ti\u00eau s\u1ed1ng h\u00e0m sinh l\u00fd th\u01b0\u1eddng x\u1ea3y ra sau nh\u1ed5 r\u0103ng.<\/p>\n

4. C\u00e1ch th\u1ee9c ho\u1ea1t \u0111\u1ed9ng c\u1ee7a k\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR)<\/h2>\n

Nh\u01b0 \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u1edf tr\u00ean, GBR ho\u1ea1t \u0111\u1ed9ng theo nguy\u00ean t\u1eafc lo\u1ea1i tr\u1eeb t\u1ebf b\u00e0o ch\u1ecdn l\u1ecdc v\u00e0 duy tr\u00ec kho\u1ea3ng. \u0110\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c nh\u1eefng m\u1ee5c ti\u00eau n\u00e0y, m\u00e0ng v\u00e0 x\u01b0\u01a1ng gh\u00e9p h\u1ea1t \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. Vai tr\u00f2 c\u1ee7a m\u00e0ng c\u00f3 t\u00e1c d\u1ee5ng nh\u01b0 h\u00e0ng r\u00e0o ng\u0103n t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 v\u00e0 m\u00f4 li\u00ean k\u1ebft t\u1eeb v\u1ea1t ph\u00eda tr\u00ean t\u0103ng sinh v\u00e0 chi\u1ebfm l\u1ea5y kho\u1ea3ng \u0111\u01b0\u1ee3c t\u1ea1o ra cho s\u1ef1 t\u00e1i t\u1ea1o x\u01b0\u01a1ng. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c lo\u1ea1i tr\u1eeb, t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 (c\u00f3 \u0111\u1ed9ng h\u1ecdc t\u1ebf b\u00e0o cao h\u01a1n t\u1ebf b\u00e0o x\u01b0\u01a1ng) s\u1ebd chi\u1ebfm l\u1ea5y kho\u1ea3ng n\u00e0y, d\u1eabn t\u1edbi s\u1ef1 l\u1ea5p \u0111\u1ea7y kho\u1ea3ng b\u1eb1ng m\u00f4 m\u1ec1m, t\u1eeb \u0111\u00f3 \u0111\u01b0a \u0111\u1ebfn k\u1ebft qu\u1ea3 k\u00e9m. Ngo\u00e0i ra, m\u00e0ng c\u0169ng gi\u00fap duy tr\u00ec kho\u1ea3ng. Vai tr\u00f2 \u0111\u1eb7c hi\u1ec7u c\u1ee7a x\u01b0\u01a1ng gh\u00e9p l\u00e0 \u0111\u1ec3 duy tr\u00ec kho\u1ea3ng v\u00e0 c\u00f3 t\u00e1c d\u1ee5ng nh\u01b0 gi\u00e1 th\u1ec3 cho c\u00e1c t\u1ebf b\u00e0o ti\u1ec1n th\u00e2n c\u1ee7a x\u01b0\u01a1ng b\u00e1m d\u00ednh, t\u0103ng sinh, v\u00e0 bi\u1ec7t h\u00f3a th\u00e0nh t\u1ebf b\u00e0o t\u1ea1o x\u01b0\u01a1ng (t\u1ea1o c\u1ed1t b\u00e0o) c\u00f3 kh\u1ea3 n\u0103ng s\u1ea3n xu\u1ea5t khu\u00f4n x\u01b0\u01a1ng ngo\u1ea1i b\u00e0o, v\u00e0 cu\u1ed1i c\u00f9ng s\u1ebd kho\u00e1ng h\u00f3a \u0111\u1ec3 t\u1ea1o x\u01b0\u01a1ng tr\u01b0\u1edfng th\u00e0nh.<\/p>\n

X\u01b0\u01a1ng gh\u00e9p v\u00e0 m\u00e0ng l\u00e0 hai th\u00e0nh ph\u1ea7n ch\u00ednh c\u1ee7a GBR. Nh\u01b0 \u0111\u00e3 li\u1ec7t k\u00ea trong b\u1ea3ng d\u01b0\u1edbi \u0111\u00e2y, d\u1ef1a tr\u00ean ngu\u1ed3n g\u1ed1c, x\u01b0\u01a1ng gh\u00e9p h\u1ea1t c\u00f3 th\u1ec3 l\u00e0 x\u01b0\u01a1ng t\u1ef1 th\u00e2n, x\u01b0\u01a1ng \u0111\u1ed3ng lo\u1ea1i, x\u01b0\u01a1ng d\u1ecb lo\u1ea1i, ho\u1eb7c x\u01b0\u01a1ng t\u1ed5ng h\u1ee3p. Hi\u1ec7n nay, x\u01b0\u01a1ng \u0111\u1ed3ng lo\u1ea1i v\u00e0 x\u01b0\u01a1ng d\u1ecb lo\u1ea1i l\u00e0 nh\u1eefng v\u1eadt li\u1ec7u gh\u00e9p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn nh\u1ea5t trong GBR. D\u1ef1a tr\u00ean kh\u1ea3 n\u0103ng ph\u00e2n h\u1ee7y sinh h\u1ecdc c\u1ee7a m\u00e0ng, ch\u00fang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh m\u00e0ng ti\u00eau ho\u1eb7c kh\u00f4ng ti\u00eau. M\u1eb7c d\u00f9 b\u00e1c s\u0129 l\u00e2m s\u00e0ng v\u1eabn s\u1eed d\u1ee5ng m\u00e0ng kh\u00f4ng ti\u00eau trong m\u1ed9t s\u1ed1 t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng, nh\u01b0ng ph\u1ea7n l\u1edbn quy tr\u00ecnh GBR hi\u1ec7n nay \u0111\u1ec1u s\u1eed d\u1ee5ng m\u00e0ng ti\u00eau (\u0111\u1ec3 tr\u00e1nh nguy c\u01a1 t\u1eeb ph\u1eabu thu\u1eadt l\u1ea5y m\u00e0ng kh\u00f4ng ti\u00eau). Trong nh\u1eefng t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng \u0111\u00f2i h\u1ecfi s\u1ef1 lo\u1ea1i tr\u1eeb t\u1ebf b\u00e0o v\u00e0 duy tr\u00ec kho\u1ea3ng hi\u1ec7u qu\u1ea3 trong th\u1eddi gian d\u00e0i, n\u00ean s\u1eed d\u1ee5ng v\u00edt \u0111\u00f3ng (tacking screw) \u0111\u1ec3 gi\u1eef c\u1ea1nh m\u00e0ng n\u1eb1m s\u00e1t v\u1edbi x\u01b0\u01a1ng b\u00ean d\u01b0\u1edbi v\u00e0 v\u00edt l\u1ec1u (tenting screw) \u0111\u1ec3 t\u1ea1o th\u00eam n\u00e2ng \u0111\u1ee1 cho m\u00e0ng t\u1eeb b\u00ean d\u01b0\u1edbi. M\u1ed9t t\u1ed5ng quan m\u00f4 t\u1ea3 g\u1ea7n \u0111\u00e2y c\u00f3 th\u1ec3 cho bi\u1ebft nhi\u1ec1u th\u00f4ng tin h\u01a1n v\u1ec1 v\u1eadt li\u1ec7u sinh h\u1ecdc nha chu d\u00f9ng trong \u1ee9ng d\u1ee5ng t\u00e1i t\u1ea1o.<\/p>\n

\"tai-tao-xuong-co-huong-dan-1\"
B\u1ea3ng 1: V\u1eadt li\u1ec7u trong k\u1ef9 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":"

T\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn GBR l\u00e0 m\u1ed9t trong nh\u1eefng k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u0103ng x\u01b0\u01a1ng \u1ed5 r\u0103ng. N\u00f3i chung, nh\u1eefng k\u1ef9 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ph\u1eabu thu\u1eadt t\u0103ng s\u1ed1ng h\u00e0m. Kh\u00e1c v\u1edbi c\u00e1c k\u1ef9 thu\u1eadt t\u0103ng s\u1ed1ng h\u00e0m kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 gh\u00e9p x\u01b0\u01a1ng kh\u1ed1i t\u1ef1 th\u00e2n, GBR […]<\/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":"\nT\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn - Ph\u00e2n t\u00edch k\u1ef9 thu\u1eadt v\u00e0 so s\u00e1nh.<\/title>\n<meta name=\"description\" content=\"T\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn GBR l\u00e0 m\u1ed9t trong nh\u1eefng k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u0103ng x\u01b0\u01a1ng \u1ed5 r\u0103ng. 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