{"id":31527,"date":"2023-05-04T06:22:19","date_gmt":"2023-05-03T23:22:19","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31527"},"modified":"2023-05-04T21:19:30","modified_gmt":"2023-05-04T14:19:30","slug":"ket-qua-va-tien-luong-ky-thuat-tai-tao-xuong-co-huong-dan-gbr","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/ket-qua-va-tien-luong-ky-thuat-tai-tao-xuong-co-huong-dan-gbr\/","title":{"rendered":"K\u1ebft qu\u1ea3 v\u00e0 ti\u00ean l\u01b0\u1ee3ng k\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR)."},"content":{"rendered":"

K\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR) \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t trong vi\u1ec7c c\u1ea3i thi\u1ec7n x\u01b0\u01a1ng \u1edf nh\u1eefng v\u00f9ng b\u1ecb teo nh\u1eb1m cho ph\u00e9p \u0111\u1eb7t implant. B\u1eb1ng ch\u1ee9ng khoa h\u1ecdc hi\u1ec7n nay d\u01b0\u1edbi d\u1ea1ng t\u1ed5ng quan h\u1ec7 th\u1ed1ng \u0111\u00e3 cho th\u1ea5y r\u00f5 implant \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf v\u00f9ng x\u01b0\u01a1ng gh\u00e9p c\u00f3 t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i kh\u00f4ng kh\u00e1c bi\u1ec7t so v\u1edbi implant \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf x\u01b0\u01a1ng t\u1ef1 nhi\u00ean. Tuy nhi\u00ean, c\u1ea7n c\u00f3 nh\u1eefng th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng v\u1edbi ti\u00eau chu\u1ea9n th\u00e0nh c\u00f4ng r\u00f5 r\u00e0ng v\u00e0 th\u1eddi gian theo d\u00f5i l\u00e2u d\u00e0i \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a implant \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf x\u01b0\u01a1ng gh\u00e9p b\u1eb1ng k\u1ef9 thu\u1eadt GBR. C\u00f9ng t\u00ecm hi\u1ec3u c\u00e1c ti\u00ean l\u01b0\u1ee3ng chung, k\u1ebft qu\u1ea3 v\u00e0 y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ph\u01b0\u01a1ng ph\u00e1p n\u00e0y.<\/strong><\/p>\n

\"tai-tao-xuong-co-huong-dan-1\"
K\u1ef9 thu\u1eadt GBR<\/figcaption><\/figure>\n

1. Ti\u00ean l\u01b0\u1ee3ng chung v\u00e0 y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb k\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR)<\/h2>\n

K\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR) \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t trong vi\u1ec7c c\u1ea3i thi\u1ec7n x\u01b0\u01a1ng \u1edf nh\u1eefng v\u00f9ng b\u1ecb teo nh\u1eb1m cho ph\u00e9p \u0111\u1eb7t implant. B\u1eb1ng ch\u1ee9ng khoa h\u1ecdc hi\u1ec7n nay d\u01b0\u1edbi d\u1ea1ng t\u1ed5ng quan h\u1ec7 th\u1ed1ng \u0111\u00e3 cho th\u1ea5y r\u00f5 implant \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf v\u00f9ng x\u01b0\u01a1ng gh\u00e9p c\u00f3 t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i kh\u00f4ng kh\u00e1c bi\u1ec7t so v\u1edbi implant \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf x\u01b0\u01a1ng t\u1ef1 nhi\u00ean. Tuy nhi\u00ean, c\u1ea7n c\u00f3 nh\u1eefng th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng v\u1edbi ti\u00eau chu\u1ea9n th\u00e0nh c\u00f4ng r\u00f5 r\u00e0ng v\u00e0 th\u1eddi gian theo d\u00f5i l\u00e2u d\u00e0i \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a implant \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf x\u01b0\u01a1ng gh\u00e9p b\u1eb1ng k\u1ef9 thu\u1eadt GBR.<\/p>\n

Nh\u1eefng y\u1ebfu t\u1ed1 d\u01b0\u1edbi \u0111\u00e2y s\u1ebd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb sau GBR.<\/p>\n

Y\u1ebfu t\u1ed1 b\u1ec7nh nh\u00e2n:<\/strong><\/p>\n

Nh\u1eefng y\u1ebfu t\u1ed1 nh\u01b0 s\u1ef1 h\u1ee3p t\u00e1c, th\u00f3i quen (ch\u1eb3ng h\u1ea1n nh\u01b0 h\u00fat thu\u1ed1c l\u00e1), ho\u1eb7c c\u00e1c r\u1ed1i lo\u1ea1n h\u1ec7 th\u1ed1ng kh\u00e1c c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng b\u1ea5t l\u1ee3i \u0111\u1ebfn k\u1ebft qu\u1ea3, th\u00ec n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t c\u1ea9n th\u1eadn trong qu\u00e1 tr\u00ecnh l\u00ean k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111i\u1ec1u ch\u1ec9nh n\u1ebfu c\u1ea7n thi\u1ebft.<\/p>\n

Y\u1ebfu t\u1ed1 b\u00e1c s\u0129 l\u00e2m s\u00e0ng:<\/strong><\/p>\n

C\u00e1c y\u1ebfu t\u1ed1 ph\u1eabu thu\u1eadt nh\u01b0 thi\u1ebft k\u1ebf v\u1ea1t ph\u00f9 h\u1ee3p, l\u01b0u \u00fd c\u1ea5p m\u00e1u t\u1ed1i \u0111a cho v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt, \u0111\u00f3ng k\u00edn v\u1eadt th\u1ee5 \u0111\u1ed9ng ban \u0111\u1ea7u, v\u00e0 c\u1ed1 \u0111\u1ecbnh mi\u1ebfng gh\u00e9p trong su\u1ed1t qu\u00e1 tr\u00ecnh l\u00e0nh th\u01b0\u01a1ng l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi s\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a GBR. L\u1ef1a ch\u1ecdn b\u1ec7nh nh\u00e2n v\u00e0 v\u1ecb tr\u00ed ph\u00f9 h\u1ee3p c\u0169ng quan tr\u1ecdng, \u0111\u00f2i h\u1ecfi ph\u1ea3i \u0111\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n to\u00e0n di\u1ec7n. V\u00ed d\u1ee5, nh\u1eefng k\u1ef9 thu\u1eadt t\u0103ng s\u1ed1ng h\u00e0m kh\u00e1c ngo\u00e0i GBR (ch\u1eb3ng h\u1ea1n nh\u01b0 k\u00e9o gi\u00e3n x\u01b0\u01a1ng ho\u1eb7c gh\u00e9p x\u01b0\u01a1ng kh\u1ed1i) n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u1ea7n t\u0103ng c\u1ea3 chi\u1ec1u ngang l\u1eabn chi\u1ec1u d\u1ecdc \u0111\u00e1ng k\u1ec3. L\u1ef1a ch\u1ecdn v\u1eadt li\u1ec7u sinh h\u1ecdc d\u1ef1a tr\u00ean m\u1ee9c \u0111\u1ed9 v\u00e0 h\u00ecnh d\u1ea1ng c\u1ee7a thi\u1ebfu h\u1ed3ng c\u0169ng nh\u01b0 d\u1ef1a tr\u00ean b\u1eb1ng ch\u1ee9ng khoa h\u1ecdc th\u1ecbnh h\u00e0nh c\u0169ng quan tr\u1ecdng kh\u00f4ng k\u00e9m.<\/p>\n

2. Bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb<\/h2>\n

2.1. L\u1ed9 m\u00e0ng ho\u1eb7c v\u00edt s\u1edbm.<\/strong><\/p>\n

C\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 c\u0103ng v\u1eadt, co k\u00e9o c\u01a1, ho\u1eb7c b\u1ec7nh nh\u00e2n k\u00e9m h\u1ee3p t\u00e1c c\u00f3 th\u1ec3 l\u00e0m l\u1ed9 m\u00e0ng ho\u1eb7c v\u00edt s\u1edbm (n\u1ebfu s\u1eed d\u1ee5ng). M\u00e0ng kh\u00f4ng ti\u00eau khi b\u1ecb l\u1ed9 c\u00f3 th\u1ec3 tr\u1edf th\u00e0nh \u1ed5 nhi\u1ec5m tr\u00f9ng, \u0111i\u1ec1u n\u00e0y \u00edt g\u1eb7p h\u01a1n \u1edf m\u00e0ng ti\u00eau. Nh\u1eefng m\u00e0ng kh\u00f4ng ti\u00eau ti\u00ean ti\u1ebfn v\u1edbi k\u00edch th\u01b0\u1edbc l\u1ed7 \u0111\u1eb7c hi\u1ec7u \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc, ngay c\u1ea3 khi ch\u00fang b\u1ecb l\u1ed9 ra xoang mi\u1ec7ng. \u1ea2nh h\u01b0\u1edfng c\u1ee7a vi\u1ec7c l\u1ed9 m\u00e0ng l\u00ean k\u1ebft qu\u1ea3 GBR v\u1eabn c\u00f2n \u0111ang g\u00e2y tranh c\u00e3i, trong \u0111\u00f3 c\u00f3 m\u1ed9t s\u1ed1 \u00edt nghi\u00ean c\u1ee9u \u0111\u00e3 cho th\u1ea5y t\u00e1c \u0111\u1ed9ng c\u00f3 h\u1ea1i c\u1ee7a n\u00f3.<\/p>\n

2.2. M\u1ea5t x\u01b0\u01a1ng gh\u00e9p.<\/strong><\/p>\n

L\u1ed9 m\u00e0ng ti\u00eau s\u1edbm c\u00f3 th\u1ec3 d\u1eabn t\u1edbi m\u1ea5t s\u1ef1 t\u00edch h\u1ee3p ho\u1eb7c s\u1ee5p m\u00e0ng s\u1edbm, t\u1eeb \u0111\u00f3 l\u00e0m m\u1ea5t x\u01b0\u01a1ng gh\u00e9p h\u1ea1t.<\/p>\n

2.3. Nhi\u1ec5m tr\u00f9ng v\u1ecb tr\u00ed gh\u00e9p.<\/strong><\/p>\n

C\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 thao t\u00e1c kh\u00f4ng v\u00f4 khu\u1ea9n trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt, ho\u1eb7c b\u1ec7nh l\u00fd to\u00e0n th\u00e2n nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng hay suy gi\u1ea3m mi\u1ec5n d\u1ecbch, c\u00f3 th\u1ec3 khi\u1ebfn b\u1ec7nh nh\u00e2n b\u1ecb nhi\u1ec5m tr\u00f9ng t\u1ea1i v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt. Kh\u00e1ng sinh to\u00e0n th\u00e2n v\u00e0 n\u01b0\u1edbc s\u00fac mi\u1ec7ng di\u1ec7t khu\u1ea9n t\u1ea1i ch\u1ed7 th\u01b0\u1eddng \u0111\u01b0\u1ee3c k\u00ea sau GBR \u0111\u1ec3 gi\u1ea3m t\u1ef7 l\u1ec7 nhi\u1ec5m tr\u00f9ng v\u1ecb tr\u00ed gh\u00e9p.<\/p>\n

2.4. Xu\u1ea5t huy\u1ebft t\u1ea1i v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt.<\/strong><\/p>\n

Ch\u1ea3y m\u00e1u nhi\u1ec1u t\u1ea1i v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 l\u00e0 do thi\u1ebft k\u1ebf \u0111\u01b0\u1eddng r\u1ea1ch kh\u00f4ng \u0111\u00fang, ho\u1eb7c do nh\u1eefng t\u00ecnh tr\u1ea1ng to\u00e0n th\u00e2n nh\u01b0 cao huy\u1ebft \u00e1p hay s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u.<\/p>\n

3. Nh\u1eefng ti\u1ebfn b\u1ed9 trong khoa h\u1ecdc \u0111\u01b0\u1ee3c coi l\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3 \u0111\u1ed1i v\u1edbi k\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR)<\/h2>\n

D\u01b0\u1edbi \u0111\u00e2y l\u00e0 nh\u1eefng ti\u1ebfn b\u1ed9 \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c t\u00e1i t\u1ea1o x\u01b0\u01a1ng qua c\u00e1c nghi\u00ean c\u1ee9u ti\u1ec1n l\u00e2m s\u00e0ng v\u00e0 l\u00e2m s\u00e0ng, trong c\u1ea3 hai l\u0129nh v\u1ef1c nha khoa v\u00e0 ph\u1eabu thu\u1eadt ch\u1ec9nh h\u00ecnh:<\/p>\n

    \n
  • Li\u1ec7u ph\u00e1p protein (v\u00ed d\u1ee5, protein t\u1ea1o h\u00ecnh th\u00e1i x\u01b0\u01a1ng-2, y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng c\u00f3 ngu\u1ed3n g\u1ed1c ti\u1ec3u c\u1ea7u- BB).<\/li>\n
  • Li\u1ec7u ph\u00e1p t\u1ebf b\u00e0o (v\u00ed d\u1ee5, chuy\u1ec3n t\u1ebf b\u00e0o soma (t\u1ebf b\u00e0o th\u00e2n kh\u00f4ng bi\u1ec7t h\u00f3a) ho\u1eb7c t\u1ebf b\u00e0o g\u1ed1c).<\/li>\n
  • Li\u1ec7u ph\u00e1p gen (v\u00ed d\u1ee5, chuy\u1ec3n gen virus ho\u1eb7c kh\u00f4ng virus m\u00e3 h\u00f3a cho protein sinh x\u01b0\u01a1ng).<\/li>\n
  • Gi\u00e1 th\u1ec3 m\u00f4 ph\u1ecfng sinh h\u1ecdc (gi\u00e1 th\u1ec3 t\u00edch h\u1ee3p v\u1edbi peptide ho\u1eb7c ph\u00e2n t\u1eed \u0111\u1ed3ng h\u00f3a x\u01b0\u01a1ng ho\u1ea1t \u0111\u1ed9ng).<\/li>\n
  • K\u1ebft h\u1ee3p b\u1ed1n li\u1ec7u ph\u00e1p tr\u00ean.<\/li>\n<\/ul>\n

    M\u1ed9t s\u1ed1 s\u1ea3n ph\u1ea9m \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong l\u00e2m s\u00e0ng, c\u00f2n m\u1ed9t s\u1ed1 v\u1eabn \u0111ang trong qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n.<\/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. Buser D, Dula K, Belser U, et al. Localized ridge augmentation using guided bone regeneration. 1. Surgical procedure in the maxilla. Int J Periodontics Restorative Dent 1993;13(1):29-45.<\/em>
    \n2. Buser D, Dula K, Hess D, et al. Localized ridge augmentation with autografts and barrier membranes. Periodontol 2000 1999;19:151-163.<\/em>
    \n3. Darby I. Periodontal materials. Aust Dent J 2011;56(Suppl 1):107-118.<\/em>
    \n4. Clementini M, Morlupi A, Canullo L, et al. Success rate of dental implants inserted in horizontal and vertical guided bone regenerated areas: a systematic review. Int J Oral Maxillofac Surg 2012;41(7):847-852.<\/em>
    \n5. H\u00e4mmerle CH, Jung RE, Feloutzis A. A systematic review of the survival of implants in bone sites augmented<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

    K\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR) \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t trong vi\u1ec7c c\u1ea3i thi\u1ec7n x\u01b0\u01a1ng \u1edf nh\u1eefng v\u00f9ng b\u1ecb teo nh\u1eb1m cho ph\u00e9p \u0111\u1eb7t implant. B\u1eb1ng ch\u1ee9ng khoa h\u1ecdc hi\u1ec7n nay d\u01b0\u1edbi d\u1ea1ng t\u1ed5ng quan h\u1ec7 th\u1ed1ng \u0111\u00e3 cho th\u1ea5y r\u00f5 implant \u0111\u01b0\u1ee3c \u0111\u1eb7t […]<\/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":"\nK\u1ebft qu\u1ea3 v\u00e0 ti\u00ean l\u01b0\u1ee3ng k\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR).<\/title>\n<meta name=\"description\" content=\"C\u00f9ng t\u00ecm hi\u1ec3u c\u00e1c ti\u00ean l\u01b0\u1ee3ng chung, k\u1ebft qu\u1ea3 v\u00e0 y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR) 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\" 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