{"id":31650,"date":"2023-05-04T12:37:59","date_gmt":"2023-05-04T05:37:59","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31650"},"modified":"2023-05-04T21:16:01","modified_gmt":"2023-05-04T14:16:01","slug":"bao-ton-song-ham-arp-tong-quan-trong-implant-nha-khoa","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/bao-ton-song-ham-arp-tong-quan-trong-implant-nha-khoa\/","title":{"rendered":"B\u1ea3o t\u1ed3n s\u1ed1ng h\u00e0m (ARP) – T\u1ed5ng quan trong Implant Nha khoa."},"content":{"rendered":"

B\u1ea3o t\u1ed3n s\u1ed1ng h\u00e0m ARP l\u00e0 s\u1ef1 ki\u1ec3m so\u00e1t s\u1ed1ng h\u00e0m tr\u00ean l\u00e2m s\u00e0ng nh\u1eb1m gi\u1ea3m thi\u1ec3u nh\u1eefng thay \u0111\u1ed5i k\u00edch th\u01b0\u1edbc th\u01b0\u1eddng x\u1ea3y ra sau nh\u1ed5 r\u0103ng. C\u00f3 r\u1ea5t nhi\u1ec1u k\u1ef9 thu\u1eadt ARP \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 trong y v\u0103n. Ph\u1ea7n l\u1edbn trong s\u1ed1 \u0111\u00f3 s\u1eed d\u1ee5ng v\u1eadt li\u1ec7u l\u00e0m \u0111\u1ea7y \u1ed5 r\u0103ng sau nh\u1ed5, th\u01b0\u1eddng l\u00e0 v\u1eadt li\u1ec7u x\u01b0\u01a1ng. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd l\u00e0m r\u00f5 ph\u01b0\u01a1ng ph\u00e1p k\u1ec3 tr\u00ean v\u00e0 \u0111\u00e1nh gi\u00e1 ch\u1ec9 \u0111\u1ecbnh, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh, hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng c\u1ee7a n\u00f3. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n

1. Kh\u00e1i ni\u1ec7m v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o t\u1ed3n s\u1ed1ng h\u00e0m (ARP)<\/h2>\n

B\u1ea3o t\u1ed3n s\u1ed1ng h\u00e0m ARP l\u00e0 s\u1ef1 ki\u1ec3m so\u00e1t s\u1ed1ng h\u00e0m tr\u00ean l\u00e2m s\u00e0ng nh\u1eb1m gi\u1ea3m thi\u1ec3u nh\u1eefng thay \u0111\u1ed5i k\u00edch th\u01b0\u1edbc th\u01b0\u1eddng x\u1ea3y ra sau nh\u1ed5 r\u0103ng. C\u00f3 r\u1ea5t nhi\u1ec1u k\u1ef9 thu\u1eadt ARP \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 trong y v\u0103n. Ph\u1ea7n l\u1edbn trong s\u1ed1 \u0111\u00f3 s\u1eed d\u1ee5ng v\u1eadt li\u1ec7u l\u00e0m \u0111\u1ea7y \u1ed5 r\u0103ng sau nh\u1ed5, th\u01b0\u1eddng l\u00e0 v\u1eadt li\u1ec7u x\u01b0\u01a1ng (c\u1ee5 th\u1ec3 l\u00e0 x\u01b0\u01a1ng gh\u00e9p \u0111\u1ed3ng lo\u1ea1i, x\u01b0\u01a1ng gh\u00e9p d\u1ecb lo\u1ea1i, ho\u1eb7c v\u1eadt li\u1ec7u t\u1ed5ng h\u1ee3p), r\u1ed3i ph\u1ee7 mi\u1ec7ng c\u1ee7a \u1ed5 nh\u1ed5 r\u0103ng b\u1eb1ng m\u1ed9t v\u00e0i lo\u1ea1i v\u1eadt li\u1ec7u t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc (v\u00ed d\u1ee5, mi\u1ebfng x\u1ed1p collagen, m\u00e0ng collagen ti\u00eau, m\u00e0ng ng\u0103n kh\u00f4ng ti\u00eau, calcium sulfate). Ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o t\u1ed3n s\u1ed1ng h\u00e0m c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 gh\u00e9p \u1ed5 r\u0103ng. ARP b\u1eb1ng c\u00e1ch “l\u00e0m \u0111\u1ea7y” ho\u1eb7c ” gh\u00e9p\u201d \u1ed5 r\u0103ng n\u1ed5i l\u00ean v\u00e0o gi\u1eefa nh\u1eefng n\u0103m 1980 nh\u01b0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u1ee3p l\u00fd, d\u1ef1a tr\u00ean kh\u00e1i ni\u1ec7m l\u00e0 s\u1ef1 l\u1ea5p \u0111\u1ea7y kho\u1ea3ng tr\u1ed1ng \u0111\u1ec3 l\u1ea1i t\u1eeb r\u0103ng nh\u1ed5 s\u1ebd m\u00f4 ph\u1ecfng “hi\u1ec7u \u1ee9ng l\u01b0u gi\u1eef ch\u00e2n r\u0103ng\u201d \u0111\u1ec3 b\u1ea3o t\u1ed3n th\u1ec3 t\u00edch x\u01b0\u01a1ng \u1ed5 r\u0103ng. L\u00e0m \u0111\u1ea7y \u1ed5 r\u0103ng ng\u00e0y c\u00e0ng ph\u1ed5 bi\u1ebfn trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y do kh\u00e1i ni\u1ec7m h\u1ea5p d\u1eabn v\u00e0 k\u1ef9 thu\u1eadt \u0111\u01a1n gi\u1ea3n c\u1ee7a n\u00f3. Nh\u01b0ng kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 c\u00e1c k\u1ef9 thu\u1eadt b\u1ea3o t\u1ed3n s\u1ed1ng h\u00e0m \u0111\u1ec1u nh\u1ed5 r\u0103ng, b\u1edfi v\u00ec vi\u1ec7c ch\u1eeba l\u1ea1i ch\u00e2n r\u0103ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p c\u00f3 ti\u00ean l\u01b0\u1ee3ng kh\u1ea3 quan trong vi\u1ec7c b\u1ea3o t\u1ed3n k\u00edch th\u01b0\u1edbc x\u01b0\u01a1ng \u1ed5 r\u0103ng trong nh\u1eefng t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng r\u0103ng kh\u00f4ng th\u1ec3 ph\u1ee5c h\u1ed3i. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o t\u1ed3n s\u1ed1ng h\u00e0m kh\u00e1c \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 trong y v\u0103n l\u00e0 “k\u1ef9 thu\u1eadt t\u1ea5m ch\u1eafn \u1ed5 r\u0103ng\u201d (socket-shield technique) v\u00e0 t\u00e1i t\u1ea1o tr\u00f9m l\u00ean x\u01b0\u01a1ng m\u1eb7t ngo\u00e0i (overbuilding facial bone).<\/p>\n

ARP v\u00e0 b\u1ea3o t\u1ed3n s\u1ed1ng h\u00e0m n\u00f3i chung \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn l\u00e0 nh\u1eefng thu\u1eadt ng\u1eef c\u00f3 th\u1ec3 ho\u00e1n \u0111\u1ed5i cho nhau. Tuy nhi\u00ean, ARP kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 “b\u1ea3o t\u1ed3n \u1ed5 r\u0103ng\u201d, b\u1edfi v\u00ec n\u00f3 kh\u00f4ng th\u1ec3 b\u1ea3o t\u1ed3n \u1ed5 r\u0103ng (ho\u1eb7c x\u01b0\u01a1ng \u1ed5 r\u0103ng); ng\u01b0\u1ee3c l\u1ea1i, n\u00f3 ch\u1ec9 l\u00e0m \u0111\u1ea7y b\u1eb1ng x\u01b0\u01a1ng tr\u01b0\u1edfng th\u00e0nh.<\/p>\n

2. Ch\u1ec9 \u0111\u1ecbnh\/ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u00e0 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng<\/h2>\n

ARP th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong nh\u1eefng t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng r\u0103ng kh\u00f4ng th\u1ec3 ph\u1ee5c h\u1ed3i v\u00e0\/ho\u1eb7c \u0111\u01b0\u1ee3c d\u1ef1 ki\u1ebfn nh\u1ed5, v\u00e0 s\u1ef1 duy tr\u00ec th\u1ec3 t\u00edch s\u1ed1ng h\u00e0m l\u00e0 quan tr\u1ecdng \u0111\u1ed1i v\u1edbi k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb t\u1ed5ng th\u1ec3. Ch\u1ec9 \u0111\u1ecbnh ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 \u1edf nh\u1eefng v\u1ecb tr\u00ed nh\u1ed5 r\u0103ng m\u00e0 \u0111\u1eb7t implant t\u1ee9c th\u00ec b\u1ecb ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh (v\u00ed d\u1ee5, v\u00f9ng th\u1ea9m m\u1ef9 cao, nhi\u1ec5m tr\u00f9ng m\u1ea1n nghi\u00eam tr\u1ecdng) nh\u01b0ng l\u1ea1i d\u1ef1 ki\u1ebfn l\u00e0m ph\u1ee5c h\u00ecnh tr\u00ean implant trong t\u01b0\u01a1ng lai. Trong nh\u1eefng t\u00ecnh hu\u1ed1ng nh\u01b0 v\u1eady, ARP c\u00f3 th\u1ec3 gi\u00fap tr\u00e1nh \u0111\u01b0\u1ee3c nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p ph\u00e1t tri\u1ec3n v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p n\u00e2ng cao m\u00e0 c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 b\u1ec7nh l\u00fd t\u1eeb \u0111i\u1ec1u tr\u1ecb, chi ph\u00ed, v\u00e0 th\u1eddi gian.<\/p>\n

Nh\u1eefng t\u1ed5ng quan h\u1ec7 th\u1ed1ng g\u1ea7n \u0111\u00e2y \u0111\u00e3 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng c\u1ee7a ARP \u0111\u1ed1i v\u1edbi s\u1ef1 thay \u0111\u1ed5i x\u01b0\u01a1ng theo chi\u1ec1u ngang v\u00e0 chi\u1ec1u d\u1ecdc so v\u1edbi nh\u1ed5 r\u0103ng \u0111\u01a1n thu\u1ea7n. Ch\u1ec9 c\u00f3 hai t\u1ed5ng quan h\u1ec7 th\u1ed1ng trong s\u1ed1 n\u00e0y th\u1ef1c hi\u1ec7n ph\u00e2n t\u00edch \u0111\u1ecbnh l\u01b0\u1ee3ng. Vignoletti v\u00e0 c\u1ed9ng s\u1ef1 nh\u1eadn th\u1ea5y sau giai \u0111o\u1ea1n l\u00e0nh th\u01b0\u01a1ng 6-24 th\u00e1ng, m\u1ee9c \u0111\u1ed9 ti\u00eau x\u01b0\u01a1ng \u1ed5 r\u0103ng trung b\u00ecnh theo chi\u1ec1u ngang v\u00e0 chi\u1ec1u d\u1ecdc l\u1ea7n l\u01b0\u1ee3t gi\u1ea3m 1.8 mm v\u00e0 1.5 mm so v\u1edbi nh\u1eefng v\u1ecb tr\u00ed kh\u00f4ng \u0111\u01b0\u1ee3c can thi\u1ec7p g\u00ec sau nh\u1ed5 r\u0103ng. M\u1eb7t kh\u00e1c, Viftorini Orgeas v\u00e0 c\u1ed9ng s\u1ef1 c\u0169ng ph\u00e1t hi\u1ec7n r\u1eb1ng sau th\u1eddi gian l\u00e0nh th\u01b0\u01a1ng 3-12 th\u00e1ng, m\u1ee9c \u0111\u1ed9 ti\u00eau x\u01b0\u01a1ng \u1ed5 r\u0103ng trung b\u00ecnh theo chi\u1ec1u ngang v\u00e0 chi\u1ec1u d\u1ecdc l\u1ea7n l\u01b0\u1ee3t gi\u1ea3m 1.3 mm v\u00e0 0.7 mm so v\u1edbi nh\u1eefng v\u1ecb tr\u00ed ch\u1ec9 nh\u1ed5 r\u0103ng \u0111\u01a1n thu\u1ea7n. S\u1ef1 ch\u00eanh l\u1ec7ch k\u00edch th\u01b0\u1edbc gi\u1eefa hai nghi\u00ean c\u1ee9u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch l\u00e0 do s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 y v\u0103n \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn d\u1ef1a tr\u00ean nh\u1eefng ti\u00eau chu\u1ea9n \u0111\u01b0a v\u00e0o c\u1ee5 th\u1ec3 c\u1ee7a t\u1eebng t\u1ed5ng quan h\u1ec7 th\u1ed1ng. Tuy nhi\u00ean, c\u00e1c k\u1ebft qu\u1ea3 l\u1ea1i tr\u00f9ng h\u1ee3p cho th\u1ea5y l\u1ee3i \u00edch r\u00f5 r\u00e0ng c\u1ee7a li\u1ec7u ph\u00e1p ARP trong vi\u1ec7c ng\u0103n ng\u1eeba s\u1ef1 ti\u00eau x\u01b0\u01a1ng \u1ed5 sau nh\u1ed5 r\u0103ng.<\/p>\n

M\u1eb7c d\u00f9 li\u1ec7u ph\u00e1p ARP c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ng\u1eeba ti\u00eau x\u01b0\u01a1ng \u1ed5 sau nh\u1ed5 r\u0103ng, nh\u01b0ng kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o n\u00f3 c\u0169ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p gi\u00fap ng\u0103n ng\u1eeba ho\u00e0n to\u00e0n t\u00ecnh tr\u1ea1ng ti\u00eau x\u01b0\u01a1ng \u1ed5 r\u0103ng. Do \u0111\u00f3, c\u1ea7n d\u1ef1 ki\u1ebfn l\u00e0 s\u1ebd c\u00f3 s\u1ef1 gi\u1ea3m th\u1ec3 t\u00edch x\u01b0\u01a1ng \u1ed5 r\u0103ng \u1edf m\u1ed9t m\u1ee9c \u0111\u1ed9 n\u00e0o \u0111\u00f3, ngay c\u1ea3 khi ARP \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ed3ng th\u1eddi. M\u1ee9c \u0111\u1ed9 ti\u00eau x\u01b0\u01a1ng r\u1ea5t thay \u0111\u1ed5i, ph\u1ee5 thu\u1ed9c v\u00e0o y\u1ebfu t\u1ed1 b\u1ec7nh nh\u00e2n, ch\u1eb3ng h\u1ea1n nh\u01b0 d\u1ea1ng sinh h\u1ecdc nha chu. Trong ca n\u00e0y, ARP \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n, v\u00e0 s\u1ef1 gi\u1ea3m th\u1ec3 t\u00edch x\u01b0\u01a1ng l\u01b0\u1edbi \u01b0\u1edbc t\u00ednh l\u00e0 kho\u1ea3ng 6% sau th\u1eddi gian l\u00e0nh th\u01b0\u01a1ng 14 tu\u1ea7n.<\/p>\n

H\u00e0ng lo\u1ea1t k\u1ebft qu\u1ea3 (v\u00ed d\u1ee5, l\u00e2m s\u00e0ng, X-quang, m\u00f4 h\u1ecdc, ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh hi\u1ec7u qu\u1ea3 c\u1ee7a li\u1ec7u ph\u00e1p ARP. B\u1eb1ng ch\u1ee9ng hi\u1ec7n nay cho th\u1ea5y kh\u00f4ng c\u00f3 v\u1eadt li\u1ec7u sinh h\u1ecdc ho\u1eb7c k\u1ef9 thu\u1eadt c\u1ee5 th\u1ec3 n\u00e0o \u0111em l\u1ea1i k\u1ebft qu\u1ea3 v\u01b0\u1ee3t tr\u1ed9i trong vi\u1ec7c \u1ed5n \u0111\u1ecbnh k\u00edch th\u01b0\u1edbc s\u1ed1ng h\u00e0m, c\u1ea3 tr\u00ean l\u00e2m s\u00e0ng hay X-quang. \u0110i\u1ec1u th\u00fa v\u1ecb l\u00e0 m\u1ed9t t\u1ed5ng quan h\u1ec7 th\u1ed1ng g\u1ea7n \u0111\u00e2y \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh v\u00e0 t\u1eadp trung \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111\u1ecbnh l\u01b0\u1ee3ng x\u01b0\u01a1ng sau ARP s\u1eed d\u1ee5ng nh\u1eefng v\u1eadt li\u1ec7u sinh h\u1ecdc kh\u00e1c nhau. M\u1ee9c \u0111\u1ed9 bi\u1ebfn thi\u00ean trong s\u1ef1 t\u1ea1o x\u01b0\u01a1ng s\u1ed1ng \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn khi s\u1eed d\u1ee5ng c\u00e1c v\u1eadt li\u1ec7u l\u00e0m \u0111\u1ea7y \u1ed5 r\u0103ng kh\u00e1c nhau, ch\u1eb3ng h\u1ea1n nh\u01b0 x\u01b0\u01a1ng gh\u00e9p \u0111\u1ed3ng lo\u1ea1i, x\u01b0\u01a1ng gh\u00e9p d\u1ecb lo\u1ea1i, v\u00e0 v\u1eadt li\u1ec7u t\u1ed5ng h\u1ee3p; tuy nhi\u00ean, kh\u00f4ng c\u00f3 v\u1eadt li\u1ec7u sinh h\u1ecdc n\u00e0o cho th\u1ea5y k\u1ebft qu\u1ea3 v\u01b0\u1ee3t tr\u1ed9i \u0111\u00e1ng k\u1ec3 so v\u1edbi nh\u1eefng v\u1eadt li\u1ec7u c\u00f2n l\u1ea1i.<\/p>\n

Theo nh\u1eefng nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y nh\u1eb1m tr\u1ea3 l\u1eddi cho c\u00e2u h\u1ecfi l\u00e2m s\u00e0ng quan tr\u1ecdng n\u00e0y, c\u00e1c implant \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o nh\u1eefng v\u1ecb tr\u00ed b\u1ea3o t\u1ed3n s\u1ed1ng h\u00e0m c\u00f3 t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i v\u00e0 t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 c\u00e1c implant \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o nh\u1eefng v\u1ecb tr\u00ed kh\u00f4ng th\u1ef1c hi\u1ec7n li\u1ec7u ph\u00e1p n\u00e0y. Barone v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 ti\u1ebfn h\u00e0nh m\u1ed9t th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ng\u1eabu nhi\u00ean c\u00f3 nh\u00f3m ch\u1ee9ng nh\u1eb1m x\u00e1c \u0111\u1ecbnh t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i c\u1ee7a implant, c\u00f9ng v\u1edbi c\u00e1c tham s\u1ed1 quan t\u00e2m kh\u00e1c, v\u1ec1 c\u00e1c implant \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o nh\u1eefng v\u1ecb tr\u00ed b\u1ea3o t\u1ed3n s\u1ed1ng h\u00e0m b\u1eb1ng c\u00e1ch gh\u00e9p \u1ed5 r\u0103ng v\u1edbi x\u01b0\u01a1ng gh\u00e9p d\u1ecb lo\u1ea1i so v\u1edbi c\u00e1c implant \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o nh\u1eefng v\u1ecb tr\u00ed nh\u1ed5 r\u0103ng l\u00e0nh th\u01b0\u01a1ng t\u1ef1 nhi\u00ean. M\u1ed7i nh\u00f3m g\u1ed3m 20 \u0111\u1ed1i t\u01b0\u1ee3ng, m\u1ed7i ng\u01b0\u1eddi \u0111\u01b0\u1ee3c c\u1ea5y gh\u00e9p 1 implant. T\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i t\u00edch l\u0169y c\u1ee7a implant \u1edf c\u1ea3 hai nh\u00f3m l\u00e0 kho\u1ea3ng 95% sau 3 n\u0103m, v\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a trong b\u1ea5t k\u1ef3 tham s\u1ed1 n\u00e0o \u0111\u01b0\u1ee3c ph\u00e2n t\u00edch.<\/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","protected":false},"excerpt":{"rendered":"

B\u1ea3o t\u1ed3n s\u1ed1ng h\u00e0m ARP l\u00e0 s\u1ef1 ki\u1ec3m so\u00e1t s\u1ed1ng h\u00e0m tr\u00ean l\u00e2m s\u00e0ng nh\u1eb1m gi\u1ea3m thi\u1ec3u nh\u1eefng thay \u0111\u1ed5i k\u00edch th\u01b0\u1edbc th\u01b0\u1eddng x\u1ea3y ra sau nh\u1ed5 r\u0103ng. C\u00f3 r\u1ea5t nhi\u1ec1u k\u1ef9 thu\u1eadt ARP \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 trong y v\u0103n. Ph\u1ea7n l\u1edbn trong s\u1ed1 \u0111\u00f3 s\u1eed d\u1ee5ng v\u1eadt li\u1ec7u l\u00e0m \u0111\u1ea7y \u1ed5 r\u0103ng sau nh\u1ed5, […]<\/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":"\nB\u1ea3o t\u1ed3n s\u1ed1ng h\u00e0m (ARP) - T\u1ed5ng quan trong Implant Nha khoa.<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y s\u1ebd l\u00e0m r\u00f5 ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o t\u1ed3n s\u1ed1ng h\u00e0m (ARP) v\u00e0 \u0111\u00e1nh gi\u00e1 ch\u1ec9 \u0111\u1ecbnh, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh, hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng c\u1ee7a n\u00f3. 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