{"id":31820,"date":"2023-05-04T19:59:14","date_gmt":"2023-05-04T12:59:14","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31820"},"modified":"2023-05-04T21:08:33","modified_gmt":"2023-05-04T14:08:33","slug":"cac-loai-mang-trong-ky-thuat-tai-tao-xuong-co-huong-dan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/cac-loai-mang-trong-ky-thuat-tai-tao-xuong-co-huong-dan\/","title":{"rendered":"C\u00e1c lo\u1ea1i m\u00e0ng trong k\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR)."},"content":{"rendered":"<p><strong>K\u1ef9 thu\u1eadt GBR \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u0103ng s\u1ed1ng h\u00e0m theo chi\u1ec1u ngang v\u00e0 chi\u1ec1u d\u1ecdc, nh\u1eb1m cho ph\u00e9p \u0111\u1eb7t implant v\u00e0o x\u01b0\u01a1ng h\u00e0m tr\u00ean v\u00e0 x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi b\u1ecb teo. Vai tr\u00f2 c\u1ee7a m\u00e0ng ng\u0103n trong GBR l\u00e0 \u0111\u1ec3 t\u1ea1o v\u00e0 duy tr\u00ec kho\u1ea3ng cho c\u00e1c t\u1ebf b\u00e0o t\u1ea1o x\u01b0\u01a1ng t\u1eeb t\u1ee7y x\u01b0\u01a1ng xung quanh di c\u01b0 v\u00e0o v\u1ecb tr\u00ed c\u1ea7n t\u00e1i t\u1ea1o m\u00f4 x\u01b0\u01a1ng. Theo \u0111\u1eb7c \u0111i\u1ec3m ph\u00e2n h\u1ee7y, m\u00e0ng ng\u0103n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh hai lo\u1ea1i: kh\u00f4ng ti\u00eau v\u00e0 ti\u00eau. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 c\u00e1c lo\u1ea1i m\u00e0ng n\u00e0y.<\/strong><\/p>\n<h2>1. T\u1ed5ng quan v\u1ec1 k\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR)<\/h2>\n<p>K\u1ef9 thu\u1eadt GBR \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u0103ng s\u1ed1ng h\u00e0m theo chi\u1ec1u ngang v\u00e0 chi\u1ec1u d\u1ecdc, nh\u1eb1m cho ph\u00e9p \u0111\u1eb7t implant v\u00e0o x\u01b0\u01a1ng h\u00e0m tr\u00ean v\u00e0 x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi b\u1ecb teo. Vai tr\u00f2 c\u1ee7a m\u00e0ng ng\u0103n trong GBR l\u00e0 \u0111\u1ec3 t\u1ea1o v\u00e0 duy tr\u00ec kho\u1ea3ng cho c\u00e1c t\u1ebf b\u00e0o t\u1ea1o x\u01b0\u01a1ng t\u1eeb t\u1ee7y x\u01b0\u01a1ng xung quanh di c\u01b0 v\u00e0o v\u1ecb tr\u00ed c\u1ea7n t\u00e1i t\u1ea1o m\u00f4 x\u01b0\u01a1ng. N\u00f3 c\u00f3 t\u00e1c d\u1ee5ng nh\u01b0 m\u1ed9t m\u00e0ng ng\u0103n \u0111\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 v\u00e0 m\u00f4 li\u00ean k\u1ebft t\u0103ng tr\u01b0\u1edfng nhanh \u0111i v\u00e0o v\u1ecb tr\u00ed d\u1ef1 ki\u1ebfn, \u0111\u1ed3ng th\u1eddi t\u1ea1o thu\u1eadn l\u1ee3i cho s\u1ef1 t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng.<\/p>\n<h2>2. Ph\u00e2n t\u00edch c\u00e1c lo\u1ea1i m\u00e0ng s\u1eed d\u1ee5ng<\/h2>\n<p>M\u1ed9t m\u00e0ng ng\u0103n l\u00fd t\u01b0\u1edfng c\u1ea7n c\u00f3 nh\u1eefng \u0111\u1eb7c t\u00ednh sau:<\/p>\n<ol>\n<li>T\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc v\u00e0 t\u00edch h\u1ee3p v\u1edbi m\u00f4 ch\u1ee7. M\u00e0ng ng\u0103n n\u00ean t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc, kh\u00f4ng g\u00e2y vi\u00eam, \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch, v\u00e0 ph\u1ea3n \u1ee9ng v\u1edbi d\u1ecb v\u1eadt (ho\u1eb7c ch\u1ec9 g\u00e2y \u1edf m\u1ee9c gi\u1edbi h\u1ea1n). Khi m\u00e0ng ng\u0103n l\u00e0 m\u00e0ng ti\u00eau, th\u00ec nh\u1eefng ph\u1ea3n \u1ee9ng c\u1ee7a m\u00f4 ch\u1ee7 \u0111\u1ed1i v\u1edbi s\u1ef1 h\u1ea5p thu m\u00e0ng n\u00ean l\u00e0 t\u1ed1i thi\u1ec3u, ho\u00e0n nguy\u00ean, v\u00e0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng b\u1ea5t l\u1ee3i \u0111\u1ebfn s\u1ef1 t\u00e1i t\u1ea1o m\u00f4 mong mu\u1ed1n.<\/li>\n<li>Lo\u1ea1i tr\u1eeb t\u1ebf b\u00e0o. M\u00e0ng ng\u0103n n\u00ean c\u00f3 kh\u1ea3 n\u0103ng ng\u0103n c\u1ea3n s\u1ef1 di c\u01b0 m\u00f4 m\u1ec1m v\u00e0 c\u00e1c t\u1ebf b\u00e0o kh\u00f4ng t\u1ea1o x\u01b0\u01a1ng \u0111i v\u00e0o kho\u1ea3ng d\u1ef1 ki\u1ebfn t\u1ea1o x\u01b0\u01a1ng m\u1edbi.<\/li>\n<li>T\u1ea1o kho\u1ea3ng v\u00e0 kh\u1ea3 n\u0103ng duy tr\u00ec. M\u00e0ng ng\u0103n n\u00ean c\u00f3 kh\u1ea3 n\u0103ng t\u1ea1o v\u00e0 duy tr\u00ec kho\u1ea3ng \u0111\u1ec3 t\u00e1i t\u1ea1o x\u01b0\u01a1ng. \u0110i\u1ec1u quan tr\u1ecdng \u0111\u1ed1i v\u1edbi m\u00e0ng ng\u0103n l\u00e0 n\u00f3 ph\u1ea3i duy tr\u00ec h\u00ecnh d\u1ea1ng v\u00e0 s\u1ef1 nguy\u00ean v\u1eb9n trong su\u1ed1t giai \u0111o\u1ea1n l\u00e0nh th\u01b0\u01a1ng c\u1ee7a GBR.<\/li>\n<li>Kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t tr\u00ean l\u00e2m s\u00e0ng. \u0110\u1ec3 s\u1eed d\u1ee5ng trong l\u00e2m s\u00e0ng, m\u00e0ng ng\u0103n ph\u1ea3i d\u1ec5 d\u00e0ng c\u1eaft t\u1ec9a v\u00e0 ph\u00f9 h\u1ee3p v\u1edbi nhi\u1ec1u h\u00ecnh d\u1ea1ng kh\u00e1c nhau c\u1ee7a s\u1ed1ng h\u00e0m b\u1ecb thi\u1ebfu h\u1ee5t.<\/li>\n<\/ol>\n<p>Theo \u0111\u1eb7c \u0111i\u1ec3m ph\u00e2n h\u1ee7y, m\u00e0ng ng\u0103n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh hai lo\u1ea1i: kh\u00f4ng ti\u00eau v\u00e0 ti\u00eau:<\/p>\n<ol>\n<li>M\u00e0ng kh\u00f4ng ti\u00eau. Nh\u1eefng m\u00e0ng n\u00e0y c\u00f3 th\u1ec3 t\u1ea1o h\u00e0ng r\u00e0o v\u00e0 duy tr\u00ec kho\u1ea3ng trong th\u1eddi gian d\u00e0i h\u01a1n so v\u1edbi m\u00e0ng ti\u00eau. Tuy nhi\u00ean, c\u1ea7n ph\u1eabu thu\u1eadt \u0111\u1ec3 l\u1ea5y m\u00e0ng ra b\u1edfi v\u00ec n\u00f3 kh\u00f4ng th\u1ec3 b\u1ecb ph\u00e2n h\u1ee7y trong c\u01a1 th\u1ec3 ng\u01b0\u1eddi. Polytetrafluoroethylene m\u1edf r\u1ed9ng (ePTFE) l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u l\u00e0 m\u00e0ng kh\u00f4ng ti\u00eau v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i b\u1edfi c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng, cho k\u1ebft qu\u1ea3 t\u1ea1o x\u01b0\u01a1ng m\u1edbi thu\u1eadn l\u1ee3i. Tuy nhi\u00ean, m\u00e0ng ePTFE g\u1ea7n \u0111\u00e2y \u0111\u00e3 b\u1ecb ng\u01b0ng s\u1eed d\u1ee5ng v\u00e0 kh\u00f4ng c\u00f2n c\u00f3 m\u1eb7t tr\u00ean th\u1ecb tr\u01b0\u1eddng. Polytetrafluoroethylene m\u1edf r\u1ed9ng (ePTFE) l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u l\u00e0 m\u00e0ng kh\u00f4ng ti\u00eau v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i b\u1edfi c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng, cho k\u1ebft qu\u1ea3 t\u1ea1o x\u01b0\u01a1ng m\u1edbi thu\u1eadn l\u1ee3i. Tuy nhi\u00ean, m\u00e0ng ePTFE g\u1ea7n \u0111\u00e2y \u0111\u00e3 b\u1ecb ng\u01b0ng s\u1eed d\u1ee5ng v\u00e0 kh\u00f4ng c\u00f2n c\u00f3 m\u1eb7t tr\u00ean th\u1ecb tr\u01b0\u1eddng. Hi\u1ec7n nay, c\u00f3 c\u00e1c lo\u1ea1i m\u00e0ng kh\u00f4ng ti\u00eau l\u00e0 polytetrafluoroethylene (PTFE) m\u1eadt \u0111\u1ed9 cao v\u00e0 PTFE. C\u1ea3 hai lo\u1ea1i m\u00e0ng kh\u00f4ng ti\u00eau \u0111\u1ec1u cho k\u1ebft qu\u1ea3 t\u1ea1o t\u00e1i t\u1ea1o x\u01b0\u01a1ng tr\u00ean l\u00e2m s\u00e0ng t\u01b0\u01a1ng t\u1ef1 nhau trong m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt v\u00e0 tr\u00ean ng\u01b0\u1eddi. M\u1ed9t v\u00e0i m\u00e0ng trong s\u1ed1 n\u00e0y c\u00f3 s\u01b0\u1eddn titanium \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng kh\u1ea3 n\u0103ng gi\u1eef kho\u1ea3ng c\u1ee7a m\u00e0ng.<\/li>\n<li>M\u00e0ng ti\u00eau. Nh\u1eefng m\u00e0ng n\u00e0y c\u00f3 l\u1ee3i \u00edch l\u00e0 c\u00f3 kh\u1ea3 n\u0103ng ph\u00e2n h\u1ee7y sinh h\u1ecdc; do \u0111\u00f3, kh\u00f4ng c\u1ea7n ph\u1eabu thu\u1eadt l\u1ea7n th\u1ee9 hai \u0111\u1ec3 l\u1ea5y m\u00e0ng ra. So v\u1edbi m\u00e0ng kh\u00f4ng ti\u00eau, m\u00e0ng ti\u00eau c\u00f3 kh\u1ea3 n\u0103ng th\u00edch nghi cao h\u01a1n \u0111\u1ec3 cho ph\u00e9p ph\u00f9 h\u1ee3p h\u01a1n v\u1edbi v\u00f9ng thi\u1ebfu h\u1ed3ng x\u01b0\u01a1ng. Ph\u1ea7n l\u1edbn m\u00e0ng ti\u00eau \u0111\u01b0\u1ee3c l\u00e0m t\u1eeb collagen (c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb b\u00f2 ho\u1eb7c l\u1ee3n), polylactic acid, polyglycolic acid (t\u1ed5ng h\u1ee3p), ho\u1eb7c khu\u00f4n b\u00ec kh\u00f4ng t\u1ebf b\u00e0o (ng\u01b0\u1eddi).<\/li>\n<\/ol>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-31822\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-27.png\" alt=\"cac-loai-mang-1\" width=\"1371\" height=\"748\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-27.png 1371w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-27-300x164.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-27-1024x559.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-27-768x419.png 768w\" sizes=\"(max-width: 1371px) 100vw, 1371px\" \/><\/p>\n<figure id=\"attachment_31823\" aria-describedby=\"caption-attachment-31823\" style=\"width: 476px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-31823\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-28.png\" alt=\"cac-loai-mang-2\" width=\"476\" height=\"311\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-28.png 476w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-28-300x196.png 300w\" sizes=\"(max-width: 476px) 100vw, 476px\" \/><figcaption id=\"caption-attachment-31823\" class=\"wp-caption-text\">M\u00e0ng ti\u00eau Collagen<\/figcaption><\/figure>\n<figure id=\"attachment_31824\" aria-describedby=\"caption-attachment-31824\" style=\"width: 473px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-31824\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-29.png\" alt=\"\" width=\"473\" height=\"318\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-29.png 473w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-29-300x202.png 300w\" sizes=\"(max-width: 473px) 100vw, 473px\" \/><figcaption id=\"caption-attachment-31824\" class=\"wp-caption-text\">M\u00e0ng kh\u00f4ng ti\u00eau t\u0103ng c\u01b0\u1eddng Titanium<\/figcaption><\/figure>\n<p>GBR c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n ch\u1ec9 s\u1eed d\u1ee5ng m\u00e0ng, nh\u01b0ng vi\u1ec7c b\u1ed5 sung v\u1eadt li\u1ec7u x\u01b0\u01a1ng gh\u00e9p v\u1edbi m\u00e0ng s\u1ebd l\u00e0m c\u1ea3i thi\u1ec7n l\u01b0\u1ee3ng x\u01b0\u01a1ng t\u00e1i t\u1ea1o. Khi v\u1eadt li\u1ec7u x\u01b0\u01a1ng gh\u00e9p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, ch\u00fang \u0111\u01b0\u1ee3c \u0111\u1eb7t b\u00ean d\u01b0\u1edbi m\u00e0ng (c\u00f3 t\u00e1c d\u1ee5ng t\u1ea1o v\u00e0 duy tr\u00ec kho\u1ea3ng). C\u00f3 nhi\u1ec1u lo\u1ea1i v\u1eadt li\u1ec7u gh\u00e9p x\u01b0\u01a1ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong GBR. Gh\u00e9p t\u1ef1 th\u00e2n \u0111\u01b0\u1ee3c xem l\u00e0 chu\u1ea9n v\u00e0ng b\u1edfi v\u00ec n\u00f3 c\u00f3 kh\u1ea3 n\u0103ng sinh x\u01b0\u01a1ng, c\u1ea3m \u1ee9ng x\u01b0\u01a1ng, v\u00e0 k\u00edch d\u1eabn x\u01b0\u01a1ng; nh\u1eefng \u0111\u1eb7c t\u00ednh n\u00e0y l\u00e0 c\u01a1 ch\u1ebf sinh h\u1ecdc gi\u1ea3i th\u00edch cho GBR.<\/p>\n<p>S\u1ef1 sinh x\u01b0\u01a1ng \u0111\u1ec1 c\u1eadp \u0111\u1ebfn s\u1ef1 h\u00ecnh th\u00e0nh v\u00e0 ph\u00e1t tri\u1ec3n c\u1ee7a m\u00f4 x\u01b0\u01a1ng; v\u00e0 n\u00f3 x\u1ea3y ra khi c\u00e1c nguy\u00ean b\u00e0o x\u01b0\u01a1ng t\u1eeb x\u01b0\u01a1ng gh\u00e9p t\u1ef1 th\u00e2n tham gia v\u00e0o s\u1ef1 t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng m\u1edbi. S\u1ef1 sinh x\u01b0\u01a1ng ch\u1ec9 x\u1ea3y ra \u1edf x\u01b0\u01a1ng gh\u00e9p t\u1ef1 th\u00e2n. C\u1ea3m \u1ee9ng x\u01b0\u01a1ng ngh\u0129a l\u00e0 huy \u0111\u1ed9ng c\u00e1c t\u1ebf b\u00e0o x\u01b0\u01a1ng ti\u1ec1n th\u00e2n v\u00e0 k\u00edch th\u00edch nh\u1eefng t\u1ebf b\u00e0o n\u00e0y bi\u1ec7t h\u00f3a th\u00e0nh nguy\u00ean b\u00e0o x\u01b0\u01a1ng l\u00e0 t\u1ebf b\u00e0o ch\u1ecbu tr\u00e1ch nhi\u1ec7m t\u1ea1o x\u01b0\u01a1ng m\u1edbi. C\u00e1c protein t\u1ea1o h\u00ecnh th\u00e1i x\u01b0\u01a1ng (BMPs) l\u00e0 m\u1ed9t nh\u00f3m c\u00e1c y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng \u0111\u00e3 \u0111\u01b0\u1ee3c bi\u1ebft l\u00e0 c\u00f3 t\u00ednh c\u1ea3m \u1ee9ng x\u01b0\u01a1ng, v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u k\u1ef9 tr\u00ean \u0111\u1ed9ng v\u1eadt l\u1eabn tr\u00ean ng\u01b0\u1eddi. K\u00edch d\u1eabn x\u01b0\u01a1ng \u0111\u1ec1 c\u1eadp \u0111\u1ebfn kh\u1ea3 n\u0103ng c\u1ee7a v\u1eadt li\u1ec7u x\u01b0\u01a1ng gh\u00e9p c\u00f3 vai tr\u00f2 nh\u01b0 gi\u00e1 th\u1ec3 cho nguy\u00ean b\u00e0o x\u01b0\u01a1ng \u0111\u1ec3 t\u1ea1o x\u01b0\u01a1ng m\u1edbi. T\u1ea5t c\u1ea3 c\u00e1c v\u1eadt li\u1ec7u x\u01b0\u01a1ng gh\u00e9p t\u1ed1i thi\u1ec3u ph\u1ea3i c\u00f3 t\u00ednh k\u00edch d\u1eabn x\u01b0\u01a1ng.<\/p>\n<p>Ngo\u00e0i x\u01b0\u01a1ng gh\u00e9p t\u1ef1 th\u00e2n, c\u00e1c v\u1eadt li\u1ec7u kh\u00e1c \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u00e0nh c\u00f4ng v\u1edbi k\u1ebft qu\u1ea3 kh\u1ea3 quan g\u1ed3m c\u00f3 gh\u00e9p \u0111\u1ed3ng lo\u1ea1i (FDBA, FDBA kh\u1eed kho\u00e1ng), gh\u00e9p d\u1ecb lo\u1ea1i (b\u00f2, l\u1ee3n), v\u00e0 v\u1eadt li\u1ec7u t\u1ed5ng h\u1ee3p (hydroxyapatite, calcium phosphate). Vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng trong GBR \u0111\u00e3 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u trong th\u1eddi gian g\u1ea7n \u0111\u00e2y. BMPs t\u00e1i t\u1ed5 h\u1ee3p c\u1ee7a ng\u01b0\u1eddi (rhBMPs) l\u00e0 nh\u1eefng protein c\u1ee7a ng\u01b0\u1eddi c\u00f3 th\u1ec3 k\u00edch th\u00edch s\u1ef1 t\u1ea1o x\u01b0\u01a1ng. C\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng \u1ee7ng h\u1ed9 ti\u1ec1m n\u0103ng s\u1eed d\u1ee5ng c\u1ee7a rhBMP-2. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng rhBMP-2 v\u1eabn c\u00f2n h\u1ea1n ch\u1ebf, v\u00e0 n\u00f3 ch\u1ec9 \u0111\u01b0\u1ee3c C\u1ee5c Qu\u1ea3n l\u00fd Th\u1ef1c ph\u1ea9m v\u00e0 Thu\u1ed1c Hoa K\u1ef3 ch\u1ea5p thu\u1eadn s\u1eed d\u1ee5ng trong ph\u1eabu thu\u1eadt n\u00e2ng xoang v\u00e0 t\u0103ng s\u1ed1ng h\u00e0m c\u1ee7a c\u00e1c khi\u1ebfm khuy\u1ebft li\u00ean quan \u0111\u1ebfn v\u1ecb tr\u00ed nh\u1ed5 r\u0103ng. C\u1ea7n c\u00f3 th\u00eam nh\u1eefng nghi\u00ean c\u1ee9u kh\u00e1c \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh hi\u1ec7u qu\u1ea3 c\u1ee7a rhBMP-2 v\u00e0 v\u1eadt li\u1ec7u v\u1eadn chuy\u1ec3n l\u00fd t\u01b0\u1edfng c\u1ee7a n\u00f3.<\/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","protected":false},"excerpt":{"rendered":"<p>K\u1ef9 thu\u1eadt GBR \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u0103ng s\u1ed1ng h\u00e0m theo chi\u1ec1u ngang v\u00e0 chi\u1ec1u d\u1ecdc, nh\u1eb1m cho ph\u00e9p \u0111\u1eb7t implant v\u00e0o x\u01b0\u01a1ng h\u00e0m tr\u00ean v\u00e0 x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi b\u1ecb teo. Vai tr\u00f2 c\u1ee7a m\u00e0ng ng\u0103n trong GBR l\u00e0 \u0111\u1ec3 t\u1ea1o v\u00e0 duy tr\u00ec kho\u1ea3ng cho c\u00e1c t\u1ebf b\u00e0o t\u1ea1o x\u01b0\u01a1ng t\u1eeb t\u1ee7y x\u01b0\u01a1ng xung [&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>C\u00e1c lo\u1ea1i m\u00e0ng trong 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=\"Theo \u0111\u1eb7c \u0111i\u1ec3m ph\u00e2n h\u1ee7y, c\u00e1c lo\u1ea1i m\u00e0ng ng\u0103n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh hai lo\u1ea1i: kh\u00f4ng ti\u00eau v\u00e0 ti\u00eau. 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