{"id":31826,"date":"2023-05-04T20:28:19","date_gmt":"2023-05-04T13:28:19","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31826"},"modified":"2023-05-04T21:06:41","modified_gmt":"2023-05-04T14:06:41","slug":"bien-chung-trong-su-dung-mang-tai-tao-xuong-tong-quan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/bien-chung-trong-su-dung-mang-tai-tao-xuong-tong-quan\/","title":{"rendered":"Bi\u1ebfn ch\u1ee9ng trong s\u1eed d\u1ee5ng m\u00e0ng t\u00e1i t\u1ea1o x\u01b0\u01a1ng – T\u1ed5ng quan."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y s\u1ebd \u0111\u1ec1 c\u1eadp \u0111\u1ebfn t\u00e1c \u0111\u1ed9ng c\u1ee7a bi\u1ebfn ch\u1ee9ng trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng m\u00e0ng t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR), \u0111\u1ed3ng th\u1eddi n\u00eau l\u00ean c\u00e1c nguy\u00ean t\u1eafc l\u00e2m s\u00e0ng v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a \u0111i\u1ec1u ki\u1ec7n t\u1ed1i \u01b0u cho qu\u00e1 tr\u00ecnh gh\u00e9p. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam c\u00e1c v\u1ea5n \u0111\u1ec1 sau.<\/strong><\/p>\n

1. Nguy\u00ean t\u1eafc l\u00e2m s\u00e0ng trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng m\u00e0ng t\u00e1i t\u1ea1o x\u01b0\u01a1ng<\/h2>\n
    \n
  1. \u00a0S\u1ef1 \u1ed5n \u0111\u1ecbnh v\u1ebft th\u01b0\u01a1ng. M\u00e0ng ph\u1ea3i \u0111\u01b0\u1ee3c \u1ed5n \u0111\u1ecbnh m\u00e0 kh\u00f4ng b\u1ecb d\u1ecbch chuy\u1ec3n. C\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1ef1 \u1ed5n \u0111\u1ecbnh b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng \u0111inh m\u0169\/v\u00edt \u0111\u1ec3 c\u1ed1 \u0111\u1ecbnh m\u00e0ng l\u00ean b\u1ec1 m\u1eb7t x\u01b0\u01a1ng. Kh\u00e2u m\u00e0ng x\u01b0\u01a1ng c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u1ed5n \u0111\u1ecbnh m\u00e0ng v\u00e0 v\u1eadt li\u1ec7u gh\u00e9p l\u00ean x\u01b0\u01a1ng \u1ed5 r\u0103ng.\n

    \"bien-chung-trong-1\"
    \u1ed4n \u0111\u1ecbnh m\u00e0ng b\u1eb1ng c\u00e1ch kh\u00e2u l\u1edbp m\u00e0ng x\u01b0\u01a1ng c\u1ee7a v\u1ea1t \u0111\u00f4i, s\u1eed d\u1ee5ng m\u0169i kh\u00e2u \u0111\u1ec7m ngang. X\u01b0\u01a1ng gh\u00e9p h\u1ea1t \u0111\u1ed3ng lo\u1ea1i \u0111\u00f4ng kh\u00f4 (FDBA) \u0111\u01b0\u1ee3c b\u00e3o h\u00f2a trong n\u01b0\u1edbc mu\u1ed1i v\u00f4 tr\u00f9ng. Sau \u0111\u00f3, \u0111\u1eb7t v\u1eadt li\u1ec7u gh\u00e9p l\u00ean thi\u1ebfu h\u1ed3ng x\u01b0\u01a1ng. M\u00e0ng \u0111\u00e3 c\u1eaft t\u1ec9a \u0111\u01b0\u1ee3c cho l\u00ean thi\u1ebfu h\u1ed5ng v\u00e0 gi\u1eef b\u1eb1ng \u0111inh m\u0169. Kh\u00e2u m\u0169i \u0111\u1ec7m ngang k\u00e9o l\u1edbp m\u00e0ng x\u01b0\u01a1ng c\u1ee7a v\u1ea1t \u0111\u00f4i l\u1ea1i \u0111\u1ec3 gi\u1eef m\u00e0ng v\u00e0 v\u1eadt li\u1ec7u gh\u00e9p.<\/figcaption><\/figure><\/li>\n
  2. H\u00ecnh d\u1ea1ng m\u00e0ng. B\u1edd c\u1ee7a m\u00e0ng c\u1ea7n c\u00e1ch b\u1edd c\u1ee7a thi\u1ebfu h\u1ed3ng x\u01b0\u01a1ng t\u1ed1i thi\u1ec3u 3 mm \u0111\u1ec3 t\u1ea1o ra kh\u00f4ng gian k\u00edn nh\u1eb1m ng\u0103n ch\u1eb7n s\u1ef1 x\u00e2m l\u1ea5n c\u1ee7a m\u00f4 m\u1ec1m. B\u1edd c\u1ee7a m\u00e0ng c\u1ea7n c\u00e1ch c\u00e1c r\u0103ng k\u1ebf c\u1eadn \u00edt nh\u1ea5t 2 mm \u0111\u1ec3 tr\u00e1nh nhi\u1ec5m khu\u1ea9n t\u1eeb r\u0103ng.<\/li>\n
  3. S\u1ef1 ph\u00f9 h\u1ee3p c\u1ee7a m\u00e0ng. M\u00e0ng ph\u1ea3i ph\u00f9 h\u1ee3p v\u1edbi v\u00f9ng thi\u1ebfu h\u1ed3ng. G\u00f3c ho\u1eb7c b\u1edd b\u00e9n nh\u1ecdn c\u1ee7a m\u00e0ng ph\u1ea3i \u0111\u01b0\u1ee3c c\u1eaft t\u1ec9a \u0111\u1ec3 tr\u00e1nh l\u00e0m th\u1ee7ng v\u1ea1t.\n

    \"bien-chung-trong-2\"
    GBR v\u1edbi m\u00e0ng ti\u00eau<\/figcaption><\/figure><\/li>\n<\/ol>\n

    2. Bi\u1ebfn ch\u1ee9ng trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng m\u00e0ng t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR)<\/h2>\n

    M\u1ed9t ph\u00e2n t\u00edch \u0111\u00e3 cho th\u1ea5y l\u1ed9 m\u00e0ng ti\u00eau v\u00e0 kh\u00f4ng ti\u00eau trong giai \u0111o\u1ea1n l\u00e0nh th\u01b0\u01a1ng \u0111\u1ec1u \u1ea3nh h\u01b0\u1edfng b\u1ea5t l\u1ee3i \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn qu\u00e1 tr\u00ecnh t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn quanh implant. G\u1ea7n \u0111\u00e2y, m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho r\u1eb1ng m\u00e0ng dPTFE kh\u00f4ng b\u1ecb vi khu\u1ea9n x\u00e2m nh\u1eadp v\u00e0 c\u00f3 th\u1ec3 ch\u1ecbu \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng l\u1ed9 m\u00e0ng trong th\u1ee7 thu\u1eadt t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR). C\u1ea7n c\u00f3 th\u00eam nh\u1eefng nghi\u00ean c\u1ee9u kh\u00e1c \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a vi\u1ec7c l\u1ed9 m\u00e0ng dPTFE l\u00ean k\u1ebft qu\u1ea3 gh\u00e9p x\u01b0\u01a1ng.<\/p>\n

    L\u1ed9 m\u00e0ng s\u1edbm l\u00e0 bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o nh\u1ea5t li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng m\u00e0ng trong GBR. M\u00e0ng ti\u00eau b\u1ecb l\u1ed9 ra xoang mi\u1ec7ng s\u1ebd khi\u1ebfn m\u00e0ng b\u1ecb h\u1ea5p thu nhanh h\u01a1n, nh\u01b0ng l\u1ea1i \u00edt bi\u1ebfn ch\u1ee9ng l\u00e2m s\u00e0ng h\u01a1n so v\u1edbi m\u00e0ng kh\u00f4ng ti\u00eau. Ng\u01b0\u1ee3c l\u1ea1i, khi m\u00e0ng kh\u00f4ng ti\u00eau b\u1ecb l\u1ed9, m\u1ea3nh v\u1ee5n th\u1ee9c \u0103n v\u00e0 vi khu\u1ea9n s\u1ebd d\u1ec5 d\u00e0ng b\u00e1m l\u00ean b\u1ec1 m\u1eb7t m\u00e0ng b\u1ecb l\u1ed9, g\u00e2y nhi\u1ec5m khu\u1ea9n m\u00f4 \u0111ang l\u00e0nh th\u01b0\u01a1ng, t\u1eeb \u0111\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng. Vi khu\u1ea9n s\u1ebd x\u00e2m nh\u1eadp qua m\u00e0ng ePTFE \u0111\u1ec3 g\u00e2y nhi\u1ec5m khu\u1ea9n v\u1ecb tr\u00ed \u0111\u01b0\u1ee3c t\u00e1i t\u1ea1o trong kho\u1ea3ng 3-4 tu\u1ea7n, theo m\u1ed9t nghi\u00ean c\u1ee9u in vivo (nghi\u00ean c\u1ee9u tr\u00ean c\u01a1 th\u1ec3 s\u1ed1ng). Khi l\u1ed9 m\u00e0ng s\u1edbm x\u1ea3y ra, c\u1ea7n t\u0103ng c\u01b0\u1eddng v\u1ec7 sinh r\u0103ng mi\u1ec7ng v\u1edbi n\u01b0\u1edbc s\u00fac mi\u1ec7ng chlorhexidine gluconate 0.12% 2 l\u1ea7n\/ng\u00e0y \u0111\u1ec3 gi\u1ea3m s\u1ef1 h\u00ecnh th\u00e0nh m\u1ea3ng b\u00e1m, v\u00e0 b\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c t\u00e1i kh\u00e1m h\u00e0ng tu\u1ea7n. N\u1ebfu c\u00f3 l\u1ed7 d\u00f2 ho\u1eb7c c\u00e1c d\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng t\u1ea1i v\u1ecb tr\u00ed l\u1ed9 m\u00e0ng, th\u00ec n\u00ean l\u1ea5y m\u00e0ng ra c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t. S\u1eed d\u1ee5ng kh\u00e1ng sinh to\u00e0n th\u00e2n (v\u00ed d\u1ee5, amoxicillin ho\u1eb7c amoxicillin v\u00e0 clavulanic acid) c\u0169ng \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb.<\/p>\n

    B\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a bi\u1ec3u hi\u1ec7n b\u1edfi n\u1ed3ng \u0111\u1ed9 \u0111\u01b0\u1eddng huy\u1ebft cao b\u1ea5t th\u01b0\u1eddng. T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft l\u00e0 h\u1eadu qu\u1ea3 t\u1eeb vi\u1ec7c thi\u1ebfu h\u1ee5t insulin do c\u01a1 th\u1ec3 kh\u00f4ng th\u1ec3 s\u1ea3n xu\u1ea5t insulin (lo\u1ea1i 1), ho\u1eb7c \u0111\u1ec1 kh\u00e1ng insulin (lo\u1ea1i 2) l\u00e0 t\u00ecnh tr\u1ea1ng t\u1ebf b\u00e0o kh\u00f4ng th\u1ec3 s\u1eed d\u1ee5ng insulin trong gan hay m\u00f4 c\u01a1, ho\u1eb7c k\u1ebft h\u1ee3p lo\u1ea1i 1 v\u00e0 2. Y v\u0103n \u0111\u00e3 ghi nh\u1eadn \u0111\u01b0\u1ee3c \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ef1 l\u00e0nh th\u01b0\u01a1ng x\u01b0\u01a1ng k\u00e9m. Ng\u01b0\u1eddi ta c\u00f2n nh\u1eadn th\u1ea5y \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u00f3 t\u00e1c \u0111\u1ed9ng b\u1ea5t l\u1ee3i l\u00ean s\u1ef1 t\u1ea1o x\u01b0\u01a1ng v\u00e0 t\u00edch h\u1ee3p x\u01b0\u01a1ng sau t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn GBR. C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft qua trung gian insulin c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n ti\u00ean l\u01b0\u1ee3ng c\u1ee7a GBR.<\/p>\n

    3. \u0110i\u1ec1u ki\u1ec7n t\u1ed1i \u01b0u cho qu\u00e1 tr\u00ecnh c\u1ea5y gh\u00e9p<\/h2>\n

    K\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn \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

    S\u1eed d\u1ee5ng m\u00e0ng trong qu\u00e1 tr\u00ecnh t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn cho ph\u00e9p l\u00e0m t\u0103ng th\u1ec3 t\u00edch x\u01b0\u01a1ng nh\u1eb1m t\u1ea1o \u0111i\u1ec1u ki\u1ec7n t\u1ed1i \u01b0u cho ph\u1eabu thu\u1eadt c\u1ea5y gh\u00e9p. M\u1ed9t t\u1ed5ng quan h\u1ec7 th\u1ed1ng cho th\u1ea5y t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i c\u1ee7a implant \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o nh\u1eefng v\u1ecb tr\u00ed \u0111\u01b0\u1ee3c x\u1eed l\u00fd t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn th\u00ec t\u01b0\u01a1ng t\u1ef1 nh\u01b0 implant \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o x\u01b0\u01a1ng t\u1ef1 nhi\u00ean. M\u1ed9t t\u1ed5ng quan h\u1ec7 th\u1ed1ng kh\u00e1c \u0111\u00e3 k\u1ebft lu\u1eadn r\u1eb1ng gh\u00e9p x\u01b0\u01a1ng theo chi\u1ec1u ngang c\u00f3 t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i c\u1ee7a implant t\u01b0\u01a1ng \u0111\u01b0\u01a1ng nhau gi\u1eefa v\u1ecb tr\u00ed gh\u00e9p (91.7-100%) v\u1edbi v\u1ecb tr\u00ed kh\u00f4ng can thi\u1ec7p (93.2-100%). M\u1eb7c d\u00f9 d\u1eef li\u1ec7u hi\u1ec7n nay c\u00f2n h\u1ea1n ch\u1ebf, nh\u01b0ng gh\u00e9p x\u01b0\u01a1ng theo chi\u1ec1u \u0111\u1ee9ng s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt GBR \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n th\u00e0nh c\u00f4ng, v\u00e0 c\u00e1c d\u1eef li\u1ec7u l\u00e2m s\u00e0ng l\u1eabn m\u00f4 h\u1ecdc \u0111\u1ec1u \u1ee7ng h\u1ed9 vi\u1ec7c s\u1eed d\u1ee5ng n\u00f3.<\/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\u00e0i vi\u1ebft n\u00e0y s\u1ebd \u0111\u1ec1 c\u1eadp \u0111\u1ebfn t\u00e1c \u0111\u1ed9ng c\u1ee7a bi\u1ebfn ch\u1ee9ng trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng m\u00e0ng t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR), \u0111\u1ed3ng th\u1eddi n\u00eau l\u00ean c\u00e1c nguy\u00ean t\u1eafc l\u00e2m s\u00e0ng v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a \u0111i\u1ec1u ki\u1ec7n t\u1ed1i \u01b0u cho qu\u00e1 tr\u00ecnh gh\u00e9p. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam c\u00e1c v\u1ea5n \u0111\u1ec1 sau. 1. […]<\/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":"\nBi\u1ebfn ch\u1ee9ng trong s\u1eed d\u1ee5ng m\u00e0ng t\u00e1i t\u1ea1o x\u01b0\u01a1ng - T\u1ed5ng quan.<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y s\u1ebd \u0111\u1ec1 c\u1eadp \u0111\u1ebfn t\u00e1c \u0111\u1ed9ng c\u1ee7a bi\u1ebfn ch\u1ee9ng trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng m\u00e0ng t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR), c\u00f9ng t\u00ecm hi\u1ec3u.\" \/>\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=\"Bi\u1ebfn ch\u1ee9ng trong s\u1eed d\u1ee5ng m\u00e0ng t\u00e1i t\u1ea1o x\u01b0\u01a1ng - 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