{"id":32030,"date":"2023-05-05T15:27:28","date_gmt":"2023-05-05T08:27:28","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32030"},"modified":"2023-05-05T19:59:33","modified_gmt":"2023-05-05T12:59:33","slug":"implant-tuc-thi-loi-ich-tren-benh-nhan-co-so-ca-lam-sang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/05\/implant-tuc-thi-loi-ich-tren-benh-nhan-co-so-ca-lam-sang\/","title":{"rendered":"Implant t\u1ee9c th\u00ec – L\u1ee3i \u00edch tr\u00ean b\u1ec7nh nh\u00e2n c\u1ee7a c\u01a1 s\u1edf ca l\u00e2m s\u00e0ng."},"content":{"rendered":"

\u0110\u1eb7t implant t\u1ee9c th\u00ec c\u00f3 nhi\u1ec1u l\u1ee3i \u00edch b\u1edfi v\u00ec n\u00f3 l\u00e0m gi\u1ea3m th\u1eddi gian \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m thi\u1ec3u s\u1ed1 l\u1ea7n ph\u1eabu thu\u1eadt cho b\u1ec7nh nh\u00e2n. Ngo\u00e0i ra, ph\u1eabu thu\u1eadt n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u00f3 ti\u00ean l\u01b0\u1ee3ng kh\u1ea3 quan v\u00e0 th\u00e0nh c\u00f4ng. Tuy nhi\u00ean, m\u1ed9t v\u00e0i nghi\u00ean c\u1ee9u cho th\u1ea5y s\u1ed1ng h\u00e0m c\u00f2n l\u1ea1i v\u1eabn t\u00e1i c\u1ea5u tr\u00fac m\u1eb7c d\u00f9 \u0111\u00e3 \u0111\u1eb7t implant. C\u00f9ng t\u00ecm hi\u1ec3u l\u1ee3i \u00edch c\u1ee7a qu\u00e1 tr\u00ecnh \u0111\u1eb7t Implant t\u1ee9c th\u00ec tr\u00ean ca l\u00e2m s\u00e0ng c\u1ee5 th\u1ec3 sau \u0111\u00e2y.<\/strong><\/p>\n

1. L\u1ee3i \u00edch c\u1ee7a qu\u00e1 tr\u00ecnh \u0111\u1eb7t Implant t\u1ee9c th\u00ec<\/h2>\n

Ch\u00fang ta c\u00f3 th\u1ec3 gi\u1ea3m nguy c\u01a1 b\u1ec7nh t\u1eadt cho b\u1ec7nh nh\u00e2n b\u1eb1ng c\u00e1ch k\u1ebft h\u1ee3p nhi\u1ec1u ph\u1eabu thu\u1eadt trong m\u1ed9t l\u1ea7n v\u00e0 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u. V\u00ed d\u1ee5, m\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 \u0111\u00e3 ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p n\u00e2ng xoang qua m\u00e0o x\u01b0\u01a1ng, bao g\u1ed3m ph\u1eabu thu\u1eadt kh\u00f4ng l\u1eadt v\u1ea1t, n\u00e2ng xoang th\u1ee7y l\u1ef1c, v\u00e0 \u0111\u1eb7t implant c\u00f9ng m\u1ed9t l\u00fac. H\u1ea7u h\u1ebft c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u00e2ng xoang k\u00edn\/m\u00e0o x\u01b0\u01a1ng l\u00e0 \u201cnh\u1eefng k\u1ef9 thu\u1eadt m\u00f9\u201d. Tuy nhi\u00ean, n\u00e2ng xoang k\u00edn\/m\u00e0o x\u01b0\u01a1ng ng\u00e0y nay r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00ec l\u00e0m gi\u1ea3m nguy c\u01a1 b\u1ec7nh t\u1eadt cho b\u1ec7nh nh\u00e2n. C\u00e2y \u0111\u1ee5c x\u01b0\u01a1ng (osteotome) l\u00e0 d\u1ee5ng c\u1ee5 th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 th\u1ef1c hi\u1ec7n n\u00e2ng xoang qua m\u00e0o x\u01b0\u01a1ng; tuy nhi\u00ean, k\u1ef9 thu\u1eadt n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ch\u00f3ng m\u1eb7t t\u01b0 th\u1ebf l\u00e0nh t\u00ednh.<\/p>\n

Do \u0111\u00f3, s\u1ebd an to\u00e0n h\u01a1n n\u1ebfu kh\u00f4ng s\u1eed d\u1ee5ng b\u00faa trong ph\u01b0\u01a1ng ph\u00e1p m\u00e0o x\u01b0\u01a1ng. Trong ca d\u01b0\u1edbi \u0111\u00e2y, t\u00e1c gi\u1ea3 \u0111\u00e3 s\u1eed d\u1ee5ng m\u0169i khoan ph\u1eabu thu\u1eadt “b\u1ed9c l\u1ed9 xoang\u201d \u0111\u1eb7c hi\u1ec7u. K\u1ef9 thu\u1eadt n\u00e0y cho ph\u00e9p t\u00e1c gi\u1ea3 xuy\u00ean qua s\u00e0n xoang m\u00e0 kh\u00f4ng l\u00e0m r\u00e1ch m\u00e0ng Schneiderian. Nh\u1edd v\u1eady, \u0111i\u1ec1u tr\u1ecb tr\u1edf n\u00ean \u0111\u01a1n gi\u1ea3n h\u01a1n v\u00e0 kh\u1ea3 quan.<\/p>\n

\u0110\u1eb7t implant t\u1ee9c th\u00ec c\u00f3 nhi\u1ec1u l\u1ee3i \u00edch b\u1edfi v\u00ec n\u00f3 l\u00e0m gi\u1ea3m th\u1eddi gian \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m thi\u1ec3u s\u1ed1 l\u1ea7n ph\u1eabu thu\u1eadt cho b\u1ec7nh nh\u00e2n. Ngo\u00e0i ra, ph\u1eabu thu\u1eadt n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u00f3 ti\u00ean l\u01b0\u1ee3ng kh\u1ea3 quan v\u00e0 th\u00e0nh c\u00f4ng. Tuy nhi\u00ean, m\u1ed9t v\u00e0i nghi\u00ean c\u1ee9u cho th\u1ea5y s\u1ed1ng h\u00e0m c\u00f2n l\u1ea1i v\u1eabn t\u00e1i c\u1ea5u tr\u00fac m\u1eb7c d\u00f9 \u0111\u00e3 \u0111\u1eb7t implant. Do \u0111\u00f3, nhi\u1ec1u b\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u1ea3m th\u1ea5y s\u1ee3 khi th\u1ef1c hi\u1ec7n \u0111\u1eb7t implant. C\u00f3 m\u1ed9t quan ni\u1ec7m sai l\u1ea7m trong c\u1ed9ng \u0111\u1ed3ng b\u00e1c s\u0129 l\u00e2m s\u00e0ng n\u00f3i chung do m\u1ed9t nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt c\u1ee7a Ara\u00fajo v\u00e0 c\u1ed9ng s\u1ef1 v\u00e0o n\u0103m 2005. Trong b\u00e0i b\u00e1o n\u0103m 2005, implant c\u1ee7a nh\u00f3m nghi\u00ean c\u1ee9u Ara\u00fajo qu\u00e1 r\u1ed9ng (4.1 mm) so v\u1edbi \u1ed5 nh\u1ed5 r\u0103ng p3 v\u00e0 p4 (r\u0103ng c\u1ed1i nh\u1ecf th\u1ee9 ba v\u00e0 th\u1ee9 t\u01b0) (3.3 mm, 3.6 mm). Tuy nhi\u00ean, v\u00e0o n\u0103m 2011, nh\u00f3m Ara\u00fajo \u0111\u00e3 c\u00f4ng b\u1ed1 m\u1ed9t nghi\u00ean c\u1ee9u t\u01b0\u01a1ng t\u1ef1 v\u1ec1 vi\u1ec7c \u0111\u1eb7t implant 3.3 mm v\u00e0 gh\u00e9p x\u01b0\u01a1ng d\u1ecb lo\u1ea1i th\u00e0nh c\u00f4ng v\u00e0o v\u1ecb tr\u00ed nh\u1ed5 r\u0103ng. Do \u0111\u00f3, c\u1ea7n l\u1ef1a ch\u1ecdn \u0111\u01b0\u1eddng k\u00ednh implant th\u00edch h\u1ee3p \u0111\u1ec3 b\u1ea3o t\u1ed3n \u0111\u1ee7 kho\u1ea3ng x\u01b0\u01a1ng ph\u00eda ngo\u00e0i cho vi\u1ec7c gh\u00e9p x\u01b0\u01a1ng nh\u1eb1m \u0111em l\u1ea1i k\u1ebft qu\u1ea3 th\u00e0nh c\u00f4ng. T\u00e1c gi\u1ea3 \u0111\u1ec1 ngh\u1ecb \u0111\u00e1nh gi\u00e1 x\u01b0\u01a1ng c\u1ea9n th\u1eadn, nh\u1ed5 r\u0103ng kh\u00f4ng sang ch\u1ea5n, v\u00e0 \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng \u0111\u1ec3 \u0111em l\u1ea1i k\u1ebft qu\u1ea3 th\u00e0nh c\u00f4ng.<\/p>\n

2. V\u1ecb tr\u00ed l\u00fd t\u01b0\u1edfng \u0111\u1ec3 \u0111\u1eb7t?<\/h2>\n

\u0110\u00e2u l\u00e0 v\u1ecb tr\u00ed l\u00fd t\u01b0\u1edfng \u0111\u1ec3 \u0111\u1eb7t implant t\u1ee9c th\u00ec v\u00e0o v\u1ecb tr\u00ed r\u0103ng c\u1ed1i l\u1edbn? C\u00f9ng ph\u00e2n t\u00edch ca l\u00e2m s\u00e0ng c\u1ee5 th\u1ec3: B\u1ec7nh nh\u00e2n c\u00f3 r\u0103ng #16 t\u1ee5t n\u01b0\u1edbu lo\u1ea1i 1 Miller, tr\u1ed3i, do \u0111\u00f3, l\u00e0m d\u00e0i th\u00e2n r\u0103ng \u0111\u01b0\u1ee3c l\u00ean k\u1ebf ho\u1ea1ch \u0111\u1ed3ng th\u1eddi v\u1edbi \u0111\u1eb7t implant v\u00e0 n\u00e2ng xoang gh\u00e9p x\u01b0\u01a1ng. Ti\u1ebfn h\u00e0nh t\u1ea1o \u0111\u01b0\u1eddng r\u1ea1ch khe n\u01b0\u1edbu b\u1eb1ng l\u01b0\u1ee1i dao m\u1ed5 #15c. S\u1eed d\u1ee5ng c\u00e2y b\u00f3c t\u00e1ch \u0111\u1ec3 t\u00e1ch n\u01b0\u1edbu kh\u1ecfi r\u0103ng. Do r\u0103ng #16 tr\u1ed3i n\u00ean l\u00e0m d\u00e0i th\u00e2n r\u0103ng \u0111\u00e3 \u0111\u01b0\u1ee3c l\u00ean k\u1ebf ho\u1ea1ch. B\u1eaft \u0111\u1ea7u khoan x\u01b0\u01a1ng b\u1eb1ng m\u0169i khoan nh\u1ecdn v\u1edbi t\u1ed1c \u0111\u1ed9 1000 v\u00f2ng\/ ph\u00fat c\u00f3 n\u01b0\u1edbc mu\u1ed1i (NaCl) b\u01a1m r\u1eeda d\u01b0\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a m\u00e1ng h\u01b0\u1edbng d\u1eabn ph\u1eabu thu\u1eadt, c\u00e1ch s\u00e0n xoang 1 mm. C\u00e1c m\u0169i khoan xo\u1eafn v\u1edbi \u0111\u01b0\u1eddng k\u00ednh 2.0, 2.9, 3.3, v\u00e0 3.8 mm \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ti\u1ebfp t\u1ee5c m\u1edf r\u1ed9ng l\u1ed7 khoan x\u01b0\u01a1ng, v\u1eabn c\u00e1ch s\u00e0n xoang 1 mm. M\u0169i khoan b\u1ed9c l\u1ed9 xoang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i xuy\u00ean qua s\u00e0n xoang 1 mm v\u1edbi t\u1ed1c \u0111\u1ed9 50 v\u00f2ng\/ph\u00fat d\u01b0\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a n\u00fat ch\u1eb7n \u0111i\u1ec1u ch\u1ec9nh.<\/p>\n

\"Implant-tuc-thi\"
N\u00fat ch\u1eb7n \u0111i\u1ec1u ch\u1ec9nh<\/figcaption><\/figure>\n
\"implant-tuc-thi-2\"
S\u1eed d\u1ee5ng n\u00fat ch\u1eb7n \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ec3 th\u1ef1c hi\u1ec7n n\u00e2ng xoang k\u00edn\/m\u00e0o x\u01b0\u01a1ng.<\/figcaption><\/figure>\n

D\u1ee5ng c\u1ee5 nong xoang v\u1edbi th\u00e2n r\u1ed7ng (\u0111\u01b0\u1eddng k\u00ednh ngo\u00e0i 4.0 mm) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 truy\u1ec1n \u00e1p l\u1ef1c n\u01b0\u1edbc (\u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t) \u0111\u1ec3 n\u00e2ng m\u00e0ng Schneiderian. Nh\u1eb1m \u0111\u1ea9y nhanh s\u1ef1 l\u00e0nh th\u01b0\u01a1ng v\u00e0 k\u1ebft t\u1ee5 x\u01b0\u01a1ng gh\u00e9p, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c l\u1ea5y m\u00e1u v\u00e0 \u0111em ly t\u00e2m \u0111\u1ec3 t\u1ea1o ra fibrin gi\u00e0u ti\u1ec3u c\u1ea7u c\u00f9ng v\u1edbi y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng \u0111\u1eadm \u0111\u1eb7c. X\u01b0\u01a1ng t\u1ef1 th\u00e2n thu \u0111\u01b0\u1ee3c trong qu\u00e1 tr\u00ecnh khoam x\u01b0\u01a1ng \u0111\u01b0\u1ee3c tr\u1ed9n v\u1edbi EnCore\u00ae v\u00e0 dung d\u1ecbch metronidazole 250 mg\/mL v\u00e0 y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng \u0111\u1eadm \u0111\u1eb7c. M\u00e0ng \u0111\u01b0\u1ee3c l\u00e0m t\u1eeb fibrin gi\u00e0u ti\u1ec3u c\u1ea7u v\u00e0 cho v\u00e0o xoang h\u00e0m.<\/p>\n

\u0110\u1eb7t implant (\u0111\u01b0\u1eddng k\u00ednh 5 mm, chi\u1ec1u d\u00e0i 11.5 mm) v\u00e0o v\u1ecb tr\u00ed #16 v\u1edbi torque 70 Ncm (Any Ridge Implant Fixture\u00ae v\u1edbi b\u1ec1 m\u1eb7t XSpeed c\u1ee7a Megaden). S\u1eed d\u1ee5ng ch\u1ed1t th\u00f4ng minh \u0111\u1ec3 \u0111o th\u01b0\u01a1ng s\u1ed1 \u1ed5n \u0111\u1ecbnh c\u1ee7a implant (ISQ). M\u1ed9t sai l\u1ea7m ph\u1ed5 bi\u1ebfn c\u1ee7a nhi\u1ec1u b\u00e1c s\u0129 l\u00e0 v\u1eb7n ch\u1ed1t b\u1eb1ng tay; t\u1eeb \u0111\u00f3 d\u1eabn t\u1edbi k\u1ebft qu\u1ea3 ISQ kh\u00f4ng ch\u00ednh x\u00e1c. Ch\u1ed1t th\u00f4ng minh ph\u1ea3i \u0111\u01b0\u1ee3c v\u1eb7n xu\u1ed1ng b\u1eb1ng n\u00fat ch\u1ed1t-x\u01b0\u01a1ng. T\u00f9y theo gi\u00e1 tr\u1ecb ISQ, b\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh ph\u00f9 h\u1ee3p.<\/p>\n

\"implant-tuc-thi-3\"
T\u00f3m t\u1eaft nh\u1eefng khuy\u1ebfn c\u00e1o t\u1eeb y v\u0103n. Ngu\u1ed3n: Osstell<\/figcaption><\/figure>\n

V\u00ed d\u1ee5, n\u1ebfu gi\u00e1 tr\u1ecb n\u00e0y l\u1edbn h\u01a1n 70, th\u00ec c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh t\u1ea3i l\u1ef1c. N\u1ebfu n\u00f3 nh\u1ecf h\u01a1n 70, th\u00ec n\u00ean ch\u1edd 4-6 th\u00e1ng. N\u1ebfu gi\u00e1 tr\u1ecb n\u00e0y nh\u1ecf h\u01a1n 60 th\u00ec n\u00ean \u0111\u1eb7t implant r\u1ed9ng h\u01a1n. Trong th\u1ef1c t\u1ebf, b\u00e1c s\u0129 \u0111\u00e3 ch\u1edd th\u1eddi gian l\u00e0nh th\u01b0\u01a1ng l\u00e2u h\u01a1n b\u1edfi v\u00ec nhi\u1ec1u ph\u1eabu thu\u1eadt \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n (nh\u1ed5 r\u0103ng, n\u00e2ng xoang k\u00edn, v\u00e0 \u0111\u1eb7t implant). Nh\u00e0 s\u1ea3n xu\u1ea5t khuy\u1ebfn ngh\u1ecb n\u00ean \u0111\u1eb7t implant n\u1eb1m d\u01b0\u1edbi m\u00e0o x\u01b0\u01a1ng 0.5 mm \u0111\u1ec3 t\u1ed1i \u01b0u h\u00f3a s\u1ef1 l\u00e0nh th\u01b0\u01a1ng.<\/p>\n

Trong ca n\u00e0y, implant \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o gi\u1eefa v\u00e1ch ng\u0103n, b\u1edfi v\u00ec ng\u01b0\u1eddi ta cho r\u1eb1ng implant n\u00ean \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o x\u01b0\u01a1ng t\u1ef1 nhi\u00ean nhi\u1ec1u nh\u1ea5t c\u00f3 th\u1ec3 m\u00e0 v\u1eabn t\u00f4n tr\u1ecdng v\u1ecb tr\u00ed c\u1ee7a l\u1ef1c nhai v\u00e0 k\u00edch th\u01b0\u1edbc m\u00e3o r\u0103ng. Ngo\u00e0i ra, \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111i\u1ec1u n\u00e0y, implant ph\u1ea3i n\u1eb1m ngo\u00e0i m\u00fai ch\u1ecbu c\u1ee7a r\u0103ng c\u1ed1i l\u1edbn h\u00e0m d\u01b0\u1edbi. C\u00e1c nghi\u00ean c\u1ee9u trong y v\u0103n cho th\u1ea5y \u0111\u1ed1i v\u1edbi r\u0103ng c\u1ed1i l\u1edbn h\u00e0m tr\u00ean, nhi\u1ec1u b\u00e1c s\u0129 ph\u1eabu thu\u1eadt \u0111\u00e3 \u0111\u1eb7t implant v\u00e0o v\u1ecb tr\u00ed ch\u00e2n r\u0103ng trong, nh\u01b0ng \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 t\u1ea1o ra t\u01b0\u01a1ng quan c\u1eafn ch\u00e9o.<\/p>\n

Khi n\u00e0o l\u00e0 th\u1eddi \u0111i\u1ec3m th\u00edch h\u1ee3p \u0111\u1ec3 t\u1ea3i l\u1ef1c, g\u1eafn tr\u1ee5 l\u00e0nh th\u01b0\u01a1ng, ho\u1eb7c b\u1ed9c l\u1ed9 implant? L\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh c\u1ee7a implant? \u0110\u1ed9 \u1ed5n \u0111\u1ecbnh c\u1ee7a implant c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1eb1ng thi\u1ebft b\u1ecb Osstell, trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y k\u1ebft qu\u1ea3 trung b\u00ecnh l\u00e0 75.<\/p>\n

ISQ l\u00e0 m\u1ed9t s\u1ed1 \u0111o l\u00e2m s\u00e0ng quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 th\u1ea5t b\u1ea1i implant. T\u00e1c gi\u1ea3 \u0111\u1ec1 ngh\u1ecb n\u00ean \u0111o ISQ ngay sau khi \u0111\u1eb7t implant (l\u00e0m d\u1eef li\u1ec7u ban \u0111\u1ea7u), v\u00e0 sau \u0111\u00f3 so s\u00e1nh n\u00f3 v\u1edbi ISQ sau l\u00e0nh th\u01b0\u01a1ng (sau 2-6 th\u00e1ng) \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 h\u00ecnh th\u00e0nh \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh th\u1ee9 c\u1ea5p. V\u00ed d\u1ee5, n\u1ebfu ISQ l\u00e0 70, n\u00f3 c\u00f3 ngh\u0129a l\u00e0 ch\u00fang ta \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh c\u01a1 h\u1ecdc ho\u1eb7c \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh ban \u0111\u1ea7u t\u1ed1t, v\u00e0 ch\u00fang ta c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec. N\u1ebfu ISQ l\u00e0 65-70, th\u00ec ch\u00fang ta n\u00ean l\u1ef1a ch\u1ecdn ph\u1eabu thu\u1eadt hai th\u00ec. N\u1ebfu n\u00f3 < 60, th\u00ec n\u00ean s\u1eed d\u1ee5ng implant \u0111\u01b0\u1eddng k\u00ednh r\u1ed9ng h\u01a1n \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh ban \u0111\u1ea7u. Tuy nhi\u00ean, l\u00fd do ch\u00ednh t\u00e1c gi\u1ea3 kh\u00f4ng t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec trong ca n\u00e0y (m\u1eb7c d\u00f9 ISQ > 70) l\u00e0 b\u1edfi v\u00ec t\u00e1c gi\u1ea3 \u0111\u00e3 th\u1ef1c hi\u1ec7n n\u00e2ng xoang gh\u00e9p x\u01b0\u01a1ng \u0111\u1ed3ng th\u1eddi v\u1edbi \u0111\u1eb7t implant t\u1ee9c th\u00ec. Khi x\u01b0\u01a1ng t\u1ef1 nhi\u00ean kh\u00f4ng l\u00fd t\u01b0\u1edfng, ch\u00fang ta n\u00ean ch\u1edd ngay c\u1ea3 khi ISQ > 70.<\/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":"

\u0110\u1eb7t implant t\u1ee9c th\u00ec c\u00f3 nhi\u1ec1u l\u1ee3i \u00edch b\u1edfi v\u00ec n\u00f3 l\u00e0m gi\u1ea3m th\u1eddi gian \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m thi\u1ec3u s\u1ed1 l\u1ea7n ph\u1eabu thu\u1eadt cho b\u1ec7nh nh\u00e2n. Ngo\u00e0i ra, ph\u1eabu thu\u1eadt n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u00f3 ti\u00ean l\u01b0\u1ee3ng kh\u1ea3 quan v\u00e0 th\u00e0nh c\u00f4ng. Tuy nhi\u00ean, m\u1ed9t v\u00e0i nghi\u00ean c\u1ee9u cho th\u1ea5y s\u1ed1ng h\u00e0m […]<\/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":"\nImplant t\u1ee9c th\u00ec - L\u1ee3i \u00edch tr\u00ean b\u1ec7nh nh\u00e2n c\u1ee7a c\u01a1 s\u1edf ca l\u00e2m s\u00e0ng.<\/title>\n<meta name=\"description\" content=\"\u0110\u1eb7t implant t\u1ee9c th\u00ec c\u00f3 nhi\u1ec1u l\u1ee3i \u00edch b\u1edfi v\u00ec n\u00f3 l\u00e0m gi\u1ea3m th\u1eddi gian \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m thi\u1ec3u s\u1ed1 l\u1ea7n ph\u1eabu thu\u1eadt. 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