{"id":32040,"date":"2023-05-05T17:45:59","date_gmt":"2023-05-05T10:45:59","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32040"},"modified":"2023-05-05T19:56:01","modified_gmt":"2023-05-05T12:56:01","slug":"dat-implant-mot-thi-tong-quan-va-chi-dinh-tren-lam-sang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/05\/dat-implant-mot-thi-tong-quan-va-chi-dinh-tren-lam-sang\/","title":{"rendered":"\u0110\u1eb7t Implant m\u1ed9t th\u00ec &#8211; T\u1ed5ng quan v\u00e0 \u01b0u \u0111i\u1ec3m tr\u00ean l\u00e2m s\u00e0ng."},"content":{"rendered":"<p><strong>S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a h\u1ec7 th\u1ed1ng implant m\u1ed9t th\u00ec ban \u0111\u1ea7u, s\u1eed d\u1ee5ng implant kh\u00f4ng v\u00f9i, b\u1eaft \u0111\u1ea7u t\u1eeb \u0111\u1ea7u nh\u1eefng n\u0103m 1970, d\u1ef1a tr\u00ean nguy\u00ean t\u1eafc t\u00edch h\u1ee3p x\u01b0\u01a1ng do Schroeder v\u00e0 c\u1ed9ng s\u1ef1 m\u00f4 t\u1ea3. Nh\u1eefng nghi\u00ean c\u1ee9u m\u00f4 h\u1ecdc tr\u00ean kh\u1ec9 cho th\u1ea5y implant titanium kh\u00f4ng v\u00f9i \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1ef1 neo ch\u1eb7n c\u1ee9ng kh\u1edbp trong x\u01b0\u01a1ng nh\u1edd s\u1ef1 ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp x\u01b0\u01a1ng-implant. K\u1ec3 t\u1eeb \u0111\u00f3, nh\u1eefng v\u1eadt li\u1ec7u v\u00e0 nh\u1eefng b\u1ec1 m\u1eb7t kh\u00e1c nhau \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1eed nghi\u1ec7m nh\u1eb1m n\u1ed7 l\u1ef1c c\u1ea3i ti\u1ebfn c\u00e1c t\u00ednh ch\u1ea5t v\u1eadt l\u00fd v\u00e0 c\u01a1-sinh h\u1ecdc, c\u00e1c nguy\u00ean t\u1eafc sinh h\u1ecdc, v\u00e0 cu\u1ed1i c\u00f9ng l\u00e0 \u1ee9ng d\u1ee5ng l\u00e2m s\u00e0ng, v\u1edbi k\u1ebft qu\u1ea3 ng\u1eafn h\u1ea1n v\u00e0 d\u00e0i h\u1ea1n \u0111\u1ea7y h\u1ee9a h\u1eb9n. B\u00e0i vi\u1ebft n\u00e0y \u0111\u01b0a ra g\u00f3c nh\u00ecn \u0111\u1ed1i v\u1edbi qu\u00e1 tr\u00ecnh \u0111\u1eb7t Implant m\u1ed9t th\u00ec, \u0111\u1ed3ng th\u1eddi khai th\u00e1c \u01b0u \u0111i\u1ec3m c\u1ee7a ch\u00fang tr\u00ean l\u00e2m s\u00e0ng. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n<figure id=\"attachment_32044\" aria-describedby=\"caption-attachment-32044\" style=\"width: 486px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-32044\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/one-stage-advantage.jpg\" alt=\"dat-implant-mot-thi\" width=\"486\" height=\"555\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/one-stage-advantage.jpg 486w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/one-stage-advantage-263x300.jpg 263w\" sizes=\"(max-width: 486px) 100vw, 486px\" \/><figcaption id=\"caption-attachment-32044\" class=\"wp-caption-text\">Minh ho\u1ea1 v\u1ec1 Implant m\u1ed9t th\u00ec c\u1ee7a h\u00e3ng Blue Sky Bio<\/figcaption><\/figure>\n<h2>1. Kh\u00e1i ni\u1ec7m c\u1ee7a qu\u00e1 tr\u00ecnh \u0111\u1eb7t Implant m\u1ed9t th\u00ec<\/h2>\n<p>Kh\u00f4ng c\u00f2n nghi ng\u1edd r\u1eb1ng implant trong x\u01b0\u01a1ng \u0111\u00e3 thay \u0111\u1ed5i c\u00e1c ph\u01b0\u01a1ng ph\u00e1p thay th\u1ebf r\u0103ng. Trong nh\u1eefng th\u1eadp k\u1ef7 qua, c\u1ea5y gh\u00e9p implant \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng cho b\u1ec7nh nh\u00e2n m\u1ea5t r\u0103ng to\u00e0n b\u1ed9 v\u00e0 b\u00e1n ph\u1ea7n. Theo truy\u1ec1n th\u1ed1ng, \u0111\u1ec3 gi\u1ea3m thi\u1ec3u s\u1ef1 th\u1ea5t b\u1ea1i c\u1ee7a implant, th\u00ec c\u00e1c implant s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1eb7t theo k\u1ef9 thu\u1eadt hai th\u00ec [1]. Implant \u0111\u01b0\u1ee3c \u0111\u1eb7t ho\u00e0n to\u00e0n v\u00f9i d\u01b0\u1edbi m\u00f4 m\u1ec1m, r\u1ed3i ch\u1edd l\u00e0nh th\u01b0\u01a1ng trong kho\u1ea3ng th\u1eddi gian 3-4 th\u00e1ng \u1edf h\u00e0m d\u01b0\u1edbi v\u00e0 6-8 th\u00e1ng \u1edf h\u00e0m tr\u00ean [2]. \u0110\u1ed9 \u1ed5n \u0111\u1ecbnh s\u01a1 kh\u1edfi c\u1ee7a implant v\u00e0 kh\u00f4ng c\u00f3 vi d\u1ecbch chuy\u1ec3n l\u00e0 hai trong c\u00e1c y\u1ebfu t\u1ed1 ch\u00ednh c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng cao c\u1ee7a implant [2, 3].<\/p>\n<p>S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a h\u1ec7 th\u1ed1ng implant m\u1ed9t th\u00ec ban \u0111\u1ea7u, s\u1eed d\u1ee5ng implant kh\u00f4ng v\u00f9i, b\u1eaft \u0111\u1ea7u t\u1eeb \u0111\u1ea7u nh\u1eefng n\u0103m 1970, d\u1ef1a tr\u00ean nguy\u00ean t\u1eafc t\u00edch h\u1ee3p x\u01b0\u01a1ng do Schroeder v\u00e0 c\u1ed9ng s\u1ef1 m\u00f4 t\u1ea3 [4-6]. Nh\u1eefng nghi\u00ean c\u1ee9u m\u00f4 h\u1ecdc tr\u00ean kh\u1ec9 cho th\u1ea5y implant titanium kh\u00f4ng v\u00f9i \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1ef1 neo ch\u1eb7n c\u1ee9ng kh\u1edbp trong x\u01b0\u01a1ng nh\u1edd s\u1ef1 ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp x\u01b0\u01a1ng-implant. K\u1ec3 t\u1eeb \u0111\u00f3, nh\u1eefng v\u1eadt li\u1ec7u v\u00e0 nh\u1eefng b\u1ec1 m\u1eb7t kh\u00e1c nhau \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1eed nghi\u1ec7m nh\u1eb1m n\u1ed7 l\u1ef1c c\u1ea3i ti\u1ebfn c\u00e1c t\u00ednh ch\u1ea5t v\u1eadt l\u00fd v\u00e0 c\u01a1-sinh h\u1ecdc, c\u00e1c nguy\u00ean t\u1eafc sinh h\u1ecdc, v\u00e0 cu\u1ed1i c\u00f9ng l\u00e0 \u1ee9ng d\u1ee5ng l\u00e2m s\u00e0ng, v\u1edbi k\u1ebft qu\u1ea3 ng\u1eafn h\u1ea1n v\u00e0 d\u00e0i h\u1ea1n \u0111\u1ea7y h\u1ee9a h\u1eb9n [7]. Trong nh\u1eefng n\u0103m qua, nh\u1eefng k\u1ebft qu\u1ea3 n\u00e0y c\u1ee7a implant kh\u00f4ng v\u00f9i \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn b\u1edfi nhi\u1ec1u nghi\u00ean c\u1ee9u th\u1ef1c nghi\u1ec7m [8-11]. C\u00e1c nghi\u00ean c\u1ee9u theo d\u00f5i d\u1ecdc c\u00f2n cho th\u1ea5y c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng s\u1edbm cao b\u1eb1ng k\u1ef9 thu\u1eadt m\u1ed9t th\u00ec [12, 13]. V\u1edbi k\u1ef9 thu\u1eadt n\u00e0y, v\u1ea1t \u0111\u01b0\u1ee3c kh\u00e2u xung quanh c\u1ed5 implant \u0111\u00e3 \u0111\u00e1nh b\u00f3ng sau khi \u0111\u1eb7t implant, gi\u00fap tr\u00e1nh can thi\u1ec7p ph\u1eabu thu\u1eadt l\u1ea7n th\u1ee9 hai.<\/p>\n<h2>2. Kh\u00e1c bi\u1ec7t so v\u1edbi qu\u00e1 tr\u00ecnh \u0111\u1eb7t Implant hai th\u00ec?<\/h2>\n<p>V\u1edbi k\u1ef9 thu\u1eadt hai th\u00ec, implant ho\u00e0n to\u00e0n v\u00f9i d\u01b0\u1edbi m\u00f4 m\u1ec1m sau khi \u0111\u1eb7t v\u00e0 \u0111\u01b0\u1ee3c ch\u1edd l\u00e0nh th\u01b0\u01a1ng trong kho\u1ea3ng th\u1eddi gian 2-6 th\u00e1ng. Khi s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt n\u00e0y, implant s\u1ebd kh\u00f4ng t\u1ea3i l\u1ef1c trong su\u1ed1t giai \u0111o\u1ea1n l\u00e0nh th\u01b0\u01a1ng. \u0110\u1eb7t implant hai th\u00ec \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m thi\u1ec3u vi d\u1ecbch chuy\u1ec3n trong giai \u0111o\u1ea1n l\u00e0nh th\u01b0\u01a1ng v\u00e0 gi\u1ea3m nguy c\u01a1 truy\u1ec1n t\u1ea3i l\u1ef1c kh\u00f4ng mong mu\u1ed1n \u0111\u1ebfn x\u01b0\u01a1ng \u0111ang l\u00e0nh th\u01b0\u01a1ng t\u1ea1i giao di\u1ec7n implant (t\u1eeb \u0111\u00f3 c\u00f3 th\u1ec3 t\u1ea1o ra t\u00fai m\u00f4 m\u1ec1m), v\u00e0 nh\u1edd v\u1eady l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng t\u00edch h\u1ee3p x\u01b0\u01a1ng th\u00e0nh c\u00f4ng [14, 15]. Tuy nhi\u00ean, c\u1ea7n ph\u1ea3i can thi\u1ec7p ph\u1eabu thu\u1eadt l\u1ea7n th\u1ee9 hai (th\u01b0\u1eddng l\u00e0 ti\u1ec3u ph\u1eabu, tr\u1eeb khi c\u1ea7n gh\u00e9p m\u00f4 m\u1ec1m) \u0111\u1ec3 k\u1ebft n\u1ed1i implant v\u1edbi abutment gi\u1eef ph\u1ee5c h\u00ecnh sau n\u00e0y. Ngo\u00e0i ra, sau l\u1ea7n can thi\u1ec7p th\u1ee9 hai, c\u1ea7n th\u00eam m\u1ed9t v\u00e0i tu\u1ea7n l\u00e0nh th\u01b0\u01a1ng n\u1eefa \u0111\u1ec3 m\u00f4 m\u1ec1m \u1ed5n \u0111\u1ecbnh quanh abutment, cho ph\u00e9p \u0111em l\u1ea1i k\u1ebft qu\u1ea3 th\u1ea9m m\u1ef9 kh\u1ea3 quan [14].<\/p>\n<p>Khi s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt m\u1ed9t th\u00ec, v\u1ea1t \u0111\u01b0\u1ee3c kh\u00e2u xung quanh c\u1ed5 implant \u0111\u00e3 \u0111\u00e1nh b\u00f3ng, gi\u00fap tr\u00e1nh can thi\u1ec7p ph\u1eabu thu\u1eadt l\u1ea7n th\u1ee9 hai. Ngo\u00e0i ra, k\u1ef9 thu\u1eadt m\u1ed9t th\u00ec c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c b\u1eb1ng c\u00e1ch k\u1ebft n\u1ed1i ngay l\u1eadp t\u1ee9c tr\u1ee5 l\u00e0nh th\u01b0\u01a1ng t\u1ea1m v\u1edbi implant hai kh\u1ed1i nh\u00f4 qua m\u00f4 m\u1ec1m gi\u1ed1ng nh\u01b0 implant m\u1ed9t kh\u1ed1i. C\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng c\u00f3 nh\u00f3m ch\u1ee9ng so s\u00e1nh k\u1ef9 thu\u1eadt m\u1ed9t th\u00ec v\u1edbi hai th\u00ec cho th\u1ea5y implant \u0111\u01b0\u1ee3c \u0111\u1eb7t theo k\u1ef9 thu\u1eadt m\u1ed9t th\u00ec c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng cao t\u01b0\u01a1ng \u0111\u01b0\u01a1ng [14-17]<\/p>\n<h2>3. \u01afu \u0111i\u1ec3m tr\u00ean l\u00e2m s\u00e0ng<\/h2>\n<p>K\u1ef9 thu\u1eadt \u0111\u1eb7t implant m\u1ed9t th\u00ec c\u00f3 m\u1ed9t s\u1ed1 \u01b0u \u0111i\u1ec3m l\u00e2m s\u00e0ng, ch\u1eb3ng h\u1ea1n nh\u01b0 tr\u00e1nh \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt l\u1ea7n th\u1ee9 hai, th\u1eddi gian \u0111i\u1ec1u tr\u1ecb v\u00e0 l\u00e0nh th\u01b0\u01a1ng ng\u1eafn h\u01a1n, gi\u1ea3m chi ph\u00ed cho b\u1ec7nh nh\u00e2n, t\u1ef7 l\u1ec7 th\u00e2n:ch\u00e2n thu\u1eadn l\u1ee3i h\u01a1n, v\u00e0 tr\u1ef1c ti\u1ebfp ti\u1ebfp c\u1eadn v\u1edbi vai implant ngang m\u00f4 m\u1ec1m, cho ph\u00e9p ph\u1ee5c h\u00ecnh \u0111\u01a1n gi\u1ea3n b\u1eb1ng ph\u1ee5c h\u00ecnh g\u1eafn xi m\u0103ng ho\u1eb7c b\u1eaft v\u00edt tr\u00ean implant [7, 14].<\/p>\n<p>M\u1ed9t s\u1ed1 nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e3 nghi\u00ean c\u1ee9u m\u00f4 vi\u1ec1n quanh implant c\u1ee7a h\u1ec7 th\u1ed1ng implant kh\u00f4ng v\u00f9i v\u00e0 v\u00f9i, v\u00e0 cho th\u1ea5y, b\u1ea5t k\u1ec3 l\u00e0 quy tr\u00ecnh ph\u1eabu thu\u1eadt n\u00e0o (m\u1ed9t th\u00ec hay hai th\u00ec), th\u00ec implant \u0111\u1ec1u ch\u1ec9 ti\u00eau m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf vi\u1ec1n x\u01b0\u01a1ng tr\u00ean phim X-quang, ngh\u0129a l\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa hai quy tr\u00ecnh [11, 17-19]. Ngo\u00e0i ra, m\u1ee9c vi\u1ec1n x\u01b0\u01a1ng sau khi ph\u1ee5c h\u1ed3i d\u01b0\u1eddng nh\u01b0 \u0111\u01b0\u1ee3c duy tr\u00ec \u1ed5n \u0111\u1ecbnh b\u1ea5t k\u1ec3 implant \u0111\u01b0\u1ee3c \u0111\u1eb7t theo quy tr\u00ecnh ph\u1eabu thu\u1eadt m\u1ed9t th\u00ec hay hai th\u00ec [17-19]. Nh\u1eefng k\u1ebft qu\u1ea3 n\u00e0y \u0111\u01b0a \u0111\u1ebfn k\u1ebft lu\u1eadn l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 c\u1ea5y gh\u00e9p v\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t \u0111\u00e1ng k\u1ec3 v\u1ec1 s\u1ef1 thay \u0111\u1ed5i x\u01b0\u01a1ng quanh implant gi\u1eefa hai ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt.<\/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<p>1. Br\u00e5nemark P-1, Hansson BO, Adell R, et al. Osseointegrated Implants in the Treatment of the Edentulous Jaw. Experience from a 10-Year Period. Scandinavian Journal of Plastic and Reconstructive Surgery, Supplementum 16. Stockholm: Almqvist &amp; Wiksell International; 1977.<\/p>\n<p>2. Albrektsson T, Br\u00e5nemark P-I, Hansson H-A, Lindstr\u00f6m J. Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand 1981;52:155-170.<\/p>\n<p>3. Brunski JB, Moccia AFJ, Pollack SR, et al. The influence of functional use of endosseous dental implants on the tissue-implant interface. I. Histological aspects. J Dent Res 1979;58:1953-1969.<\/p>\n<p>4. Schroeder A, Pohler O, Sutter E. Gewebsreaktion auf ein Titan-Hohlzylinderimplantat mit Titan-Spritzschichtoberflache [Tissue reaction to an implant of a titanium hollow cylinder with a titanium surface spray layer]. SSO Schweiz Monatsschr Zahnheilkd 1976;86:713-727.<\/p>\n<p>5. Schroeder A, Stich H, Straumann F, Sutter E. Ueber die Anlagerung von Osteozement an einen belasteten Implantatkorper. SSO Schweiz Monatsschr Zahnheilkd 1978;88:105-1057.<\/p>\n<p>6. Schroeder A, van der Zypen E, Stich H, Sutter F. The reaction of bone, connective tissue and epithelium to endosteal implants with sprayed titanium surfaces. J Maxillofac Surg 1981;9:15-25<\/p>\n<p>7. Buser D, Belser UC, Lang NP. The original one-stage dental implant system and its clinical application. Periodontol 2000 1998;17:106-118.<\/p>\n<p>8. Buser D, Weber HF, Donath K, et al. Soft tissue reactions to non-submerged unloaded titanium implants in beagle dogs. J Periodontol 1992;63:225-235.<\/p>\n<p>9. Cochran DL, Hermann JS, Schenk RK, et al. Biologic width around titanium implants: a histometric analysis of the implanto-gingival junction around unloaded and loaded nonsubmerged implants in the canine mandible. J Periodontol 1997;68:186-198.<\/p>\n<p>10. Listgarten MA, Buser D, Steinemann SG, et al. Light and transmission electron microscopy of the intact interfaces between non-submerged titanium-coated epoxy resin implants and bone or gingiva. J Dent Res 1992;71:364\u2013371.<\/p>\n<p>11. Weber HP, Buser D, Donath K, et al. Comparison of healed tissues adjacent to submerged and non-submerged unloaded titanium dental implants. A histometric study in beagle dogs. Clin Oral Implants Res 1996;7:11-19.<\/p>\n<p>12. Buser D, Weber HP, Lang NP. Tissue integration of nonsubmerged implants. 1-year results of a prospective study with 100 ITI hollow-cylinder and hollow-screw implants. Clin Oral Implants Res 1990;1:33-40.<\/p>\n<p>13. Buser D, Mericske-Stern R, Bernard JP, et al. Long-term evaluation of non-submerged ITI implants. Part 1: 8-year life table analysis of prospective multicenter study with 2359 implants. Clin Oral Implants Res 1997;8:161-172.<\/p>\n<p>14. Esposito M, Grusovin MG, Chew YS, et al. One-stage versus two-stage implant placement. A Cochrane systematic review of randomised controlled clinical trials. Eur J Oral Implantol 2009;2(2):91-99.<\/p>\n<p>15. Brunski JB, Moccia AFJ, Pollack SR, et al. The influence of functional use of endosseous dental implants on the tissue-implant interface. I. Histological aspects. J Dent Res 1979;58:1953-1969.<\/p>\n<p>16. Collaert B, De Bruyn H. Comparison of Br\u00e5nemark fixture integration and short-term survival using one-stage or two-stage surgery in completely and partially edentulous mandibles. Clin Oral Implants Res 1998;9:131-135.<\/p>\n<p>17. Ericsson I, Randow K, Nilner K, Petersson A. Some clinical and radiographical features of submerged and non- submerged titanium implants. A 5-year follow-up study. Clin Oral Implants Res 1997;8:422-426.<\/p>\n<p>18. Ericsson I, Randow K, Glantz PO, et al. Clinical and radiographical features of submerged and nonsubmerged titanium implants. Clin Oral Implants Res 1994;5:185\u2013189.<\/p>\n<p>19. Ericsson I, Nilner K, Klinge, B, Glantz PO. Radiographical and histological characteristics of submerged and nonsubmerged titanium implants. An experimental study in the Labrador dog. Clin Oral Implants Res 1996;7:20-26.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a h\u1ec7 th\u1ed1ng implant m\u1ed9t th\u00ec ban \u0111\u1ea7u, s\u1eed d\u1ee5ng implant kh\u00f4ng v\u00f9i, b\u1eaft \u0111\u1ea7u t\u1eeb \u0111\u1ea7u nh\u1eefng n\u0103m 1970, d\u1ef1a tr\u00ean nguy\u00ean t\u1eafc t\u00edch h\u1ee3p x\u01b0\u01a1ng do Schroeder v\u00e0 c\u1ed9ng s\u1ef1 m\u00f4 t\u1ea3. 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