{"id":32050,"date":"2023-05-05T19:27:21","date_gmt":"2023-05-05T12:27:21","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32050"},"modified":"2023-05-05T19:53:09","modified_gmt":"2023-05-05T12:53:09","slug":"dat-implant-tuc-thi-ngay-sau-nho-rang-goc-nhin-danh-gia","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/05\/dat-implant-tuc-thi-ngay-sau-nho-rang-goc-nhin-danh-gia\/","title":{"rendered":"\u0110\u1eb7t Implant t\u1ee9c th\u00ec ngay sau nh\u1ed5 r\u0103ng – G\u00f3c nh\u00ecn \u0111\u00e1nh gi\u00e1."},"content":{"rendered":"

Tr\u1ea3i qua nhi\u1ec1u n\u0103m, k\u1ef9 thu\u1eadt \u0111\u1eb7t implant t\u1ee9c th\u00ec sau nh\u1ed5 r\u0103ng \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t ph\u01b0\u01a1ng \u00e1n h\u1ea5p d\u1eabn. Trong th\u1ef1c t\u1ebf, m\u1ed9t s\u1ed1 nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e3 b\u00e1o c\u00e1o tr\u01b0\u1eddng h\u1ee3p \u0111\u1ea7u ti\u00ean v\u1ec1 \u0111\u1eb7t implant v\u00e0o \u1ed5 nh\u1ed5 r\u0103ng m\u1edbi trong m\u1ed9t bu\u1ed5i h\u1eb9n, l\u00e0m gi\u1ea3m s\u1ed1 bu\u1ed5i h\u1eb9n nha khoa, th\u1eddi gian ph\u1eabu thu\u1eadt, v\u00e0 t\u1ed5ng th\u1eddi gian \u0111i\u1ec1u tr\u1ecb. \u0110\u1ed9 \u1ed5n \u0111\u1ecbnh ban \u0111\u1ea7u c\u1ee7a implant \u0111\u1ea1t \u0111\u01b0\u1ee3c b\u1eb1ng c\u00e1ch kh\u1edbp v\u1edbi c\u00e1c v\u00e1ch x\u01b0\u01a1ng c\u00f2n l\u1ea1i, v\u00e0 \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh s\u01a1 kh\u1edfi ch\u1ee7 y\u1ebfu \u0111\u1ea1t \u0111\u01b0\u1ee3c \u1edf v\u00f9ng ch\u00f3p. Ng\u01b0\u1eddi ta nh\u1eadn th\u1ea5y c\u00f3 s\u1ef1 l\u1ea5p \u0111\u1ea7y x\u01b0\u01a1ng x\u1ea3y ra t\u1ef1 \u00fd sau 3-4 th\u00e1ng trong c\u00e1c m\u00f4 h\u00ecnh \u0111\u1ed9ng v\u1eadt v\u00e0 c\u00e1c nghi\u00ean c\u1ee9u tr\u00ean ng\u01b0\u1eddi. C\u00f9ng t\u00ecm hi\u1ec3u v\u00e0 \u0111\u00e1nh gi\u00e1 chung \u0111\u1ed1i v\u1edbi k\u1ef9 thu\u1eadt Implant t\u1ee9c th\u00ec sau nh\u1ed5 r\u0103ng, v\u00e0 ti\u1ebfn h\u00e0nh th\u1ea3o lu\u1eadn \u0111\u1ebfn nh\u1eefng l\u01b0u \u00fd c\u00f2n b\u1ecf ng\u1ecf.<\/strong><\/p>\n

\"dat-implant-tuc-thi\"
\u0110\u1eb7t Implant t\u1ee9c th\u00ec ngay sau nh\u1ed5 r\u0103ng<\/figcaption><\/figure>\n

1. \u0110\u00e1nh gi\u00e1 chung k\u1ef9 thu\u1eadt \u0111\u1eb7t Implant t\u1ee9c th\u00ec sau nh\u1ed5 r\u0103ng<\/h2>\n

\u0110i\u1ec1u tr\u1ecb c\u1ea5y gh\u00e9p th\u00e0nh c\u00f4ng th\u00ec kh\u00f4ng n\u00ean c\u00f3 b\u1ea5t k\u1ef3 bi\u1ebfn ch\u1ee9ng sinh h\u1ecdc, k\u1ef9 thu\u1eadt, ho\u1eb7c th\u1ea9m m\u1ef9 n\u00e0o [1]. S\u1ef1 \u1ed5n \u0111\u1ecbnh v\u00e0 t\u1ed3n t\u1ea1i l\u00e2u d\u00e0i c\u1ee7a c\u1ea3 implant l\u1eabn ph\u1ee5c h\u00ecnh l\u00e0 m\u1ee5c ti\u00eau cu\u1ed1i c\u00f9ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb. Trong ca n\u00e0y, ch\u00fang t\u00f4i m\u00f4 t\u1ea3 m\u1ed9t tr\u01b0\u1eddng h\u1ee3p l\u00e2m s\u00e0ng \u0111\u1eb7t implant ngay sau khi nh\u1ed5 r\u0103ng \u1edf v\u00f9ng r\u0103ng tr\u01b0\u1edbc h\u00e0m tr\u00ean.<\/p>\n

Tr\u1ea3i qua nhi\u1ec1u n\u0103m, k\u1ef9 thu\u1eadt \u0111\u1eb7t implant t\u1ee9c th\u00ec sau nh\u1ed5 r\u0103ng \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t ph\u01b0\u01a1ng \u00e1n h\u1ea5p d\u1eabn. Trong th\u1ef1c t\u1ebf, Schulte v\u00e0 c\u1ed9ng s\u1ef1 [2] \u0111\u00e3 b\u00e1o c\u00e1o tr\u01b0\u1eddng h\u1ee3p \u0111\u1ea7u ti\u00ean v\u1ec1 \u0111\u1eb7t implant v\u00e0o \u1ed5 nh\u1ed5 r\u0103ng m\u1edbi trong m\u1ed9t bu\u1ed5i h\u1eb9n, l\u00e0m gi\u1ea3m s\u1ed1 bu\u1ed5i h\u1eb9n nha khoa, th\u1eddi gian ph\u1eabu thu\u1eadt, v\u00e0 t\u1ed5ng th\u1eddi gian \u0111i\u1ec1u tr\u1ecb. \u0110\u1ed9 \u1ed5n \u0111\u1ecbnh ban \u0111\u1ea7u c\u1ee7a implant \u0111\u1ea1t \u0111\u01b0\u1ee3c b\u1eb1ng c\u00e1ch kh\u1edbp v\u1edbi c\u00e1c v\u00e1ch x\u01b0\u01a1ng c\u00f2n l\u1ea1i, v\u00e0 \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh s\u01a1 kh\u1edfi ch\u1ee7 y\u1ebfu \u0111\u1ea1t \u0111\u01b0\u1ee3c \u1edf v\u00f9ng ch\u00f3p. Ng\u01b0\u1eddi ta nh\u1eadn th\u1ea5y c\u00f3 s\u1ef1 l\u1ea5p \u0111\u1ea7y x\u01b0\u01a1ng x\u1ea3y ra t\u1ef1 \u00fd sau 3-4 th\u00e1ng trong c\u00e1c m\u00f4 h\u00ecnh \u0111\u1ed9ng v\u1eadt [3] v\u00e0 c\u00e1c nghi\u00ean c\u1ee9u tr\u00ean ng\u01b0\u1eddi [4, 5].<\/p>\n

\u0110\u1eb7t implant t\u1ee9c th\u00ec ngay sau nh\u1ed5 r\u0103ng \u0111\u00e3 \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn l\u00e0 m\u1ed9t \u0111i\u1ec1u tr\u1ecb c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t \u1edf c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1ea5t r\u0103ng to\u00e0n b\u1ed9 v\u00e0 b\u00e1n ph\u1ea7n [6]. Theo m\u1ed9t nghi\u00ean c\u1ee9u d\u1ecdc, t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i 5 n\u0103m c\u1ee7a implant l\u00e0 kho\u1ea3ng 95%, v\u00e0 t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i 10 n\u0103m l\u00e0 89% [7]. T\u1ed5ng quan h\u1ec7 th\u1ed1ng Cochrane cho th\u1ea5y kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea v\u1ec1 s\u1ef1 th\u00e0nh c\u00f4ng, bi\u1ebfn ch\u1ee9ng, th\u1ea9m m\u1ef9, v\u00e0 s\u1ef1 h\u00e0i l\u00f2ng c\u1ee7a b\u1ec7nh nh\u00e2n gi\u1eefa c\u00e1c th\u1eddi \u0111i\u1ec3m \u0111\u1eb7t implant sau khi nh\u1ed5 r\u0103ng [6]. Theo m\u1ed9t nghi\u00ean c\u1ee9u, t\u1ef7 l\u1ec7 h\u00e0i l\u00f2ng 9.9\/10 \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn sau 1 n\u0103m theo d\u00f5i sau khi \u0111\u1eb7t implant t\u1ee9c th\u00ec [8]. M\u1eb7c d\u00f9 ti\u00eau ch\u00ed th\u00e0nh c\u00f4ng tr\u01b0\u1edbc \u0111\u00e2y c\u1ee7a implant [9] kh\u00f4ng bao g\u1ed3m c\u00e1c bi\u1ebfn ch\u1ee9ng th\u1ea9m m\u1ef9, nh\u01b0ng \u0111\u00e2y l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 quan tr\u1ecdng c\u1ea7n xem x\u00e9t.<\/p>\n

2. Nh\u1eefng l\u01b0u \u00fd \u0111\u1ed1i v\u1edbi k\u1ef9 thu\u1eadt n\u00e0y<\/h2>\n

Tuy nhi\u00ean, \u0111\u1eb7t implant t\u1ee9c th\u00ec kh\u00f4ng th\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 c\u1ea5u tr\u00fac v\u00e0 t\u00e1i c\u1ea5u tr\u00fac trong v\u00e0 ngo\u00e0i x\u01b0\u01a1ng \u1ed5, d\u1eabn \u0111\u1ebfn gi\u1ea3m v\u00e1ch x\u01b0\u01a1ng theo chi\u1ec1u ngang v\u00e0 chi\u1ec1u d\u1ecdc. Nh\u1eefng thay \u0111\u1ed5i m\u00f4 nh\u01b0 v\u1eady l\u00e0m t\u0103ng nguy c\u01a1 ti\u00eau v\u00e1ch x\u01b0\u01a1ng ngo\u00e0i, m\u1ea5t \u1ed5n \u0111\u1ecbnh ni\u00eam m\u1ea1c b\u1edd, v\u00e0 do \u0111\u00f3, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 th\u1ea9m m\u1ef9 v\u00e0 s\u1ef1 t\u1ed3n t\u1ea1i c\u1ee7a implant. Th\u1ef1c t\u1ebf, s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 nhi\u1ec5m tr\u00f9ng ho\u1ea1t \u0111\u1ed9ng \u0111\u00e3 \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea v\u00e0o s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a t\u00ecnh tr\u1ea1ng t\u1ee5t ni\u00eam m\u1ea1c, ch\u1eb3ng h\u1ea1n nh\u01b0 h\u00fat thu\u1ed1c l\u00e1, b\u1ea3n x\u01b0\u01a1ng ngo\u00e0i m\u1ecfng, d\u1ea1ng sinh h\u1ecdc m\u00f4 m\u1ecfng, v\u00e0 implant n\u1eb1m v\u1ec1 ph\u00eda ngo\u00e0i. Do \u0111\u00f3, b\u1eaft bu\u1ed9c ph\u1ea3i gh\u00e9p m\u00f4 m\u1ec1m v\u00e0 x\u01b0\u01a1ng \u0111\u1ec3 ph\u00f2ng ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng \u0111\u1ed3ng th\u1eddi t\u1ea1o thu\u1eadn l\u1ee3i cho ph\u1ea3n \u1ee9ng l\u00e0nh th\u01b0\u01a1ng t\u1ed1i \u01b0u.<\/p>\n

M\u1ee5c \u0111\u00edch ch\u00ednh c\u1ee7a v\u1eadt li\u1ec7u gh\u00e9p l\u00e0 \u0111\u1ec3 l\u1ea5p \u0111\u1ea7y kho\u1ea3ng h\u1edf gi\u1eefa implant v\u1edbi v\u00e1ch \u1ed5 r\u0103ng v\u00e0 \u0111\u1ec3 che \u0111\u01b0\u1eddng n\u1ee9t v\u00e0\/ho\u1eb7c c\u1eeda s\u1ed5 x\u01b0\u01a1ng. Nh\u1eefng nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y nh\u1eadn th\u1ea5y r\u00f5 r\u1eb1ng x\u01b0\u01a1ng m\u1eb7t ngo\u00e0i \u1edf v\u00f9ng r\u0103ng tr\u01b0\u1edbc h\u00e0m tr\u00ean th\u01b0\u1eddng r\u1ea5t m\u1ecfng (<1 mm) [10], v\u00e0 c\u00e1c nghi\u00ean c\u1ee9u th\u1ef1c nghi\u1ec7m v\u00e0 l\u00e2m s\u00e0ng \u0111\u00e3 ch\u1ee9ng minh \u0111\u01b0\u1ee3c r\u1eb1ng x\u01b0\u01a1ng m\u1eb7t ngo\u00e0i m\u1ecfng s\u1ebd ti\u00eau r\u1ea5t nhanh trong v\u00f2ng 4-8 tu\u1ea7n sau nh\u1ed5 r\u0103ng, g\u00e2y gi\u1ea3m chi\u1ec1u cao x\u01b0\u01a1ng [3, 11, 12]. Khung x\u01b0\u01a1ng b\u00f2 kh\u1eed kho\u00e1ng, x\u01b0\u01a1ng gh\u00e9p \u0111\u1ed3ng lo\u1ea1i \u0111\u00f4ng kh\u00f4, v\u00e0 x\u01b0\u01a1ng gh\u00e9p \u0111\u1ed3ng lo\u1ea1i \u0111\u00f4ng kh\u00f4 kh\u1eed kho\u00e1ng l\u00e0 nh\u1eefng v\u1eadt li\u1ec7u gh\u00e9p x\u01b0\u01a1ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng.<\/p>\n

N\u00f3i chung, implant \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf v\u00f9ng r\u0103ng tr\u01b0\u1edbc c\u00f3 t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i h\u01a1i th\u1ea5p h\u01a1n so v\u1edbi v\u00f9ng r\u0103ng sau. Implant \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf h\u00e0m tr\u00ean c\u00f3 t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i \u01b0\u1edbc t\u00ednh h\u00e0ng n\u0103m (0.73%) cao h\u01a1n so v\u1edbi \u1edf h\u00e0m d\u01b0\u1edbi (0.50%). T\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i \u01b0\u1edbc t\u00ednh h\u00e0ng n\u0103m c\u1ee7a nh\u00f3m t\u1ea3i l\u1ef1c th\u00f4ng th\u01b0\u1eddng th\u1ea5p h\u01a1n so v\u1edbi nh\u00f3m t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec (O.75% so v\u1edbi 0.89%) [1]. Do \u0111\u00f3, k\u1ef9 thu\u1eadt \u0111\u1eb7t implant t\u1ee9c th\u00ec c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb kh\u1ea3 quan khi c\u00e1c quan ni\u1ec7m sinh h\u1ecdc, th\u1ea9m m\u1ef9, v\u00e0 l\u00e2m s\u00e0ng tr\u00ecnh b\u00e0y \u1edf \u0111\u00e2y \u0111\u01b0\u1ee3c t\u00f4n tr\u1ecdng \u0111\u00fang.<\/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

1. Lang NP, Pun L, Lau KY, et al. A systematic review on survival and success rates of implants placed immediately into fresh extraction sockets after at least 1 year. Clin Oral Implants Res 2012;23(Suppl 5):39\u201366.<\/em><\/p>\n

2. Schulte W, Kleineikenscheidt H, Lindner K, Schareyka R. The Tubingen immediate implant in clinical studies. Dtsch Zahnarztl Z 1978;33(5):348-359 (in German). <\/em><\/p>\n

3. Araujo MG, Sukekava F, Wennstrom JL, Lindhe J. Ridge alterations following implant placement in fresh extraction<\/em>
\nsockets: an experimental study in the dog. J Clin Periodontol 2005;32(6):645-652. <\/em><\/p>\n

4. Cornelini R, Cangini F, Covani U, Wilson Jr TJ. Immediate restoration of implants placed into fresh extraction sockets for single-tooth replacement: a prospective clinical study. Int J Periodontics Restorative Dent 2005;25(5):439-447.<\/em><\/p>\n

5. Covani U, Chiappe G, Bosco M, et al. A 10-year evaluation of implants placed in fresh extraction sockets: a prospective cohort study. J Periodontol 2012;83(10):1226-1234.<\/em><\/p>\n

6. Esposito M, Grusovin MG, Polyzos IP, et al. Timing of implant placement after tooth extraction: immediate, immediate-delayed or delayed implants? A Cochrane systematic review. Eur J Oral Implantol 2010;3(3):189-205.<\/em><\/p>\n

7. Pjetursson BE, Tan K, Lang NP, et al. A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. Clin Oral Implants Res 2004;15(6):625-642.<\/em><\/p>\n

8. Kan JY, Rungcharassaeng K, Lozada J. Immediate placement and provisionalization of maxillary anterior single implants: 1-year prospective study. Int J Oral Maxillofac Implants 2003;18(1):31-39.<\/em><\/p>\n

9. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants 1986;1(1):11-25.<\/em><\/p>\n

10. Januario AL, Duarte WR, Barriviera M, et al. Dimension of the facial bone wall in the anterior maxilla: a cone-beam computed tomography study. Clin Oral Implants Res 2011;22(10):1168-1171.<\/em><\/p>\n

11. Schropp L, Kostopoulos L, Wenzel A. Bone healing following immediate versus delayed placement of titanium implants into extraction sockets: a prospective clinical study. Int J Oral Maxillofac Implants 2003;18(2):189-199.<\/em><\/p>\n

12. Schropp L, Isidor F. Timing of implant placement relative to tooth extraction. J Oral Rehabil 2008;35(Suppl 1):33-43.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Tr\u1ea3i qua nhi\u1ec1u n\u0103m, k\u1ef9 thu\u1eadt \u0111\u1eb7t implant t\u1ee9c th\u00ec sau nh\u1ed5 r\u0103ng \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t ph\u01b0\u01a1ng \u00e1n h\u1ea5p d\u1eabn. Trong th\u1ef1c t\u1ebf, m\u1ed9t s\u1ed1 nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e3 b\u00e1o c\u00e1o tr\u01b0\u1eddng h\u1ee3p \u0111\u1ea7u ti\u00ean v\u1ec1 \u0111\u1eb7t implant v\u00e0o \u1ed5 nh\u1ed5 r\u0103ng m\u1edbi trong m\u1ed9t bu\u1ed5i h\u1eb9n, l\u00e0m gi\u1ea3m s\u1ed1 bu\u1ed5i h\u1eb9n nha khoa, […]<\/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":"\n\u0110\u1eb7t Implant t\u1ee9c th\u00ec ngay sau nh\u1ed5 r\u0103ng - G\u00f3c nh\u00ecn \u0111\u00e1nh gi\u00e1.<\/title>\n<meta name=\"description\" content=\"C\u00f9ng t\u00ecm hi\u1ec3u v\u00e0 \u0111\u00e1nh gi\u00e1 chung \u0111\u1ed1i v\u1edbi k\u1ef9 thu\u1eadt \u0111\u1eb7t Implant t\u1ee9c th\u00ec sau nh\u1ed5 r\u0103ng, \u0111\u1ed3ng th\u1eddi ti\u1ebfn h\u00e0nh th\u1ea3o lu\u1eadn \u0111\u1ebfn nh\u1eefng l\u01b0u \u00fd c\u00f2n b\u1ecf ng\u1ecf.\" \/>\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=\"\u0110\u1eb7t Implant t\u1ee9c th\u00ec ngay sau nh\u1ed5 r\u0103ng - 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