{"id":32128,"date":"2023-05-06T05:38:09","date_gmt":"2023-05-05T22:38:09","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32128"},"modified":"2023-05-06T12:56:02","modified_gmt":"2023-05-06T05:56:02","slug":"ky-thuat-tai-tao-song-ham-ban-luan-chung","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/06\/ky-thuat-tai-tao-song-ham-ban-luan-chung\/","title":{"rendered":"K\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o s\u1ed1ng h\u00e0m – B\u00e0n lu\u1eadn chung."},"content":{"rendered":"

T\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR) l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt s\u1eed d\u1ee5ng m\u00e0ng ng\u0103n \u1edf ph\u00eda tr\u00ean \u0111\u1ec3 b\u1ea3o v\u1ec7 thi\u1ebfu h\u1ed3ng x\u01b0\u01a1ng kh\u1ecfi s\u1ef1 x\u00e2m l\u1ea5n c\u1ee7a c\u00e1c t\u1ebf b\u00e0o m\u00f4 m\u1ec1m \u0111\u1ed3ng th\u1eddi h\u1ed7 tr\u1ee3 t\u1ea1o x\u01b0\u01a1ng m\u1edbi. Kh\u00e1i ni\u1ec7m GBR xu\u1ea5t ph\u00e1t t\u1eeb vi\u1ec7c \u1ee9ng d\u1ee5ng c\u00e1c nguy\u00ean t\u1eafc c\u1ee7a t\u00e1i t\u1ea1o m\u00f4 c\u00f3 h\u01b0\u1edbng d\u1eabn (GTR), trong \u0111\u00f3 nh\u1eefng thi\u1ebfu h\u1ed3ng x\u01b0\u01a1ng theo chi\u1ec1u d\u1ecdc \u1edf r\u0103ng th\u1eadt \u0111\u01b0\u1ee3c t\u00e1i t\u1ea1o b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u00e0ng ng\u0103n gi\u00fap lo\u1ea1i tr\u1eeb s\u1ef1 x\u00e2m l\u1ea5n c\u1ee7a bi\u1ec3u m\u00f4 v\u00e0 m\u00f4 li\u00ean k\u1ebft n\u01b0\u1edbu \u0111\u1ed3ng th\u1eddi cho ph\u00e9p c\u00e1c t\u1ebf b\u00e0o t\u1eeb d\u00e2y ch\u1eb1ng nha chu t\u00e1i t\u0103ng tr\u01b0\u1edfng tr\u00ean b\u1ec1 m\u1eb7t ch\u00e2n r\u0103ng. C\u00f9ng b\u00e0n lu\u1eadn v\u1ec1 k\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o n\u00e0y trong tr\u01b0\u1eddng h\u1ee3p thi\u1ebfu h\u1ee5t x\u01b0\u01a1ng ph\u1eabu thu\u1eadt Implant.<\/strong><\/p>\n

\"ky-thuat-tai-tao\"<\/p>\n

1. T\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn – Gi\u1ea3i ph\u00e1p \u0111\u1ed1i v\u1edbi thi\u1ebfu h\u1ee5t x\u01b0\u01a1ng trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt Implant<\/h2>\n

M\u1ed9t s\u1ed1 k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u1eb1m kh\u1eafc ph\u1ee5c s\u1ef1 bi\u1ebfn d\u1ea1ng s\u1ed1ng h\u00e0m v\u00e0 t\u1ea1o ra \u0111\u1ee7 x\u01b0\u01a1ng \u0111\u1ec3 \u0111\u1eb7t implant. T\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR) l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt s\u1eed d\u1ee5ng m\u00e0ng ng\u0103n \u1edf ph\u00eda tr\u00ean \u0111\u1ec3 b\u1ea3o v\u1ec7 thi\u1ebfu h\u1ed3ng x\u01b0\u01a1ng kh\u1ecfi s\u1ef1 x\u00e2m l\u1ea5n c\u1ee7a c\u00e1c t\u1ebf b\u00e0o m\u00f4 m\u1ec1m \u0111\u1ed3ng th\u1eddi h\u1ed7 tr\u1ee3 t\u1ea1o x\u01b0\u01a1ng m\u1edbi.<\/p>\n

Kh\u00e1i ni\u1ec7m GBR xu\u1ea5t ph\u00e1t t\u1eeb vi\u1ec7c \u1ee9ng d\u1ee5ng c\u00e1c nguy\u00ean t\u1eafc c\u1ee7a t\u00e1i t\u1ea1o m\u00f4 c\u00f3 h\u01b0\u1edbng d\u1eabn (GTR), trong \u0111\u00f3 nh\u1eefng thi\u1ebfu h\u1ed3ng x\u01b0\u01a1ng theo chi\u1ec1u d\u1ecdc \u1edf r\u0103ng th\u1eadt \u0111\u01b0\u1ee3c t\u00e1i t\u1ea1o b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u00e0ng ng\u0103n gi\u00fap lo\u1ea1i tr\u1eeb s\u1ef1 x\u00e2m l\u1ea5n c\u1ee7a bi\u1ec3u m\u00f4 v\u00e0 m\u00f4 li\u00ean k\u1ebft n\u01b0\u1edbu \u0111\u1ed3ng th\u1eddi cho ph\u00e9p c\u00e1c t\u1ebf b\u00e0o t\u1eeb d\u00e2y ch\u1eb1ng nha chu t\u00e1i t\u0103ng tr\u01b0\u1edfng tr\u00ean b\u1ec1 m\u1eb7t ch\u00e2n r\u0103ng. T\u1eeb kh\u00e1i ni\u1ec7m n\u00e0y, Dahlin v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 nghi\u00ean c\u1ee9u s\u1ef1 t\u00e1i t\u1ea1o x\u01b0\u01a1ng trong m\u1ed9t m\u00f4 h\u00ecnh \u0111\u1ed9ng v\u1eadt s\u1eed d\u1ee5ng m\u00e0ng polytetrafluoroethylene m\u1edf r\u1ed9ng (ePTFE). B\u1eb1ng c\u00e1ch n\u00e0y, m\u1ed9t kh\u00f4ng gian ri\u00eang \u0111\u00e3 \u0111\u01b0\u1ee3c t\u1ea1o ra gi\u1eefa m\u1eb7t trong c\u1ee7a m\u00e0ng v\u1edbi thi\u1ebfu h\u1ed3ng x\u01b0\u01a1ng, t\u1eeb \u0111\u00f3 ng\u0103n m\u00f4 li\u00ean k\u1ebft kh\u00f4ng t\u1ea1o x\u01b0\u01a1ng n\u1eb1m ngo\u00e0i x\u01b0\u01a1ng t\u0103ng sinh v\u00e0o b\u00ean trong thi\u1ebfu h\u1ed5ng.<\/p>\n

2. \u1ee8ng d\u1ee5ng v\u00e0 v\u1eadt li\u1ec7u s\u1eed d\u1ee5ng<\/h2>\n

Ba \u1ee9ng d\u1ee5ng ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a GBR l\u00e0:<\/p>\n

    \n
  1. T\u0103ng s\u1ed1ng h\u00e0m, sau \u0111\u00f3 \u0111\u1eb7t implant;<\/li>\n
  2. K\u1ebft h\u1ee3p v\u1edbi \u0111\u1eb7t implant;<\/li>\n
  3. Kh\u1eafc ph\u1ee5c v\u1ecb tr\u00ed \u0111\u00e3 c\u1ea5y gh\u00e9p nh\u01b0ng b\u1ecb thi\u1ebfu h\u1ed3ng x\u01b0\u01a1ng quanh implant.<\/li>\n<\/ol>\n

    Wang v\u00e0 Boyapati [8] \u0111\u00e3 nh\u1ea5n m\u1ea1nh 4 nguy\u00ean t\u1eafc ch\u00ednh c\u1ee7a GBR th\u00e0nh c\u00f4ng, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 PASS:<\/p>\n

      \n
    1. Primary wound closure \u2013 \u0111\u00f3ng k\u00edn v\u1ebft th\u01b0\u01a1ng ban \u0111\u00e2u;<\/li>\n
    2. Angiogenesis – s\u1ef1 t\u1ea1o m\u1ea1ch;<\/li>\n
    3. Space creation\/maintenance \u2013 t\u1ea1o\/ duy tr\u00ec kho\u1ea3ng<\/li>\n
    4. Stability of initial blood clot and implant fixture – s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u1ee7a c\u1ee5c m\u00e1u \u0111\u00f4ng ban \u0111\u1ea7u v\u00e0 tr\u1ee5 implant.<\/li>\n<\/ol>\n

      V\u1eadt li\u1ec7u ch\u00ednh c\u1ee7a GBR l\u00e0 m\u00e0ng ng\u0103n. N\u00f3 \u0111\u01b0\u1ee3c chia th\u00e0nh m\u00e0ng ti\u00eau v\u00e0 m\u00e0ng kh\u00f4ng ti\u00eau.<\/p>\n

        \n
      • M\u00e0ng ti\u00eau:\n
          \n
        • T\u1ef1 nhi\u00ean \u2013 collagen l\u1ee3n ho\u1eb7c b\u00f2;<\/li>\n
        • T\u1ed5ng h\u1ee3p \u2013 polylactic acid, copolymer c\u1ee7a polylactic acid ho\u1eb7c polyglycolic acid.<\/li>\n<\/ul>\n<\/li>\n
        • M\u00e0ng kh\u00f4ng ti\u00eau \u2013 polytetrafluoroethylene (PTFE), ePTFE, ho\u1eb7c l\u01b0\u1edbi titanium.<\/li>\n<\/ul>\n

          Nh\u1eefng v\u1eadt li\u1ec7u kh\u00e1c c\u1ee7a GBR l\u00e0 c\u00e1c t\u00e1c nh\u00e2n v\u00e0 v\u1eadt li\u1ec7u sinh h\u1ecdc \u0111\u01b0\u1ee3c \u0111\u1eb7t b\u00ean d\u01b0\u1edbi m\u00e0ng \u0111\u1ec3 duy tr\u00ec kh\u00f4ng gian s\u1ebd t\u00e1i t\u1ea1o. Ch\u00fang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng m\u1ed9t m\u00ecnh ho\u1eb7c k\u1ebft h\u1ee3p v\u1edbi nhau. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 nh\u1eefng v\u1eadt li\u1ec7u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i nh\u1ea5t.<\/p>\n

            \n
          • X\u01b0\u01a1ng gh\u00e9p t\u1ef1 th\u00e2n \u0111\u01b0\u1ee3c l\u1ea5y t\u1eeb nh\u1eefng v\u1ecb tr\u00ed kh\u00e1c c\u1ee7a ch\u00ednh b\u1ec7nh nh\u00e2n.<\/li>\n
          • X\u01b0\u01a1ng gh\u00e9p \u0111\u1ed3ng lo\u1ea1i \u0111\u01b0\u1ee3c l\u1ea5y t\u1eeb t\u1eed thi. X\u01b0\u01a1ng gh\u00e9p \u0111\u1ed3ng lo\u1ea1i \u0111\u00f4ng kh\u00f4 kh\u1eed kho\u00e1ng (DFDBA) ho\u1eb7c x\u01b0\u01a1ng gh\u00e9p \u0111\u1ed3ng lo\u1ea1i \u0111\u00f4ng kh\u00f4 (FDBA) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i nh\u1ea5t.<\/li>\n<\/ul>\n

            C\u1ea3 hai \u0111\u1ec1u b\u1ecb h\u1ea5p thu; s\u1ef1 kh\u00e1c bi\u1ec7t duy nh\u1ea5t l\u00e0 t\u1ed1c \u0111\u1ed9 h\u1ea5p thu. Trong khi x\u01b0\u01a1ng gh\u00e9p \u0111\u1ed3ng lo\u1ea1i \u0111\u00f4ng kh\u00f4 kh\u1eed kho\u00e1ng DFDBA c\u00f3 th\u1ec3 b\u1ecb h\u1ea5p thu trong m\u1ed9t v\u00e0i th\u00e1ng th\u00ec x\u01b0\u01a1ng gh\u00e9p \u0111\u1ed3ng lo\u1ea1i \u0111\u00f4ng kh\u00f4 FDBA b\u1ecb h\u1ea5p thu ch\u1eadm h\u01a1n, v\u00e0 do \u0111\u00f3 s\u1ebd duy tr\u00ec kho\u1ea3ng trong th\u1eddi gian l\u00e2u h\u01a1n.<\/p>\n

              \n
            • X\u01b0\u01a1ng gh\u00e9p d\u1ecb lo\u1ea1i c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb c\u00e1c lo\u00e0i kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 b\u00f2 ho\u1eb7c ng\u1ef1a. X\u01b0\u01a1ng b\u00f2 l\u00e0 ngu\u1ed3n th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u1ea5t, b\u1edfi v\u00ec th\u00e0nh ph\u1ea7n h\u1eefu c\u01a1 c\u1ee7a n\u00f3 s\u1ebd \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf. T\u1ed1c \u0111\u1ed9 h\u1ea5p thu c\u1ee7a n\u00f3 ch\u1eadm h\u01a1n x\u01b0\u01a1ng gh\u00e9p \u0111\u1ed3ng lo\u1ea1i, v\u00e0 trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, n\u00f3 kh\u00f4ng b\u1ecb h\u1ea5p thu.<\/li>\n
            • V\u1eadt li\u1ec7u gh\u00e9p t\u1ed5ng h\u1ee3p l\u00e0 x\u01b0\u01a1ng t\u1ed5ng h\u1ee3p g\u1ed3m th\u1ee7y tinh ho\u1ea1t t\u00ednh sinh h\u1ecdc v\u00e0 calcium phosphate.<\/li>\n<\/ul>\n

              3. T\u1ed5ng k\u1ebft l\u1ea1i v\u1ec1 qu\u00e1 tr\u00ecnh t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn<\/h2>\n

              T\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR) l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt quan tr\u1ecdng v\u00e0 ph\u1ee9c t\u1ea1p, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u01b0\u1edbc ho\u1eb7c trong ph\u1eabu thu\u1eadt \u0111\u1eb7t implant. M\u1ed7i b\u00e1c s\u0129 l\u00e2m s\u00e0ng n\u00ean l\u1ef1a ch\u1ecdn v\u1eadt li\u1ec7u ho\u1eb7c k\u1ef9 thu\u1eadt theo s\u1edf th\u00edch v\u00e0 kinh nghi\u1ec7m c\u1ee7a m\u00ecnh c\u0169ng nh\u01b0 nhu c\u1ea7u c\u1ee7a b\u1ec7nh nh\u00e2n. V\u00ec v\u1eady, kh\u00f4ng c\u00f3 con \u0111\u01b0\u1eddng duy nh\u1ea5t d\u1eabn \u0111\u1ebfn k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng th\u00e0nh c\u00f4ng. B\u01b0\u1edbc quan tr\u1ecdng nh\u1ea5t trong GBR l\u00e0 ch\u1ea9n \u0111o\u00e1n t\u00ecnh tr\u1ea1ng ban \u0111\u1ea7u v\u00e0 d\u1ef1 \u0111o\u00e1n k\u1ebft qu\u1ea3 implant cu\u1ed1i c\u00f9ng.<\/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. Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol 1999;4(1):1-6.<\/em>
              \n2. Zitzmann NU, Berglundh T. Definition and prevalence of peri-implant diseases. J Clin Periodontol 2008;35(8 Suppl):286-291.<\/em>
              \n3. Esposito M, Grusovin MG, Felice P, et al. Interventions for replacing missing teeth: horizontal and vertical bone augmentation techniques for dental implant treatment. Cochrane Database Syst Rev 2009;(4):CD003607.<\/em>
              \n4. Gottlow J, Nyman S, Karring T, Lindhe J. New attachment formation as the result of controlled tissue regeneration. J Clin Periodontol 1984;11(8):494-503.<\/em>
              \n5. Dahlin C, Linde A, Gottlow J, Nyman S. Healing of bone defects by guided tissue regeneration. Plast Reconstr Surg 1988;81(5):672-676.<\/em>
              \n6. Seibert J, Nyman S. Localized ridge augmentation in dogs: a pilot study using membranes and hydroxyapatite. J Periodontol 1990;61(3):157-165.<\/em>
              \n7. Buser D, Br\u00e4gger U, Lang NP, Nyman S. Regeneration and enlargement of jaw bone using guided tissue regeneration. Clin Oral Implants Res 1990;1(1):22-32.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

              T\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR) l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt s\u1eed d\u1ee5ng m\u00e0ng ng\u0103n \u1edf ph\u00eda tr\u00ean \u0111\u1ec3 b\u1ea3o v\u1ec7 thi\u1ebfu h\u1ed3ng x\u01b0\u01a1ng kh\u1ecfi s\u1ef1 x\u00e2m l\u1ea5n c\u1ee7a c\u00e1c t\u1ebf b\u00e0o m\u00f4 m\u1ec1m \u0111\u1ed3ng th\u1eddi h\u1ed7 tr\u1ee3 t\u1ea1o x\u01b0\u01a1ng m\u1edbi. Kh\u00e1i ni\u1ec7m GBR xu\u1ea5t ph\u00e1t t\u1eeb vi\u1ec7c \u1ee9ng d\u1ee5ng c\u00e1c nguy\u00ean t\u1eafc c\u1ee7a t\u00e1i […]<\/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":"\nK\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o s\u1ed1ng h\u00e0m - B\u00e0n lu\u1eadn chung. - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00f9ng b\u00e0n lu\u1eadn v\u1ec1 k\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn n\u00e0y trong tr\u01b0\u1eddng h\u1ee3p thi\u1ebfu h\u1ee5t x\u01b0\u01a1ng ph\u1eabu thu\u1eadt Implant.\" \/>\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=\"K\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o s\u1ed1ng h\u00e0m - 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