{"id":32131,"date":"2023-05-06T06:12:03","date_gmt":"2023-05-05T23:12:03","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32131"},"modified":"2023-05-06T12:54:17","modified_gmt":"2023-05-06T05:54:17","slug":"tang-song-ham-theo-chieu-ngang-ban-luan-van-de","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/06\/tang-song-ham-theo-chieu-ngang-ban-luan-van-de\/","title":{"rendered":"T\u0103ng s\u1ed1ng h\u00e0m theo chi\u1ec1u ngang – B\u00e0n lu\u1eadn v\u1ea5n \u0111\u1ec1."},"content":{"rendered":"

Ti\u00eau x\u01b0\u01a1ng theo chi\u1ec1u ngo\u00e0i-trong l\u00e0 m\u1ed9t trong nh\u1eefng di ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p sau nh\u1ed5 r\u0103ng. M\u1ee9c \u0111\u1ed9 ti\u00eau x\u01b0\u01a1ng c\u00f3 th\u1ec3 n\u1eb7ng n\u1ec1 h\u01a1n trong tr\u01b0\u1eddng h\u1ee3p sau khi nh\u1ed5 r\u0103ng b\u1ecb b\u1ec7nh nha chu ti\u1ebfn tri\u1ec3n ho\u1eb7c c\u00f3 t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p. Thi\u1ebfu h\u1ed5ng nghi\u00eam tr\u1ecdng n\u00e0y s\u1ebd d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng trong qu\u00e1 tr\u00ecnh \u0111\u1eb7t implant, ch\u1eb3ng h\u1ea1n nh\u01b0 kh\u00f4ng th\u1ec3 \u0111\u1eb7t implant v\u00e0o v\u1ecb tr\u00ed l\u00fd t\u01b0\u1edfng ho\u1eb7c l\u1ed9 ren. T\u0103ng s\u1ed1ng h\u00e0m theo chi\u1ec1u ngang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u1ea1o ra m\u00f4 c\u1ee9ng ph\u00eda tr\u00ean s\u1ed1ng h\u00e0m c\u00f2n l\u1ea1i theo chi\u1ec1u ngo\u00e0i-trong nh\u1eb1m kh\u1eafc ph\u1ee5c t\u00ecnh tr\u1ea1ng tr\u00ean. C\u00f9ng t\u00ecm hi\u1ec3u v\u00e0 b\u00e0n lu\u1eadn v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/strong><\/p>\n

1. Th\u1eddi \u0111i\u1ec3m th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt t\u0103ng s\u1ed1ng h\u00e0m theo chi\u1ec1u ngang?<\/h2>\n

Ti\u00eau x\u01b0\u01a1ng theo chi\u1ec1u ngo\u00e0i-trong l\u00e0 m\u1ed9t trong nh\u1eefng di ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p sau nh\u1ed5 r\u0103ng. M\u1ee9c \u0111\u1ed9 ti\u00eau x\u01b0\u01a1ng c\u00f3 th\u1ec3 n\u1eb7ng n\u1ec1 h\u01a1n trong tr\u01b0\u1eddng h\u1ee3p sau khi nh\u1ed5 r\u0103ng b\u1ecb b\u1ec7nh nha chu ti\u1ebfn tri\u1ec3n ho\u1eb7c c\u00f3 t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p. Thi\u1ebfu h\u1ed5ng nghi\u00eam tr\u1ecdng n\u00e0y s\u1ebd d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng trong qu\u00e1 tr\u00ecnh \u0111\u1eb7t implant, ch\u1eb3ng h\u1ea1n nh\u01b0 kh\u00f4ng th\u1ec3 \u0111\u1eb7t implant v\u00e0o v\u1ecb tr\u00ed l\u00fd t\u01b0\u1edfng ho\u1eb7c l\u1ed9 ren. T\u0103ng s\u1ed1ng h\u00e0m theo chi\u1ec1u ngang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u1ea1o ra m\u00f4 c\u1ee9ng ph\u00eda tr\u00ean s\u1ed1ng h\u00e0m c\u00f2n l\u1ea1i theo chi\u1ec1u ngo\u00e0i-trong nh\u1eb1m kh\u1eafc ph\u1ee5c t\u00ecnh tr\u1ea1ng tr\u00ean. T\u0103ng s\u1ed1ng h\u00e0m theo chi\u1ec1u ngang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u01b0\u1edbc khi \u0111\u1eb7t implant nh\u01b0 m\u1ed9t ph\u1eabu thu\u1eadt ri\u00eang ho\u1eb7c t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111\u1eb7t implant.<\/p>\n

2. T\u1ed5ng quan k\u1ef9 thu\u1eadt v\u00e0 so s\u00e1nh<\/h2>\n
    \n
  • X\u01b0\u01a1ng gh\u00e9p h\u1ea1t c\u00f3\/kh\u00f4ng c\u00f3 y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng k\u1ebft h\u1ee3p m\u00e0ng ng\u0103n (H\u00ecnh d\u01b0\u1edbi \u0111\u00e2y).<\/li>\n<\/ul>\n
    \"tang-song-ham-theo\"
    T\u00e1i t\u1ea1o x\u01b0\u01a1ng c\u00f3 h\u01b0\u1edbng d\u1eabn (GBR): (A) r\u1ea1ch; (B) h\u00ecnh d\u1ea1ng c\u1ee7a thi\u1ebfu h\u1ed3ng; (C, D) khoan x\u01b0\u01a1ng v\u1ecf \u1edf m\u00e0o x\u01b0\u01a1ng; (E) x\u01b0\u01a1ng gh\u00e9p d\u1ecb lo\u1ea1i k\u1ebft h\u1ee3p v\u1edbi m\u00e0ng ti\u00eau collagen t\u1ea1i thi\u1ebfu h\u1ed3ng; (F) kh\u00e2u.
    Sau giai \u0111o\u1ea1n \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt t\u0103ng s\u1ed1ng h\u00e0m theo chi\u1ec1u ngang. \u0110\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng cho th\u1ea5y v\u00f9ng m\u1ea5t r\u0103ng b\u1ecb thi\u1ebfu h\u1ed3ng chi\u1ec1u ngang tr\u1ea7m tr\u1ecdng v\u00e0 thi\u1ebfu h\u1ed3ng nh\u1eb9 theo chi\u1ec1u d\u1ecdc (lo\u1ea1i III Seibert). Kh\u00f4ng \u0111\u1ee7 chi\u1ec1u r\u1ed9ng ngo\u00e0i-trong \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o \u0111\u1eb7t implant l\u00fd t\u01b0\u1edfng. Sau khi g\u00e2y t\u00ea t\u1ea1i ch\u1ed7 v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt b\u1eb1ng thu\u1ed1c t\u00ea (Marcaine\u00ae 0.5% v\u00e0 Septocaine\u00ae 4%), t\u1ea1o \u0111\u01b0\u1eddng r\u1ea1ch gi\u1eefa m\u00e0o x\u01b0\u01a1ng \u1edf v\u00f9ng m\u1ea5t r\u0103ng #44 – #46, k\u00e9o d\u00e0i sang hai r\u0103ng k\u1ebf c\u1eadn #43 v\u00e0 #47 (H\u00ecnh A). L\u1eadt v\u1ea1t ni\u00eam m\u1ea1c m\u00e0ng x\u01b0\u01a1ng ph\u00eda ngo\u00e0i v\u00e0 ph\u00eda trong, v\u01b0\u1ee3t qua \u0111\u01b0\u1eddng n\u1ed1i ni\u00eam m\u1ea1c-n\u01b0\u1edbu. Ch\u00fang t\u00f4i quan s\u00e1t th\u1ea5y m\u1ed9t l\u00f5m l\u1edbn \u1edf m\u1eb7t ngo\u00e0i r\u1eb1ng #44 v\u00e0 #45 (H\u00ecnh B). M\u00e0o x\u01b0\u01a1ng \u0111\u01b0\u1ee3c khoan x\u01b0\u01a1ng v\u1ecf b\u1eb1ng m\u0169i carbide tr\u00f2n #1\/2 \u0111\u1ec3 cho ph\u00e9p t\u1ebf b\u00e0o \u0111i v\u00e0o gi\u00e1 th\u1ec3 x\u01b0\u01a1ng gh\u00e9p (H\u00ecnh C v\u00e0 D). T\u1ea1o c\u1eeda s\u1ed5 m\u00e0ng x\u01b0\u01a1ng \u1edf v\u1ea1t m\u1eb7t ngo\u00e0i \u0111\u1ec3 cho ph\u00e9p v\u1ea1t \u0111\u1ee7 di \u0111\u1ed9ng v\u00e0 \u0111\u00f3ng k\u00edn ban \u0111\u1ea7u m\u00e0 kh\u00f4ng g\u00e2y c\u0103ng. \u0110\u1eb7t m\u00e0ng ti\u00eau collagen (RCM6 \u2013 ACE\u00ae) 30 mm x 40 mm l\u00ean thi\u1ebfu h\u1ed5ng, ph\u1ee7 ngo\u00e0i thi\u1ebfu h\u1ed3ng \u00edt nh\u1ea5t 3 mm theo m\u1ecdi h\u01b0\u1edbng (H\u00ecnh E). X\u01b0\u01a1ng gh\u00e9p d\u1ecb lo\u1ea1i c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb b\u00f2 (Bio-Oss\u00ae) \u0111\u01b0\u1ee3c h\u00f2a v\u1edbi n\u01b0\u1edbc mu\u1ed1i v\u00f4 tr\u00f9ng v\u00e0 nh\u1ed3i v\u00e0o thi\u1ebfu h\u1ed5ng (H\u00ecnh E). \u0110\u1eb7t m\u00e0ng ti\u00eau l\u00ean x\u01b0\u01a1ng gh\u00e9p. V\u1ea1t \u0111\u01b0\u1ee3c t\u00e1i \u0111\u1ecbnh v\u1ecb ph\u00eda tr\u00ean m\u00e0ng, v\u00e0 kh\u00e2u m\u0169i r\u1eddi \u0111\u01a1n b\u1eb1ng ch\u1ec9 Vicryl 5\/O (H\u00ecnh F). \u0110i\u1ec1u n\u00e0y gi\u00fap \u0111\u00f3ng k\u00edn v\u1ea1t ban \u0111\u1ea7u. Cho b\u1ec7nh nh\u00e2n ch\u01b0\u1eddm \u0111\u00e1 sau ph\u1eabu thu\u1eadt.<\/figcaption><\/figure>\n
      \n
    • X\u01b0\u01a1ng kh\u1ed1i t\u1ef1 th\u00e2n (v\u00ed d\u1ee5, c\u1eb1m, c\u00e0nh \u0111\u1ee9ng) c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 m\u00e0ng.<\/li>\n
    • X\u01b0\u01a1ng kh\u1ed1i \u0111\u1ed3ng lo\u1ea1i (x\u01b0\u01a1ng \u0111\u00f4ng kh\u00f4) c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 m\u00e0ng.<\/li>\n
    • K\u1ef9 thu\u1eadt chia s\u1ed1ng h\u00e0m.<\/li>\n<\/ul>\n

      S\u1ef1 kh\u00e1c nhau gi\u1eefa v\u1eadt li\u1ec7u x\u01b0\u01a1ng gh\u00e9p t\u1ea1o x\u01b0\u01a1ng, d\u1eabn x\u01b0\u01a1ng, v\u00e0 c\u1ea3m \u1ee9ng x\u01b0\u01a1ng:<\/strong><\/p>\n

        \n
      • \u0110\u1ed1i v\u1edbi v\u1eadt li\u1ec7u t\u1ea1o x\u01b0\u01a1ng: m\u00f4 “gh\u00e9p t\u1ef1 th\u00e2n s\u1ed1ng” ho\u1eb7c ch\u1ea5t c\u00f3 ti\u1ec1m n\u0103ng k\u00edch th\u00edch s\u1ef1 t\u0103ng tr\u01b0\u1edfng hay s\u1eeda ch\u1eefa x\u01b0\u01a1ng.<\/li>\n
      • V\u1eadt li\u1ec7u d\u1eabn x\u01b0\u01a1ng: v\u1eadt li\u1ec7u gh\u00e9p cung c\u1ea5p khung cho t\u1ebf b\u00e0o di c\u01b0 (v\u00ed d\u1ee5, FDBA).<\/li>\n
      • V\u1eadt li\u1ec7u c\u1ea3m \u1ee9ng x\u01b0\u01a1ng: k\u00edch th\u00edch s\u1ef1 t\u1ea1o x\u01b0\u01a1ng trong m\u00f4 xung quanh nh\u1edd s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a v\u1eadt li\u1ec7u gh\u00e9p c\u00f3 kh\u1ea3 n\u0103ng “k\u00edch t\u1ea1o m\u00f4” \u2013 th\u01b0\u1eddng c\u00f3 y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng (v\u00ed d\u1ee5, khung x\u01b0\u01a1ng kh\u1eed kho\u00e1ng).<\/li>\n<\/ul>\n

        Gh\u00e9p x\u01b0\u01a1ng v\u00e0 m\u00e0ng sinh h\u1ecdc<\/strong><\/p>\n

        M\u00e0ng c\u00f3 t\u00e1c d\u1ee5ng nh\u01b0 h\u00e0ng r\u00e0o v\u1eadt l\u00fd khi \u0111\u1eb7t tr\u00ean x\u01b0\u01a1ng gh\u00e9p, ng\u0103n ng\u1eeba s\u1ef1 x\u00e2m l\u1ea5n c\u1ee7a c\u00e1c t\u1ebf b\u00e0o kh\u00f4ng t\u1ea1o x\u01b0\u01a1ng v\u00e0o kho\u1ea3ng kh\u00f4ng gian \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 b\u1edfi m\u00e0ng (H\u00ecnh E tr\u00ean).<\/p>\n

        M\u00e0ng c\u00f2n cho ph\u00e9p c\u00e1c t\u1ebf b\u00e0o t\u1ea1o x\u01b0\u01a1ng t\u0103ng tr\u01b0\u1edfng \u1edf b\u00ean trong. \u1ed4n \u0111\u1ecbnh mi\u1ebfng gh\u00e9p\/l\u00e0nh th\u01b0\u01a1ng th\u1ee9 ph\u00e1t. C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y m\u00e0ng kh\u00f4ng ti\u00eau ePTFE n\u00ean \u0111\u01b0\u1ee3c v\u00f9i ho\u00e0n to\u00e0n trong 6-9 th\u00e1ng \u0111\u1ec3 cho ph\u00e9p s\u1ef1 l\u00e0nh th\u01b0\u01a1ng v\u00e0 t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng b\u00ecnh th\u01b0\u1eddng.<\/p>\n

        \u0110\u1ed1i v\u1edbi gh\u00e9p x\u01b0\u01a1ng:<\/p>\n

          \n
        • X\u01b0\u01a1ng t\u1ef1 th\u00e2n: x\u01b0\u01a1ng \u0111\u01b0\u1ee3c l\u1ea5y t\u1eeb m\u1ed9t v\u00f9ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 c\u1ea5y v\u00e0o v\u00f9ng kh\u00e1c tr\u00ean c\u00f9ng b\u1ec7nh nh\u00e2n \u0111\u00f3.<\/li>\n
        • X\u01b0\u01a1ng \u0111\u1ed3ng lo\u1ea1i: x\u01b0\u01a1ng c\u00f9ng lo\u00e0i, kh\u00e1c c\u00e1 th\u1ec3. X\u01b0\u01a1ng t\u1eeb ng\u00e2n h\u00e0ng m\u00f4 (x\u01b0\u01a1ng c\u1ee7a t\u1eed thi).<\/li>\n
        • X\u01b0\u01a1ng d\u1ecb lo\u1ea1i: x\u01b0\u01a1ng t\u1eeb nh\u1eefng lo\u00e0i kh\u00e1c,<\/li>\n
        • X\u01b0\u01a1ng t\u1ed5ng h\u1ee3p: v\u1eadt li\u1ec7u t\u1ed5ng h\u1ee3p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0m v\u1eadt li\u1ec7u gh\u00e9p x\u01b0\u01a1ng.<\/li>\n<\/ul>\n

          3. Nguy c\u01a1 v\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a th\u1ee7 thu\u1eadt tr\u00ean b\u1ec7nh nh\u00e2n n\u00e0y<\/h2>\n
            \n
          • Ph\u00e1 h\u1ee7y v\u1ea1t. C\u1ea7n tr\u00e1nh l\u00e0m m\u1ecfng v\u1ea1t qu\u00e1 m\u1ee9c ho\u1eb7c t\u1ea1o \u0111\u01b0\u1eddng r\u1ea1ch m\u00e0ng x\u01b0\u01a1ng qu\u00e1 s\u00e2u. Ph\u00e1 h\u1ee7y v\u1eadt s\u1ebd d\u1eabn t\u1edbi l\u00e0nh th\u01b0\u01a1ng m\u00f4 m\u1ec1m kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7 v\u00e0 g\u00e2y t\u1ed5n h\u1ea1i \u0111\u1ebfn s\u1ef1 cung c\u1ea5p m\u1ea1ch m\u00e1u.<\/li>\n
          • C\u00e1c bi\u1ebfn ch\u1ee9ng m\u1ea1ch-th\u1ea7n kinh. V\u1ecb tr\u00ed c\u1ee7a c\u00e1c c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu quan tr\u1ecdng, ch\u1eb3ng h\u1ea1n nh\u01b0 th\u1ea7n kinh c\u1eb1m, th\u1ea7n kinh d\u01b0\u1edbi \u1ed5 m\u1eaft, th\u1ea7n kinh l\u01b0\u1ee1i, \u0111\u1ed9ng m\u1ea1ch d\u01b0\u1edbi l\u01b0\u1ee1i, v\u00e0 \u0111\u1ed9ng m\u1ea1ch h\u00e0m m\u00f3ng, ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 c\u1ea9n th\u1eadn tr\u01b0\u1edbc ph\u1eabu thu\u1eadt. C\u1ea7n th\u1eadn tr\u1ecdng trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt \u0111\u1ec3 kh\u00f4ng g\u00e2y ch\u1ea5n th\u01b0\u01a1ng tr\u1ef1c ti\u1ebfp cho nh\u1eefng c\u1ea5u tr\u00fac n\u00e0y.<\/li>\n
          • L\u1ed9 m\u00e0ng s\u1edbm v\u00e0o m\u00f4i tr\u01b0\u1eddng mi\u1ec7ng. B\u00e1c s\u0129 l\u00e2m s\u00e0ng n\u00ean ki\u1ec3m so\u00e1t t\u00ecnh hu\u1ed1ng l\u1ed9 m\u00e0ng b\u1eb1ng c\u00e1ch xem x\u00e9t m\u1ee9c \u0111\u1ed9 l\u1ed9 m\u00e0ng, c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 l\u1ed7 d\u00f2, v\u00e0 s\u1ef1 tu\u00e2n th\u1ee7 c\u1ee7a b\u1ec7nh nh\u00e2n v\u1ec1 ch\u1ebf \u0111\u1ed9 v\u1ec7 sinh nghi\u00eam ng\u1eb7t. B\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c t\u00e1i kh\u00e1m h\u00e0ng tu\u1ea7n v\u00e0 h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng chlorhexidine. C\u00f3 th\u1ec3 ph\u1ea3i l\u1ea5y m\u00e0ng ra n\u1ebfu m\u1ee9c \u0111\u1ed9 l\u1ed9 m\u00e0ng ti\u1ebfp t\u1ee5c t\u0103ng l\u00ean.<\/li>\n
          • Nhi\u1ec5m tr\u00f9ng v\u1eadt li\u1ec7u gh\u00e9p ho\u1eb7c v\u1ebft th\u01b0\u01a1ng ph\u1eabu thu\u1eadt. C\u00e1c y\u1ebfu t\u1ed1 b\u1ec7nh nh\u00e2n, ch\u1eb3ng h\u1ea1n nh\u01b0 b\u1ec7nh l\u00fd to\u00e0n th\u00e2n v\u00e0 h\u00fat thu\u1ed1c l\u00e1, ho\u1eb7c c\u00e1c y\u1ebfu t\u1ed1 li\u00ean quan \u0111\u1ebfn k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt, c\u00f3 th\u1ec3 khi\u1ebfn b\u1ec7nh nh\u00e2n b\u1ecb nhi\u1ec5m tr\u00f9ng sau ph\u1eabu thu\u1eadt. B\u1ec7nh nh\u00e2n n\u00ean u\u1ed1ng kh\u00e1ng sinh v\u00e0 s\u00fac mi\u1ec7ng v\u1edbi chlorhexidine 0.12% sau ph\u1eabu thu\u1eadt.<\/li>\n
          • M\u1ea5t x\u01b0\u01a1ng gh\u00e9p s\u1edbm. M\u1ea5t t\u00edch h\u1ee3p v\u1eadt li\u1ec7u gh\u00e9p s\u1edbm c\u00f3 th\u1ec3 x\u1ea3y ra sau khi m\u00e0ng b\u1ecb l\u1ed9 s\u1edbm.<\/li>\n<\/ul>\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":"

            Ti\u00eau x\u01b0\u01a1ng theo chi\u1ec1u ngo\u00e0i-trong l\u00e0 m\u1ed9t trong nh\u1eefng di ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p sau nh\u1ed5 r\u0103ng. M\u1ee9c \u0111\u1ed9 ti\u00eau x\u01b0\u01a1ng c\u00f3 th\u1ec3 n\u1eb7ng n\u1ec1 h\u01a1n trong tr\u01b0\u1eddng h\u1ee3p sau khi nh\u1ed5 r\u0103ng b\u1ecb b\u1ec7nh nha chu ti\u1ebfn tri\u1ec3n ho\u1eb7c c\u00f3 t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p. Thi\u1ebfu h\u1ed5ng nghi\u00eam tr\u1ecdng n\u00e0y s\u1ebd d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng […]<\/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":"\nT\u0103ng s\u1ed1ng h\u00e0m theo chi\u1ec1u ngang - B\u00e0n lu\u1eadn v\u1ea5n \u0111\u1ec1. - Vinmec<\/title>\n<meta name=\"description\" content=\"Ti\u00eau x\u01b0\u01a1ng theo chi\u1ec1u ngo\u00e0i-trong l\u00e0 di ch\u1ee9ng hay g\u1eb7p sau nh\u1ed5 r\u0103ng. 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