{"id":32153,"date":"2023-05-06T08:01:10","date_gmt":"2023-05-06T01:01:10","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32153"},"modified":"2023-05-06T12:48:57","modified_gmt":"2023-05-06T05:48:57","slug":"implant-tuc-thi-o-vung-tham-my-nhung-yeu-cau-va-luu-y","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/06\/implant-tuc-thi-o-vung-tham-my-nhung-yeu-cau-va-luu-y\/","title":{"rendered":"Implant t\u1ee9c th\u00ec \u1edf v\u00f9ng th\u1ea9m m\u1ef9 – Nh\u1eefng y\u00eau c\u1ea7u v\u00e0 l\u01b0u \u00fd."},"content":{"rendered":"

\u0110\u1eb7t implant t\u1ee9c th\u00ec cho m\u1ed9t r\u0103ng \u1edf v\u00f9ng th\u1ea9m m\u1ef9 b\u1eaft \u0111\u1ea7u \u0111\u01b0\u1ee3c \u1ee7ng h\u1ed9 t\u1eeb gi\u1eefa nh\u1eefng n\u0103m 1990, v\u00e0 k\u1ec3 t\u1eeb \u0111\u00f3 \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb ti\u00ean l\u01b0\u1ee3ng \u0111\u1ec3 thay th\u1ebf r\u0103ng b\u1ecb m\u1ea5t. Ngo\u00e0i vi\u1ec7c gi\u1ea3m th\u1eddi gian \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111em l\u1ea1i s\u1ef1 thu\u1eadn ti\u1ec7n cho b\u1ec7nh nh\u00e2n, \u0111\u1eb7t implant t\u1ee9c th\u00ec c\u00f2n \u0111\u01b0\u1ee3c ghi nh\u1eadn l\u00e0 c\u00f3 t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng cao n\u1ebfu tu\u00e2n th\u1ee7 \u0111\u00fang c\u00e1c h\u01b0\u1edbng d\u1eabn l\u00e2m s\u00e0ng. C\u00f9ng t\u00ecm hi\u1ec3u nh\u1eefng y\u00eau c\u1ea7u v\u1ec1 Xquang v\u00e0 l\u01b0u \u00fd \u0111\u1ed1i v\u1edbi d\u1ea1ng Implant \u0111\u1eb7c bi\u1ec7t n\u00e0y.<\/strong><\/p>\n

\"implant-tuc-thi-1\"<\/p>\n

1. Nh\u1eefng y\u00eau c\u1ea7u v\u1ec1 Xquang \u0111\u1ed1i v\u1edbi Implant t\u1ee9c th\u00ec<\/h2>\n

\u0110\u1ec3 \u0111\u1ea3m b\u1ea3o \u0111\u1eb7t implant t\u1ee9c th\u00ec th\u00e0nh c\u00f4ng, ngo\u00e0i s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a \u1ed5 x\u01b0\u01a1ng nguy\u00ean v\u1eb9n sau nh\u1ed5 r\u0103ng v\u00e0 kh\u00f4ng c\u00f3 nhi\u1ec5m tr\u00f9ng ho\u1ea1t \u0111\u1ed9ng, th\u00ec ph\u1ea3i \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh implant s\u01a1 kh\u1edfi b\u1eb1ng c\u00e1ch kh\u1edbp implant v\u1edbi v\u00e1ch x\u01b0\u01a1ng trong v\u00e0 v\u01b0\u1ee3t qua ch\u00f3p r\u0103ng kho\u1ea3ng 4-5 mm [1]. Kh\u00f4ng may l\u00e0 kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng \u0111\u1ee7 x\u01b0\u01a1ng xung quanh r\u0103ng b\u1ecb m\u1ea5t \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh implant s\u01a1 kh\u1edfi, n\u00ean c\u00e1c ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb thay th\u1ebf ph\u1ea3i \u0111\u01b0\u1ee3c xem x\u00e9t. Nh\u1eefng y\u1ebfu t\u1ed1 nh\u01b0 chi\u1ec1u d\u00e0i ch\u00e2n r\u0103ng, v\u1ecb tr\u00ed ch\u00e2n r\u0103ng trong m\u1eb7t ph\u1eb3ng \u0111\u1ee9ng d\u1ecdc, v\u00e0 h\u00ecnh th\u00e1i c\u1ee7a h\u1ed1c x\u01b0\u01a1ng l\u00e0 r\u1ea5t quan tr\u1ecdng cho vi\u1ec7c x\u00e1c \u0111\u1ecbnh t\u00ednh kh\u1ea3 thi c\u1ee7a \u0111\u1eb7t implant t\u1ee9c th\u00ec, v\u00e0 ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1eb1ng h\u00ecnh \u1ea3nh ch\u1ee5p c\u1eaft l\u1edbp \u0111i\u1ec7n to\u00e1n ch\u00f9m tia h\u00ecnh n\u00f3n (CBCT). X\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed ch\u00e2n r\u0103ng trong m\u1eb7t ph\u1eb3ng \u0111\u1ee9ng d\u1ecdc th\u00f4ng qua phim CBCT s\u1ebd l\u00e0 th\u00f4ng tin b\u1ed5 sung quan tr\u1ecdng khi l\u00ean k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7t implant t\u1ee9c th\u00ec \u1edf v\u00f9ng r\u0103ng tr\u01b0\u1edbc h\u00e0m tr\u00ean [2].<\/p>\n

Vi\u1ec7c x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 m\u00f4 c\u1ee9ng v\u00e0 m\u00f4 m\u1ec1m xung quanh s\u1ebd li\u00ean quan \u0111\u1ebfn k\u1ebf ho\u1ea1ch ho\u1eb7c mong \u0111\u1ee3i. N\u00ean ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 c\u1ea9n th\u1eadn l\u00e2m s\u00e0ng v\u00e0 X-quang v\u1ec1 m\u1ed9t s\u1ed1 \u0111i\u1ec3m m\u1ed1c gi\u1ea3i ph\u1eabu quan tr\u1ecdng. S\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a ph\u1ee5c h\u00ecnh sau c\u00f9ng \u0111\u1eb7c bi\u1ec7t li\u00ean quan \u0111\u1ebfn s\u1ef1 hi\u1ec7n di\u1ec7n b\u1ea3n x\u01b0\u01a1ng ngo\u00e0i t\u1ed1t tr\u01b0\u1edbc khi nh\u1ed5 r\u0103ng v\u00e0 \u0111\u1ee7 \u0111\u1ec9nh x\u01b0\u01a1ng m\u1eb7t b\u00ean. N\u1ebfu \u0111\u1ea1t \u0111\u01b0\u1ee3c nh\u1eefng \u0111i\u1ec1u ki\u1ec7n n\u00e0y th\u00ec c\u00f3 th\u1ec3 d\u1ef1 \u0111o\u00e1n v\u1ec1 m\u1ed9t k\u1ebft qu\u1ea3 t\u1ed1t. Quy tr\u00ecnh ph\u1eabu thu\u1eadt n\u00ean bao g\u1ed3m nh\u1ed5 r\u0103ng kh\u00f4ng sang ch\u1ea5n, gh\u00e9p x\u01b0\u01a1ng t\u1ed1i thi\u1ec3u v\u00e0o kho\u1ea3ng tr\u1ed1ng gi\u1eefa implant v\u1edbi \u1ed5 nh\u1ed5 r\u0103ng, \u0111\u1ed3ng th\u1eddi t\u0103ng m\u00f4 m\u1ec1m \u1edf giai \u0111o\u1ea1n ph\u1eabu thu\u1eadt th\u00ec \u0111\u1ea7u, v\u00e0 \u1edf th\u00ec hai n\u1ebfu m\u00f4 m\u1ecfng.<\/p>\n

2. Nh\u1eefng l\u01b0u \u00fd v\u1ec1 d\u1ea1ng Implant n\u00e0y \u1edf v\u00f9ng th\u1ea9m m\u1ef9<\/h2>\n

\u0110\u1eb7t implant t\u1ee9c th\u00ec cho m\u1ed9t r\u0103ng \u1edf v\u00f9ng th\u1ea9m m\u1ef9 b\u1eaft \u0111\u1ea7u \u0111\u01b0\u1ee3c \u1ee7ng h\u1ed9 t\u1eeb gi\u1eefa nh\u1eefng n\u0103m 1990, v\u00e0 k\u1ec3 t\u1eeb \u0111\u00f3 \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb ti\u00ean l\u01b0\u1ee3ng \u0111\u1ec3 thay th\u1ebf r\u0103ng b\u1ecb m\u1ea5t [3]. Ngo\u00e0i vi\u1ec7c gi\u1ea3m th\u1eddi gian \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111em l\u1ea1i s\u1ef1 thu\u1eadn ti\u1ec7n cho b\u1ec7nh nh\u00e2n, \u0111\u1eb7t implant t\u1ee9c th\u00ec c\u00f2n \u0111\u01b0\u1ee3c ghi nh\u1eadn l\u00e0 c\u00f3 t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng cao n\u1ebfu tu\u00e2n th\u1ee7 \u0111\u00fang c\u00e1c h\u01b0\u1edbng d\u1eabn l\u00e2m s\u00e0ng [4]. Ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y t\u00ednh \u01b0u vi\u1ec7t c\u1ee7a ph\u01b0\u01a1ng th\u1ee9c n\u00e0y so v\u1edbi ph\u01b0\u01a1ng th\u1ee9c kh\u00e1c v\u1ec1 s\u1ef1 l\u00e0nh th\u01b0\u01a1ng c\u1ee7a c\u00e1c thi\u1ebfu h\u1ed3ng quanh implant. Tuy nhi\u00ean, c\u00f3 m\u1ed9t v\u00e0i b\u1eb1ng ch\u1ee9ng cho th\u1ea5y \u0111\u1eb7t implant s\u1edbm (4-8 tu\u1ea7n) c\u00f3 k\u1ebft qu\u1ea3 t\u00e1i t\u1ea1o t\u1ed1t h\u01a1n so v\u1edbi \u0111\u1eb7t implant t\u1ee9c th\u00ec khi c\u00f3 khi\u1ebfm khuy\u1ebft c\u1eeda s\u1ed5 \u1edf v\u00e1ch x\u01b0\u01a1ng ngo\u00e0i. \u0110\u1eb7t implant sau nh\u1ed5 r\u0103ng c\u00f3 t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i cao, v\u1edbi ph\u1ea7n l\u1edbn nghi\u00ean c\u1ee9u b\u00e1o c\u00e1o t\u1ef7 l\u1ec7 n\u00e0y \u0111\u1ea1t tr\u00ean 95%. \u0110i\u1ec1u n\u00e0y cho th\u1ea5y \u0111\u1eb7t implant t\u1ee9c th\u00ec v\u00e0 tr\u00ec ho\u00e3n (lo\u1ea1i 2) c\u00f3 t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i t\u01b0\u01a1ng \u0111\u01b0\u01a1ng nhau. \u0110\u1eb7t implant t\u1ee9c th\u00ec th\u01b0\u1eddng g\u1eb7p t\u00ecnh tr\u1ea1ng thay \u0111\u1ed5i m\u00f4 g\u00e2y t\u1ee5t ni\u00eam m\u1ea1c m\u1eb7t ngo\u00e0i v\u00e0 t\u1ee5t gai n\u01b0\u1edbu. C\u00f3 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y \u0111\u1eb7t implant s\u1edbm (4-8 tu\u1ea7n) c\u00f3 t\u1ea7n s\u1ed1 t\u1ee5t ni\u00eam m\u1ea1c th\u1ea5p h\u01a1n so v\u1edbi \u0111\u1eb7t implant t\u1ee9c th\u00ec. C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y t\u1ee5t m\u00f4 m\u1ec1m khi \u0111\u1eb7t implant t\u1ee9c th\u00ec l\u00e0 d\u1ea1ng sinh h\u1ecdc m\u00f4 m\u1ecfng, implant n\u1eb1m l\u1ec7ch ngo\u00e0i, v\u00e0 v\u00e1ch x\u01b0\u01a1ng ngo\u00e0i m\u1ecfng ho\u1eb7c b\u1ecb ph\u00e1 h\u1ee7y [5]. M\u1eb7c d\u00f9 k\u1ebft qu\u1ea3 th\u1ea9m m\u1ef9 do b\u1ec7nh nh\u00e2n \u0111\u00e1nh gi\u00e1 v\u1ec1 \u0111\u1eb7t implant sau nh\u1ed5 r\u0103ng th\u01b0\u1eddng l\u00e0 t\u1ed1t h\u01a1n, nh\u01b0ng v\u1eabn c\u00f3 m\u1ed9t v\u00e0i nghi\u00ean c\u1ee9u \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 th\u1ea9m m\u1ef9 b\u1eb1ng c\u00e1c th\u00f4ng s\u1ed1 kh\u00e1ch quan.<\/p>\n

C\u00e1c b\u01b0\u1edbc ph\u1ee5c h\u00ecnh n\u00ean tu\u00e2n theo th\u1eddi gian sinh h\u1ecdc c\u1ee7a qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt h\u01b0\u1edbng d\u1eabn s\u1ef1 tr\u01b0\u1edfng th\u00e0nh m\u00f4. V\u00ec d\u1ea1ng v\u1ecf s\u00f2 c\u1ee7a m\u00f4 m\u1ec1m \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1edfi h\u00ecnh d\u1ea1ng ph\u1ee5c h\u00ecnh, n\u00ean h\u00ecnh d\u1ea1ng ph\u1ee5c h\u00ecnh ph\u00f9 h\u1ee3p l\u00e0 r\u1ea5t quan tr\u1ecdng. Nh\u1ecbp c\u1ea7u h\u00ecnh tr\u1ee9ng c\u1ee7a c\u1ea7u r\u0103ng Maryland s\u1ebd \u0111\u1ecbnh h\u00ecnh m\u00f4 trong giai \u0111o\u1ea1n l\u00e0nh th\u01b0\u01a1ng v\u00e0 kh\u00f4ng bao gi\u1edd \u0111\u01b0\u1ee3c th\u00e1o ra nh\u1eb1m duy tr\u00ec \u0111\u01b0\u1eddng vi\u1ec1n m\u00f4 m\u1ec1m d\u1ef1 ki\u1ebfn.<\/p>\n

Khi k\u1ebft n\u1ed1i v\u1edbi implant, \u1edf th\u00ec m\u1ed9t ho\u1eb7c th\u00ec hai, th\u00ec ph\u1ee5c h\u00ecnh t\u1ea1m v\u00e0 ph\u1ee5c h\u00ecnh sau c\u00f9ng ch\u1ec9 n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh \u00edt nh\u1ea5t c\u00f3 th\u1ec3. Do \u0111\u00f3, nha s\u0129 n\u00ean c\u1ed1 g\u1eafng x\u00e1c \u0111\u1ecbnh h\u00ecnh d\u1ea1ng ph\u1ee5c h\u00ecnh ch\u00ednh x\u00e1c trong m\u1ed9t l\u1ea7n, v\u00e0 sau \u0111\u00f3, ch\u1ec9 \u0111i\u1ec1u ch\u1ec9nh r\u1ea5t \u00edt \u0111\u1ec3 chuy\u1ec3n h\u00ecnh d\u1ea1ng n\u00e0y sang ph\u1ee5c h\u00ecnh sau c\u00f9ng. Nh\u01b0 th\u1ecb tr\u01b0\u1eddng ng\u00e0y nay c\u00f3 r\u1ea5t nhi\u1ec1u lo\u1ea1i v\u1eadt li\u1ec7u, v\u00e0 vi\u1ec7c l\u1ef1a ch\u1ecdn n\u00ean t\u1eadp trung v\u00e0o nh\u1eefng v\u1eadt li\u1ec7u k\u1ebft h\u1ee3p c\u1ea3 th\u1ea9m m\u1ef9, sinh h\u1ecdc, v\u00e0 \u0111\u1ed9 b\u1ec1n.<\/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. Kois JC, Kan JY. Predictable peri-implant gingival aesthetics: surgical and prosthodontic rationales. Pract Proced Aesthet Dent 2001;13:691-698.<\/em><\/p>\n

2. Kan JY, Roe P, Rungcharassaeng K, et al. Classification of sagittal root position in relation to the anterior maxillary osseous housing for immediate implant placement: a cone beam computed tomography study. Int J Oral Maxillofac Implants 2011;26(4):873-876.<\/em><\/p>\n

3. Wohrle PS. Single-tooth replacement in the aesthetic zone with immediate provisionalization: fourteen consecutive case reports. Pract Periodontics Aesthet Dent 1998;10:1107\u20131114.<\/em><\/p>\n

4. 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;18:31-39.<\/em><\/p>\n

5. Chen ST, Buser D. Clinical and esthetic outcomes of implants placed in postextraction sites. Int J Oral Maxillofac Implants 2009;24:186-217<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

\u0110\u1eb7t implant t\u1ee9c th\u00ec cho m\u1ed9t r\u0103ng \u1edf v\u00f9ng th\u1ea9m m\u1ef9 b\u1eaft \u0111\u1ea7u \u0111\u01b0\u1ee3c \u1ee7ng h\u1ed9 t\u1eeb gi\u1eefa nh\u1eefng n\u0103m 1990, v\u00e0 k\u1ec3 t\u1eeb \u0111\u00f3 \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb ti\u00ean l\u01b0\u1ee3ng \u0111\u1ec3 thay th\u1ebf r\u0103ng b\u1ecb m\u1ea5t. Ngo\u00e0i vi\u1ec7c gi\u1ea3m th\u1eddi gian \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111em l\u1ea1i s\u1ef1 thu\u1eadn ti\u1ec7n cho […]<\/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 \u1edf v\u00f9ng th\u1ea9m m\u1ef9 - Nh\u1eefng y\u00eau c\u1ea7u v\u00e0 l\u01b0u \u00fd. - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00f9ng t\u00ecm hi\u1ec3u nh\u1eefng y\u00eau c\u1ea7u v\u1ec1 Xquang v\u00e0 l\u01b0u \u00fd \u0111\u1ed1i v\u1edbi d\u1ea1ng Implant t\u1ee9c th\u00ec \u1edf v\u00f9ng th\u1ea9m m\u1ef9 tr\u00ean cung h\u00e0m n\u00e0y.\" \/>\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=\"Implant t\u1ee9c th\u00ec \u1edf v\u00f9ng th\u1ea9m m\u1ef9 - 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