{"id":32398,"date":"2023-05-07T07:12:04","date_gmt":"2023-05-07T00:12:04","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32398"},"modified":"2023-05-07T12:57:56","modified_gmt":"2023-05-07T05:57:56","slug":"phuc-hinh-tam-tuc-thi-dai-cuong-va-van-de-tai-luc","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/07\/phuc-hinh-tam-tuc-thi-dai-cuong-va-van-de-tai-luc\/","title":{"rendered":"Ph\u1ee5c h\u00ecnh t\u1ea1m t\u1ee9c th\u00ec – \u0110\u1ea1i c\u01b0\u01a1ng v\u00e0 v\u1ea5n \u0111\u1ec1 t\u1ea3i l\u1ef1c."},"content":{"rendered":"

\u0110\u1eb7t implant t\u1ee9c th\u00ec v\u00e0 l\u00e0m ph\u1ee5c h\u00ecnh t\u1ea1m t\u1ee9c th\u00ec \u0111ang ng\u00e0y c\u00e0ng ph\u1ed5 bi\u1ebfn nh\u1edd r\u00fat ng\u1eafn th\u1eddi gian \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m s\u1ed1 l\u1ea7n can thi\u1ec7p ph\u1eabu thu\u1eadt. K\u1ebft qu\u1ea3 th\u00e0nh c\u00f4ng \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o cho ph\u1ee5c h\u00ecnh t\u1ea1m t\u1ee9c th\u00ec tr\u00ean implant \u0111\u1eb7t v\u00e0o \u1ed5 nh\u1ed5 r\u0103ng m\u1edbi, \u0111\u1eb7c bi\u1ec7t l\u00e0 v\u1ec1 gai n\u01b0\u1edbu k\u1ebd r\u0103ng. C\u00f9ng t\u00ecm hi\u1ec3u \u0111\u1ea1i c\u01b0\u01a1ng v\u1ec1 ph\u1ee5c h\u00ecnh t\u1ea1m t\u1ee9c th\u00ec v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 t\u1ea3i l\u1ef1c li\u00ean quan.<\/strong><\/p>\n

\"phuc-hinh-tam-1\"<\/p>\n

1. \u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 ph\u1ee5c h\u00ecnh t\u1ea1m t\u1ee9c th\u00ec<\/h2>\n

Ph\u1ee5c h\u00ecnh t\u1ea1m t\u1ee9c th\u00ec l\u00e0 ph\u1ee5c h\u00ecnh t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec l\u00ean implant trong v\u00f2ng 1 tu\u1ea7n. \u0110\u1eb7t implant t\u1ee9c th\u00ec v\u00e0 l\u00e0m ph\u1ee5c h\u00ecnh t\u1ea1m t\u1ee9c th\u00ec \u0111ang ng\u00e0y c\u00e0ng ph\u1ed5 bi\u1ebfn nh\u1edd r\u00fat ng\u1eafn th\u1eddi gian \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m s\u1ed1 l\u1ea7n can thi\u1ec7p ph\u1eabu thu\u1eadt. K\u1ebft qu\u1ea3 th\u00e0nh c\u00f4ng \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o cho ph\u1ee5c h\u00ecnh t\u1ea1m t\u1ee9c th\u00ec tr\u00ean implant \u0111\u1eb7t v\u00e0o \u1ed5 nh\u1ed5 r\u0103ng m\u1edbi, \u0111\u1eb7c bi\u1ec7t l\u00e0 v\u1ec1 gai n\u01b0\u1edbu k\u1ebd r\u0103ng [1-6]. Ng\u01b0\u1ee3c l\u1ea1i, t\u1ee5t n\u01b0\u1edbu gi\u1eefa m\u1eb7t ngo\u00e0i l\u00e0 bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0y [7-9]. L\u1ef1a ch\u1ecdn b\u1ec7nh nh\u00e2n v\u00e0 \u0111\u1eb7t implant ch\u00ednh x\u00e1c trong kh\u00f4ng gian ba chi\u1ec1u l\u00e0 \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng do c\u00f3 nguy c\u01a1 bi\u1ebfn ch\u1ee9ng th\u1ea9m m\u1ef9 cao [9].<\/p>\n

Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, ph\u1ee5c h\u00ecnh t\u1ea1m t\u1ee9c th\u00ec \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n cho implant \u0111\u01b0\u1ee3c \u0111\u1eb7t t\u1ee9c th\u00ec. Th\u1ea9m m\u1ef9 h\u00e0i h\u00f2a c\u1ee7a m\u00e3o sau c\u00f9ng tr\u00ean implant cho r\u1eb1ng tr\u01b0\u1edbc ph\u1ee5 thu\u1ed9c nhi\u1ec1u v\u00e0o v\u1ecb tr\u00ed ba chi\u1ec1u ch\u00ednh x\u00e1c c\u1ee7a implant c\u00f9ng v\u1edbi vi\u1ec7c ki\u1ec3m so\u00e1t h\u00ecnh d\u1ea1ng m\u00f4 m\u1ec1m quanh implant trong qu\u00e1 tr\u00ecnh mang ph\u1ee5c h\u00ecnh t\u1ea1m c\u1ed1 \u0111\u1ecbnh. K\u1ebft qu\u1ea3 \u1ed5n \u0111\u1ecbnh v\u00e0 th\u1ea9m m\u1ef9 \u0111\u00e3 \u0111\u01b0\u1ee3c duy tr\u00ec sau 3 n\u0103m theo d\u00f5i l\u00e2m s\u00e0ng, v\u1edbi s\u1ef1 h\u00e0i l\u00f2ng tuy\u1ec7t \u0111\u1ed1i c\u1ee7a b\u1ec7nh nh\u00e2n. Ph\u1ea7n xuy\u00ean ni\u00eam m\u1ea1c c\u1ee7a m\u00e3o t\u1ea1m trong qu\u00e1 tr\u00ecnh l\u00e0nh th\u01b0\u01a1ng kh\u00f4ng \u0111\u01b0\u1ee3c d\u01b0 \u0111\u1ec3 t\u1ea1o h\u00ecnh m\u00f4 m\u1ec1m v\u00e0 ng\u0103n ng\u1eeba t\u1ee5t n\u01b0\u1edbu.
\n\u0110\u1ec3 t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec cho m\u00e3o \u0111\u01a1n l\u1ebb tr\u00ean implant th\u00ec c\u1ea7n th\u1ecfa m\u00e3n c\u00e1c \u0111i\u1ec1u ki\u1ec7n sau: (a) \u0111\u00e0o t\u1ea1o sau \u0111\u1ea1i h\u1ecdc, k\u1ef9 n\u0103ng l\u00e2m s\u00e0ng, v\u00e0 kinh nghi\u1ec7m, (b) l\u1ef1a ch\u1ecdn b\u1ec7nh nh\u00e2n ph\u00f9 h\u1ee3p, \u0111\u1ee7 th\u1ec3 t\u00edch v\u00e0 m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng, (c) \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh s\u01a1 kh\u1edfi \u0111\u01b0\u1ee3c \u0111o b\u1eb1ng torque v\u1eb7n > 20 Ncm v\u00e0 gi\u00e1 tr\u1ecb ph\u00e2n t\u00edch c\u1ed9ng h\u01b0\u1edfng t\u1eeb cho th\u01b0\u01a1ng s\u1ed1 \u1ed5n \u0111\u1ecbnh implant (ISQ) > 60, (d) chi\u1ec1u d\u00e0i implant > 10 mm, v\u00e0 (e) kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh to\u00e0n th\u00e2n ho\u1eb7c t\u1ea1i ch\u1ed7 (thi\u1ebfu h\u1ed3ng x\u01b0\u01a1ng l\u1edbn c\u1ea7n gh\u00e9p x\u01b0\u01a1ng, th\u1ec3 t\u00edch v\u00e0 m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng k\u00e9m, ho\u1ea1t \u0111\u1ed9ng c\u1eadn ch\u1ee9c n\u0103ng, c\u1ea7n n\u00e2ng xoang, s\u1ee9c kh\u1ecfe to\u00e0n th\u00e2n) [8, 10].<\/p>\n

N\u00f3i chung, c\u00f3 nhi\u1ec1u b\u1eb1ng ch\u1ee9ng ng\u1eafn h\u1ea1n v\u1ec1 t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i implant v\u00e0 s\u1ef1 \u1ed5n \u0111\u1ecbnh vi\u1ec1n x\u01b0\u01a1ng \u1ee7ng h\u1ed9 vi\u1ec7c s\u1eed d\u1ee5ng c\u1ea3 hai ph\u01b0\u01a1ng th\u1ee9c t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec v\u00e0 t\u1ea3i l\u1ef1c th\u00f4ng th\u01b0\u1eddng [8]. D\u1ef1a tr\u00ean t\u00e0i li\u1ec7u khoa h\u1ecdc, ti\u00eau ch\u00ed \u00e1p d\u1ee5ng t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 torque v\u1eb7n t\u1ed1i thi\u1ec3u n\u1eb1m trong kho\u1ea3ng 20-45 Ncm, ISQ t\u1ed1i thi\u1ec3u n\u1eb1m trong kho\u1ea3ng 60-65, v\u00e0 chi\u1ec1u d\u00e0i implant > 10 mm.<\/p>\n

C\u00f3 r\u1ea5t \u00edt b\u1eb1ng ch\u1ee9ng khoa h\u1ecdc so s\u00e1nh s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u1ee7a chi\u1ec1u cao gai n\u01b0\u1edbu v\u00e0 vi\u1ec1n ni\u00eam m\u1ea1c m\u1eb7t ngo\u00e0i gi\u1eefa ph\u01b0\u01a1ng th\u1ee9c t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec v\u1edbi t\u1ea3i l\u1ef1c th\u00f4ng th\u01b0\u1eddng. Th\u1ea9m m\u1ef9 v\u00e0 s\u1ef1 h\u00e0i l\u00f2ng c\u1ee7a b\u1ec7nh nh\u00e2n ch\u1ec9 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 trong m\u1ed9t v\u00e0i th\u1eed nghi\u1ec7m so s\u00e1nh t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec v\u1edbi t\u1ea3i l\u1ef1c th\u00f4ng th\u01b0\u1eddng, nh\u01b0ng kh\u00f4ng \u0111\u1ee7 d\u1eef li\u1ec7u \u0111\u1ec3 r\u00fat ra k\u1ebft lu\u1eadn [8].<\/p>\n

2. V\u1ea5n \u0111\u1ec1 t\u1ea3i l\u1ef1c li\u00ean quan<\/h2>\n

T\u1ea3i l\u1ef1c th\u00f4ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c ti\u00ean l\u01b0\u1ee3ng trong m\u1ecdi t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng, v\u00e0 \u0111\u1eb7c bi\u1ec7t \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p \u0111i\u1ec1u tr\u1ecb thay \u0111\u1ed5i nh\u01b0 \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh s\u01a1 kh\u1edfi c\u1ee7a implant k\u00e9m, gh\u00e9p x\u01b0\u01a1ng nhi\u1ec1u, gi\u1ea3m k\u00edch th\u01b0\u1edbc implant v\u00e0 s\u1ee9c kh\u1ecfe b\u1ec7nh nh\u00e2n kh\u00f4ng t\u1ed1t [8]. \u1ede v\u00f9ng r\u0103ng tr\u01b0\u1edbc h\u00e0m tr\u00ean v\u00e0 h\u00e0m d\u01b0\u1edbi, t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec cho m\u00e3o \u0111\u01a1n l\u1ebb tr\u00ean implant l\u00e0 m\u1ed9t ph\u01b0\u01a1ng th\u1ee9c ti\u00ean l\u01b0\u1ee3ng v\u1ec1 t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i implant v\u00e0 s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u1ee7a vi\u1ec1n x\u01b0\u01a1ng. T\u1ea3i l\u1ef1c t\u1ee9c th\u00ec \u1edf nh\u1eefng v\u1ecb tr\u00ed n\u00e0y n\u00ean \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng th\u1eadn tr\u1ecdng b\u1edfi b\u00e1c s\u0129 l\u00e2m s\u00e0ng gi\u00e0u kinh nghi\u1ec7m [8, 10]. \u0110i\u1ec1u n\u00e0y xu\u1ea5t ph\u00e1t t\u1eeb th\u1ef1c t\u1ebf l\u00e0 nh\u1eefng d\u1eef li\u1ec7u v\u1ec1 m\u00f4 m\u1ec1m ch\u01b0a \u0111\u1ee7 \u0111\u1ec3 k\u1ebft lu\u1eadn v\u1ec1 vi\u1ec7c \u00e1p d\u1ee5ng t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec cho m\u00e3o \u0111\u01a1n l\u1ebb tr\u00ean implant \u1edf v\u1ecb tr\u00ed th\u1ea9m m\u1ef9 nh\u01b0 m\u1ed9t \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng quy. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n m\u1ea5t r\u1eb1ng b\u00e1n ph\u1ea7n b\u1ecb m\u1ea5t nhi\u1ec1u r\u0103ng li\u00ean ti\u1ebfp, c\u00f3 m\u1ed9t v\u00e0i b\u1eb1ng ch\u1ee9ng khoa h\u1ecdc cho th\u1ea5y t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n v\u1edbi nhi\u1ec1u v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p \u0111\u00e3 l\u00e0nh th\u01b0\u01a1ng \u1edf v\u00f9ng r\u0103ng sau c\u00f3 t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i t\u01b0\u01a1ng t\u1ef1 nh\u01b0 t\u1ea3i l\u1ef1c t\u1ee9c s\u1edbm ho\u1eb7c t\u1ea3i l\u1ef1c th\u00f4ng th\u01b0\u1eddng [11]. Kh\u00f4ng c\u00f3 \u0111\u1ee7 b\u1eb1ng ch\u1ee9ng \u1ee7ng h\u1ed9 t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec tr\u00ean b\u1ec7nh nh\u00e2n m\u1ea5t r\u0103ng b\u00e1n ph\u1ea7n b\u1ecb m\u1ea5t nhi\u1ec1u r\u0103ng \u1edf v\u00f9ng r\u0103ng tr\u01b0\u1edbc h\u00e0m tr\u00ean v\u00e0 h\u00e0m d\u01b0\u1edbi [11]. Do \u0111\u00f3, n\u00f3 ph\u1ea3i \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng th\u1eadn tr\u1ecdng b\u1edfi b\u00e1c s\u0129 l\u00e2m s\u00e0ng gi\u00e0u kinh nghi\u1ec7m. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n m\u1ea5t r\u0103ng to\u00e0n b\u1ed9, c\u00f3 b\u1eb1ng ch\u1ee9ng khoa h\u1ecdc m\u1ea1nh m\u1ebd cho th\u1ea5y t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec c\u00f3 t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i implant t\u01b0\u01a1ng t\u1ef1 nh\u01b0 t\u1ea3i l\u1ef1c th\u00f4ng th\u01b0\u1eddng [8].<\/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. Morton D, Chen ST, Martin WC, et al. Consensus statements and recommended clinical procedures regarding optimizing esthetic outcomes in implant dentistry. Int J Oral Maxillofac Implants 2014;29(Suppl):216-220.
\n2. Kan JY, Rungcharassaeng K, Lozada JL, Zimmerman G. Facial gingival tissue stability following immediate placement and provisionalization of maxillary anterior single implants: a 2- to 8-year follow-up. Int J Oral Maxillofac Implants 2011;26:179\u2013187.
\n3. Botticelli D, Renzi A, Lindhe J, Berglundh T. Implants in fresh extraction sockets: a prospective 5-year follow-up clinical study. Clin Oral Implants Res 2008;19:1226-1232.
\n4. Chen ST, Buser D. Clinical and esthetic outcomes of implants placed in postextraction sites. Int J Oral Maxillofac Implants 2009;24(Suppl):186-217.
\n5. Roe P, Kan JY, Rungcharassaeng K, et al. Horizontal and vertical dimensional changes of peri-implant facial bone following immediate placement and provisionalization of maxillary anterior single implants: 1-year cone beam computed tomography study. Int J Oral Maxillofac Implants 2012;27:393-400.
\n6. Cosyn J, Eghbali A, Hanselaer L, et al. Four modalities of single implant treatment in the anterior maxilla: a clinical, radiographic, and aesthetic evaluation. Clin Implant Dent Relat Res 2013;15:517-530.
\n7. 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):39-66.
\n8. Gallucci GO, Benic GI, Eckert SE, et al. Consensus statements and clinical recommendations for implant loading protocols. Int J Oral Maxillofac Implants 2014;29(Suppl):287\u2013290.
\n9. Cosyn J, Sabzevar MM, De Bruyn H. Predictors of inter- proximal and midfacial recession following single implant treatment in the anterior maxilla: a multivariate analysis. J Clin Periodontol 2012;39:895-903.
\n10. Benic GI, Mir-Mari J, Hammerle CHF. Loading protocols for single implant crowns: a systematic review and meta-analysis. Int J Oral Maxillofac Implants 2014;29(Suppl):222-238.
\n11. Schrott A, Riggi-Heiniger M, Maruo K, Gallucci GO. Implant loading protocols for partially edentulous patients: a systematic review and meta-analysis. Int J Oral Maxillofac Implants 2014;29(Suppl):239-255.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u0110\u1eb7t implant t\u1ee9c th\u00ec v\u00e0 l\u00e0m ph\u1ee5c h\u00ecnh t\u1ea1m t\u1ee9c th\u00ec \u0111ang ng\u00e0y c\u00e0ng ph\u1ed5 bi\u1ebfn nh\u1edd r\u00fat ng\u1eafn th\u1eddi gian \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m s\u1ed1 l\u1ea7n can thi\u1ec7p ph\u1eabu thu\u1eadt. K\u1ebft qu\u1ea3 th\u00e0nh c\u00f4ng \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o cho ph\u1ee5c h\u00ecnh t\u1ea1m t\u1ee9c th\u00ec tr\u00ean implant \u0111\u1eb7t v\u00e0o \u1ed5 nh\u1ed5 r\u0103ng m\u1edbi, \u0111\u1eb7c bi\u1ec7t […]<\/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":"\nPh\u1ee5c h\u00ecnh t\u1ea1m t\u1ee9c th\u00ec - \u0110\u1ea1i c\u01b0\u01a1ng v\u00e0 v\u1ea5n \u0111\u1ec1 t\u1ea3i l\u1ef1c. - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00f9ng t\u00ecm hi\u1ec3u \u0111\u1ea1i c\u01b0\u01a1ng v\u1ec1 ph\u1ee5c h\u00ecnh t\u1ea1m t\u1ee9c th\u00ec v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 t\u1ea3i l\u1ef1c li\u00ean quan \u0111\u1ebfn qu\u00e1 tr\u00ecnh x\u1eed l\u00fd, g\u1eafn ph\u1ee5c h\u00ecnh t\u1ea1m tr\u00ean b\u1ec7nh nh\u00e2n.\" \/>\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=\"Ph\u1ee5c h\u00ecnh t\u1ea1m t\u1ee9c th\u00ec - 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