{"id":32423,"date":"2023-05-07T09:00:24","date_gmt":"2023-05-07T02:00:24","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32423"},"modified":"2023-05-07T12:55:45","modified_gmt":"2023-05-07T05:55:45","slug":"tai-luc-tuc-thi-trong-implant-bang-chung-ve-loi-ich","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/07\/tai-luc-tuc-thi-trong-implant-bang-chung-ve-loi-ich\/","title":{"rendered":"T\u1ea3i l\u1ef1c t\u1ee9c th\u00ec tr\u00ean Implant &#8211; B\u1eb1ng ch\u1ee9ng v\u1ec1 l\u1ee3i \u00edch."},"content":{"rendered":"<p><strong>S\u1ef1 ra \u0111\u1eddi c\u1ee7a c\u1ea5y gh\u00e9p nha khoa \u0111\u00e3 mang \u0111\u1ebfn m\u1ed9t gi\u1ea3i ph\u00e1p \u0111\u00e1ng tin c\u1eady \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb m\u1ea5t r\u0103ng, v\u00e0 hi\u1ec7u qu\u1ea3 l\u00e2u d\u00e0i c\u1ee7a implant b\u1ec1 m\u1eb7t nh\u00e1m vi x\u1eed l\u00fd \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh \u1edf c\u1ea3 b\u1ec7nh nh\u00e2n m\u1ea5t r\u0103ng b\u00e1n ph\u1ea7n l\u1eabn to\u00e0n b\u1ed9. Nh\u1eefng l\u1ee3i \u00edch t\u1eeb t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec cho ph\u00e9p r\u00fat ng\u1eafn th\u1eddi gian \u0111i\u1ec1u tr\u1ecb v\u00e0 th\u1ef1c hi\u1ec7n ch\u1ee9c n\u0103ng ngay l\u1eadp t\u1ee9c v\u1edbi ph\u1ee5c h\u00ecnh c\u1ed1 \u0111\u1ecbnh. Th\u00eam v\u00e0o \u0111\u00f3, t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec c\u00f2n l\u00e0m gi\u1ea3m \u1ea3nh h\u01b0\u1edfng t\u00e2m l\u00fd t\u1eeb vi\u1ec7c m\u1ea5t r\u0103ng l\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n s\u1eafp m\u1ea5t r\u0103ng ho\u1eb7c \u0111\u00e3 mang h\u00e0m gi\u1ea3 trong m\u1ed9t th\u1eddi gian d\u00e0i. C\u00f9ng t\u00ecm hi\u1ec3u c\u00e1c b\u1eb1ng ch\u1ee9ng v\u1ec1 l\u1ee3i \u00edch c\u1ee7a k\u1ef9 thu\u1eadt t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec trong chuy\u00ean ng\u00e0nh Implant Nha khoa.<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-32428\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/trong-rang-implant-trong-duoc-bao-lau.jpg\" alt=\"implant-tai-luc-tuc-thi\" width=\"840\" height=\"500\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/trong-rang-implant-trong-duoc-bao-lau.jpg 840w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/trong-rang-implant-trong-duoc-bao-lau-300x179.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/trong-rang-implant-trong-duoc-bao-lau-768x457.jpg 768w\" sizes=\"(max-width: 840px) 100vw, 840px\" \/><\/p>\n<h2>1. T\u1ea3i l\u1ef1c t\u1ee9c th\u00ec trong c\u1ea5y gh\u00e9p Implant &#8211; g\u00f3c nh\u00ecn chuy\u00ean m\u00f4n<\/h2>\n<p>S\u1ef1 ra \u0111\u1eddi c\u1ee7a c\u1ea5y gh\u00e9p nha khoa \u0111\u00e3 mang \u0111\u1ebfn m\u1ed9t gi\u1ea3i ph\u00e1p \u0111\u00e1ng tin c\u1eady \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb m\u1ea5t r\u0103ng, v\u00e0 hi\u1ec7u qu\u1ea3 l\u00e2u d\u00e0i c\u1ee7a implant b\u1ec1 m\u1eb7t nh\u00e1m vi x\u1eed l\u00fd \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh \u1edf c\u1ea3 b\u1ec7nh nh\u00e2n m\u1ea5t r\u0103ng b\u00e1n ph\u1ea7n l\u1eabn to\u00e0n b\u1ed9 [3, 4].<\/p>\n<p>\u1ede Hoa K\u1ef3, t\u1ef7 l\u1ec7 b\u1ec7nh nh\u00e2n m\u1ea5t r\u0103ng chi\u1ebfm 10% d\u00e2n s\u1ed1, v\u00e0 t\u1ef7 l\u1ec7 n\u00e0y \u0111\u01b0\u1ee3c d\u1ef1 ki\u1ebfn s\u1ebd t\u0103ng l\u00ean trong t\u01b0\u01a1ng lai khi m\u00e0 tu\u1ed5i th\u1ecd c\u0169ng t\u0103ng l\u00ean [5]. Do \u0111\u00f3, r\u00f5 r\u00e0ng l\u00e0 nhu c\u1ea7u ph\u1ee5c h\u00ecnh b\u1eb1ng implant \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u1ea5t r\u0103ng to\u00e0n b\u1ed9 s\u1ebd t\u0103ng l\u00ean. Tuy nhi\u00ean, vi\u1ec7c k\u00e9o d\u00e0i th\u1eddi gian l\u00e0nh th\u01b0\u01a1ng c\u00f9ng v\u1edbi kh\u00f4ng t\u1ea3i l\u1ef1c tr\u00ean implant c\u1ee7a ph\u01b0\u01a1ng th\u1ee9c t\u1ea3i l\u1ef1c th\u00f4ng th\u01b0\u1eddng l\u00e0 m\u1ed9t b\u1ea5t l\u1ee3i theo quan \u0111i\u1ec3m c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<p>V\u00ec v\u1eady, r\u00fat ng\u1eafn th\u1eddi gian l\u00e0nh th\u01b0\u01a1ng ho\u1eb7c th\u1eddi \u0111i\u1ec3m t\u1ea3i l\u1ef1c l\u00e0 m\u1ed9t l\u1ee3i \u00edch to l\u1edbn \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n. Implant b\u1ec1 m\u1eb7t nh\u00e1m v\u00e0 ph\u01b0\u01a1ng th\u1ee9c t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec gi\u00fap \u0111\u1ea9y nhanh th\u1eddi gian l\u00e0nh th\u01b0\u01a1ng, \u0111\u1ed3ng th\u1eddi ph\u1ee5c h\u1ed3i ngay l\u1eadp t\u1ee9c c\u1ea3 ch\u1ee9c n\u0103ng l\u1eabn th\u1ea9m m\u1ef9 \u1edf nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn c\u1ea9n th\u1eadn, n\u00ean \u0111\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn trong nghi\u00ean c\u1ee9u v\u00e0 tr\u00ean l\u00e2m s\u00e0ng [5, 6]. T\u1ea3i l\u1ef1c t\u1ee9c th\u00ec c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng cho c\u1ea3 t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng m\u1ea5t r\u0103ng b\u00e1n ph\u1ea7n l\u1eabn to\u00e0n b\u1ed9, v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng cho implant \u0111\u1eb7t v\u00e0o v\u1ecb tr\u00ed \u0111\u00e3 l\u00e0nh th\u01b0\u01a1ng (\u0111\u1eb7t implant tr\u00ec ho\u00e3n) ho\u1eb7c v\u00e0o \u1ed5 nh\u1ed5 r\u0103ng (\u0111\u1eb7t implant t\u1ee9c th\u00ec) [4].<\/p>\n<h2>2. L\u1ee3i \u00edch t\u1eeb k\u1ef9 thu\u1eadt n\u00e0y<\/h2>\n<p>Nh\u1eefng l\u1ee3i \u00edch t\u1eeb t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec cho ph\u00e9p r\u00fat ng\u1eafn th\u1eddi gian \u0111i\u1ec1u tr\u1ecb v\u00e0 th\u1ef1c hi\u1ec7n ch\u1ee9c n\u0103ng ngay l\u1eadp t\u1ee9c v\u1edbi ph\u1ee5c h\u00ecnh c\u1ed1 \u0111\u1ecbnh. T\u1ea3i l\u1ef1c t\u1ee9c th\u00ec c\u00f2n l\u00e0m gi\u1ea3m \u1ea3nh h\u01b0\u1edfng t\u00e2m l\u00fd t\u1eeb vi\u1ec7c m\u1ea5t r\u0103ng l\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n s\u1eafp m\u1ea5t r\u0103ng ho\u1eb7c \u0111\u00e3 mang h\u00e0m gi\u1ea3 trong m\u1ed9t th\u1eddi gian d\u00e0i [5].<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb m\u1ea5t r\u0103ng to\u00e0n h\u00e0m b\u1eb1ng ph\u1ee5c h\u00ecnh tr\u00ean implant l\u00e0 r\u1ea5t ph\u1ee9c t\u1ea1p. Do \u0111\u00f3, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i l\u1ef1a ch\u1ecdn b\u1ec7nh nh\u00e2n v\u00e0 l\u00ean k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb c\u1ea9n th\u1eadn, \u0111\u1ed3ng th\u1eddi ph\u1ea3i c\u00f3 \u0111\u1ee7 ki\u1ebfn th\u1ee9c, k\u1ef9 n\u0103ng v\u00e0 kinh nghi\u1ec7m l\u00e2m s\u00e0ng \u0111\u1ec3 th\u1ef1c hi\u1ec7n \u0111i\u1ec1u tr\u1ecb [1]. Y v\u0103n hi\u1ec7n nay \u0111\u00e3 cung c\u1ea5p b\u1eb1ng ch\u1ee9ng khoa h\u1ecdc m\u1ea1nh m\u1ebd cho th\u1ea5y t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec \u1edf implant vi x\u1eed l\u00fd v\u1edbi ph\u1ee5c h\u00ecnh t\u1ea1m c\u1ed1 \u0111\u1ecbnh m\u1ed9t kh\u1ed1i th\u00ec c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u01b0\u01a1ng \u0111\u01b0\u01a1ng nh\u01b0 t\u1ea3i l\u1ef1c s\u1edbm v\u00e0 t\u1ea3i l\u1ef1c th\u00f4ng th\u01b0\u1eddng. \u0110a s\u1ed1 c\u00e1c nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng s\u1eed d\u1ee5ng nh\u1eefng ti\u00eau chu\u1ea9n l\u1ef1a ch\u1ecdn sau: torque v\u1eb7n \u2265 30 Ncm, th\u01b0\u01a1ng s\u1ed1 t\u1ea7n s\u1ed1 c\u1ed9ng h\u01b0\u1edfng (ISQ) \u2265 60, v\u00e0 chi\u1ec1u d\u00e0i implant t\u1ed1i thi\u1ec3u \u2265 10 cm [1, 5, 6].<\/p>\n<p>\u0110\u1ed9 \u1ed5n \u0111\u1ecbnh implant s\u01a1 kh\u1edfi l\u00e0 y\u1ebfu t\u1ed1 quy\u1ebft \u0111\u1ecbnh cho ti\u00ean l\u01b0\u1ee3ng t\u00edch h\u1ee3p x\u01b0\u01a1ng, b\u1ea5t k\u1ec3 l\u00e0 ph\u01b0\u01a1ng th\u1ee9c t\u1ea3i l\u1ef1c n\u00e0o. Ng\u01b0\u1eddi ta \u0111\u1ec1 ngh\u1ecb l\u00e0 tr\u01b0\u1edbc khi t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec \u1edf cung h\u00e0m m\u1ea5t r\u0103ng to\u00e0n b\u1ed9, \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh s\u01a1 kh\u1edfi c\u1ee7a t\u1eebng implant ph\u1ea3i \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn. S\u1ed1 l\u01b0\u1ee3ng, k\u00edch th\u01b0\u1edbc, v\u00e0 s\u1ef1 ph\u00e2n b\u1ed1 implant cho ph\u1ee5c h\u00ecnh c\u1ed1 \u0111\u1ecbnh to\u00e0n h\u00e0m ph\u1ea3i \u0111\u01b0\u1ee3c d\u1ef1a tr\u00ean k\u1ebf ho\u1ea1ch implant-ph\u1ee5c h\u00ecnh, h\u00ecnh d\u1ea1ng cung h\u00e0m, v\u00e0 th\u1ec3 t\u00edch x\u01b0\u01a1ng, b\u1ea5t k\u1ec3 l\u00e0 ph\u01b0\u01a1ng th\u1ee9c t\u1ea3i l\u1ef1c n\u00e0o. Nh\u1eefng th\u1ee7 thu\u1eadt \u0111\u1ed3ng th\u1eddi nh\u01b0 gh\u00e9p x\u01b0\u01a1ng ho\u1eb7c n\u00e2ng xoang \u0111\u01b0\u1ee3c xem l\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i c\u1ee7a t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec [1, 5, 6].<\/p>\n<p>T\u1ed5ng k\u1ebft l\u1ea1i, t\u1ea3i l\u1ef1c th\u00f4ng th\u01b0\u1eddng l\u00ean implant \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. \u0110\u1ec3 t\u1ea3i l\u1ef1c t\u1ee9c th\u00ec, khuy\u00ean c\u00e1o l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c \u0111\u01b0a ra l\u00e0 torque v\u1eb7n t\u1ed1i thi\u1ec3u 30 Ncm, chi\u1ec1u d\u00e0i implant t\u1ed1i thi\u1ec3u 10 mm, v\u00e0 l\u1ef1a ch\u1ecdn b\u1ec7nh nh\u00e2n c\u1ea9n th\u1eadn. Kinh nghi\u1ec7m l\u00e2m s\u00e0ng v\u00e0 \u0111\u00e0o t\u1ea1o sau \u0111\u1ea1i h\u1ecdc c\u0169ng r\u1ea5t quan tr\u1ecdng.<\/p>\n<p><em>Ngu\u1ed3n t\u00e0i li\u1ec7u: Clinical Cases in Implant Dentistry, First Edition &#8211; Published 2017 by John Wiley &amp; Sons, Inc.<\/em><\/p>\n<p><em>1. 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.<\/em><\/p>\n<p><em>2. Papaspyridakos P, Lal K. Computer-assisted design\/ computer-assisted manufacturing zirconia implant fixed complete prostheses: clinical results and technical complications up to 4 years of function. Clin Oral Implants Res 2013;24:659\u2013665.<\/em><\/p>\n<p><em>3. Papaspyridakos P, Chen CJ, Chuang SK, et al. A systematic review of biologic and technical complications with fixed implant rehabilitations for edentulous patients. Int J Oral Maxillofac Implants 2012;27:102-110. <\/em><\/p>\n<p><em>4. 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.<\/em><\/p>\n<p><em>5. Papaspyridakos P, Chen CJ, Chuang SK, Weber HP. Implant loading protocols for edentulous patients with fixed prostheses: a systematic review and meta-analysis. Int J Oral Maxillofac Implants 2014;29(Suppl):256-270.<\/em><\/p>\n<p><em>6. 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.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>S\u1ef1 ra \u0111\u1eddi c\u1ee7a c\u1ea5y gh\u00e9p nha khoa \u0111\u00e3 mang \u0111\u1ebfn m\u1ed9t gi\u1ea3i ph\u00e1p \u0111\u00e1ng tin c\u1eady \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb m\u1ea5t r\u0103ng, v\u00e0 hi\u1ec7u qu\u1ea3 l\u00e2u d\u00e0i c\u1ee7a implant b\u1ec1 m\u1eb7t nh\u00e1m vi x\u1eed l\u00fd \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh \u1edf c\u1ea3 b\u1ec7nh nh\u00e2n m\u1ea5t r\u0103ng b\u00e1n ph\u1ea7n l\u1eabn to\u00e0n b\u1ed9. 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