{"id":32440,"date":"2023-05-07T10:02:57","date_gmt":"2023-05-07T03:02:57","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32440"},"modified":"2023-05-07T12:53:43","modified_gmt":"2023-05-07T05:53:43","slug":"that-bai-dieu-tri-implant-de-cap-den-van-de-nha-chu","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/07\/that-bai-dieu-tri-implant-de-cap-den-van-de-nha-chu\/","title":{"rendered":"Th\u1ea5t b\u1ea1i \u0111i\u1ec1u tr\u1ecb Implant &#8211; \u0110\u1ec1 c\u1eadp \u0111\u1ebfn v\u1ea5n \u0111\u1ec1 nha chu."},"content":{"rendered":"<p><strong>T\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb implant th\u01b0\u1eddng \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 tr\u00ean 90%. Th\u1ea5t b\u1ea1i implant, m\u1eb7c d\u00f9 c\u00f3 t\u1ef7 l\u1ec7 t\u01b0\u01a1ng \u0111\u1ed1i nh\u1ecf, nh\u01b0ng kh\u00f4ng ph\u1ea3i l\u00e0 hi\u1ebfm g\u1eb7p, v\u00e0 th\u01b0\u1eddng dao \u0111\u1ed9ng t\u1eeb 1 \u0111\u1ebfn 8%. Th\u1ea5t b\u1ea1i implant \u0111\u01b0\u1ee3c cho l\u00e0 do hai nguy\u00ean nh\u00e2n ch\u00ednh: th\u1ea5t b\u1ea1i c\u01a1 h\u1ecdc ho\u1eb7c th\u1ea5t b\u1ea1i sinh h\u1ecdc, ho\u1eb7c k\u1ebft h\u1ee3p c\u1ea3 hai. S\u1ef1 hi\u1ec7n di\u1ec7n v\u00e0 m\u1ee9c \u0111\u1ed9 vi\u00eam quanh implant \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1, v\u00e0 c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e3 k\u1ebft lu\u1eadn r\u1eb1ng b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh nha chu s\u1ebd t\u0103ng nguy c\u01a1 ph\u00e1 h\u1ee7y m\u00f4 nhi\u1ec1u h\u01a1n so v\u1edbi \u0111\u1ed1i t\u01b0\u1ee3ng kh\u1ecfe m\u1ea1nh. Do \u0111\u00f3, kh\u00e1m, ch\u1ea9n \u0111o\u00e1n c\u1ea9n th\u1eadn, v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng b\u1ec7nh nha chu l\u00e0 v\u00f4 c\u00f9ng quan tr\u1ecdng tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb c\u1ea5y gh\u00e9p.\u00a0<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-32443\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/implant-bi-dao-thai-co-trong-duoc-khong-1-1192x800-1.png\" alt=\"that-bai-dieu-tri-implant\" width=\"1192\" height=\"800\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/implant-bi-dao-thai-co-trong-duoc-khong-1-1192x800-1.png 1192w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/implant-bi-dao-thai-co-trong-duoc-khong-1-1192x800-1-300x201.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/implant-bi-dao-thai-co-trong-duoc-khong-1-1192x800-1-1024x687.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/implant-bi-dao-thai-co-trong-duoc-khong-1-1192x800-1-768x515.png 768w\" sizes=\"(max-width: 1192px) 100vw, 1192px\" \/><\/p>\n<h2>1. Th\u1ea5t b\u1ea1i \u0111i\u1ec1u tr\u1ecb Implant &#8211; G\u00f3c nh\u00ecn<\/h2>\n<p>Implant \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u1ee5c h\u1ed3i cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1ea5t r\u0103ng to\u00e0n b\u1ed9 ho\u1eb7c b\u1ea3n ph\u1ea7n trong h\u01a1n 30 n\u0103m qua. Ch\u00fang \u0111\u00e3 tr\u1edf th\u00e0nh l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb ch\u00ednh \u0111\u1ec3 thay th\u1ebf r\u0103ng m\u1ea5t c\u1ee7a h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n v\u00e0 b\u00e1c s\u0129 l\u00e2m s\u00e0ng, do c\u00f3 t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng cao v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng nh\u01b0 r\u0103ng th\u1eadt, th\u1ec3 hi\u1ec7n qua h\u00ecnh d\u1ea1ng t\u1ef1 nhi\u00ean, d\u1ec5 duy tr\u00ec, v\u00e0 kh\u00f4ng c\u1ea7n can thi\u1ec7p l\u00ean c\u00e1c r\u0103ng k\u1ebf c\u1eadn \u0111\u1ec3 t\u1ea1o n\u00e2ng \u0111\u1ee1. T\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb implant th\u01b0\u1eddng \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 tr\u00ean 90%. Th\u1ea5t b\u1ea1i implant, m\u1eb7c d\u00f9 c\u00f3 t\u1ef7 l\u1ec7 t\u01b0\u01a1ng \u0111\u1ed1i nh\u1ecf, nh\u01b0ng kh\u00f4ng ph\u1ea3i l\u00e0 hi\u1ebfm g\u1eb7p, v\u00e0 th\u01b0\u1eddng dao \u0111\u1ed9ng t\u1eeb 1 \u0111\u1ebfn 8%. Th\u1ea5t b\u1ea1i implant \u0111\u01b0\u1ee3c cho l\u00e0 do hai nguy\u00ean nh\u00e2n ch\u00ednh: th\u1ea5t b\u1ea1i c\u01a1 h\u1ecdc ho\u1eb7c th\u1ea5t b\u1ea1i sinh h\u1ecdc, ho\u1eb7c k\u1ebft h\u1ee3p c\u1ea3 hai.<\/p>\n<h2>2. B\u1ec7nh l\u00fd nha chu v\u00e0 Implant<\/h2>\n<p>T\u1ef7 l\u1ec7 b\u1ec7nh nha chu \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o b\u1edfi Trung t\u00e2m Ki\u1ec3m so\u00e1t v\u00e0 Ph\u00f2ng ng\u1eeba B\u1ec7nh t\u1eadt Hoa K\u1ef3 l\u00e0 47% \u1edf ng\u01b0\u1eddi tr\u00ean 30 tu\u1ed5i v\u00e0 70.1% \u1edf ng\u01b0\u1eddi tr\u00ean 60 tu\u1ed5i. Do nhu c\u1ea7u implant \u0111ang ti\u1ebfp t\u1ee5c t\u0103ng l\u00ean, n\u00ean ng\u00e0y c\u00e0ng c\u00f3 nhi\u1ec1u b\u1ec7nh nh\u00e2n b\u1ecb vi\u00eam nha chu ho\u1ea1t \u0111\u1ed9ng ho\u1eb7c \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb tr\u1edf th\u00e0nh \u1ee9ng vi\u00ean c\u1ee7a \u0111i\u1ec1u tr\u1ecb c\u1ea5y gh\u00e9p. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, ch\u00fang t\u00f4i tr\u00ecnh b\u00e0y v\u00e0 th\u1ea3o lu\u1eadn v\u1ec1 \u0111i\u1ec1u tr\u1ecb implant cho b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh nha chu. M\u1ee5c ti\u00eau l\u00e0 th\u1ea3o lu\u1eadn t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng v\u00e0 th\u1ea5t b\u1ea1i c\u1ee7a implant \u1edf b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh nha chu so v\u1edbi b\u1ec7nh nh\u00e2n kh\u1ecfe m\u1ea1nh.<\/p>\n<p>\u0110\u00e1nh gi\u00e1 vi khu\u1ea9n t\u1ea1i v\u1ecb tr\u00ed b\u1ecb vi\u00eam quanh implant cho th\u1ea5y s\u1ed1 l\u01b0\u1ee3ng l\u1edbn c\u00e1c t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh nha chu ph\u1ed5 bi\u1ebfn, ch\u1eb3ng h\u1ea1n nh\u01b0 Porphyromonas gingivalis, Aggregatibacter actinomycetemcomitans, v\u00e0 Prevotella intermedia, cho th\u1ea5y vi khu\u1ea9n trong t\u00fai nha chu c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec5m khu\u1ea9n ch\u00e9o, v\u00e0 h\u01a1n th\u1ebf n\u1eefa, t\u00fai nha chu c\u00f3 vai tr\u00f2 nh\u01b0 b\u1ec3 ch\u1ee9a cho s\u1ef1 \u0111\u00f3ng kh\u00fam vi khu\u1ea9n \u1edf v\u00f9ng d\u01b0\u1edbi n\u01b0\u1edbc quanh implant. Ngo\u00e0i vi khu\u1ea9n, \u0111\u00e1p \u1ee9ng c\u1ee7a v\u1eadt ch\u1ee7 d\u01b0\u1eddng nh\u01b0 c\u0169ng \u0111\u00f3ng m\u1ed9t vai tr\u00f2 quan tr\u1ecdng trong ti\u1ebfn tr\u00ecnh v\u00e0 m\u1ee9c \u0111\u1ed9 ph\u00e1 h\u1ee7y m\u00f4 x\u1ea3y ra quanh implant. Do \u0111\u00f3, kh\u00f4ng ch\u1ec9 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a c\u00e1c t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh nha chu, m\u00e0 nh\u1eefng hi\u1ec7n t\u01b0\u1ee3ng ph\u1ee9c t\u1ea1p t\u1eeb s\u1ef1 t\u01b0\u01a1ng t\u00e1c v\u00e0 trao \u0111\u1ed5i gi\u1eefa m\u1ea3ng b\u00e1m vi khu\u1ea9n v\u1edbi h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u0169ng c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o s\u1ef1 kh\u1edfi ph\u00e1t v\u00e0 ti\u1ebfn tri\u1ec3n c\u1ee7a vi\u00eam quanh implant. Nh\u1eefng b\u1ec7nh nh\u00e2n nh\u1ea1y c\u1ea3m \u0111\u01b0\u1ee3c cho l\u00e0 ph\u1ea3n \u1ee9ng m\u1ea1nh m\u1ebd v\u1edbi c\u00e1c t\u00e1c nh\u00e2n nhi\u1ec5m tr\u00f9ng, d\u1eabn \u0111\u1ebfn ph\u00e1 h\u1ee7y m\u00f4 nhi\u1ec1u h\u01a1n trong qu\u00e1 tr\u00ecnh ti\u1ebfn tri\u1ec3n b\u1ec7nh nha chu.<\/p>\n<p>S\u1ef1 hi\u1ec7n di\u1ec7n v\u00e0 m\u1ee9c \u0111\u1ed9 vi\u00eam quanh implant \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1, v\u00e0 c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e3 k\u1ebft lu\u1eadn r\u1eb1ng b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh nha chu s\u1ebd t\u0103ng nguy c\u01a1 ph\u00e1 h\u1ee7y m\u00f4 nhi\u1ec1u h\u01a1n so v\u1edbi \u0111\u1ed1i t\u01b0\u1ee3ng kh\u1ecfe m\u1ea1nh. M\u1eb7c d\u00f9 \u0111i\u1ec1u n\u00e0y l\u00e0 \u0111\u00fang, nh\u01b0ng s\u1ef1 kh\u00e1c bi\u1ec7t trong ti\u00eau ch\u00ed ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nha chu c\u0169ng c\u00f3 \u00fd ngh\u0129a v\u00e0 \u0111\u01b0\u1ee3c xem l\u00e0 y\u1ebfu t\u1ed1 g\u00e2y nhi\u1ec5u. Ngo\u00e0i ra, ch\u1ec9 c\u00f3 m\u1ed9t v\u00e0i nghi\u00ean c\u1ee9u c\u00f3 nh\u00f3m ch\u1ee9ng v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y. Do \u0111\u00f3, kh\u00e1m, ch\u1ea9n \u0111o\u00e1n c\u1ea9n th\u1eadn, v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng b\u1ec7nh nha chu l\u00e0 v\u00f4 c\u00f9ng quan tr\u1ecdng tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb c\u1ea5y gh\u00e9p. Ngo\u00e0i ra, ph\u1ea3i tu\u00e2n th\u1ee7 ch\u01b0\u01a1ng tr\u00ecnh duy tr\u00ec ph\u00f9 h\u1ee3p sau \u0111i\u1ec1u tr\u1ecb nha chu v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u1ea5y gh\u00e9p \u0111\u1ec3 duy tr\u00ec s\u1ee9c kh\u1ecfe m\u00f4 nha chu c\u0169ng nh\u01b0 s\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a implant.<\/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>1. Herrera D, Rold\u00e1n S, O&#8217;Connor A, Sanz M. The periodontal abscess (II). Short-term clinical and microbiological efficacy of 2 systemic antibiotic regimes. J Clin Periodontol 2000;27:395-404.<br \/>\n2. Camelo M, Nevins ML, Schenk RK, et al. Clinical, radiographic, and histologic evaluation of human periodontal defects treated with Bio-Oss and Bio-Gide.<br \/>\nInt J Periodontics Restorative Dent 1998;18(4):321-331. 3. Bowers GM, Chadroff B, Carnevale R, et al. Histologic evaluation of new attachment apparatus formation in humans. Part I. J Periodontol 1989;60(12):664-674.<br \/>\n4. Meredith N, Book K, Friberg B, et al. Resonance frequency measurements of implant stability in vivo. A cross- sectional and longitudinal study of resonance frequency measurements on implants in the edentulous and partially dentate maxilla. Clin Oral Implants Res 1997;8(3):226-233.<br \/>\n5. Eke Pl, Dye B.A, Wei L, et al. Prevalence of periodontitis in adults in the United States: 2009 and 2010. J Dent Res 2012;91(10):914-920.<br \/>\n6. Mombelli A. Microbiology and antimicrobial therapy of peri-implantitis. Periodontol 2000 2002;28:177\u2013189.<br \/>\n7. Page RC, Offenbacher S, Schroeder HE, et al. Advances in the pathogenesis of periodontitis: summary of developments, clinical implications and future directions. Periodontol 2000 1997;14:216-248.<br \/>\n8. Van der Weijden GA, van Bemmel KM, Renvert S. Implant therapy in partially edentulous peridoontally compromised patients: a review. J Clin Periodontol 2005;32:506-511.<br \/>\n9. Schou S, Holmstrup P, Worthington HV, Esposito M. Outcome of implant therapy in patients with previous tooth loss due to periodontitis. Clin Oral Implants Res 2006;17(Suppl 2):104-123.<br \/>\n10. Karoussis IK, Kotsovilis S, Fourmousis I. A comprehensive and critical review of dental implant prognosis in periodontally compromised partially edentulous patients. Clin Oral Implants Res 2007;18:669-679.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb implant th\u01b0\u1eddng \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 tr\u00ean 90%. Th\u1ea5t b\u1ea1i implant, m\u1eb7c d\u00f9 c\u00f3 t\u1ef7 l\u1ec7 t\u01b0\u01a1ng \u0111\u1ed1i nh\u1ecf, nh\u01b0ng kh\u00f4ng ph\u1ea3i l\u00e0 hi\u1ebfm g\u1eb7p, v\u00e0 th\u01b0\u1eddng dao \u0111\u1ed9ng t\u1eeb 1 \u0111\u1ebfn 8%. Th\u1ea5t b\u1ea1i implant \u0111\u01b0\u1ee3c cho l\u00e0 do hai nguy\u00ean nh\u00e2n ch\u00ednh: th\u1ea5t b\u1ea1i c\u01a1 h\u1ecdc [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Th\u1ea5t b\u1ea1i \u0111i\u1ec1u tr\u1ecb Implant - \u0110\u1ec1 c\u1eadp \u0111\u1ebfn v\u1ea5n \u0111\u1ec1 nha chu. - Vinmec<\/title>\n<meta name=\"description\" content=\"Th\u1ea5t b\u1ea1i \u0111i\u1ec1u tr\u1ecb implant do: c\u01a1 h\u1ecdc ho\u1eb7c sinh h\u1ecdc, hay l\u00e0 k\u1ebft h\u1ee3p c\u1ea3 hai. 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