{"id":32446,"date":"2023-05-07T10:39:17","date_gmt":"2023-05-07T03:39:17","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32446"},"modified":"2023-05-07T12:52:16","modified_gmt":"2023-05-07T05:52:16","slug":"that-bai-implant-danh-gia-qua-trinh-viem-quanh-implant","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/07\/that-bai-implant-danh-gia-qua-trinh-viem-quanh-implant\/","title":{"rendered":"Th\u1ea5t b\u1ea1i Implant – \u0110\u00e1nh gi\u00e1 qu\u00e1 tr\u00ecnh vi\u00eam quanh Implant."},"content":{"rendered":"

B\u1ec7nh nha chu l\u00e0 m\u1ed9t trong s\u1ed1 v\u00e0i y\u1ebfu t\u1ed1 nguy c\u01a1 quan tr\u1ecdng c\u00f3 th\u1ec3 \u0111\u01b0a \u0111\u1ebfn s\u1ef1 th\u00e0nh l\u1eadp v\u00e0 ti\u1ebfn tri\u1ec3n c\u1ee7a vi\u00eam ni\u00eam m\u1ea1c quanh implant v\u00e0 vi\u00eam quanh implant. \u0110i\u1ec1u tr\u1ecb v\u00e0 \u1ed5n \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng nha chu s\u1ebd cho ph\u00e9p \u0111\u00e1nh gi\u00e1 v\u00e0 ti\u00ean l\u01b0\u1ee3ng ch\u00ednh x\u00e1c h\u01a1n nhu c\u1ea7u c\u1ea5y gh\u00e9p hi\u1ec7n t\u1ea1i v\u00e0 t\u01b0\u01a1ng lai, t\u1eeb \u0111\u00f3 cho ph\u00e9p b\u00e1c s\u0129 l\u00e2m s\u00e0ng tr\u00ecnh b\u00e0y v\u1edbi b\u1ec7nh nh\u00e2n v\u1ec1 m\u1ed9t k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 v\u00e0 ti\u00ean l\u01b0\u1ee3ng \u0111\u1ec3 gi\u1ea3i quy\u1ebft t\u1ed1t nh\u1ea5t nh\u1eefng y\u00eau c\u1ea7u c\u1ee7a b\u1ec7nh nh\u00e2n. C\u00f9ng ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 qu\u00e1 tr\u00ecnh g\u00e2y ra th\u1ea5t b\u1ea1i trong th\u1ee7 thu\u1eadt Implant v\u00e0 ph\u00e2n t\u00edch, m\u00f4 t\u1ea3 ch\u1ea9n \u0111o\u00e1n vi\u00eam quanh Implant b\u1eb1ng c\u00e1c d\u1ea5u hi\u1ec7u \u0111\u1eb7c tr\u01b0ng trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n

1. Vi\u00eam nha chu c\u00f3 ph\u1ea3i l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 vi\u00eam quanh Implant v\u00e0 g\u00e2y ra th\u1ea5t b\u1ea1i hay kh\u00f4ng?<\/h2>\n

M\u1eb7c d\u00f9 nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u00e3 ph\u00e1t hi\u1ec7n ra r\u1eb1ng vi\u00eam nha chu l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a vi\u00eam quanh implant, nh\u01b0ng s\u1ef1 kh\u00e1c bi\u1ec7t \u0111\u00e1ng k\u1ec3 trong thi\u1ebft k\u1ebf nghi\u00ean c\u1ee9u, th\u1eddi gian theo d\u00f5i, k\u1ebft qu\u1ea3 \u0111o l\u01b0\u1eddng, v\u00e0 y\u1ebfu t\u1ed1 g\u00e2y nhi\u1ec5u nh\u01b0 h\u00fat thu\u1ed1c l\u00e1 \u0111\u00e3 g\u00e2y th\u00eam kh\u00f3 kh\u0103n cho vi\u1ec7c r\u00fat ra m\u1ed9t k\u1ebft lu\u1eadn r\u00f5 r\u00e0ng, n\u00ean nh\u1eefng b\u1eb1ng ch\u1ee9ng hi\u1ec7n nay m\u1edbi ch\u1ec9 \u0111\u1ec1 xu\u1ea5t m\u1ed1i li\u00ean quan n\u00e0y.
\nSchou v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 th\u1ef1c hi\u1ec7n m\u1ed9t si\u00eau ph\u00e2n t\u00edch so s\u00e1nh k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb c\u1ea5y gh\u00e9p \u1edf b\u1ec7nh nh\u00e2n m\u1ea5t r\u0103ng do vi\u00eam nha chu so v\u1edbi m\u1ea5t r\u0103ng kh\u00f4ng do vi\u00eam nha chu. C\u00e1c t\u00e1c gi\u1ea3 k\u1ebft lu\u1eadn r\u1eb1ng c\u00f3 s\u1ef1 gia t\u0103ng \u0111\u00e1ng k\u1ec3 t\u1ef7 l\u1ec7 vi\u00eam quanh implant v\u00e0 ti\u00eau vi\u1ec1n x\u01b0\u01a1ng quanh implant \u1edf nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng m\u1ea5t r\u0103ng do vi\u00eam nha chu. Ng\u01b0\u1ee3c l\u1ea1i, Karoussis v\u00e0 c\u1ed9ng s\u1ef1 th\u00f4ng qua m\u1ed9t t\u1ed5ng quan h\u1ec7 th\u1ed1ng \u0111\u00e3 ch\u1ee9ng minh r\u1eb1ng kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea trong t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i ng\u1eafn h\u1ea1n (< 5 n\u0103m) l\u1eabn d\u00e0i h\u1ea1n (> 5 n\u0103m) c\u1ee7a implant gi\u1eefa b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed vi\u00eam nha chu m\u1ea1n so v\u1edbi \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 m\u00f4 nha chu l\u00e0nh m\u1ea1nh. Tuy nhi\u00ean, c\u1ea7n l\u01b0u \u00fd r\u1eb1ng b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed vi\u00eam nha chu m\u1ea1n c\u00f3 th\u1ec3 c\u00f3 \u0111\u1ed9 s\u00e2u t\u00fai l\u1edbn h\u01a1n, ti\u00eau vi\u1ec1n x\u01b0\u01a1ng nhi\u1ec1u h\u01a1n, v\u00e0 t\u0103ng t\u1ef7 l\u1ec7 vi\u00eam quanh implant so v\u1edbi \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 m\u00f4 nha chu l\u00e0nh m\u1ea1nh. B\u1ec7nh nha chu l\u00e0 m\u1ed9t trong s\u1ed1 v\u00e0i y\u1ebfu t\u1ed1 nguy c\u01a1 quan tr\u1ecdng c\u00f3 th\u1ec3 \u0111\u01b0a \u0111\u1ebfn s\u1ef1 th\u00e0nh l\u1eadp v\u00e0 ti\u1ebfn tri\u1ec3n c\u1ee7a vi\u00eam ni\u00eam m\u1ea1c quanh implant v\u00e0 vi\u00eam quanh implant (H\u00ecnh d\u01b0\u1edbi \u0111\u00e2y).<\/p>\n

\"that-bai-1\"
C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a vi\u00eam quanh Implant<\/figcaption><\/figure>\n

T\u00fai nha chu gi\u1ed1ng nh\u01b0 b\u1ec3 ch\u1ee9a vi khu\u1ea9n g\u00e2y b\u1ec7nh. M\u1eabu b\u1ec7nh ph\u1ea9m thu \u0111\u01b0\u1ee3c t\u1eeb nh\u1eefng v\u1ecb tr\u00ed vi\u00eam quanh implant cho th\u1ea5y s\u1ef1 t\u1eadp trung s\u1ed1 l\u01b0\u1ee3ng t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh nha chu nhi\u1ec1u h\u01a1n \u0111\u00e1ng k\u1ec3. Lo\u1ea1i tr\u1eeb nh\u1eefng b\u1ec3 ch\u1ee9a n\u00e0y kh\u00f4ng ch\u1ec9 l\u00e0m gi\u1ea3m nguy c\u01a1 l\u00e2y nhi\u1ec5m ch\u00e9o, m\u00e0 c\u00f2n l\u00e0m gi\u1ea3m ho\u1eb7c lo\u1ea1i tr\u1eeb nguy c\u01a1 g\u00e2y ra \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch \u1edf v\u1eadt ch\u1ee7 nh\u1ea1y c\u1ea3m (\u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o s\u1ef1 kh\u1edfi ph\u00e1t v\u00e0 ti\u1ebfn tri\u1ec3n c\u1ee7a s\u1ef1 ph\u00e1 h\u1ee7y m\u00f4 quanh implant). Nh\u01b0 m\u1ed9t nguy\u00ean t\u1eafc chung trong nha khoa, ng\u01b0\u1eddi ta \u0111\u1ec1 ngh\u1ecb n\u00ean \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd ho\u1ea1t \u0111\u1ed9ng tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ph\u1ee5c h\u1ed3i. \u0110i\u1ec1u n\u00e0y \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng theo quan \u0111i\u1ec3m \u0111i\u1ec1u tr\u1ecb to\u00e0n di\u1ec7n. B\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a ra k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb to\u00e0n di\u1ec7n t\u1ed1t nh\u1ea5t, l\u00e2u d\u00e0i, v\u00e0 ti\u00ean l\u01b0\u1ee3ng, t\u1eeb \u0111\u00f3 \u0111em l\u1ea1i b\u1ed9 r\u0103ng tho\u1ea3i m\u00e1i, \u1ed5n \u0111\u1ecbnh, v\u00e0 d\u1ec5 duy tr\u00ec.<\/p>\n

\u0110\u1eb7t implant \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh nha chu ho\u1ea1t \u0111\u1ed9ng v\u00e0 c\u00f3 th\u1ec3 s\u1ebd m\u1ea5t r\u0103ng trong t\u01b0\u01a1ng lai c\u00f3 th\u1ec3 \u0111\u01b0a \u0111\u1ebfn k\u1ebft qu\u1ea3 kh\u00f4ng ti\u00ean l\u01b0\u1ee3ng, v\u00e0 k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb ph\u1ea3i \u0111\u01b0\u1ee3c thay \u0111\u1ed5i v\u00e0 c\u1eadp nh\u1eadt th\u01b0\u1eddng xuy\u00ean nh\u1eb1m gi\u1ea3i quy\u1ebft t\u00ecnh tr\u1ea1ng m\u1ea5t r\u0103ng li\u00ean t\u1ee5c trong t\u01b0\u01a1ng lai. \u0110i\u1ec1u tr\u1ecb v\u00e0 \u1ed5n \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng nha chu s\u1ebd cho ph\u00e9p \u0111\u00e1nh gi\u00e1 v\u00e0 ti\u00ean l\u01b0\u1ee3ng ch\u00ednh x\u00e1c h\u01a1n nhu c\u1ea7u c\u1ea5y gh\u00e9p hi\u1ec7n t\u1ea1i v\u00e0 t\u01b0\u01a1ng lai, t\u1eeb \u0111\u00f3 cho ph\u00e9p b\u00e1c s\u0129 l\u00e2m s\u00e0ng tr\u00ecnh b\u00e0y v\u1edbi b\u1ec7nh nh\u00e2n v\u1ec1 m\u1ed9t k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 v\u00e0 ti\u00ean l\u01b0\u1ee3ng \u0111\u1ec3 gi\u1ea3i quy\u1ebft t\u1ed1t nh\u1ea5t nh\u1eefng y\u00eau c\u1ea7u c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

2. M\u00f4 t\u1ea3 ch\u1ea9n \u0111o\u00e1n vi\u00eam quanh Implant<\/h2>\n
    \n
  • \u0110\u00e1nh gi\u00e1 tr\u00ean phim X-quang. Phim quanh ch\u00f3p v\u00e0 phim c\u1eafn c\u00e1nh l\u00e0 nh\u1eefng c\u00f4ng c\u1ee5 quan tr\u1ecdng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 ti\u00eau x\u01b0\u01a1ng v\u00e0 l\u01b0\u1ee3ng x\u01b0\u01a1ng quanh implant. \u0110i\u1ec1u tr\u1ecb implant th\u00e0nh c\u00f4ng ngh\u0129a l\u00e0 m\u1ee9c x\u01b0\u01a1ng \u1ed5n \u0111\u1ecbnh v\u1edbi s\u1ef1 thay \u0111\u1ed5i t\u1ed1i thi\u1ec3u trong su\u1ed1t cu\u1ed9c \u0111\u1eddi c\u1ee7a implant. Giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a vi\u00eam quanh implant c\u00f3 th\u1ec3 ch\u1ec9 g\u00e2y thay \u0111\u1ed5i x\u01b0\u01a1ng t\u1ed1i thi\u1ec3u, n\u00ean r\u1ea5t kh\u00f3 ph\u00e1t hi\u1ec7n tr\u00ean phim quanh ch\u00f3p kh\u00f4ng chu\u1ea9n h\u00f3a. Theo Albrekfsson v\u00e0 c\u1ed9ng s\u1ef1 ti\u00eau x\u01b0\u01a1ng 0.2 mm quanh implant m\u1ed7i n\u0103m l\u00e0 ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c; tuy nhi\u00ean, kh\u1ea3 n\u0103ng ph\u00e1t hi\u1ec7n s\u1ef1 thay \u0111\u1ed5i n\u00e0y tr\u00ean phim quanh ch\u00f3p \u0111\u1ecbnh k\u1ef3 l\u00e0 v\u00f4 c\u00f9ng kh\u00f3 kh\u0103n. Do \u0111\u00f3, \u0111\u00e1nh gi\u00e1 implant tr\u00ean phim X- quang ph\u1ea3i lu\u00f4n lu\u00f4n \u0111i k\u00e8m v\u1edbi kh\u00e1m l\u00e2m s\u00e0ng c\u1ea9n th\u1eadn.<\/li>\n
  • Kh\u00e1m l\u00e2m s\u00e0ng. Th\u0103m d\u00f2 quanh implant kh\u00f4ng ch\u1ec9 l\u00e0 \u0111o \u0111\u1ed9 s\u00e2u t\u00fai quanh implant m\u00e0 c\u00f2n x\u00e1c \u0111\u1ecbnh c\u00f3 ch\u1ea3y m\u00e1u hay kh\u00f4ng, c\u00f9ng v\u1edbi s\u1ef1 hi\u1ec7n di\u1ec7n v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1ee5t m\u00f4 m\u1ec1m quanh implant. C\u1ea7n l\u01b0u \u00fd r\u1eb1ng th\u0103m d\u00f2 quanh implant trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 g\u1eb7p kh\u00f3 kh\u0103n do h\u00ecnh d\u1ea1ng \u0111\u1ea1i th\u1ec3 c\u1ee7a implant c\u00f9ng v\u1edbi gi\u1ea3i ph\u1eabu c\u1ee7a m\u00e3o r\u0103ng c\u0169ng nh\u01b0 g\u00f3c \u0111\u1ed9 th\u0103m d\u00f2. M\u1ed9t \u0111i\u1ec1u n\u1eefa c\u1ea7n l\u01b0u \u00fd l\u00e0 m\u1ee9c \u0111\u1ed9 \u0111\u1eb7t implant theo chi\u1ec1u \u0111\u1ee9ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng \u0111\u1ed9 s\u00e2u t\u00fai n\u1ebfu implant \u0111\u01b0\u1ee3c \u0111\u1eb7t s\u00e2u h\u01a1n (v\u1ec1 ph\u00eda ch\u00f3p h\u01a1n) so v\u1edbi v\u1ecb tr\u00ed l\u00fd t\u01b0\u1edfng. Trong tr\u01b0\u1eddng h\u1ee3p \u0111\u00f3, t\u00fai s\u00e2u c\u00f3 th\u1ec3 l\u00e0 do khe n\u01b0\u1edbu s\u00e2u t\u1ea1o ra b\u1edfi v\u1ecb tr\u00ed s\u00e2u c\u1ee7a implant ch\u1ee9 kh\u00f4ng ph\u1ea3i do b\u1ec7nh l\u00fd. \u0110i\u1ec1u n\u00e0y nh\u1ea5n m\u1ea1nh r\u1eb1ng \u0111\u1ed9 s\u00e2u t\u00fai quanh implant ph\u1ea3i \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch k\u1ebft h\u1ee3p v\u1edbi nhi\u1ec1u th\u00f4ng s\u1ed1 kh\u00e1c, bao g\u1ed3m \u0111\u00e1nh gi\u00e1 tr\u00ean phim X-quang v\u00e0 c\u00f3 vi\u00eam hay kh\u00f4ng tr\u01b0\u1edbc khi \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh.<\/li>\n
  • X\u00e9t nghi\u1ec7m vi sinh. Gi\u00e1 tr\u1ecb c\u1ee7a x\u00e9t nghi\u1ec7m vi sinh trong ch\u1ea9n \u0111o\u00e1n ho\u1eb7c d\u1ef1 \u0111o\u00e1n vi\u00eam quanh implant v\u1eabn c\u00f2n l\u00e0 m\u1ed9t ch\u1ee7 \u0111\u1ec1 g\u00e2y tranh c\u00e3i. Tuy nhi\u00ean, n\u00f3 c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 c\u00f3 gi\u00e1 tr\u1ecb trong giai \u0111o\u1ea1n \u0111i\u1ec1u tr\u1ecb vi\u00eam quanh implant, v\u00ec n\u00f3 cung c\u1ea5p h\u01b0\u1edbng d\u1eabn sinh h\u1ecdc gi\u00fap l\u1ef1a ch\u1ecdn kh\u00e1ng sinh to\u00e0n th\u00e2n ph\u00f9 h\u1ee3p v\u00e0 hi\u1ec7u qu\u1ea3 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3.<\/li>\n<\/ul>\n

    D\u1ef1a tr\u00ean nh\u1eefng l\u1ea7n th\u0103m kh\u00e1m tr\u01b0\u1edbc \u0111\u00f3, ch\u1ea9n \u0111o\u00e1n vi\u00eam quanh implant n\u00ean \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp d\u1ef1a tr\u00ean ti\u1ec1n s\u1eed y khoa v\u00e0 nha khoa to\u00e0n di\u1ec7n, k\u1ebft h\u1ee3p v\u1edbi kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 X-quang k\u1ef9 l\u01b0\u1ee1ng.<\/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","protected":false},"excerpt":{"rendered":"

    B\u1ec7nh nha chu l\u00e0 m\u1ed9t trong s\u1ed1 v\u00e0i y\u1ebfu t\u1ed1 nguy c\u01a1 quan tr\u1ecdng c\u00f3 th\u1ec3 \u0111\u01b0a \u0111\u1ebfn s\u1ef1 th\u00e0nh l\u1eadp v\u00e0 ti\u1ebfn tri\u1ec3n c\u1ee7a vi\u00eam ni\u00eam m\u1ea1c quanh implant v\u00e0 vi\u00eam quanh implant. \u0110i\u1ec1u tr\u1ecb v\u00e0 \u1ed5n \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng nha chu s\u1ebd cho ph\u00e9p \u0111\u00e1nh gi\u00e1 v\u00e0 ti\u00ean l\u01b0\u1ee3ng ch\u00ednh x\u00e1c h\u01a1n nhu […]<\/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":"\nTh\u1ea5t b\u1ea1i Implant - \u0110\u00e1nh gi\u00e1 qu\u00e1 tr\u00ecnh vi\u00eam quanh Implant.<\/title>\n<meta name=\"description\" content=\"C\u00f9ng \u0111\u00e1nh gi\u00e1 qu\u00e1 tr\u00ecnh g\u00e2y ra th\u1ea5t b\u1ea1i Implant v\u00e0 ph\u00e2n t\u00edch, m\u00f4 t\u1ea3 ch\u1ea9n \u0111o\u00e1n vi\u00eam quanh Implant b\u1eb1ng c\u00e1c d\u1ea5u hi\u1ec7u \u0111\u1eb7c tr\u01b0ng.\" \/>\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=\"Th\u1ea5t b\u1ea1i Implant - 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