{"id":32623,"date":"2023-05-08T05:16:58","date_gmt":"2023-05-07T22:16:58","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32623"},"modified":"2023-05-08T16:18:54","modified_gmt":"2023-05-08T09:18:54","slug":"rang-roi-ra-ngoai-o-tre-vi-thanh-nien-thoi-diem-dat-implant","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/08\/rang-roi-ra-ngoai-o-tre-vi-thanh-nien-thoi-diem-dat-implant\/","title":{"rendered":"R\u0103ng r\u01a1i ra ngo\u00e0i \u1edf tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean – Th\u1eddi \u0111i\u1ec3m \u0111\u1eb7t Implant."},"content":{"rendered":"

\u0110\u1eb7t implant n\u00ean \u0111\u01b0\u1ee3c tr\u00ec ho\u00e3n cho \u0111\u1ebfn khi ho\u00e0n t\u1ea5t t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng. Ng\u01b0\u1eddi ta nh\u1eadn th\u1ea5y r\u1eb1ng implant \u0111\u00e3 t\u00edch x\u01b0\u01a1ng th\u00ec gi\u1ed1ng nh\u01b0 r\u0103ng b\u1ecb c\u1ee9ng kh\u1edbp. Implant, b\u1ea3n ch\u1ea5t r\u1ea5t kh\u00e1c v\u1edbi r\u0103ng th\u1eadt k\u1ebf b\u00ean, kh\u00f4ng di chuy\u1ec3n theo chi\u1ec1u ngang v\u00e0 chi\u1ec1u d\u1ecdc trong qu\u00e1 tr\u00ecnh t\u0103ng tr\u01b0\u1edfng c\u1ee7a x\u01b0\u01a1ng h\u00e0m tr\u00ean v\u00e0 x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi, v\u00e0 ch\u00fang c\u0169ng kh\u00f4ng \u0111i theo s\u1ef1 thay \u0111\u1ed5i c\u1ee7a m\u1ecfm x\u01b0\u01a1ng \u1edf trong qu\u00e1 tr\u00ecnh t\u0103ng tr\u01b0\u1edfng. B\u00e0i vi\u1ebft sau t\u1ed5ng quan v\u1ec1 th\u1eddi \u0111i\u1ec3m \u0111\u1eb7t Implant v\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 quan tr\u1ecdng nh\u1ea5t quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1eddng h\u1ee3p r\u0103ng r\u01a1i ra ngo\u00e0i \u1edf tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n

\"rang-roi-ra-ngoai\"<\/p>\n

1. Th\u1eddi \u0111i\u1ec3m \u0111\u1eb7t Implant \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u1edf \u0111\u1ed9 tu\u1ed5i v\u1ecb th\u00e0nh ni\u00ean c\u00f3 r\u0103ng r\u01a1i ra ngo\u00e0i<\/h2>\n

\u0110\u1eb7t implant n\u00ean \u0111\u01b0\u1ee3c tr\u00ec ho\u00e3n cho \u0111\u1ebfn khi ho\u00e0n t\u1ea5t t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng. Ng\u01b0\u1eddi ta nh\u1eadn th\u1ea5y r\u1eb1ng implant \u0111\u00e3 t\u00edch x\u01b0\u01a1ng th\u00ec gi\u1ed1ng nh\u01b0 r\u0103ng b\u1ecb c\u1ee9ng kh\u1edbp. Implant, b\u1ea3n ch\u1ea5t r\u1ea5t kh\u00e1c v\u1edbi r\u0103ng th\u1eadt k\u1ebf b\u00ean, kh\u00f4ng di chuy\u1ec3n theo chi\u1ec1u ngang v\u00e0 chi\u1ec1u d\u1ecdc trong qu\u00e1 tr\u00ecnh t\u0103ng tr\u01b0\u1edfng c\u1ee7a x\u01b0\u01a1ng h\u00e0m tr\u00ean v\u00e0 x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi, v\u00e0 ch\u00fang c\u0169ng kh\u00f4ng \u0111i theo s\u1ef1 thay \u0111\u1ed5i c\u1ee7a m\u1ecfm x\u01b0\u01a1ng \u1edf trong qu\u00e1 tr\u00ecnh t\u0103ng tr\u01b0\u1edfng. Do \u0111\u00f3, \u0111\u1ec3 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng trong t\u01b0\u01a1ng lai, th\u00ec kh\u00f4ng n\u00ean \u0111\u1eb7t implant \u1edf tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean \u0111ang t\u0103ng tr\u01b0\u1edfng.<\/p>\n

M\u00f4 h\u00ecnh t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng thay \u0111\u1ed5i \u1edf t\u1eebng \u0111\u1ed1i t\u01b0\u1ee3ng. Do \u0111\u00f3, n\u00ean ph\u00e2n t\u00edch \u0111\u01b0\u1eddng cong t\u0103ng tr\u01b0\u1edfng \u0111\u1ec3 \u01b0\u1edbc t\u00ednh th\u1eddi \u0111i\u1ec3m ch\u1ea5m d\u1ee9t t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng. Ngo\u00e0i ra, \u0111\u00e1nh gi\u00e1 phim X-quang c\u1ed5 tay v\u00e0 ch\u1ed3ng phim \u0111o s\u1ecd \u0111\u01b0\u1ee3c ch\u1ee5p c\u00e1ch nhau t\u1ed1i thi\u1ec3u 6 th\u00e1ng, c\u00f3 gi\u00e1 tr\u1ecb l\u1edbn \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh s\u1ef1 tr\u01b0\u1edfng th\u00e0nh c\u1ee7a x\u01b0\u01a1ng. Tu\u1ed5i sinh l\u00fd hay tu\u1ed5i r\u0103ng \u0111\u1ec1u kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 tham kh\u1ea3o khi \u0111\u1eb7t implant \u1edf b\u1ec7nh nh\u00e2n tr\u1ebb do ch\u00fang kh\u00f4ng \u0111\u1ea1i di\u1ec7n cho giai \u0111o\u1ea1n t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng. \u0110i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c \u1ee7ng h\u1ed9 b\u1edfi nghi\u00ean c\u1ee9u c\u1ee7a Thilander v\u00e0 c\u1ed9ng s\u1ef1, trong \u0111\u00f3 \u0111\u00e1nh gi\u00e1 t\u01b0\u01a1ng quan theo chi\u1ec1u \u0111\u1ee9ng gi\u1eefa m\u00e3o tr\u00ean implant v\u1edbi c\u00e1c r\u0103ng k\u1ebf b\u00ean \u1edf tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean.<\/p>\n

C\u00e1c t\u00e1c gi\u1ea3 b\u00e1o c\u00e1o r\u1eb1ng m\u1eb7c d\u00f9 c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 tu\u1ed5i sinh l\u00fd v\u00e0 tu\u1ed5i r\u0103ng gi\u1ed1ng nhau t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111\u1eb7t implant nh\u01b0ng m\u00e3o tr\u00ean implant l\u1ea1i c\u00f3 m\u1ee9c \u0111\u1ed9 s\u1ee5p kh\u1edbp c\u1eafn kh\u00e1c nhau, l\u00e0 do s\u1ef1 t\u0103ng tr\u01b0\u1edfng ti\u1ebfp t\u1ee5c c\u1ee7a x\u01b0\u01a1ng h\u00e0m sau khi \u0111\u1eb7t implant. V\u00ec implant gi\u1ed1ng nh\u01b0 r\u0103ng c\u1ee9ng kh\u1edbp, n\u00ean \u0111\u1eb7t implant s\u1edbm \u1edf b\u1ec7nh nh\u00e2n tr\u1ebb kh\u00f4ng ch\u1ec9 c\u00f3 th\u1ec3 g\u00e2y ra k\u1ebft qu\u1ea3 th\u1ea9m m\u1ef9 b\u1ea5t l\u1ee3i m\u00e0 c\u00f2n g\u00e2y ch\u00eanh l\u1ec7ch m\u1eb7t ph\u1eb3ng kh\u1edbp c\u1eafn v\u00e0 l\u00fan ph\u1ee5c h\u00ecnh tr\u00ean implant. L\u00fan m\u00e3o tr\u00ean implant c\u00f3 th\u1ec3 g\u00e2y tr\u1ed3i r\u0103ng \u0111\u1ed1i di\u1ec7n v\u00e0 nghi\u00eang r\u0103ng k\u1ebf c\u1eadn. \u0110\u1eb7t implant s\u1edbm \u1edf tr\u1ebb \u0111ang t\u0103ng tr\u01b0\u1edfng th\u1eadm ch\u00ed c\u00f2n g\u00e2y ra bi\u1ebfn ch\u1ee9ng n\u1eb7ng h\u01a1n, v\u00ec n\u00f3 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng c\u1ee7a x\u01b0\u01a1ng h\u00e0m.<\/p>\n

2. Y\u1ebfu t\u1ed1 quan tr\u1ecdng nh\u1ea5t \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb<\/h2>\n

Khi ph\u00e1t hi\u1ec7n ngo\u1ea1i ti\u00eau \u1edf r\u0103ng \u0111\u01b0\u1ee3c c\u1eafm l\u1ea1i, th\u00ec n\u00ean \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ti\u00eau ch\u00e2n r\u0103ng tr\u00ean l\u00e2m s\u00e0ng v\u00e0 phim X-quang. M\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 quan tr\u1ecdng nh\u1ea5t \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb l\u00e0 v\u1ecb tr\u00ed ti\u00eau ch\u00e2n r\u0103ng. N\u1ebfu ti\u00eau ch\u00e2n r\u1eb1ng tr\u00ean m\u00e0o x\u01b0\u01a1ng th\u00ec c\u00f3 th\u1ec3 g\u1eafn ph\u1ee5c h\u1ed3i v\u00e0o xoang b\u1ecb ngo\u1ea1i ti\u00eau. Ph\u1ee5c h\u1ed3i c\u00f3 th\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a t\u00ecnh tr\u1ea1ng ti\u00eau ch\u00e2n r\u0103ng, ho\u1eb7c \u00edt nh\u1ea5t l\u00e0 tr\u00ec ho\u00e3n vi\u1ec7c nh\u1ed5 r\u0103ng cho \u0111\u1ebfn khi ch\u1ea5m d\u1ee9t t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng. Trong nh\u1eefng t\u00ecnh hu\u1ed1ng nh\u01b0 v\u1eady, c\u1ea7n \u0111\u1eb7c bi\u1ec7t ch\u00fa \u00fd \u0111\u1ec3 kh\u00f4ng x\u00e2m l\u1ea5n kho\u1ea3ng sinh h\u1ecdc. N\u1ebfu ngo\u1ea1i ti\u00eau x\u1ea3y ra \u1edf b\u1ec1 m\u1eb7t ch\u00e2n r\u0103ng v\u00e0 n\u1eb1m d\u01b0\u1edbi m\u00e0o x\u01b0\u01a1ng, th\u00ec nh\u1ed5 r\u0103ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh. Tuy nhi\u00ean, khi ngo\u1ea1i ti\u00eau ch\u00e2n r\u0103ng thay th\u1ebf x\u1ea3y ra \u1edf ph\u1ea7n ch\u00f3p c\u1ee7a b\u1ec1 m\u1eb7t ch\u00e2n r\u0103ng, th\u00ec n\u00ean ch\u1edd c\u00e0ng l\u00e2u c\u00e0ng t\u1ed1t \u0111\u1ec3 ch\u00e2n r\u0103ng b\u1ecb ti\u00eau v\u00e0 \u0111\u01b0\u1ee3c thay th\u1ebf b\u1edfi x\u01b0\u01a1ng, nh\u1eb1m c\u00f3 \u0111\u1ee7 th\u1ec3 t\u00edch x\u01b0\u01a1ng cho \u0111i\u1ec1u tr\u1ecb c\u1ea5y gh\u00e9p trong t\u01b0\u01a1ng lai.<\/p>\n

\u1ede b\u1ec7nh nh\u00e2n \u0111\u00e3 ho\u00e0n t\u1ea5t t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng, khi r\u0103ng b\u1ecb r\u01a1i ra ngo\u00e0i \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0 kh\u00f4ng gi\u1eef \u0111\u01b0\u1ee3c, th\u00ec c\u00f3 th\u1ec3 \u0111\u1eb7t implant t\u1ee9c th\u00ec sau nh\u1ed5 r\u0103ng ho\u1eb7c tr\u00ec ho\u00e3n sau b\u1ea3o t\u1ed3n s\u1ed1ng h\u00e0m. M\u1ed9t v\u00e0i y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c ra quy\u1ebft \u0111\u1ecbnh l\u00e0 kinh nghi\u1ec7m c\u1ee7a b\u00e1c s\u0129 l\u00e2m s\u00e0ng, s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a v\u00e1ch x\u01b0\u01a1ng ngo\u00e0i v\u00e0 \u0111\u1ed9 d\u00e0y c\u1ee7a n\u00f3, s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a nhi\u1ec5m tr\u00f9ng ho\u1ea1t \u0111\u1ed9ng, k\u00edch th\u01b0\u1edbc c\u1ee7a \u1ed5 nh\u1ed5 r\u0103ng, nhu c\u1ea7u th\u1ea9m m\u1ef9, gi\u1ea3i ph\u1eabu c\u1ee7a v\u1ecb tr\u00ed, ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 kh\u1ed1i l\u01b0\u1ee3ng x\u01b0\u01a1ng. \u0110\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 t\u1ed1i \u01b0u, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i \u0111\u00e1nh gi\u00e1 y\u00eau c\u1ea7u gh\u00e9p m\u00f4 m\u1ec1m ho\u1eb7c gh\u00e9p x\u01b0\u01a1ng, xem x\u00e9t nhu c\u1ea7u th\u1ea9m m\u1ef9 c\u1ee7a b\u1ec7nh nh\u00e2n, v\u00e0 ph\u1ed1i h\u1ee3p tr\u00ecnh t\u1ef1 \u0111i\u1ec1u tr\u1ecb t\u01b0\u01a1ng \u1ee9ng.<\/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. Hammarstr\u00f6m L, Pierce A, Bloml\u00f6f L, et al. Tooth avulsion and replantation – a review. Endod Dent Traumatol 1986;2(1):1-8.<\/em><\/p>\n

2. Fuss Z, Tsesis I, Lin S. Root resorption – diagnosis, classification and treatment choices based on stimulation factors. Dent Traumatol 2003;19(4):175-182.<\/em><\/p>\n

3. Thilander B, Odman J, Grondahl K, Friberg B. Osseointegrated implants in adolescents. An alternative in replacing missing teeth? Eur J Orthod 1994;16(2):84-95.<\/em><\/p>\n

4. Iseri H, Solow B. Continued eruption of maxillary incisors and first molars in girls from 9 to 25 years, studied by the implant method. Eur J Orthod 1996;18(3):245-256.<\/em><\/p>\n

5. Carmichael RP, Sandor GK. Dental implants, growth of the jaws, and determination of skeletal maturity. Atlas Oral Maxillofac Surg Clin North Am 2008;16(1):1-9.<\/em><\/p>\n

6. Heij DG, Opdebeeck H, van Steenberghe D, et al. Facial development, continuous tooth eruption, and mesial drift. as compromising factors for implant placement. Int J Oral Maxillofac Implants 2006;21(6):867-878.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

\u0110\u1eb7t implant n\u00ean \u0111\u01b0\u1ee3c tr\u00ec ho\u00e3n cho \u0111\u1ebfn khi ho\u00e0n t\u1ea5t t\u0103ng tr\u01b0\u1edfng x\u01b0\u01a1ng. Ng\u01b0\u1eddi ta nh\u1eadn th\u1ea5y r\u1eb1ng implant \u0111\u00e3 t\u00edch x\u01b0\u01a1ng th\u00ec gi\u1ed1ng nh\u01b0 r\u0103ng b\u1ecb c\u1ee9ng kh\u1edbp. 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