{"id":32696,"date":"2023-05-08T15:57:07","date_gmt":"2023-05-08T08:57:07","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32696"},"modified":"2023-05-08T16:05:32","modified_gmt":"2023-05-08T09:05:32","slug":"tham-do-lam-sang-quanh-implant-theo-doi-lanh-thuong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/08\/tham-do-lam-sang-quanh-implant-theo-doi-lanh-thuong\/","title":{"rendered":"Th\u0103m d\u00f2 l\u00e2m s\u00e0ng quanh Implant – Theo d\u00f5i l\u00e0nh th\u01b0\u01a1ng."},"content":{"rendered":"

V\u1edbi ch\u1ea9n \u0111o\u00e1n vi\u00eam ni\u00eam m\u1ea1c quanh implant, \u0111i\u1ec1u tr\u1ecb n\u00ean tr\u1ef1c ti\u1ebfp h\u01b0\u1edbng t\u1edbi vi\u1ec7c kh\u1eafc ph\u1ee5c ho\u1eb7c lo\u1ea1i tr\u1eeb c\u00e1c y\u1ebfu t\u1ed1 b\u1ec7nh c\u0103n g\u00e2y ra b\u1ec7nh. M\u1ea3ng b\u00e1m vi khu\u1ea9n (m\u00e0ng sinh h\u1ecdc) \u0111\u01b0\u1ee3c xem l\u00e0 y\u1ebfu t\u1ed1 b\u1ec7nh c\u0103n nguy\u00ean ph\u00e1t c\u1ee7a vi\u00eam ni\u00eam m\u1ea1c quanh implant; do \u0111\u00f3, nh\u1eefng n\u1ed7 l\u1ef1c m\u1ea1nh m\u1ebd n\u00ean t\u1eadp trung v\u00e0o vi\u1ec7c lo\u1ea1i tr\u1eeb ch\u00fang. Ngo\u00e0i ra, vi\u1ec7c th\u0103m kh\u00e1m th\u01b0\u1eddng xuy\u00ean l\u00e0 r\u1ea5t quan tr\u1ecdng cho vi\u1ec7c h\u1ed7 tr\u1ee3 b\u1ec7nh nh\u00e2n duy tr\u00ec s\u1ee9c kh\u1ecfe quanh implant, v\u00e0 b\u00e1c s\u0129 l\u00e2m s\u00e0ng n\u00ean c\u00e1 nh\u00e2n h\u00f3a th\u00f4ng tin c\u1ea7n thi\u1ebft cho t\u1eebng b\u1ec7nh nh\u00e2n d\u1ef1a tr\u00ean t\u00ecnh tr\u1ea1ng v\u1ec7 sinh r\u0103ng mi\u1ec7ng, c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 t\u1ea1i ch\u1ed7 v\u00e0 to\u00e0n th\u00e2n, v\u00e0 t\u1ea7n s\u1ed1 t\u00e1i kh\u00e1m duy tr\u00ec. B\u00e0i vi\u1ebft n\u00f3i v\u1ec1 vai tr\u00f2 c\u1ee7a b\u00e1c s\u0129 trong qu\u00e1 tr\u00ecnh th\u0103m d\u00f2 l\u00e2m s\u00e0ng quanh Implant, theo d\u00f5i l\u00e0nh th\u01b0\u01a1ng m\u00f4 v\u00e0 \u0111\u00e1nh gi\u00e1 th\u1eddi \u0111i\u1ec3m s\u1eed d\u1ee5ng Xquang h\u1ee3p l\u00fd cho b\u1ec7nh nh\u00e2n. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n

1. Vai tr\u00f2 c\u1ee7a b\u00e1c s\u0129 trong vi\u1ec7c th\u0103m d\u00f2 l\u00e2m s\u00e0ng quanh Implant v\u00e0 theo d\u00f5i l\u00e0nh th\u01b0\u01a1ng m\u00f4<\/h2>\n

V\u1edbi ch\u1ea9n \u0111o\u00e1n vi\u00eam ni\u00eam m\u1ea1c quanh implant, \u0111i\u1ec1u tr\u1ecb n\u00ean tr\u1ef1c ti\u1ebfp h\u01b0\u1edbng t\u1edbi vi\u1ec7c kh\u1eafc ph\u1ee5c ho\u1eb7c lo\u1ea1i tr\u1eeb c\u00e1c y\u1ebfu t\u1ed1 b\u1ec7nh c\u0103n g\u00e2y ra b\u1ec7nh. M\u1ea3ng b\u00e1m vi khu\u1ea9n (m\u00e0ng sinh h\u1ecdc) \u0111\u01b0\u1ee3c xem l\u00e0 y\u1ebfu t\u1ed1 b\u1ec7nh c\u0103n nguy\u00ean ph\u00e1t c\u1ee7a vi\u00eam ni\u00eam m\u1ea1c quanh implant; do \u0111\u00f3, nh\u1eefng n\u1ed7 l\u1ef1c m\u1ea1nh m\u1ebd n\u00ean t\u1eadp trung v\u00e0o vi\u1ec7c lo\u1ea1i tr\u1eeb ch\u00fang.<\/p>\n

\u0110\u1ed9 s\u00e2u t\u00fai l\u00e2m s\u00e0ng l\u00e0 m\u1ed9t th\u00f4ng s\u1ed1 ch\u1ea9n \u0111o\u00e1n quan tr\u1ecdng v\u00e0 \u0111\u00e1ng tin c\u1eady cho vi\u1ec7c theo d\u00f5i li\u00ean l\u1ee5c m\u00f4 quanh implant. N\u1ebfu s\u1eed d\u1ee5ng \u00e1p l\u1ef1c nh\u1eb9 (0.2 N) khi th\u0103m d\u00f2, th\u00ec s\u1ef1 l\u00e0nh th\u01b0\u01a1ng c\u1ee7a b\u00e1m d\u00ednh bi\u1ec3u m\u00f4 d\u01b0\u1eddng nh\u01b0 ho\u00e0n t\u1ea5t sau 5 ng\u00e0y k\u1ec3 t\u1eeb l\u00fac th\u0103m d\u00f2. Th\u0103m d\u00f2 quanh implant c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n m\u00e0 kh\u00f4ng g\u00e2y t\u1ed5n th\u01b0\u01a1ng v\u0129nh vi\u1ec5n b\u00e1m d\u00ednh bi\u1ec3u m\u00f4. \u0110\u1ed9 s\u00e2u t\u00fai l\u00e2m s\u00e0ng v\u00e0 s\u1eed d\u1ee5ng c\u00e2y \u0111o t\u00fai t\u1ea1i c\u00e1c v\u1ecb tr\u00ed implant l\u00e0nh m\u1ea1nh th\u00ec t\u01b0\u01a1ng t\u1ef1 nh\u01b0 t\u1ea1i v\u1ecb tr\u00ed r\u0103ng th\u1eadt l\u00e0nh m\u1ea1nh. Trong tr\u01b0\u1eddng h\u1ee3p vi\u00eam ni\u00eam m\u1ea1c quanh implant ho\u1eb7c vi\u00eam quanh implant, \u0111\u1ea7u c\u1ee7a c\u00e2y \u0111o t\u00fai s\u1ebd n\u1eb1m g\u1ea7n x\u01b0\u01a1ng h\u01a1n so v\u1edbi tr\u01b0\u1eddng h\u1ee3p vi\u00eam n\u01b0\u1edbu v\u00e0\/ho\u1eb7c vi\u00eam nha chu. \u0110\u1ed9 s\u00e2u t\u00fai quanh implant ph\u1ea3i \u0111\u01b0\u1ee3c di\u1ec5n gi\u1ea3i theo \u0111\u1ed9 s\u00e2u c\u1ee7a implant, b\u1edfi v\u00ec \u0111i\u1ec1u n\u00e0y s\u1ebd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111\u1ed9 s\u00e2u t\u00fai \u0111o \u0111\u01b0\u1ee3c. Do \u0111\u00f3, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i thi\u1ebft l\u1eadp \u0111\u1ed9 s\u00e2u t\u00fai n\u1ec1n t\u1ea1i th\u1eddi \u0111i\u1ec3m g\u1eafn ph\u1ee5c h\u00ecnh \u0111\u1ec3 cho ph\u00e9p so s\u00e1nh v\u1edbi \u0111\u1ed9 s\u00e2u t\u00fai \u0111o \u0111\u01b0\u1ee3c trong t\u01b0\u01a1ng lai.<\/p>\n

Ng\u01b0\u1eddi ta cho r\u1eb1ng c\u00e2y \u0111o t\u00fai b\u1eb1ng kim lo\u1ea1i c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i ho\u1eb7c ph\u00e1 h\u1ecfng b\u1ec1 m\u1eb7t implant. Trong h\u1ea7u h\u1ebft tr\u01b0\u1eddng h\u1ee3p, \u0111\u1ea7u c\u1ee7a c\u00e2y \u0111o t\u00fai s\u1ebd kh\u00f4ng ch\u1ea1m v\u00e0o b\u1ec1 m\u1eb7t implant, ho\u1eb7c t\u1ed1i \u0111a l\u00e0 ch\u1ec9 ch\u1ea1m v\u00e0o b\u1ec1 m\u1eb7t abutment. Trong tr\u01b0\u1eddng h\u1ee3p \u0111\u00f3, s\u1ef1 thay \u0111\u1ed5i b\u1ec1 m\u1eb7t do \u0111\u1ea7u c\u1ee7a c\u00e2y \u0111o t\u00fai kim lo\u1ea1i ch\u1ea1m v\u00e0o abutment l\u00e0 t\u1ed1i thi\u1ec3u, v\u00e0 c\u00f3 v\u1ebb \u00edt h\u01a1n n\u1ebfu th\u0103m d\u00f2 b\u1eb1ng c\u00e2y \u0111o t\u00fai b\u1eb1ng nh\u1ef1a. B\u00e1c s\u0129 l\u00e2m s\u00e0ng kh\u00f4ng c\u1ea7n lo ng\u1ea1i v\u1ec1 vi\u1ec7c th\u0103m d\u00f2 b\u1eb1ng c\u00e2y \u0111o t\u00fai kim lo\u1ea1i th\u00f4ng th\u01b0\u1eddng; tuy nhi\u00ean, hi\u1ec7n nay \u0111\u00e3 c\u00f3 c\u00e2y \u0111o t\u00fai b\u1eb1ng nh\u1ef1a v\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng trong vi\u1ec7c \u0111o \u0111\u1ea1c \u0111\u1ed9 s\u00e2u t\u00fai.<\/p>\n

2. Th\u1eddi \u0111i\u1ec3m v\u00e0 th\u1eddi gian ch\u1ee5p Xquang theo d\u00f5i l\u00e0nh th\u01b0\u01a1ng m\u00f4<\/h2>\n

Trong m\u1ed7i bu\u1ed5i t\u00e1i kh\u00e1m duy tr\u00ec, c\u1ea7n c\u1eadp nh\u1eadt ti\u1ec1n s\u1eed y khoa v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ed3ng th\u1eddi ghi nh\u1eadn nh\u1eefng thay \u0111\u1ed5i. Kh\u00e1m ngo\u00e0i m\u1eb7t v\u00e0 trong mi\u1ec7ng, bao g\u1ed3m c\u1ea3 t\u1ea7m so\u00e1t ung th\u01b0 h\u1ed1c mi\u1ec7ng, \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c b\u1ea5t th\u01b0\u1eddng c\u00f3 th\u1ec3 x\u1ea3y ra. Ti\u1ebfp theo, ki\u1ec3m tra to\u00e0n b\u1ed9 nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a r\u0103ng ho\u1eb7c implant, bao g\u1ed3m: m\u1ee9c \u0111\u1ed9 m\u1ea3ng b\u00e1m, k\u1ef9 thu\u1eadt v\u00e0 t\u1ea7n s\u1ed1 v\u1ec7 sinh r\u0103ng mi\u1ec7ng c\u1ee7a b\u1ec7nh nh\u00e2n, \u0111\u1ed9 s\u00e2u t\u00fai, m\u1ee9c b\u00e1m d\u00ednh l\u00e2m s\u00e0ng, ch\u1ea3y m\u00e1u khi th\u0103m d\u00f2 ho\u1eb7c ch\u1ea3y m\u1ee7, \u0111\u1ed9 lung lay, ph\u1ee5c h\u1ed3i l\u1ed7i ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng s\u00e2u r\u0103ng, v\u00e0 ti\u1ec1n s\u1eed vi\u00eam nha chu.<\/p>\n

Vi\u1ec7c th\u0103m kh\u00e1m n\u00f3i tr\u00ean l\u00e0 r\u1ea5t quan tr\u1ecdng cho vi\u1ec7c h\u1ed7 tr\u1ee3 b\u1ec7nh nh\u00e2n duy tr\u00ec s\u1ee9c kh\u1ecfe quanh implant, v\u00e0 b\u00e1c s\u0129 l\u00e2m s\u00e0ng n\u00ean c\u00e1 nh\u00e2n h\u00f3a th\u00f4ng tin c\u1ea7n thi\u1ebft cho t\u1eebng b\u1ec7nh nh\u00e2n d\u1ef1a tr\u00ean t\u00ecnh tr\u1ea1ng v\u1ec7 sinh r\u0103ng mi\u1ec7ng, c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 t\u1ea1i ch\u1ed7 v\u00e0 to\u00e0n th\u00e2n, v\u00e0 t\u1ea7n s\u1ed1 t\u00e1i kh\u00e1m duy tr\u00ec.<\/p>\n

V\u00ec s\u1ef1 l\u00e0nh th\u01b0\u01a1ng m\u00f4 m\u1ec1m tr\u00ean m\u00e0o x\u01b0\u01a1ng s\u1ebd x\u1ea3y ra sau 5 ng\u00e0y k\u1ec3 t\u1eeb khi th\u0103m d\u00f2 tr\u00ean l\u00e2m s\u00e0ng, n\u00ean implant n\u00ean \u0111\u01b0\u1ee3c th\u0103m d\u00f2 trong m\u1ed7i l\u1ea7n t\u00e1i kh\u00e1m duy tr\u00ec, nh\u01b0 \u0111\u00e3 \u0111\u1ec1 c\u1eadp tr\u01b0\u1edbc \u0111\u00f3 trong ch\u01b0\u01a1ng n\u00e0y. Ch\u1ee5p phim X-quang l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u1eefu \u00edch \u0111\u1ec3 ki\u1ec3m so\u00e1t m\u1ee9c x\u01b0\u01a1ng quanh implant. T\u1ed1c \u0111\u1ed9 ti\u00eau vi\u1ec1n x\u01b0\u01a1ng h\u00e0ng n\u0103m kh\u00e1c nhau \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t b\u1edfi m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u.<\/p>\n

Phim X-quang n\u1ec1n t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111\u1eb7t implant v\u00e0 sau khi g\u1eafn m\u00e3o\/c\u1ea7u r\u0103ng l\u00e0 r\u1ea5t quan tr\u1ecdng. V\u00ec h\u1ea7u h\u1ebft nh\u1eefng thay \u0111\u1ed5i l\u00e2m s\u00e0ng th\u01b0\u1eddng x\u1ea3y ra trong n\u0103m \u0111\u1ea7u ti\u00ean th\u1ef1c hi\u1ec7n ch\u1ee9c n\u0103ng, n\u00ean phim X-quang n\u00ean \u0111\u01b0\u1ee3c ch\u1ee5p sau 6 v\u00e0 12 th\u00e1ng k\u1ec3 t\u1eeb khi g\u1eafn ph\u1ee5c h\u00ecnh. N\u1ebfu kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh l\u00fd, th\u00ec phim X-quang sau \u0111\u00f3 n\u00ean \u0111\u01b0\u1ee3c ch\u1ee5p c\u00e1ch nhau 2-3 n\u0103m, t\u00f9y theo h\u1ec7 th\u1ed1ng implant \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u00e0 t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a n\u00f3.<\/p>\n

C\u1ea7n th\u1eadn tr\u1ecdng khi \u0111\u1ecdc phim X-quang, v\u00e0 \u0111\u00e2y kh\u00f4ng ph\u1ea3i l\u00e0 th\u00f4ng s\u1ed1 duy nh\u1ea5t \u0111\u1ec3 \u01b0\u1edbc t\u00ednh s\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a implant, b\u1edfi v\u00ec ch\u1ec9 nh\u00ecn th\u1ea5y m\u1ee9c x\u01b0\u01a1ng \u1edf ph\u00eda g\u1ea7n v\u00e0 ph\u00eda xa. Ngo\u00e0i ra, v\u1edbi nh\u1eefng thi\u1ebft k\u1ebf v\u00e0 b\u1ec1 m\u1eb7t implant m\u1edbi, c\u00f3 th\u1ec3 hy v\u1ecdng v\u1ec1 vi\u1ec7c kh\u00f4ng ti\u00eau x\u01b0\u01a1ng ho\u1eb7c ti\u00eau x\u01b0\u01a1ng t\u1ed1i thi\u1ec3u \u1edf b\u1ec7nh nh\u00e2n duy tr\u00ec t\u1ed1t. Ng\u01b0\u1eddi ta nh\u1ea5t tr\u00ed r\u1eb1ng phim quanh ch\u00f3p n\u00ean k\u1ebft h\u1ee3p v\u1edbi kh\u00e1m l\u00e2m s\u00e0ng to\u00e0n di\u1ec7n \u0111\u1ec3 c\u00f3 \u0111\u1ee7 th\u00f4ng tin v\u00e0 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c.<\/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":"

V\u1edbi ch\u1ea9n \u0111o\u00e1n vi\u00eam ni\u00eam m\u1ea1c quanh implant, \u0111i\u1ec1u tr\u1ecb n\u00ean tr\u1ef1c ti\u1ebfp h\u01b0\u1edbng t\u1edbi vi\u1ec7c kh\u1eafc ph\u1ee5c ho\u1eb7c lo\u1ea1i tr\u1eeb c\u00e1c y\u1ebfu t\u1ed1 b\u1ec7nh c\u0103n g\u00e2y ra b\u1ec7nh. M\u1ea3ng b\u00e1m vi khu\u1ea9n (m\u00e0ng sinh h\u1ecdc) \u0111\u01b0\u1ee3c xem l\u00e0 y\u1ebfu t\u1ed1 b\u1ec7nh c\u0103n nguy\u00ean ph\u00e1t c\u1ee7a vi\u00eam ni\u00eam m\u1ea1c quanh implant; do \u0111\u00f3, nh\u1eefng n\u1ed7 […]<\/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\u0103m d\u00f2 l\u00e2m s\u00e0ng quanh Implant - Theo d\u00f5i l\u00e0nh th\u01b0\u01a1ng. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00f3i v\u1ec1 t\u1ea7m quan tr\u1ecdng c\u1ee7a th\u0103m d\u00f2 l\u00e2m s\u00e0ng Implant, theo d\u00f5i l\u00e0nh th\u01b0\u01a1ng m\u00f4 v\u00e0 \u0111\u00e1nh gi\u00e1 th\u1eddi \u0111i\u1ec3m s\u1eed d\u1ee5ng Xquang t\u1ed1t. 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