{"id":3281,"date":"2023-04-14T12:36:24","date_gmt":"2023-04-14T05:36:24","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=3281"},"modified":"2023-04-17T14:41:00","modified_gmt":"2023-04-17T07:41:00","slug":"xoi-mon-khi-trong-nha-khoa-can-thiep-toi-thieu-goc-nhin","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/xoi-mon-khi-trong-nha-khoa-can-thiep-toi-thieu-goc-nhin\/","title":{"rendered":"X\u00f3i m\u00f2n kh\u00ed trong nha khoa can thi\u1ec7p t\u1ed1i thi\u1ec3u – G\u00f3c nh\u00ecn."},"content":{"rendered":"

G\u1ea7n \u0111\u00e2y, k\u1ef9 thu\u1eadt x\u00f3i m\u00f2n kh\u00ed \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u tr\u1edf l\u1ea1i trong nha khoa. Nh\u1eefng ph\u00e1t hi\u1ec7n m\u1edbi nh\u1ea5t c\u1ee7a n\u00f3 l\u00e0 n\u00f3 c\u00f3 kh\u1ea3 n\u0103ng b\u1ea3o t\u1ed3n t\u1ed1i \u0111a c\u1ea5u tr\u00fac c\u1ee7a r\u0103ng. C\u00f9ng t\u00ecm hi\u1ec3u s\u00e2u h\u01a1n trong b\u00e0i vi\u1ebft n\u00e0y.<\/strong><\/p>\n

1. T\u1ed5ng quan v\u1ec1 x\u00f3i m\u00f2n kh\u00ed trong nha khoa can thi\u1ec7p t\u1ed1i thi\u1ec3u<\/h2>\n
\"xoi-mon-khi-1\"
H\u1ec7 th\u1ed1ng m\u00e1y AirDent \u0111\u1ea7u ti\u00ean s\u1eed d\u1ee5ng x\u00f3i m\u00f2n kh\u00ed trong nha khoa<\/figcaption><\/figure>\n

N\u0103m 1940, b\u00e1c s\u0129 Robert Black nghi\u00ean c\u1ee9u s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt x\u00f3i m\u00f2n kh\u00ed trong nha khoa. C\u00f4ng ty SS White gi\u1edbi thi\u1ec7u s\u1ea3n ph\u1ea9m AirDent v\u00e0o n\u0103m 1951.<\/p>\n

G\u1ea7n \u0111\u00e2y, k\u1ef9 thu\u1eadt x\u00f3i m\u00f2n kh\u00ed \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u tr\u1edf l\u1ea1i trong nha khoa. Nh\u1eefng ph\u00e1t hi\u1ec7n m\u1edbi nh\u1ea5t c\u1ee7a n\u00f3 l\u00e0 n\u00f3 c\u00f3 kh\u1ea3 n\u0103ng b\u1ea3o t\u1ed3n t\u1ed1i \u0111a c\u1ea5u tr\u00fac c\u1ee7a r\u0103ng. C\u00f3 kh\u1ea3 n\u0103ng g\u1eafn d\u00ednh ph\u1ee5c h\u1ed3i v\u1edbi b\u1ec1 m\u1eb7t r\u0103ng.
\nK\u1ef9 thu\u1eadt x\u00f3i m\u00f2n kh\u00ed lo\u1ea1i b\u1ecf t\u1ed1i thi\u1ec3u t\u1ed5n th\u01b0\u01a1ng s\u00e2u r\u0103ng, s\u1eed d\u1ee5ng c\u00e1c ch\u1ea5t b\u00e1m d\u00ednh nh\u01b0 composite resin d\u1ea1ng ch\u1ea3y, v\u00ec v\u1eady l\u00e0m cho mi\u1ebfng h\u00e0n ph\u1ee5c h\u1ed3i r\u1ea5t hi\u1ec7u qu\u1ea3. K\u1ef9 thu\u1eadt x\u00f3i m\u00f2n kh\u00ed lo\u1ea1i b\u1ecf c\u1ea5u tr\u00fac r\u0103ng b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng d\u00f2ng ph\u00e2n t\u1eed oxit nh\u00f4m hay cacbon dioxit, kh\u00ed nitrogen. Nh\u1eefng ph\u00e2n t\u1eed x\u00f3i m\u00f2n t\u1ea5n c\u00f4ng v\u00e0o r\u0103ng v\u1edbi v\u1eadn t\u1ed1c l\u1edbn v\u00e0 lo\u1ea1i b\u1ecf m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng nh\u1ecf c\u1ea5u tr\u00fac c\u1ee7a r\u0103ng.<\/p>\n

Nh\u00ecn chung \u00e1p l\u1ef1c kh\u00ed thay \u0111\u1ed5i t\u1eeb 40 \u2013 160 psi. K\u00edch th\u01b0\u1edbc nh\u1eefng ph\u00e2n t\u1eed \u0111i\u1ec3n h\u00ecnh l\u00e0 27 \u2013 50 micrometer \u0111\u01b0\u1eddng k\u00ednh. T\u1ed1c \u0111\u1ed9 ph\u1ee5 thu\u1ed9c v\u00e0o t\u1eebng lo\u1ea1i m\u00e1y. Kho\u1ea3ng c\u00e1ch \u0111\u1ebfn b\u1ec1 m\u1eb7t r\u0103ng thay \u0111\u1ed5i t\u1eeb 0,5 \u2013 2mm. Kho\u1ea3ng c\u00e1ch xa h\u01a1n s\u1ebd l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 x\u00f3i m\u00f2n.<\/p>\n

X\u00f3i m\u00f2n kh\u00ed n\u00e2ng cao kh\u1ea3 n\u0103ng b\u00e1m d\u00ednh c\u1ee7a men r\u0103ng. B\u1ea5t c\u1ee9 t\u1ed5n th\u01b0\u01a1ng s\u00e2u r\u0103ng n\u00e0o c\u0169ng \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf ti\u1ebft ki\u1ec7m b\u1eb1ng k\u1ef9 thu\u1eadt x\u00f3i m\u00f2n kh\u00ed, n\u00f3 m\u1edf r\u1ed9ng t\u1ed1i thi\u1ec3u nh\u1eefng h\u1ed1 r\u00e3nh m\u1eb7t nhai \u0111\u1ec3 cho ph\u00e9p nh\u00ecn th\u1ea5y v\u00e0 \u0111\u00e1nh gi\u00e1 s\u00e2u r\u0103ng, v\u00e0 \u00edt l\u00e0m m\u1ea5t t\u1ed5 ch\u1ee9c men ng\u00e0 xung quanh so v\u1edbi khi d\u00f9ng m\u0169i khoan. N\u1ebfu s\u00e2u r\u0103ng ph\u00e1t tri\u1ec3n \u0111\u1ebfn l\u1edbp men, m\u1ed9t sealant hay composite l\u1ecfng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. N\u1ebfu s\u00e2u r\u0103ng ph\u00e1t tri\u1ec3n \u0111\u1ebfn ng\u00e0 r\u0103ng, ch\u1ea5t h\u00e0n d\u1ef1 ph\u00f2ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0 nh\u1ef1a c\u00f3 h\u1ea1t \u0111\u1ed9n l\u1edbn \u0111\u1eb7t \u1edf nh\u1eefng v\u00f9ng s\u00e2u, r\u1ed9ng, nh\u1eefng n\u01a1i ch\u1ecbu l\u1ef1c nhai. Sealant \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 tr\u00e1m b\u00edt nh\u1eefng h\u1ed1 r\u00e3nh kh\u00f4ng b\u1ecb s\u00e2u.
\nX\u00f3i m\u00f2n kh\u00ed \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 chu\u1ea9n b\u1ecb b\u1ec1 m\u1eb7t ch\u00e2n r\u0103ng tr\u01b0\u1edbc khi h\u00e0n nh\u1eefng t\u1ed5n th\u01b0\u01a1ng nh\u01b0 m\u00f2n c\u1ed5 r\u0103ng, ti\u00eau c\u1ed5 r\u0103ng m\u00e0 kh\u00f4ng ph\u1ea3i lo\u1ea1i b\u1ecf nhi\u1ec1u m\u00f4 r\u0103ng \u0111\u1ec3 t\u1ea1o l\u01b0u gi\u1eef c\u01a1 h\u1ecdc cho mi\u1ebfng h\u00e0n.<\/p>\n

2. Ch\u1ec9 \u0111\u1ecbnh<\/h2>\n

– Ph\u1ee5c h\u00ecnh: lo\u1ea1i b\u1ecf cement c\u0169 t\u1eeb inlays, ch\u1ee5p r\u0103ng, s\u1eeda ch\u1eefa ph\u1ee5c h\u00ecnh s\u1ee9 \u1edf trong mi\u1ec7ng.<\/p>\n

– Ch\u1ec9nh nha: s\u1eed d\u1ee5ng l\u1ea1i nh\u1eefng m\u1eafc c\u00e0i kim lo\u1ea1i b\u1ecb bong.<\/p>\n

– Ch\u1ea5t b\u00e1m d\u00ednh nha khoa: t\u0103ng hi\u1ec7u qu\u1ea3 acid etching cho h\u00e0n r\u0103ng b\u1eb1ng composite.<\/p>\n

3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/h2>\n

– Lo\u1ea1i b\u1ecf ng\u00e0 m\u1ec1m: Khi s\u1eed d\u1ee5ng x\u00f3i m\u00f2n kh\u00ed \u0111\u1ec3 lo\u1ea1i b\u1ecf ng\u00e0 m\u1ec1m, k\u1ebft qu\u1ea3 s\u1ebd l\u00e0 t\u1ea1o ra b\u1ee5i m\u1ecbn, kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 x\u00f3i m\u00f2n. Do \u0111\u00f3, c\u00e1c b\u00e1c s\u0129 nha khoa th\u01b0\u1eddng s\u1eed d\u1ee5ng c\u00e1c c\u00f4ng c\u1ee5 kh\u00e1c nh\u01b0 l\u00e0 tay khoan ch\u1eadm, tay khoan nhanh nha khoa ho\u1eb7c s\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5 c\u1ea7m tay nh\u01b0 c\u00e2y n\u1ea1o ng\u00e0 \u0111\u1ec3 ti\u1ebfn h\u00e0nh lo\u1ea1i b\u1ecf ng\u00e0 m\u1ec1m, ng\u00e0 m\u1ee7n, h\u1ed7 tr\u1ee3 trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb s\u00e2u r\u0103ng, t\u1ed5n th\u01b0\u01a1ng t\u1ed5 ch\u1ee9c c\u1ee9ng c\u1ee7a r\u0103ng.<\/p>\n

– Lo\u1ea1i b\u1ecf ph\u1ee5c h\u1ed3i b\u1eb1ng amalgam v\u00ec n\u00f3 t\u1ea1o ra nhi\u1ec1u h\u01a1i th\u1ee7y ng\u00e2n: Amalgam l\u00e0 m\u1ed9t h\u1ed7n h\u1ee3p ch\u1ee9a nhi\u1ec1u lo\u1ea1i kim lo\u1ea1i, bao g\u1ed3m th\u1ee7y ng\u00e2n l\u00e0 kim lo\u1ea1i ch\u00ednh. X\u00f3i m\u00f2n kh\u00ed nha khoa tr\u00ean nh\u1eefng mi\u1ebfng tr\u00e1m\/ph\u1ee5c h\u00ecnh b\u1eb1ng amalgam c\u00f3 th\u1ec3 t\u1ea1o ra nhi\u1ec1u h\u01a1i th\u1ee7y ng\u00e2n, d\u1ec5 d\u00e0ng bay trong kh\u00f4ng kh\u00ed v\u00e0 v\u00e0o h\u1ec7 h\u00f4 h\u1ea5p, g\u00e2y nguy hi\u1ec3m cho s\u1ee9c kh\u1ecfe c\u1ee7a b\u00e1c s\u0129 nha khoa v\u00e0 b\u1ec7nh nh\u00e2n.<\/p>\n

– \u0110\u1ec3 \u0111i v\u00e0o t\u1ee7y, khi \u0111\u00f3 m\u00f4 m\u1ec1m s\u1ebd b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/p>\n

4. \u01afu \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p x\u00f3i m\u00f2n kh\u00ed<\/h2>\n
\"\"
Th\u1ebf h\u1ec7 m\u00e1y hi\u1ec7n nay \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c nh\u1eefng tinh g\u1ecdn t\u1ed1i \u01b0u, gi\u00fap h\u1ed7 tr\u1ee3 b\u1ec7nh nh\u00e2n r\u1ea5t nhi\u1ec1u<\/figcaption><\/figure>\n

– Lo\u1ea1i b\u1ecf kh\u00f4ng qu\u00e1 nhi\u1ec1u t\u1ed5 ch\u1ee9c r\u0103ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

– T\u1ea1o xoang nh\u1ecf, th\u00edch h\u1ee3p v\u1edbi t\u1ea1o b\u00e1m d\u00ednh trong c\u00e1c \u0111i\u1ec1u tr\u1ecb ph\u1ee5c h\u1ed3i.<\/p>\n

– B\u1ec7nh nh\u00e2n \u01b0a th\u00edch: \u00edt \u00e1p l\u1ef1c, nhi\u1ec7t, rung, \u00e2m thanh, c\u1ea3m gi\u00e1c d\u1ec5 ch\u1ecbu h\u01a1n.<\/p>\n

– Kh\u00f4ng c\u1ea7n thi\u1ebft ph\u1ea3i ti\u00eam t\u00ea trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n

– \u00cdt c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5.<\/p>\n

– B\u1ed9t: Kh\u00f4ng c\u00f3 vi khu\u1ea9n.<\/p>\n

5. Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/h2>\n

– Men ng\u00e0 kh\u1ecfe m\u1ea1nh th\u01b0\u1eddng hi\u1ec7u qu\u1ea3 h\u01a1n v\u1edbi men ng\u00e0 nhi\u1ec5m tr\u00f9ng.<\/p>\n

– Kh\u00f4ng th\u1ec3 thay th\u1ebf acid etching tr\u00ean men.<\/p>\n

– C\u1ea7n ph\u1ea3i c\u00f3 Rubber dam.<\/p>\n

– Kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng nhi\u1ec1u \u0111\u1ed1i v\u1edbi s\u1ef1 ng\u0103n ng\u1eeba k\u1ebd h\u1edf vi m\u00f4.<\/p>\n

– Ph\u1ee5 thu\u1ed9c v\u00e0o m\u00e1y h\u00fat.<\/p>\n

– C\u00f3 th\u1ec3 t\u1ea1o th\u00e0nh b\u1ee5i, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh cho b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh h\u00f4 h\u1ea5p.<\/p>\n

– Ch\u00fa \u00fd: \u201cM\u1edf r\u1ed9ng d\u1ef1 ph\u00f2ng\u201d – M\u1ed9t kh\u00e1i ni\u1ec7m l\u1ea1c h\u1eadu.<\/p>\n

– S\u1eed d\u1ee5ng x\u00f3i m\u00f2n kh\u00ed nh\u01b0 m\u1ed9t c\u00f4ng c\u1ee5 ch\u1ea9n \u0111o\u00e1n \u0111\u1ec3 ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng k\u00e9m kho\u00e1ng h\u00f3a s\u1edbm.<\/p>\n

Tuy nhi\u00ean, x\u00f3i m\u00f2n kh\u00ed v\u1eabn l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 trong nha khoa. Khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u00fang c\u00e1ch, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 th\u1ec3 lo\u1ea1i b\u1ecf c\u00e1c v\u1ebft b\u1ea9n v\u00e0 s\u00e2u r\u0103ng m\u1ed9t c\u00e1ch nhanh ch\u00f3ng v\u00e0 d\u1ec5 d\u00e0ng h\u01a1n so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c. \u0110\u1ec3 tr\u00e1nh nh\u1eefng r\u1ee7i ro v\u00e0 h\u1ea1n ch\u1ebf c\u1ee7a x\u00f3i m\u00f2n kh\u00ed, c\u00e1c b\u00e1c s\u0129 nha khoa c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u00e0 c\u00f3 kinh nghi\u1ec7m trong vi\u1ec7c s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, \u0111\u1ed3ng th\u1eddi s\u1eed d\u1ee5ng c\u00e1c c\u00f4ng c\u1ee5 v\u00e0 v\u1eadt li\u1ec7u an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 nh\u1ea5t cho b\u1ec7nh nh\u00e2n. Ngo\u00e0i ra, vi\u1ec7c ch\u0103m s\u00f3c r\u0103ng mi\u1ec7ng h\u1eb1ng ng\u00e0y b\u1eb1ng c\u00e1ch \u0111\u00e1nh r\u0103ng \u0111\u00fang c\u00e1ch v\u00e0 s\u1eed d\u1ee5ng c\u00e1c s\u1ea3n ph\u1ea9m ch\u0103m s\u00f3c r\u0103ng mi\u1ec7ng kh\u00e1c c\u0169ng l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong vi\u1ec7c duy tr\u00ec s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng.<\/p>\n

Ngu\u1ed3n: Nha c\u1ed9ng \u0111\u1ed3ng t\u1eadp 2 – NXB Gi\u00e1o d\u1ee5c Vi\u1ec7t Nam<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

G\u1ea7n \u0111\u00e2y, k\u1ef9 thu\u1eadt x\u00f3i m\u00f2n kh\u00ed \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u tr\u1edf l\u1ea1i trong nha khoa. Nh\u1eefng ph\u00e1t hi\u1ec7n m\u1edbi nh\u1ea5t c\u1ee7a n\u00f3 l\u00e0 n\u00f3 c\u00f3 kh\u1ea3 n\u0103ng b\u1ea3o t\u1ed3n t\u1ed1i \u0111a c\u1ea5u tr\u00fac c\u1ee7a r\u0103ng. C\u00f9ng t\u00ecm hi\u1ec3u s\u00e2u h\u01a1n trong b\u00e0i vi\u1ebft n\u00e0y. 1. T\u1ed5ng quan v\u1ec1 x\u00f3i m\u00f2n kh\u00ed trong nha khoa can […]<\/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":[3],"yoast_head":"\nX\u00f3i m\u00f2n kh\u00ed trong nha khoa can thi\u1ec7p t\u1ed1i thi\u1ec3u - G\u00f3c nh\u00ecn. - Vinmec<\/title>\n<meta name=\"description\" content=\"L\u0129nh v\u1ef1c Nha khoa can thi\u1ec7p t\u1ed1i thi\u1ec3u \u0111ang n\u1edf r\u1ed9. 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