{"id":32810,"date":"2023-05-09T07:07:25","date_gmt":"2023-05-09T00:07:25","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32810"},"modified":"2023-05-09T13:24:29","modified_gmt":"2023-05-09T06:24:29","slug":"thuoc-tai-cho-viem-quanh-implant-luu-y-su-dung-tren-lam-sang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/09\/thuoc-tai-cho-viem-quanh-implant-luu-y-su-dung-tren-lam-sang\/","title":{"rendered":"Thu\u1ed1c t\u1ea1i ch\u1ed7 vi\u00eam quanh Implant – L\u01b0u \u00fd s\u1eed d\u1ee5ng tr\u00ean l\u00e2m s\u00e0ng."},"content":{"rendered":"

Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd quanh implant \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh khi c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a ch\u1ea3y m\u00e1u khi th\u0103m d\u00f2 v\u00e0\/ho\u1eb7c ch\u1ea3y m\u1ee7. \u0110i\u1ec1u n\u00e0y ngh\u0129a l\u00e0 vi\u1ec7c s\u1eed d\u1ee5ng t\u00e1c nh\u00e2n thu\u1ed1c t\u1ea1i ch\u1ed7 cho nh\u1eefng t\u00fai kh\u00f4ng c\u00f3 ch\u1ea3y m\u00e1u ch\u1ec9 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh n\u1ebfu c\u00f3 ch\u1ea3y m\u1ee7, b\u1edfi v\u00ec s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a t\u00fai s\u00e2u m\u00e0 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u ch\u1ea3y m\u00e1u v\u00e0\/ho\u1eb7c ch\u1ea3y m\u1ee7 kh\u00f4ng ph\u1ea3i l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh l\u00fd quanh implant. T\u00e1c nh\u00e2n thu\u1ed1c t\u1ea1i ch\u1ed7 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng sau \u00edt nh\u1ea5t 1 th\u00e1ng, v\u00e0 l\u00ean t\u1edbi 3 l\u1ea7n, \u1edf nh\u1eefng v\u1ecb tr\u00ed c\u00f2n ch\u1ea3y m\u00e1u v\u00e0\/ho\u1eb7c ch\u1ea3y m\u1ee7 khi th\u0103m d\u00f2 sau giai \u0111o\u1ea1n \u0111i\u1ec1u tr\u1ecb ho\u1ea1t \u0111\u1ed9ng. C\u00f9ng t\u00ecm hi\u1ec3u k\u1ef9 h\u01a1n v\u1ec1 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd vi\u00eam quanh Implant li\u00ean quan \u0111\u1ebfn s\u1eed d\u1ee5ng thu\u1ed1c t\u1ea1i ch\u1ed7 v\u00e0 \u0111\u00e1nh gi\u00e1 t\u00e1c nh\u00e2n thu\u1ed1c th\u1ef1c t\u1ebf tr\u00ean l\u00e2m s\u00e0ng.<\/strong><\/p>\n

\"thuoc-tai-cho-3\"<\/p>\n

1. Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd v\u00e0 th\u1eddi \u0111i\u1ec3m d\u00f9ng thu\u1ed1c t\u1ea1i ch\u1ed7<\/h2>\n

Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd quanh implant \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh khi c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a ch\u1ea3y m\u00e1u khi th\u0103m d\u00f2 v\u00e0\/ho\u1eb7c ch\u1ea3y m\u1ee7. \u0110i\u1ec1u n\u00e0y ngh\u0129a l\u00e0 vi\u1ec7c s\u1eed d\u1ee5ng t\u00e1c nh\u00e2n thu\u1ed1c t\u1ea1i ch\u1ed7 cho nh\u1eefng t\u00fai kh\u00f4ng c\u00f3 ch\u1ea3y m\u00e1u ch\u1ec9 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh n\u1ebfu c\u00f3 ch\u1ea3y m\u1ee7, b\u1edfi v\u00ec s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a t\u00fai s\u00e2u m\u00e0 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u ch\u1ea3y m\u00e1u v\u00e0\/ho\u1eb7c ch\u1ea3y m\u1ee7 kh\u00f4ng ph\u1ea3i l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh l\u00fd quanh implant. \u0110i\u1ec1u n\u00e0y \u0111\u1eb7c bi\u1ec7t \u0111\u00fang v\u1edbi implant \u1edf v\u00f9ng th\u1ea9m m\u1ef9 l\u00e0 nh\u1eefng implant th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u1eb7t d\u01b0\u1edbi n\u01b0\u1edbu v\u00ec l\u00fd do th\u1ea9m m\u1ef9, v\u00e0 th\u01b0\u1eddng c\u00f3 \u0111\u1ed9 s\u00e2u t\u00fai l\u1edbn h\u01a1n 4 mm. (Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, thu\u1eadt ng\u1eef “t\u00fai s\u00e2u\u201d ngh\u0129a l\u00e0 t\u00fai quanh implant c\u00f3 \u0111\u1ed9 s\u00e2u m\u00e0 b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 ti\u1ebfp c\u1eadn \u0111\u1ec3 l\u00e0m s\u1ea1ch m\u00e0ng sinh h\u1ecdc h\u00e0ng ng\u00e0y).<\/p>\n

Th\u1eddi \u0111i\u1ec3m s\u1eed d\u1ee5ng t\u00e1c nh\u00e2n thu\u1ed1c t\u1ea1i ch\u1ed7 t\u1ed1i \u01b0u l\u00e0 trong su\u1ed1t qu\u00e1 tr\u00ecnh n\u1ea1o tr\u00ean n\u01b0\u1edbu v\u00e0 d\u01b0\u1edbi n\u01b0\u1edbc. Kh\u00e1ng sinh t\u1ea1i ch\u1ed7 \u0111\u00f4i khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt \u1edf \u0111i\u1ec1u tr\u1ecb giai \u0111o\u1ea1n I. B\u01a1m r\u1eeda d\u01b0\u1edbi n\u01b0\u1edbu b\u1eb1ng chlorhexidine c\u0169ng c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a quy tr\u00ecnh ph\u1eabu thu\u1eadt nh\u1eb1m kh\u1eed khu\u1ea9n b\u1ec1 m\u1eb7t implant t\u1ea1i v\u1ecb tr\u00ed \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n vi\u00eam quanh implant.<\/p>\n

2. S\u1eed d\u1ee5ng tr\u00ean l\u00e2m s\u00e0ng<\/h2>\n

Ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng \u1ee7ng h\u1ed9 quan \u0111i\u1ec3m ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng minocycline ho\u1eb7c gel chlorhexidine nhi\u1ec1u l\u1ea7n thay cho \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt \u1edf c\u00e1c v\u1ecb tr\u00ed c\u00f3 b\u1ec7nh l\u00fd quanh implant. T\u00e1c nh\u00e2n thu\u1ed1c t\u1ea1i ch\u1ed7 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng sau \u00edt nh\u1ea5t 1 th\u00e1ng, v\u00e0 l\u00ean t\u1edbi 3 l\u1ea7n, \u1edf nh\u1eefng v\u1ecb tr\u00ed c\u00f2n ch\u1ea3y m\u00e1u v\u00e0\/ho\u1eb7c ch\u1ea3y m\u1ee7 khi th\u0103m d\u00f2 sau giai \u0111o\u1ea1n \u0111i\u1ec1u tr\u1ecb ho\u1ea1t \u0111\u1ed9ng. Ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u n\u00e0o kh\u1ea3o s\u00e1t vi\u1ec7c s\u1eed d\u1ee5ng t\u00e1c nh\u00e2n thu\u1ed1c t\u1ea1i ch\u1ed7 m\u1ed9t l\u1ea7n hay nhi\u1ec1u l\u1ea7n s\u1ebd mang l\u1ea1i nhi\u1ec1u l\u1ee3i \u00edch h\u01a1n trong vi\u1ec7c gi\u1ea3m \u0111\u1ed9 s\u00e2u t\u1ee7i ho\u1eb7c ch\u1ea3y m\u00e1u khi th\u0103m d\u00f2. Tuy nhi\u00ean, \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t cho c\u00e1c v\u1ecb tr\u00ed vi\u00eam quanh implant m\u00e0 kh\u00f4ng c\u1ea3i thi\u1ec7n l\u00e2m s\u00e0ng sau \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt. T\u01b0\u01a1ng t\u1ef1, n\u1ebfu nh\u1eefng v\u1ecb tr\u00ed vi\u00eam ni\u00eam m\u1ea1c quanh implant kh\u00f4ng c\u1ea3i thi\u1ec7n sau 3 l\u1ea7n s\u1eed d\u1ee5ng t\u00e1c nh\u00e2n thu\u1ed1c t\u1ea1i ch\u1ed7 trong kho\u1ea3ng th\u1eddi gian t\u1eeb 6 th\u00e1ng tr\u1edf l\u00ean, th\u00ec n\u00ean xem x\u00e9t \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt. V\u1ea5n \u0111\u1ec1 th\u1ea9m m\u1ef9 c\u0169ng c\u00f3 th\u1ec3 \u0111\u00f2i h\u1ecfi ph\u1ea3i ph\u1eabu thu\u1eadt.<\/p>\n

Sau khi s\u1eed d\u1ee5ng Atridox, c\u1ea7n h\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n kh\u00f4ng ch\u1ea3i v\u00e0 d\u00f9ng ch\u1ec9 t\u1ea1i v\u00f9ng \u0111i\u1ec1u tr\u1ecb trong v\u00f2ng 7 ng\u00e0y. T\u01b0\u01a1ng t\u1ef1, sau khi s\u1eed d\u1ee5ng Arestin, b\u1ec7nh nh\u00e2n n\u00ean ch\u1edd 12 gi\u1edd tr\u01b0\u1edbc khi ch\u1ea3i quanh implant, \u0111\u1ed3ng th\u1eddi ng\u01b0ng s\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5 l\u00e0m s\u1ea1ch v\u00f9ng k\u1ebd trong t\u1ed1i thi\u1ec3u 10 ng\u00e0y. Tr\u00e1nh \u0103n th\u1ee9c \u0103n c\u1ee9ng, gi\u00f2n, ho\u1eb7c d\u00ednh trong 1 tu\u1ea7n. N\u1ebfu s\u1eed d\u1ee5ng Elyzol, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0103n u\u1ed1ng v\u00e0 ch\u1ea3i r\u0103ng b\u00ecnh th\u01b0\u1eddng, nh\u01b0ng n\u00ean tr\u00e1nh s\u1eed d\u1ee5ng ch\u1ec9 v\u00e0 b\u00e0n ch\u1ea3i k\u1ebd trong v\u00f2ng 1 ng\u00e0y sau \u0111i\u1ec1u tr\u1ecb. Cu\u1ed1i c\u00f9ng, b\u1ec7nh nh\u00e2n n\u00ean tr\u00e1nh s\u1eed d\u1ee5ng ch\u1ec9 t\u1ea1i v\u1ecb tr\u00ed \u0111\u1eb7t Periochip trong 10 ng\u00e0y. S\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5 v\u1ec7 sinh v\u00f9ng k\u1ebd c\u00f3 th\u1ec3 \u0111\u1ea9y t\u00e1c nh\u00e2n thu\u1ed1c t\u1ea1i ch\u1ed7 ra kh\u1ecfi t\u00fai.<\/p>\n

3. \u0110\u00e1nh gi\u00e1 t\u00e1c nh\u00e2n thu\u1ed1c t\u1ea1i ch\u1ed7<\/h2>\n

T\u00e1c nh\u00e2n thu\u1ed1c t\u1ea1i ch\u1ed7 kh\u00e1c v\u1edbi kh\u00e1ng sinh to\u00e0n th\u00e2n \u1edf ch\u1ed7 ngay sau khi s\u1eed d\u1ee5ng th\u00ec n\u1ed3ng \u0111\u1ed9 cao c\u00e1c ph\u00e2n t\u1eed ho\u1ea1t t\u00ednh \u0111\u00e3 hi\u1ec7n di\u1ec7n t\u1ea1i v\u1ecb tr\u00ed s\u1eed d\u1ee5ng. C\u00e2u h\u1ecfi \u0111\u1eb7t ra l\u00e0 li\u1ec7u hi\u1ec7u qu\u1ea3 kh\u00e1ng khu\u1ea9n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c duy tr\u00ec trong th\u1eddi gian d\u00e0i hay kh\u00f4ng. H\u1ea7u h\u1ebft nghi\u00ean c\u1ee9u l\u00e0 nh\u1eefng theo d\u00f5i ng\u1eafn h\u1ea1n, v\u00e0 \u0111\u00e3 b\u00e1o c\u00e1o v\u1ec1 vi\u1ec7c gi\u1ea3m \u0111\u1ed9 s\u00e2u t\u00fai c\u0169ng nh\u01b0 ch\u1ea3y m\u00e1u khi th\u0103m d\u00f2 sau v\u00e0i th\u00e1ng \u0111i\u1ec1u tr\u1ecb b\u1eb1ng t\u00e1c nh\u00e2n thu\u1ed1c t\u1ea1i ch\u1ed7, ch\u1ee9 ch\u01b0a c\u00f3 d\u1eef li\u1ec7u d\u00e0i h\u1ea1n.<\/p>\n

L\u00fd do s\u1eed d\u1ee5ng t\u00e1c nh\u00e2n thu\u1ed1c t\u1ea1i ch\u1ed7 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd quanh implant l\u00e0 \u0111\u1ec3 gi\u1ea3m thi\u1ec3u s\u1ef1 h\u00ecnh th\u00e0nh m\u00e0ng sinh h\u1ecdc vi khu\u1ea9n, \u0111\u00e2y l\u00e0 y\u1ebfu t\u1ed1 b\u1ec7nh c\u0103n c\u1ee7a b\u1ec7nh l\u00fd quanh implant. V\u1ec1 m\u1eb7t l\u00fd thuy\u1ebft, \u01b0u \u0111i\u1ec3m c\u1ee7a t\u00e1c nh\u00e2n thu\u1ed1c t\u1ea1i ch\u1ed7 so v\u1edbi kh\u00e1ng sinh to\u00e0n th\u00e2n l\u00e0 c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c n\u1ed3ng \u0111\u1ed9 cao t\u1ea1i v\u1ecb tr\u00ed s\u1eed d\u1ee5ng, v\u00e0 do \u0111\u00f3 gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng c\u0169ng nh\u01b0 t\u00e1c d\u1ee5ng ph\u1ee5. T\u01b0\u01a1ng t\u1ef1, kh\u00f4ng c\u00f3 nguy c\u01a1 t\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c kh\u00e1ng sinh ho\u1eb7c thu\u1ed1c to\u00e0n th\u00e2n kh\u00e1c, \u0111\u1ed3ng th\u1eddi gi\u1ea3m thi\u1ebfu nguy c\u01a1 b\u00f9ng ph\u00e1t vi khu\u1ea9n kh\u00e1ng thu\u1ed1c. Cu\u1ed1i c\u00f9ng, b\u1edfi v\u00ec to\u00e0n b\u1ed9 t\u00e1c nh\u00e2n thu\u1ed1c t\u1ea1i ch\u1ed7 \u0111\u1ec1u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng b\u1edfi b\u00e1c s\u0129, n\u00ean s\u1ef1 tu\u00e2n th\u1ee7 c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n

S\u1eed d\u1ee5ng t\u00e1c nh\u00e2n thu\u1ed1c t\u1ea1i ch\u1ed7 cho b\u1ec7nh nh\u00e2n b\u1ecb d\u1ecb \u1ee9ng kh\u00e1ng sinh c\u00f3 th\u1ec3 g\u00e2y ra ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn. Ph\u00e1t ban v\u00e0 s\u1ed1t c\u00f3 th\u1ec3 x\u1ea3y ra, v\u00e0 r\u1ea5t hi\u1ebfm tr\u01b0\u1eddng h\u1ee3p t\u1eed vong \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o. B\u00e1c s\u0129 l\u00e2m s\u00e0ng ph\u1ea3i th\u0103m kh\u00e1m k\u1ef9 l\u01b0\u1ee1ng, v\u00e0 thu th\u1eadp ti\u1ec1n s\u1eed y khoa chi ti\u1ebft c\u1ee7a b\u1ec7nh nh\u00e2n, trong \u0111\u00f3 \u0111\u1eb7c bi\u1ec7t l\u01b0u \u00fd \u0111\u1ebfn nh\u1eefng thu\u1ed1c m\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 d\u1ecb \u1ee9ng. Nh\u01b0 v\u1eady, t\u00e1c nh\u00e2n thu\u1ed1c t\u1ea1i ch\u1ed7 c\u00f3 th\u1ec3 b\u1ecb ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n d\u1ecb \u1ee9ng v\u1edbi kh\u00e1ng sinh b\u00ean trong thu\u1ed1c, ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed d\u1ec5 b\u1ecb nhi\u1ec5m n\u1ea5m trong mi\u1ec7ng.<\/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":"

Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd quanh implant \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh khi c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a ch\u1ea3y m\u00e1u khi th\u0103m d\u00f2 v\u00e0\/ho\u1eb7c ch\u1ea3y m\u1ee7. \u0110i\u1ec1u n\u00e0y ngh\u0129a l\u00e0 vi\u1ec7c s\u1eed d\u1ee5ng t\u00e1c nh\u00e2n thu\u1ed1c t\u1ea1i ch\u1ed7 cho nh\u1eefng t\u00fai kh\u00f4ng c\u00f3 ch\u1ea3y m\u00e1u ch\u1ec9 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh n\u1ebfu c\u00f3 ch\u1ea3y m\u1ee7, b\u1edfi v\u00ec s\u1ef1 hi\u1ec7n di\u1ec7n […]<\/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":"\nThu\u1ed1c t\u1ea1i ch\u1ed7 vi\u00eam quanh Implant - L\u01b0u \u00fd s\u1eed d\u1ee5ng tr\u00ean l\u00e2m s\u00e0ng.<\/title>\n<meta name=\"description\" content=\"C\u00f9ng t\u00ecm hi\u1ec3u k\u1ef9 h\u01a1n v\u1ec1 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd vi\u00eam quanh Implant li\u00ean quan \u0111\u1ebfn s\u1eed d\u1ee5ng thu\u1ed1c t\u1ea1i ch\u1ed7, \u0111\u00e1nh gi\u00e1 t\u00e1c nh\u00e2n th\u1ef1c t\u1ebf tr\u00ean l\u00e2m s\u00e0ng.\" \/>\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=\"Thu\u1ed1c t\u1ea1i ch\u1ed7 vi\u00eam quanh Implant - 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