{"id":32815,"date":"2023-05-09T08:30:31","date_gmt":"2023-05-09T01:30:31","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32815"},"modified":"2023-05-09T13:21:49","modified_gmt":"2023-05-09T06:21:49","slug":"tai-sao-nen-su-dung-khang-sinh-toan-than-trong-dieu-tri-implant","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/09\/tai-sao-nen-su-dung-khang-sinh-toan-than-trong-dieu-tri-implant\/","title":{"rendered":"T\u1ea1i sao n\u00ean s\u1eed d\u1ee5ng kh\u00e1ng sinh to\u00e0n th\u00e2n trong \u0111i\u1ec1u tr\u1ecb Implant?."},"content":{"rendered":"

Ng\u01b0\u1eddi ta v\u1eabn c\u00f2n tranh lu\u1eadn v\u1ec1 vi\u1ec7c kh\u00e1ng sinh ph\u00f2ng ng\u1eeba c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 th\u1ea5t b\u1ea1i s\u1edbm c\u1ee7a implant v\u00e0 nhi\u1ec5m tr\u00f9ng sau ph\u1eabu thu\u1eadt. Mi\u1ec7ng l\u00e0 \u201cm\u00f4i tr\u01b0\u1eddng nhi\u1ec5m khu\u1ea9n” b\u1ea9m sinh, v\u1edbi v\u00f4 s\u1ed1 vi sinh v\u1eadt, n\u00ean \u0111\u01b0\u1ee3c xem l\u00e0 c\u00f3 t\u1ef7 l\u1ec7 nhi\u1ec5m khu\u1ea9n huy\u1ebft cao. M\u1ee5c ti\u00eau c\u1ee7a vi\u1ec7c s\u1eed d\u1ee5ng kh\u00e1ng sinh d\u1ef1 ph\u00f2ng l\u00e0 \u0111\u1ec3 ph\u00f2ng ng\u1eeba s\u1ef1 kh\u1edfi ph\u00e1t nhi\u1ec5m tr\u00f9ng t\u1ea1i v\u1ebft th\u01b0\u01a1ng ph\u1eabu thu\u1eadt nh\u1edd \u0111\u1ea1t \u0111\u01b0\u1ee3c n\u1ed3ng \u0111\u1ed9 kh\u00e1ng sinh trong m\u00e1u nh\u1eb1m ng\u0103n ng\u1eeba s\u1ef1 t\u0103ng sinh c\u1ee7a vi khu\u1ea9n. M\u1eb7c d\u00f9 \u0111i\u1ec1u n\u00e0y r\u1ea5t quan tr\u1ecdng cho vi\u1ec7c gi\u1ea3m thi\u1ec3u th\u1ea5t b\u1ea1i implant, nh\u01b0ng c\u00f3 m\u1ed9t s\u1ed1 lo ng\u1ea1i v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng kh\u00e1ng sinh r\u1ed9ng r\u00e3i do c\u00f3 th\u1ec3 x\u1ea3y ra t\u00e1c d\u1ee5ng ph\u1ee5. B\u00e0i vi\u1ebft n\u00e0y b\u00e0n lu\u1eadn v\u1ec1 l\u1ecbch s\u1eed qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng kh\u00e1ng sinh to\u00e0n th\u00e2n trong \u0111i\u1ec1u t\u1ecb Implant, v\u00e0 gi\u1ea3i th\u00edch l\u00fd do t\u1ea1i sao n\u00ean s\u1eed d\u1ee5ng kh\u00e1ng sinh to\u00e0n th\u00e2n trong \u0111i\u1ec1u tr\u1ecb Implant. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n

\"tai-sao-nen\"<\/p>\n

1. L\u1ecbch s\u1eed qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng kh\u00e1ng sinh to\u00e0n th\u00e2n trong \u0111i\u1ec1u tr\u1ecb Implant<\/h2>\n

Trong quy tr\u00ecnh ban \u0111\u1ea7u c\u1ee7a Branemark, \u00f4ng \u0111\u00e3 \u0111\u1ec1 ngh\u1ecb s\u1eed d\u1ee5ng penicillin V tr\u01b0\u1edbc ph\u1eabu thu\u1eadt trong ph\u1eabu thu\u1eadt c\u1ea5y gh\u00e9p nha khoa \u0111\u1ec3 gi\u1ea3m nhi\u1ec5m tr\u00f9ng m\u00e1u. M\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 kh\u00e1c cho r\u1eb1ng li\u1ec7u ph\u00e1p kh\u00e1ng sinh c\u00f3 th\u1ec3 quan tr\u1ecdng trong \u0111i\u1ec1u tr\u1ecb c\u1ea5y gh\u00e9p \u0111\u1ec3 ng\u0103n ng\u1eeba nhi\u1ec5m tr\u00f9ng v\u00e0 th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh t\u00edch h\u1ee3p x\u01b0\u01a1ng. T\u1ed5ng quan Cochrane n\u0103m 2013 \u0111\u1ec1 ngh\u1ecb l\u00e0, n\u00f3i chung, kh\u00e1ng sinh c\u00f3 l\u1ee3i cho vi\u1ec7c gi\u1ea3m t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i c\u1ee7a implant. C\u1ee5 th\u1ec3 l\u00e0 u\u1ed1ng m\u1ed9t li\u1ec1u amoxicillin 2-3 g tr\u01b0\u1edbc ph\u1eabu thu\u1eadt 1 gi\u1edd s\u1ebd l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i. Tuy nhi\u00ean, ch\u01b0a c\u00f3 s\u1ef1 \u0111\u1ed3ng thu\u1eadn v\u1ec1 vi\u1ec7c k\u00ea kh\u00e1ng sinh trong c\u1ea5y gh\u00e9p nha khoa.<\/p>\n

2. T\u1ea1i sao n\u00ean s\u1eed d\u1ee5ng kh\u00e1ng sinh to\u00e0n th\u00e2n trong \u0111i\u1ec1u tr\u1ecb Implant?<\/h2>\n

Ng\u01b0\u1eddi ta v\u1eabn c\u00f2n tranh lu\u1eadn v\u1ec1 vi\u1ec7c kh\u00e1ng sinh ph\u00f2ng ng\u1eeba c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 th\u1ea5t b\u1ea1i s\u1edbm c\u1ee7a implant v\u00e0 nhi\u1ec5m tr\u00f9ng sau ph\u1eabu thu\u1eadt. Mi\u1ec7ng l\u00e0 \u201cm\u00f4i tr\u01b0\u1eddng nhi\u1ec5m khu\u1ea9n” b\u1ea9m sinh, v\u1edbi v\u00f4 s\u1ed1 vi sinh v\u1eadt, n\u00ean \u0111\u01b0\u1ee3c xem l\u00e0 c\u00f3 t\u1ef7 l\u1ec7 nhi\u1ec5m khu\u1ea9n huy\u1ebft cao. M\u1ee5c ti\u00eau c\u1ee7a vi\u1ec7c s\u1eed d\u1ee5ng kh\u00e1ng sinh d\u1ef1 ph\u00f2ng l\u00e0 \u0111\u1ec3 ph\u00f2ng ng\u1eeba s\u1ef1 kh\u1edfi ph\u00e1t nhi\u1ec5m tr\u00f9ng t\u1ea1i v\u1ebft th\u01b0\u01a1ng ph\u1eabu thu\u1eadt nh\u1edd \u0111\u1ea1t \u0111\u01b0\u1ee3c n\u1ed3ng \u0111\u1ed9 kh\u00e1ng sinh trong m\u00e1u nh\u1eb1m ng\u0103n ng\u1eeba s\u1ef1 t\u0103ng sinh c\u1ee7a vi khu\u1ea9n. M\u1eb7c d\u00f9 \u0111i\u1ec1u n\u00e0y r\u1ea5t quan tr\u1ecdng cho vi\u1ec7c gi\u1ea3m thi\u1ec3u th\u1ea5t b\u1ea1i implant, nh\u01b0ng c\u00f3 m\u1ed9t s\u1ed1 lo ng\u1ea1i v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng kh\u00e1ng sinh r\u1ed9ng r\u00e3i do c\u00f3 th\u1ec3 x\u1ea3y ra t\u00e1c d\u1ee5ng ph\u1ee5. T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a penicillin bao g\u1ed3m nguy c\u01a1 ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng \u1edf 3-10% d\u00e2n s\u1ed1 v\u00e0 c\u00f3 th\u1ec3 g\u00e2y s\u1ed1c ph\u1ea3n v\u1ec7. Penicillin c\u00f2n ph\u1ea3n \u1ee9ng ch\u00e9o v\u1edbi cephalosporin \u1edf 3-5% d\u00e2n s\u1ed1. T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a clindamycin l\u00e0 vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c g\u00e2y ra b\u1edfi \u0111\u1ed9c t\u1ed5 c\u1ee7a Clostridium difficile. T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a metronidazole l\u00e0 t\u0103ng t\u00e1c d\u1ee5ng ch\u1ed1ng \u0111\u00f4ng m\u00e1u v\u00e0 ph\u1ea3n \u1ee9ng gi\u1ed1ng disulfiram. T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a erythromycin l\u00e0 g\u00e2y r\u1ed1i lo\u1ea1n \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 bu\u1ed3n n\u00f4n.<\/p>\n

Quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng kh\u00e1ng sinh d\u1ef1 ph\u00f2ng tr\u01b0\u1edbc hay sau ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c d\u1ef1a tr\u00ean nhi\u1ec1u y\u1ebfu t\u1ed1, bao g\u1ed3m t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe to\u00e0n th\u00e2n c\u1ee7a b\u1ec7nh nh\u00e2n, v\u1ecb tr\u00ed v\u00e0 m\u1ee9c \u0111\u1ed9 ph\u1eabu thu\u1eadt, v\u00e0 quan \u0111i\u1ec3m c\u1ee7a b\u00e1c s\u0129 ph\u1eabu thu\u1eadt. B\u1ec7nh nh\u00e2n c\u00f3 nhi\u1ec1u m\u1ee9c \u0111\u1ed9 nguy c\u01a1 nhi\u1ec5m tr\u00f9ng kh\u00e1c nhau. B\u1ec7nh nh\u00e2n nguy c\u01a1 th\u1ea5p \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 l\u00e0 “b\u1ec7nh nh\u00e2n tr\u01b0\u1edfng th\u00e0nh, tr\u1ebb, kh\u1ecfe m\u1ea1nh, kh\u00f4ng m\u1eafc b\u1ec7nh l\u00fd”; n\u1ebfu b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh l\u00fd (ch\u1eb3ng h\u1ea1n nh\u01b0 b\u1ec7nh nh\u00e2n b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng lo\u1ea1i I) th\u00ec \u0111\u01b0\u1ee3c x\u1ebfp lo\u1ea1i nguy c\u01a1 trung b\u00ecnh. B\u1ec7nh nh\u00e2n c\u00f3 nhi\u1ec5m tr\u00f9ng ho\u1ea1t \u0111\u1ed9ng ho\u1eb7c b\u1ecb suy gi\u1ea3m h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch (ch\u1eb3ng h\u1ea1n nh\u01b0 b\u1ec7nh nh\u00e2n HIV) \u0111\u01b0\u1ee3c x\u1ebfp lo\u1ea1i nguy c\u01a1 cao. Do \u0111\u00f3, m\u1ee9c \u0111\u1ed9 nguy c\u01a1 c\u1ee7a b\u1ec7nh nh\u00e2n l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng khi xem x\u00e9t li\u1ec7u ph\u00e1p kh\u00e1ng sinh to\u00e0n th\u00e2n d\u1ef1 ph\u00f2ng<\/p>\n

3. Ph\u00e2n lo\u1ea1i kh\u00e1ng sinh d\u1ef1 ph\u00f2ng c\u1ee5 th\u1ec3<\/h2>\n

V\u00e0o n\u0103m 2008, Resnik v\u00e0 Misch \u0111\u00e3 tr\u00ecnh b\u00e0y t\u1ea5t c\u1ea3 c\u00e1c l\u1ef1a ch\u1ecdn kh\u00e1ng sinh c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 c\u1ea7n quan t\u00e2m khi l\u1ef1a ch\u1ecdn kh\u00e1ng sinh. Tuy nhi\u00ean, c\u00e1c t\u00e1c gi\u1ea3 kh\u00f4ng tr\u00ecnh b\u00e0y t\u1ea7n s\u1ed1 li\u1ec1u c\u1ee5 th\u1ec3.<\/p>\n

    \n
  • Penicillin V. H\u1ea5p thu trong v\u00f2ng 30 ph\u00fat. Nh\u01b0\u1ee3c \u0111i\u1ec3m ch\u00ednh l\u00e0 c\u1ea7n li\u1ec1u l\u01b0\u1ee3ng th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 duy tr\u00ec n\u1ed3ng \u0111\u1ed9 trong m\u00e1u nh\u1eb1m ng\u0103n ng\u1eeba s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a vi khu\u1ea9n kh\u00e1ng thu\u1ed1c. Penicillin c\u00f3 hi\u1ec7u qu\u1ea3 v\u1edbi c\u00e1c lo\u00e0i Streptococcus v\u00e0 vi khu\u1ea9n k\u1ef5 kh\u00ed trong mi\u1ec7ng, v\u00e0 do \u0111\u00f3 \u0111\u1eb7c bi\u1ec7t h\u1eefu \u00edch trong \u0111i\u1ec1u tr\u1ecb c\u1ea5y gh\u00e9p. N\u00f3 \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn l\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c lo\u1ea1i tr\u1eeb c\u00e1c ph\u1ee9c h\u1ee3p vi khu\u1ea9n m\u00e0u \u0111\u1ecf v\u00e0 cam l\u00e0 c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y b\u1ec7nh ch\u00ednh trong b\u1ec7nh nha chu.<\/li>\n
  • Amoxicillin. \u0110\u00e2y l\u00e0 kh\u00e1ng sinh \u0111\u01b0\u1ee3c \u01b0u ti\u00ean \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng d\u1ecb \u1ee9ng, b\u1edfi v\u00ec n\u00f3 c\u00f3 \u0111\u1ed9 h\u1ea5p thu v\u00e0 sinh kh\u1ea3 d\u1ee5ng t\u1ed1t h\u01a1n penicillin V. Nh\u1eefng t\u00ednh ch\u1ea5t n\u00e0y khi\u1ebfn amoxicillin \u0111\u1eb7c bi\u1ec7t h\u1eefu \u00edch trong implant. Amoxicillin \u0111\u01b0\u1ee3c \u01b0u ti\u00ean h\u01a1n penicillin.<\/li>\n
  • Augmentin\u00ae. Augmentin \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o d\u00f9ng trong n\u00e2ng xoang v\u00ec n\u00f3 b\u1ea5t ho\u1ea1t vi khu\u1ea9n kh\u00e1ng thu\u1ed1c trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c xem l\u00e0 c\u00f3 penicillinase.<\/li>\n
  • Cephalexin. \u0110\u00e2y l\u00e0 m\u1ed9t th\u00e0nh vi\u00ean c\u1ee7a cephalosporin th\u1ebf h\u1ec7 th\u1ee9 nh\u1ea5t, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf b\u1ec7nh nh\u00e2n d\u1ecb \u1ee9ng penicillin, v\u00e0 \u00edt b\u1ecb ph\u00e2n h\u1ee7y b\u1edfi beta-lactamase h\u01a1n penicillin.<\/li>\n
  • Cefuroxime axetil (Ceftin\u00ae). N\u00f3 c\u00f3 ph\u1ea3n \u1ee9ng ch\u00e9o th\u1ea5p h\u01a1n, ph\u1ed5 r\u1ed9ng h\u01a1n, v\u00e0 kh\u00e1ng beta-lactamase t\u1ed1t h\u01a1n. N\u00f3 c\u00f3 \u00edch trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u1ea5y gh\u00e9p b\u1ecb vi\u00eam xoang h\u00e0m c\u1ea5p do vi khu\u1ea9n Streptococcus pneumoniae ho\u1eb7c Haemophilus influenzae (nh\u1eefng lo\u00e0i kh\u00f4ng s\u1ea3n xu\u1ea5t beta-lactamase).<\/li>\n
  • Erythromycin (h\u1ecd macrolide). Kh\u00e1ng sinh ph\u1ed5 h\u1eb9p. N\u00f3 \u0111\u01b0\u1ee3c h\u1ea5p thu t\u1ed1t v\u00e0 c\u00f3 \u0111\u1ed9c t\u00ednh th\u1ea5p, nh\u01b0ng c\u00f3 t\u1ef7 l\u1ec7 g\u00e2y bu\u1ed3n n\u00f4n cao. N\u00f3 th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf b\u1ec7nh nh\u00e2n d\u1ecb \u1ee9ng penicillin.<\/li>\n
  • Clindamycin. Kh\u00e1ng sinh ph\u1ed5 h\u1eb9p c\u00f3 hi\u1ec7u qu\u1ea3 v\u1edbi vi khu\u1ea9n k\u1ef5 kh\u00ed \u0111\u1ed3ng th\u1eddi nh\u1eafm \u0111\u1ebfn c\u00e1c t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh hi\u1ebfu kh\u00ed, \u0111\u1eb7c bi\u1ec7t l\u00e0 Bacteroides. Nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ee7a n\u00f3 l\u00e0 \u0111\u1ed9c t\u00ednh cao, t\u1ef7 l\u1ec7 ti\u00eau ch\u1ea3y cao (20-30%), v\u00e0 vi\u00eam \u0111\u1ea1i tr\u00e0ng gi\u1ea3 m\u1ea1c (n\u1ebfu s\u1eed d\u1ee5ng trong th\u1eddi gian d\u00e0i).<\/li>\n
  • Ciprofloxacin (quinolone th\u1ebf h\u1ec7 th\u1ee9 nh\u1ea5t). Kh\u00e1ng sinh ph\u1ed5 r\u1ed9ng \u0111\u01b0\u1eddng u\u1ed1ng ho\u1eb7c ti\u00eam. N\u00f3 c\u00f3 \u00edch trong tr\u01b0\u1eddng h\u1ee3p vi\u00eam xoang c\u1ea5p do H. influenzae, S. pneumoniae nh\u1ea1y v\u1edbi penicillin, ho\u1eb7c Moraxella catarrhalis. N\u00f3 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 nhi\u1ec5m tr\u00f9ng mi\u1ec7ng hi\u1ebfm g\u1eb7p do nh\u00f3m vi khu\u1ea9n Enterobacteriaceae.<\/li>\n
  • Levaquin (quinolone th\u1ebf h\u1ec7 ba ho\u1eb7c b\u1ed1n). Hi\u1ec7u qu\u1ea3 v\u1edbi vi khu\u1ea9n kh\u00e1ng thu\u1ed1c v\u00e0 vi khu\u1ea9n k\u1ef5 kh\u00ed, ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong th\u1ee7 thu\u1eadt n\u00e2ng xoang.<\/li>\n<\/ul>\n

    Th\u1ee9 t\u1ef1 \u01b0u ti\u00ean s\u1eed d\u1ee5ng kh\u00e1ng sinh trong c\u1ea5y gh\u00e9p nha khoa\/gh\u00e9p x\u01b0\u01a1ng l\u00e0 amoxicillin, cephalexin, v\u00e0 clindamycin. Trong n\u00e2ng xoang, Augmentin l\u00e0 l\u1ef1a ch\u1ecdn h\u00e0ng \u0111\u1ea7u, ti\u1ebfp theo l\u00e0 Ceftin v\u00e0 Levaquin. Amoxicillin \u0111\u01b0\u1ee3c \u01b0u ti\u00ean s\u1eed d\u1ee5ng h\u01a1n penicillin do (1) amoxicillin \u0111\u01b0\u1ee3c h\u1ea5p thu t\u1ed1t h\u01a1n penicillin (95% so v\u1edbi 56%), (2) n\u00f3 c\u00f3 th\u1eddi gian b\u00e1n h\u1ee7y trong huy\u1ebft thanh l\u00e2u h\u01a1n, v\u00e0 (3) n\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng v\u1edbi th\u1ee9c \u0103n.<\/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":"

    Ng\u01b0\u1eddi ta v\u1eabn c\u00f2n tranh lu\u1eadn v\u1ec1 vi\u1ec7c kh\u00e1ng sinh ph\u00f2ng ng\u1eeba c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 th\u1ea5t b\u1ea1i s\u1edbm c\u1ee7a implant v\u00e0 nhi\u1ec5m tr\u00f9ng sau ph\u1eabu thu\u1eadt. Mi\u1ec7ng l\u00e0 \u201cm\u00f4i tr\u01b0\u1eddng nhi\u1ec5m khu\u1ea9n” b\u1ea9m sinh, v\u1edbi v\u00f4 s\u1ed1 vi sinh v\u1eadt, n\u00ean \u0111\u01b0\u1ee3c xem l\u00e0 c\u00f3 t\u1ef7 l\u1ec7 nhi\u1ec5m khu\u1ea9n huy\u1ebft cao. M\u1ee5c […]<\/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":"\nT\u1ea1i sao n\u00ean s\u1eed d\u1ee5ng kh\u00e1ng sinh to\u00e0n th\u00e2n trong \u0111i\u1ec1u tr\u1ecb Implant?.<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00f3i v\u1ec1 l\u1ecbch s\u1eed s\u1eed d\u1ee5ng kh\u00e1ng sinh to\u00e0n th\u00e2n trong \u0111i\u1ec1u tr\u1ecb Implant, v\u00e0 gi\u1ea3i th\u00edch l\u00fd do t\u1ea1i sao n\u00ean s\u1eed d\u1ee5ng kh\u00e1ng sinh to\u00e0n th\u00e2n.\" \/>\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=\"T\u1ea1i sao n\u00ean s\u1eed d\u1ee5ng kh\u00e1ng sinh to\u00e0n th\u00e2n trong 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