{"id":32828,"date":"2023-05-09T10:19:12","date_gmt":"2023-05-09T03:19:12","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32828"},"modified":"2023-05-09T13:17:45","modified_gmt":"2023-05-09T06:17:45","slug":"tong-quan-ve-quy-trinh-thao-implant-that-bai-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/09\/tong-quan-ve-quy-trinh-thao-implant-that-bai-dieu-tri\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 quy tr\u00ecnh th\u00e1o Implant th\u1ea5t b\u1ea1i \u0111i\u1ec1u tr\u1ecb."},"content":{"rendered":"

Th\u1ea5t b\u1ea1i c\u1ee7a implant c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh s\u1edbm v\u00e0 mu\u1ed9n. Th\u1ea5t b\u1ea1i implant mu\u1ed9n th\u01b0\u1eddng l\u00e0 do vi\u00eam quanh implant, g\u00e3y implant, qu\u00e1 t\u1ea3i l\u1ef1c tr\u01b0\u1edbc khi t\u00edch h\u1ee3p x\u01b0\u01a1ng \u0111\u1ea7y \u0111\u1ee7, v\u00e0 ch\u1ea5n th\u01b0\u01a1ng kh\u1edbp c\u1eafn. Th\u1ea5t b\u1ea1i implant do vi\u00eam quanh implant c\u00f3 nhi\u1ec1u d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng gi\u1ed1ng nh\u01b0 vi\u00eam nha chu. Nh\u1eefng d\u1ea5u hi\u1ec7u \u0111\u00f3 th\u01b0\u1eddng l\u00e0 ch\u1ea3y m\u00e1u khi th\u0103m d\u00f2, \u0111au, t\u0103ng \u0111\u1ed9 s\u00e2u t\u00fai (> 4 mm), ch\u1ea3y m\u1ee7, v\u00e0 ti\u00eau x\u01b0\u01a1ng. Vi\u00eam quanh implant c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt ho\u1eb7c ph\u1eabu thu\u1eadt \u0111\u1ec3 kh\u1eed khu\u1ea9n b\u1ec1 m\u1eb7t implant b\u1eb1ng kh\u00e1ng sinh v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p l\u00e0m s\u1ea1ch. Tuy nhi\u00ean, khi s\u00e0n xoang h\u00e0m c\u00f3 li\u00ean quan \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng, th\u00ec \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 kh\u00f4ng th\u00e0nh c\u00f4ng do nguy c\u01a1 cao ph\u00e1t tri\u1ec3n vi\u00eam xoang m\u1edbi ho\u1eb7c tr\u1edf b\u1ec7nh n\u1eb7ng n\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u00e3 b\u1ecb vi\u00eam xoang. B\u00e0i vi\u1ebft n\u00e0y \u0111\u00e1nh gi\u00e1 t\u1ed5ng quan v\u1ec1 quy tr\u00ecnh th\u00e1o Implant th\u1ea5t b\u1ea1i trong \u0111i\u1ec1u tr\u1ecb, \u0111\u1ed3ng th\u1eddi \u0111\u00e1nh gi\u00e1 m\u1ed1i li\u00ean quan gi\u1eefa th\u00e0nh c\u00f4ng c\u1ee7a Implant v\u00e0 v\u1ea5n \u0111\u1ec1 vi khu\u1ea9n. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n

\"thao-implant\"<\/p>\n

1. Ph\u01b0\u01a1ng ph\u00e1p th\u00e1o Implant th\u1ea5t b\u1ea1i<\/h2>\n

M\u0169i khoan, m\u0169i trepan, n\u1ea1y, k\u1ec1m, v\u00e0 c\u00e1c d\u1ee5ng c\u1ee5 piezo \u0111i\u1ec7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 th\u00e1o implant b\u1ecb th\u1ea5t b\u1ea1i. Th\u00f4ng th\u01b0\u1eddng, nh\u1eefng d\u1ee5ng c\u1ee5 v\u00e0 k\u1ef9 thu\u1eadt n\u00e0y s\u1ebd l\u00e0m m\u1ea5t r\u1ea5t nhi\u1ec1u x\u01b0\u01a1ng \u1ed5 r\u0103ng, t\u1eeb \u0111\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p sau n\u00e0y. Tuy nhi\u00ean, khi b\u1eaft bu\u1ed9c ph\u1ea3i th\u00e1o implant, th\u00ec ph\u01b0\u01a1ng ph\u00e1p x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u s\u1ebd l\u00e0 ph\u01b0\u01a1ng \u00e1n h\u00e0ng \u0111\u1ea7u, nh\u1eb1m b\u1ea3o t\u1ed3n v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p cho nh\u1eefng \u0111i\u1ec1u tr\u1ecb trong t\u01b0\u01a1ng lai \u0111\u1ed3ng th\u1eddi cho ph\u00e9p ph\u1ee5c h\u1ed3i th\u1ea9m m\u1ef9, d\u00f9 l\u00e0 ph\u1ee5c h\u00ecnh tr\u00ean implant hay nh\u1ecbp c\u1ea7u [1].
\nNhi\u1ec1u b\u00e1c s\u0129 l\u00e2m s\u00e0ng cho r\u1eb1ng \u0111\u1eb7t implant l\u00e0 th\u00e0nh c\u00f4ng khi implant kh\u00f4ng b\u1ecb r\u01a1i ra ngo\u00e0i ho\u1eb7c kh\u00f4ng lung lay. Thu\u1eadt ng\u1eef “implant th\u00e0nh c\u00f4ng” th\u01b0\u1eddng b\u1ecb tr\u00e1o v\u1edbi \u201cimplant t\u1ed3n t\u1ea1i\u201d. \u0110\u00e2y l\u00e0 m\u1ed9t sai l\u1ea7m, b\u1edfi v\u00ec implant t\u1ed3n t\u1ea1i kh\u00f4ng nh\u1ea5t thi\u1ebft l\u00e0 implant th\u00e0nh c\u00f4ng. Implant t\u1ed3n t\u1ea1i \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 s\u1ef1 t\u1ed3n t\u1ea1i c\u1ee7a implant b\u00ean trong xoang mi\u1ec7ng cho d\u00f9 x\u1ea3y ra bi\u1ebfn ch\u1ee9ng sinh h\u1ecdc\/c\u01a1 h\u1ecdc. Implant th\u00e0nh c\u00f4ng \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 implant kh\u00f4ng lung lay trong th\u1eddi gian d\u00e0i (> 10 n\u0103m), kh\u00f4ng c\u00f3 th\u1ea5u quang quanh implant tr\u00ean phim X-quang, ti\u00eau x\u01b0\u01a1ng theo chi\u1ec1u d\u1ecdc (< 0.2 mm) trong n\u0103m \u0111\u1ea7u ti\u00ean v\u00e0 nh\u1eefng n\u0103m ti\u1ebfp theo, v\u00e0 kh\u00f4ng b\u1ecb vi\u00eam quanh implant, \u0111au, ho\u1eb7c d\u1ecb c\u1ea3m [2-4].<\/p>\n

2. M\u1ed1i li\u00ean quan gi\u1eefa th\u00e0nh c\u00f4ng c\u1ee7a Implant v\u00e0 v\u1ea5n \u0111\u1ec1 vi khu\u1ea9n<\/h2>\n

S\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a implant r\u1ea5t nh\u1ea1y c\u1ea3m v\u1edbi s\u1ef1 th\u00e2m nhi\u1ec5m vi khu\u1ea9n [1]. Do \u0111\u00f3, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i th\u1ef1c hi\u1ec7n t\u1ed1t \u0111i\u1ec1u tr\u1ecb giai \u0111o\u1ea1n I, ch\u1eb3ng h\u1ea1n nh\u01b0 v\u1ec7 sinh r\u0103ng, \u0111i\u1ec1u tr\u1ecb nha chu, v\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha n\u1ebfu c\u1ea7n. \u0110i\u1ec1u n\u00e0y s\u1ebd cho ph\u00e9p l\u00e0nh th\u01b0\u01a1ng sau ph\u1eabu thu\u1eadt t\u1ed1t h\u01a1n.<\/p>\n

Th\u1ea5t b\u1ea1i c\u1ee7a implant c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh s\u1edbm v\u00e0 mu\u1ed9n. Th\u1ea5t b\u1ea1i implant mu\u1ed9n th\u01b0\u1eddng l\u00e0 do vi\u00eam quanh implant, g\u00e3y implant, qu\u00e1 t\u1ea3i l\u1ef1c tr\u01b0\u1edbc khi t\u00edch h\u1ee3p x\u01b0\u01a1ng \u0111\u1ea7y \u0111\u1ee7, v\u00e0 ch\u1ea5n th\u01b0\u01a1ng kh\u1edbp c\u1eafn. Th\u1ea5t b\u1ea1i implant do vi\u00eam quanh implant c\u00f3 nhi\u1ec1u d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng gi\u1ed1ng nh\u01b0 vi\u00eam nha chu. Nh\u1eefng d\u1ea5u hi\u1ec7u \u0111\u00f3 th\u01b0\u1eddng l\u00e0 ch\u1ea3y m\u00e1u khi th\u0103m d\u00f2, \u0111au, t\u0103ng \u0111\u1ed9 s\u00e2u t\u00fai (> 4 mm), ch\u1ea3y m\u1ee7, v\u00e0 ti\u00eau x\u01b0\u01a1ng [2, 5, 6]. Y v\u0103n cho th\u1ea5y \u00edt g\u1eb7p implant th\u1ea5t b\u1ea1i mu\u1ed9n, m\u00e0 h\u1ea7u h\u1ebft implant b\u1ecb th\u1ea5t b\u1ea1i \u1edf giai \u0111o\u1ea1n s\u1edbm c\u1ee7a s\u1ef1 l\u00e0nh th\u01b0\u01a1ng [6].<\/p>\n

Vi\u00eam quanh implant c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt ho\u1eb7c ph\u1eabu thu\u1eadt \u0111\u1ec3 kh\u1eed khu\u1ea9n b\u1ec1 m\u1eb7t implant b\u1eb1ng kh\u00e1ng sinh v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p l\u00e0m s\u1ea1ch [7]. Tuy nhi\u00ean, khi s\u00e0n xoang h\u00e0m c\u00f3 li\u00ean quan \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng, th\u00ec \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 kh\u00f4ng th\u00e0nh c\u00f4ng do nguy c\u01a1 cao ph\u00e1t tri\u1ec3n vi\u00eam xoang m\u1edbi ho\u1eb7c tr\u1edf b\u1ec7nh n\u1eb7ng n\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u00e3 b\u1ecb vi\u00eam xoang [8, 9]. Y v\u0103n cho th\u1ea5y m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n khi\u1ebfn implant di chuy\u1ec3n v\u1ec1 ph\u00eda xoang h\u00e0m l\u00e0 do ph\u1ea3n \u1ee9ng vi\u00eam quanh implant [10].
\nNg\u01b0\u1eddi ta cho r\u1eb1ng s\u1eed d\u1ee5ng c\u00e2y v\u1eb7n torque ng\u01b0\u1ee3c l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u00edt x\u00e2m l\u1ea5n nh\u1ea5t \u0111\u1ec3 h\u1ea1n ch\u1ebf ph\u00e1 h\u1ee7y c\u1ea5u tr\u00fac xung quanh khi th\u00e1o implant [2]. Tuy nhi\u00ean, kh\u00f4ng th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c torque ng\u01b0\u1ee3c n\u1ebfu tr\u1ee5 implant v\u1eabn t\u00edch h\u1ee3p x\u01b0\u01a1ng do k\u1ebft n\u1ed1i trong y\u1ebfu h\u01a1n l\u1ef1c c\u1ea7n thi\u1ebft \u0111\u1ec3 th\u00e1o implant.<\/p>\n

T\u1ed5ng k\u1ebft l\u1ea1i, vi\u1ec7c s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt kh\u00f4ng sang ch\u1ea5n \u0111\u1ec3 th\u00e1o implant \u0111\u01b0\u1ee3c \u01b0u ti\u00ean h\u01a1n c\u00e1c k\u1ef9 thu\u1eadt th\u00f4ng th\u01b0\u1eddng s\u1eed d\u1ee5ng m\u0169i trepan, m\u0169i khoan, ho\u1eb7c piezo do b\u1ea3o t\u1ed3n m\u00f4 quanh implant. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u \u0111\u1ed3ng th\u1eddi gi\u00fap \u0111\u1eb7t implant v\u00e0 l\u00e0m ph\u1ee5c h\u00ecnh trong t\u01b0\u01a1ng lai m\u1ed9t c\u00e1ch \u0111\u01a1n gi\u1ea3n.<\/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. Porter JA, von Fraunhofer JA. Success or failure of dental implants? A literature review with treatment considerations. J Acad Gen Dent 2005;53(6):423-432.<\/p>\n

2. Froum S, Yamanaka T, Cho SC, et al. Techniques to remove a failed integrated implant. Compendium 2011;32(7):2-50.<\/p>\n

3. Simonis P, Dufour T, Tenebaun H. Long-term implant survival and success: a 10-16 year follow-up of non- submerged dental implants. Clin Oral Implants Res 2010;21(7):772-777.<\/p>\n

4. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants 1986;1(1):11-25.<\/p>\n

5. Kim J-E, Shim J-S, Huh J-B, et al. Altered sensation caused by peri-implantitis: a case report. Oral Maxillofac Surg 2013;116(1):9-13.<\/p>\n

6. Palma-Carri\u00f3 C, Maestre-Ferr\u00edn L, Pe\u00f1arocha-Oltra D, et al. Risk factors associated with early failure of dental implants. A literature review. Med Oral Patol Cir Bucal 2011;16(4):e514-e517.<\/p>\n

7. Mombelli A, Mo\u00ebne R, D\u00e9caillet F. Surgical treatments of peri-implantitis. Eur J Oral Implantol 2012;5(Suppl):S61-S70.<\/p>\n

8. Prathapachandran J, Suresh N. Management of peri- implantitis. Dent Res J. 2012;9(5):516-521.<\/p>\n

9. Vi\u00f1a-Almunia J, Pe\u00f1arocha-Diago MA, Pe\u00f1arocha-Diago M. Influence of perforation of the sinus membrane on the survival rate of implants placed after direct sinus lift. Literature update. Med Oral Patol Oral Cir Bucal 2009;14(3):E133-E136.<\/p>\n

10. Fusari P, Doto M, Chiapasco M. Removal of a dental implant displaced into the maxillary sinus by means of the bone lid technique. Case Rep Dent 2013;2013:260707<\/p>\n","protected":false},"excerpt":{"rendered":"

Th\u1ea5t b\u1ea1i c\u1ee7a implant c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh s\u1edbm v\u00e0 mu\u1ed9n. Th\u1ea5t b\u1ea1i implant mu\u1ed9n th\u01b0\u1eddng l\u00e0 do vi\u00eam quanh implant, g\u00e3y implant, qu\u00e1 t\u1ea3i l\u1ef1c tr\u01b0\u1edbc khi t\u00edch h\u1ee3p x\u01b0\u01a1ng \u0111\u1ea7y \u0111\u1ee7, v\u00e0 ch\u1ea5n th\u01b0\u01a1ng kh\u1edbp c\u1eafn. Th\u1ea5t b\u1ea1i implant do vi\u00eam quanh implant c\u00f3 nhi\u1ec1u d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng gi\u1ed1ng nh\u01b0 vi\u00eam […]<\/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\u1ed5ng quan v\u1ec1 quy tr\u00ecnh th\u00e1o Implant th\u1ea5t b\u1ea1i \u0111i\u1ec1u tr\u1ecb. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y \u0111\u00e1nh gi\u00e1 t\u1ed5ng quan v\u1ec1 quy tr\u00ecnh th\u00e1o Implant th\u1ea5t b\u1ea1i trong \u0111i\u1ec1u tr\u1ecb, \u0111\u1ed3ng th\u1eddi \u0111\u00e1nh gi\u00e1 m\u1ed1i li\u00ean quan gi\u1eefa th\u1ea5t b\u1ea1i v\u00e0 vi khu\u1ea9n.\" \/>\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\u1ed5ng quan v\u1ec1 quy tr\u00ecnh th\u00e1o Implant th\u1ea5t b\u1ea1i \u0111i\u1ec1u tr\u1ecb. - 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