{"id":3287,"date":"2023-04-10T16:11:37","date_gmt":"2023-04-10T09:11:37","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=3287"},"modified":"2023-04-17T14:46:02","modified_gmt":"2023-04-17T07:46:02","slug":"du-phong-sau-rang-bang-fluoride-goc-nhin-tong-quan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/du-phong-sau-rang-bang-fluoride-goc-nhin-tong-quan\/","title":{"rendered":"D\u1ef1 ph\u00f2ng s\u00e2u r\u0103ng b\u1eb1ng Fluoride – G\u00f3c nh\u00ecn t\u1ed5ng quan."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y s\u1ebd kh\u00e1i qu\u00e1t t\u1ed5ng quan t\u1ea5t c\u1ea3 c\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng s\u00e2u r\u0103ng b\u1eb1ng li\u1ec7u ph\u00e1p Fluor trong th\u1ef1c t\u1ebf. Nha s\u0129 tham kh\u1ea3o th\u00eam v\u00e0 \u1ee9ng d\u1ee5ng \u0111\u01b0\u1ee3c c\u00e1c ph\u01b0\u01a1ng ph\u00e1p d\u1ef1 ph\u00f2ng n\u00e0y tr\u00ean l\u00e2m s\u00e0ng. C\u00f9ng t\u00ecm hi\u1ec3u s\u00e2u h\u01a1n trong b\u00e0i vi\u1ebft n\u00e0y.<\/strong><\/p>\n

1. D\u1ef1 ph\u00f2ng s\u00e2u r\u0103ng b\u1eb1ng fluoride theo \u0111\u01b0\u1eddng to\u00e0n th\u00e2n<\/h2>\n

C\u1ea3 fluoride cung c\u1ea5p theo \u0111\u01b0\u1eddng to\u00e0n th\u00e2n l\u1eabn t\u1ea1i ch\u1ed7 \u0111\u1ec1u c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m t\u1ef7 l\u1ec7 s\u00e2u r\u0103ng. D\u1ef1 ph\u00f2ng s\u00e2u r\u0103ng b\u1eb1ng Fluoride cung c\u1ea5p theo \u0111\u01b0\u1eddng to\u00e0n th\u00e2n nh\u01b0: N\u01b0\u1edbc u\u1ed1ng, mu\u1ed1i, s\u1eefa, vi\u00ean thu\u1ed1c, k\u1eb9o cao su, d\u1ea1ng gi\u1ecdt… nh\u01b0ng n\u1ed3ng \u0111\u1ed9 fluoride kh\u00e1c nhau \u1edf trong nh\u1eefng d\u1ea1ng n\u00e0y.<\/p>\n

Fluor h\u00f3a n\u01b0\u1edbc u\u1ed1ng l\u00e0 r\u1ea5t hi\u1ec7u qu\u1ea3 \u0111\u1ed1i v\u1edbi c\u1ed9ng \u0111\u1ed3ng trong vi\u1ec7c ph\u00f2ng b\u1ec7nh s\u00e2u r\u0103ng nh\u01b0ng chi ph\u00ed th\u00ec l\u1ea1i h\u01a1i cao. Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p cung c\u1ea5p fluoride theo \u0111\u01b0\u1eddng to\u00e0n th\u00e2n kh\u00e1c th\u01b0\u1eddng c\u00f3 n\u1ed3ng \u0111\u1ed9 fluoride th\u1ea5p (mu\u1ed1i: 0,6%, thu\u1ed1c: 0,3%).<\/p>\n

Xu h\u01b0\u1edbng hi\u1ec7n nay l\u00e0 t\u0103ng c\u01b0\u1eddng s\u1eed d\u1ee5ng fluoride trong s\u1eefa v\u00e0 trong mu\u1ed1i, s\u1eed d\u1ee5ng fluoride \u1edf trong k\u1eb9o cao su cho nh\u1eefng ng\u01b0\u1eddi cao tu\u1ed5i b\u1ecb ch\u1ee9ng kh\u00f4 mi\u1ec7ng.<\/p>\n

2. D\u1ef1 ph\u00f2ng s\u00e2u r\u0103ng b\u1eb1ng fluoride theo \u0111\u01b0\u1eddng t\u1ea1i ch\u1ed7<\/h2>\n

\u1ea2nh h\u01b0\u1edfng c\u1ee7a fluoride t\u1ea1i ch\u1ed7 \u0111\u1ed1i v\u1edbi nh\u1eefng r\u0103ng \u0111\u00e3 m\u1ecdc ph\u1ee5 thu\u1ed9c v\u00e0o n\u1ed3ng \u0111\u1ed9 fluoride, th\u1eddi gian r\u0103ng ti\u1ebfp x\u00fac v\u1edbi fluoride. Fluoride cung c\u1ea5p theo \u0111\u01b0\u1eddng t\u1ea1i ch\u1ed7 nh\u01b0 kem \u0111\u00e1nh r\u0103ng, n\u01b0\u1edbc s\u00fac mi\u1ec7ng, ch\u00fang cung c\u1ea5p fluoride t\u1edbi v\u1ecb tr\u00ed ho\u1ea1t \u0111\u1ed9ng v\u00e0 l\u01b0u gi\u1eef ch\u00fang \u1edf \u0111\u00f3, v\u00e0 x\u1ea3y ra c\u00e1c ph\u1ea3n \u1ee9ng h\u00f3a h\u1ecdc, t\u1eeb \u0111\u00f3 c\u00f3 t\u00e1c d\u1ee5ng b\u1ea3o v\u1ec7 r\u0103ng.<\/p>\n

Fluoride c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m t\u1ea1o th\u00e0nh acid t\u1eeb m\u1ea3ng b\u00e1m r\u0103ng. N\u00f3 c\u0169ng c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m h\u00ecnh th\u00e0nh m\u1ea3ng b\u00e1m, gi\u1ea3m \u0111\u1ed9 b\u00e1m d\u00ednh c\u1ee7a m\u1ea3ng b\u00e1m, c\u0169ng nh\u01b0 thay \u0111\u1ed5i h\u1ec7 vi khu\u1ea9n c\u1ee7a m\u1ea3ng b\u00e1m r\u0103ng. Trong nh\u1eefng t\u00e1c d\u1ee5ng tr\u00ean, t\u00e1c d\u1ee5ng gi\u1ea3m t\u1ea1o th\u00e0nh acid t\u1eeb m\u1ea3ng b\u00e1m r\u0103ng l\u00e0 quan tr\u1ecdng nh\u1ea5t.<\/p>\n

3. Fluoride v\u00e0 nh\u1eefng h\u1ee3p ch\u1ea5t cho s\u1eed d\u1ee5ng t\u1ea1i ch\u1ed7<\/h2>\n
\"du-phong-sau-rang-1\"
Gel Fluor d\u1ef1 ph\u00f2ng s\u00e2u r\u0103ng tr\u00ean c\u1ed9ng \u0111\u1ed3ng<\/figcaption><\/figure>\n

Cung c\u1ea5p fluoride theo \u0111\u01b0\u1eddng t\u1ea1i ch\u1ed7 l\u00e0 ph\u01b0\u01a1ng ph\u00e1p cung c\u1ea5p fluoride quan tr\u1ecdng nh\u1ea5t \u0111\u1ec3 d\u1ef1 ph\u00f2ng b\u1ec7nh s\u00e2u r\u0103ng. \u0110\u1eb7c bi\u1ec7t s\u1eed d\u1ee5ng fluoride trong kem \u0111\u00e1nh r\u0103ng \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 r\u1ea5t hi\u1ec7u qu\u1ea3 trong vi\u1ec7c ph\u00f2ng b\u1ec7nh s\u00e2u r\u0103ng. C\u00f3 r\u1ea5t nhi\u1ec1u b\u1eb1ng ch\u1ee9ng khoa h\u1ecdc \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng fluoride \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh t\u01b0\u01a1ng t\u00e1c gi\u1eefa m\u1ea3ng b\u00e1m, n\u01b0\u1edbc b\u1ecdt v\u00e0 r\u0103ng.<\/p>\n

Fluoride s\u1eed d\u1ee5ng t\u1ea1i ch\u1ed7 c\u00f3 2 lo\u1ea1i: m\u1ed9t lo\u1ea1i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf nh\u00e0, c\u00f2n m\u1ed9t lo\u1ea1i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf ph\u00f2ng kh\u00e1m.<\/p>\n

\u2013 Lo\u1ea1i s\u1eed d\u1ee5ng \u1edf nh\u00e0: kem \u0111\u00e1nh r\u0103ng, t\u0103m, ch\u1ec9 t\u01a1 nha khoa, n\u01b0\u1edbc s\u00fac mi\u1ec7ng, gels, n\u01b0\u1edbc b\u1ecdt nh\u00e2n t\u1ea1o, k\u1eb9o cao su.<\/p>\n

\u2013 Lo\u1ea1i s\u1eed d\u1ee5ng \u1edf ph\u00f2ng kh\u00e1m: Lo\u1ea1i n\u00e0y \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh v\u00e0 cung c\u1ea5p d\u01b0\u1edbi s\u1ef1 tr\u1ee3 gi\u00fap c\u1ee7a nha s\u0129, g\u1ed3m c\u00f3 d\u1ea1ng gel, paste prophylaxis, vecni glassionomer cement, v\u00e0 c\u00e1c ch\u1ea5t gi\u1ea3i ph\u00f3ng fluoride ch\u1eadm kh\u00e1c.<\/p>\n

Kem \u0111\u00e1nh r\u0103ng l\u00e0 d\u1ea1ng cung c\u1ea5p fluoride t\u1ea1i ch\u1ed7 ph\u1ed5 bi\u1ebfn nh\u1ea5t, c\u00f3 kho\u1ea3ng 450 tri\u1ec7u ng\u01b0\u1eddi \u0111ang s\u1eed d\u1ee5ng n\u00f3. Ch\u1ec9 c\u00f3 kho\u1ea3ng 20 tri\u1ec7u ng\u01b0\u1eddi s\u1eed d\u1ee5ng n\u01b0\u1edbc s\u00fac mi\u1ec7ng v\u00e0 vi\u00ean thu\u1ed1c c\u00f3 ch\u1ee9a fluoride. M\u1eb7c d\u00f9 c\u00f3 t\u1eadn 450 tri\u1ec7u ng\u01b0\u1eddi \u0111ang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng kem \u0111\u00e1nh r\u0103ng c\u00f3 fluoride nh\u01b0ng c\u00f3 \u0111\u1ebfn h\u01a1n 90% d\u00e2n s\u1ed1 tr\u00ean th\u1ebf gi\u1edbi kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ngu\u1ed3n fluoride t\u1ea1i ch\u1ed7.<\/p>\n

4. Kem \u0111\u00e1nh r\u0103ng<\/h2>\n

T\u00e1c d\u1ee5ng c\u1ee7a kem \u0111\u00e1nh r\u0103ng c\u00f3 fluoride \u0111\u00e3 \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn t\u1eeb 30 n\u0103m v\u1ec1 tr\u01b0\u1edbc. H\u01a1n 90% kem \u0111\u00e1nh r\u0103ng \u1edf c\u00e1c n\u01b0\u1edbc c\u00f4ng nghi\u1ec7p c\u00f3 ch\u1ee9a fluoride (h\u1ea7u nh\u01b0 100% \u1edf Th\u1ee5y \u0110i\u1ec3n, d\u01b0\u1edbi 50% \u1edf Nh\u1eadt B\u1ea3n). M\u1eb7c d\u00f9 c\u00f3 nh\u1eefng b\u1eb1ng ch\u1ee9ng ch\u1ec9 ra r\u1eb1ng c\u00f3 h\u01a1n 450 tri\u1ec7u ng\u01b0\u1eddi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng kem \u0111\u00e1nh r\u0103ng c\u00f3 fluoride th\u01b0\u1eddng xuy\u00ean, chi\u1ebfm kho\u1ea3ng d\u01b0\u1edbi 10% d\u00e2n s\u1ed1 tr\u00ean th\u1ebf gi\u1edbi. Kh\u00f4ng may m\u1eafn, m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng l\u1edbn d\u00e2n s\u1ed1 tr\u00ean th\u1ebf gi\u1edbi kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng kem \u0111\u00e1nh r\u0103ng c\u00f3 fluoride.<\/p>\n

Ch\u1ee9c n\u0103ng c\u1ee7a kem \u0111\u00e1nh r\u0103ng l\u00e0 c\u00f3 th\u1ec3 lo\u1ea1i b\u1ecf m\u1ea3ng b\u00e1m r\u0103ng nh\u1edd ho\u1ea1t \u0111\u1ed9ng ch\u1ea3i r\u0103ng, c\u0169ng nh\u01b0 d\u1ec5 d\u00e0ng cung c\u1ea5p c\u00e1c ch\u1ea5t c\u00f3 l\u1ee3i \u0111\u1ebfn r\u0103ng nh\u01b0 fluorides, ch\u1ea5t ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m, ch\u1ea5t ng\u0103n c\u1ea3n t\u1ea1o th\u00e0nh cao r\u0103ng.<\/p>\n

\u0110\u1ec3 t\u0103ng hi\u1ec7u qu\u1ea3 c\u1ee7a kem \u0111\u00e1nh r\u0103ng c\u00f3 fluoride, ch\u00fang ta c\u00f3 th\u1ec3 l\u00e0m:<\/p>\n

– Lo\u1ea1i b\u1ecf th\u01b0\u1eddng xuy\u00ean m\u1ea3ng b\u00e1m, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf c\u00e1c m\u1eb7t ti\u1ebfp gi\u00e1p c\u1ee7a r\u1eb1ng sau.<\/p>\n

– Cung c\u1ea5p ch\u1ee7 \u0111\u1ed9ng kem \u0111\u00e1nh r\u0103ng c\u00f3 fluoride t\u1edbi m\u1eb7t ti\u1ebfp gi\u00e1p c\u1ee7a c\u00e1c r\u1eb1ng sau, tr\u01b0\u1edbc khi b\u1ec1 m\u1eb7t \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch.<\/p>\n

Ch\u00fang ta c\u00f3 th\u1ec3 t\u0103ng th\u1eddi gian fluoride trong m\u00f4i tr\u01b0\u1eddng mi\u1ec7ng b\u1eb1ng c\u00e1ch:<\/p>\n

– T\u0103ng n\u1ed3ng \u0111\u1ed9 fluoride.<\/p>\n

– T\u0103ng s\u1ed1 l\u1ea7n ch\u1ea3i r\u0103ng v\u1edbi kem \u0111\u00e1nh r\u0103ng fluoride.<\/p>\n

– Che ph\u1ee7 m\u1eb7t ti\u1ebfp gi\u00e1p c\u1ee7a c\u00e1c r\u0103ng sau b\u1eb1ng kem \u0111\u00e1nh r\u0103ng c\u00f3 fluoride,<\/p>\n

5. N\u01b0\u1edbc s\u00fac mi\u1ec7ng<\/h2>\n

N\u01b0\u1edbc s\u00fac mi\u1ec7ng h\u00e0ng tu\u1ea7n \u1edf tr\u01b0\u1eddng h\u1ecdc l\u00e0 10ml NaF 0,2% trong 1 ph\u00fat. N\u00f3 r\u1ea5t hi\u1ec7u qu\u1ea3 trong vi\u1ec7c ki\u1ec3m so\u00e1t s\u00e2u r\u0103ng \u1edf nh\u1eefng n\u01a1i m\u00e0 n\u1ed3ng \u0111\u1ed9 fluoride th\u1ea5p, c\u0169ng nh\u01b0 d\u00e2n s\u1ed1 c\u00f3 t\u1ef7 l\u1ec7 s\u00e2u r\u0103ng cao, t\u00ecnh tr\u1ea1ng v\u1ec7 sinh r\u0103ng mi\u1ec7ng k\u00e9m, v\u00e0 kh\u00f4ng s\u1eed d\u1ee5ng kem \u0111\u00e1nh r\u0103ng c\u00f3 fluoride h\u00e0ng ng\u00e0y.<\/p>\n

N\u01b0\u1edbc s\u00fac mi\u1ec7ng h\u00e0ng ng\u00e0y l\u00e0 10ml dung d\u1ecbch fluoride 0,025% trong 1 ph\u00fat sau khi ch\u1ea3i r\u0103ng xong.<\/p>\n

N\u01b0\u1edbc s\u00fac mi\u1ec7ng fluoride ch\u1ee9a ch\u1ea5t ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m (triclosan + copolymer + sodium lauryl sulphate chlorhexidine + amine fluoride + SnF2…) l\u00e0 t\u1ed1t h\u01a1n n\u01b0\u1edbc s\u00fac mi\u1ec7ng fluoride \u0111\u01a1n thu\u1ea7n.<\/p>\n

Tuy nhi\u00ean, trong nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 s\u00e2u r\u0103ng cao v\u00e0 \u0111\u1eb7c bi\u1ec7t ch\u1ee9c n\u0103ng tuy\u1ebfn n\u01b0\u1edbc b\u1ecdt b\u1ecb suy gi\u1ea3m (kh\u00f4 mi\u1ec7ng, ti\u1ebft n\u01b0\u1edbc b\u1ecdt \u00edt h\u01a1n 0,7ml trong m\u1ed9t ph\u00fat) th\u00ec k\u1ebft h\u1ee3p s\u1eed d\u1ee5ng fluoride v\u00e0 chlordexidine trong vi\u00ean k\u1eb9o cao su nhai trong 15 \u0111\u1ebfn 20 ph\u00fat ngay sau m\u1ed7i b\u1eefa \u0103n c\u00f3 k\u1ebft qu\u1ea3 r\u1ea5t t\u1ed1t so v\u1edbi n\u01b0\u1edbc s\u00fac mi\u1ec7ng v\u00e0 kem ch\u1ea3i r\u0103ng ch\u1ee9a fluoride th\u00f4ng th\u01b0\u1eddng.<\/p>\n

6. D\u1ef1 ph\u00f2ng s\u00e2u r\u0103ng b\u1eb1ng Fluoride d\u1ea1ng gel v\u00e0 d\u1ea1ng dung d\u1ecbch<\/h2>\n

Gi\u1ed1ng nh\u01b0 c\u00e1c d\u1ea1ng fluoride v\u00e0 c\u00e1c ch\u1ea5t ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m kh\u00e1c, \u1ea3nh h\u01b0\u1edfng c\u1ee7a gel fluoride ph\u1ee5 thu\u1ed9c v\u00e0o n\u1ed3ng \u0111\u1ed9, th\u1eddi gian cung c\u1ea5p v\u00e0 c\u00e1c nh\u00e2n t\u1ed1 kh\u00e1c.<\/p>\n

D\u1ea1ng gel fluoride: Gel fluoride \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng t\u1ea1i ph\u00f2ng kh\u00e1m c\u00f3 th\u00e0nh ph\u1ea7n t\u01b0\u01a1ng t\u1ef1 nh\u01b0 d\u1ea1ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf nh\u00e0. N\u00f3 c\u00f3 th\u1ec3 l\u00e0 NaF, acidulated phosphate fluoride, SnF2, amine fluoride c\u1ed9ng v\u1edbi NaF, v\u00e0 NaF c\u1ed9ng v\u1edbi chlorhexidine. \u0110\u1ec3 t\u00e1c d\u1ee5ng c\u1ee7a fluoride \u0111\u01b0\u1ee3c t\u1ed1i \u01b0u th\u00ec m\u1ea3ng b\u00e1m r\u0103ng c\u1ea7n \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf, theo \u0111\u00f3 gel fluoride \u0111\u01b0\u1ee3c cung c\u1ea5p t\u1edbi b\u1ec1 m\u1eb7t r\u0103ng b\u1eb1ng m\u00e1ng trong v\u00f2ng 4 ph\u00fat. Gel fluoride c\u00f3 ch\u1ee9a SnF2, amine fluoride c\u1ed9ng v\u1edbi NaF v\u00e0 NaF k\u1ebft h\u1ee3p v\u1edbi chlorhexidine.<\/p>\n

D\u1ea1ng dung d\u1ecbch fluoride: Dung d\u1ecbch fluoride \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn l\u00e0 2% NaF, 8% SnF2, v\u00e0 1.23% APF (acidulated phosphate fluoride). Amide fluoride c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. M\u1eb7c d\u00f9 s\u1eed d\u1ee5ng 8% SnF2 kh\u00f4ng c\u00f2n ph\u1ed5 bi\u1ebfn n\u1eefa, tuy nhi\u00ean n\u00f3 v\u1eabn r\u1ea5t hi\u1ec7u qu\u1ea3 trong vi\u1ec7c ki\u1ec3m so\u00e1t s\u00e2u r\u0103ng lan nhanh, s\u00e2u r\u0103ng b\u00fa b\u00ecnh v\u00e0 s\u00e2u ch\u00e2n r\u0103ng.<\/p>\n

7. Prophylaxis paste<\/h2>\n
\"\"
H\u00ecnh \u1ea3nh Prophylaxis paste<\/figcaption><\/figure>\n

Prophylaxis \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ch\u1ee7 y\u1ebfu t\u1ea1i ph\u00f2ng kh\u00e1m \u0111\u1ec3 l\u00e0m s\u1ea1ch r\u0103ng. Nh\u01b0ng n\u00f3 c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh b\u00f3ng v\u00e0 ho\u00e0n thi\u1ec7n ph\u1ee5c h\u00ecnh. Prophylaxis c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 cung c\u1ea5p fluoride trong vi\u1ec7c d\u1ef1 ph\u00f2ng s\u00e2u r\u0103ng.<\/p>\n

8. Cung c\u1ea5p Fluoride lo\u1ea1i gi\u1ea3i ph\u00f3ng ch\u1eadm v\u00e0 b\u00e1n ch\u1eadm<\/h2>\n

Fluoride lo\u1ea1i gi\u1ea3i ph\u00f3ng ch\u1eadm v\u00e0 b\u00e1n ch\u1eadm nh\u01b0 vecni fluoride, glass ionomer cements \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n r\u1ea5t nhanh v\u00e0 s\u1eed d\u1ee5ng trong ph\u00f2ng kh\u00e1m \u0111\u1ec3 ph\u00f2ng v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u00e2u r\u0103ng v\u00ec hi\u1ec7u qu\u1ea3 c\u1ee7a n\u00f3 r\u1ea5t t\u1ed1t.<\/p>\n

C\u00f3 3 lo\u1ea1i vecni fluoride: Duraphat (5% NaF; 23% F), Fluor Protector (aminde fluoride; 0,1%) v\u00e0 Bifluoride 12 (6% NaF + 6% CaF2: 6% F). Theo nh\u1eefng nghi\u00ean c\u1ee9u v\u1ec1 l\u00e2m s\u00e0ng, s\u1eed d\u1ee5ng vecni fluoride c\u00f3 th\u1ec3 gi\u1ea3m t\u1ef7 l\u1ec7 s\u00e2u r\u0103ng t\u1eeb 20 \u0111\u1ebfn 70%.<\/p>\n

\u1ea2nh h\u01b0\u1edfng gi\u1ea3m t\u1ef7 l\u1ec7 s\u00e2u r\u0103ng c\u1ee7a vecni fluoride th\u1ef1c ch\u1ea5t l\u00e0 do k\u1ebft h\u1ee3p v\u1edbi ph\u01b0\u01a1ng ph\u00e1p l\u00e0m s\u1ea1ch m\u1ea3ng b\u00e1m r\u0103ng, gi\u1ea3i ph\u00f3ng ch\u1eadm fluoride, c\u0169ng nh\u01b0 s\u1ef1 l\u01b0u gi\u1eef l\u00e2u ng\u00e0y c\u1ee7a vecni.<\/p>\n

Ch\u00ednh v\u00ec v\u1eady, s\u1eed d\u1ee5ng vecni fluoride s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb nh\u01b0 sau:<\/p>\n

\u0110\u1ee3t 1: cung c\u1ea5p vecni fluoride kho\u1ea3ng 3 l\u1ea7n trong v\u00f2ng 7 \u0111\u1ebfn 10 ng\u00e0y v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n nguy c\u01a1 s\u00e2u r\u0103ng cao, k\u1ebft qu\u1ea3 l\u00e0m gi\u1ea3m t\u1ea1o th\u00e0nh m\u1ea3ng b\u00e1m r\u0103ng, ng\u1eebng ti\u1ebfn tri\u1ec3n c\u1ee7a s\u00e2u men.<\/p>\n

\u0110\u1ee3t 2: vecni fluoride \u0111\u01b0\u1ee3c b\u00f4i l\u1ea1i nh\u01b0 tr\u00ean.<\/p>\n

S\u1eed d\u1ee5ng vecni fluoride kho\u1ea3ng 2 \u0111\u1ebfn 4 \u0111\u1ee3t trong m\u1ed9t n\u0103m.<\/p>\n

S\u1eed d\u1ee5ng Glass ionomer cements, resin modify GICS, GIC – modified resin composites (compomers), fluoridated resin composites gi\u1ea3i ph\u00f3ng fluoride r\u1ea5t t\u1ed1t. \u01afu \u0111i\u1ec3m n\u1eefa c\u1ee7a ch\u00fang l\u00e0 gi\u1ea3i ph\u00f3ng fluoride ch\u1eadm, c\u00f3 kh\u1ea3 n\u0103ng l\u1ea5y fluoride t\u1eeb c\u00e1c ngu\u1ed3n kh\u00e1c nh\u01b0 kem \u0111\u00e1nh r\u0103ng, k\u1eb9o cao su… \u0111\u1ec3 cung c\u1ea5p cho r\u1eb1ng. M\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 nh\u1ea5t v\u00e0 nhanh nh\u1ea5t \u0111\u1ec3 l\u1ea5y fluoride cho mi\u1ebfng h\u00e0n GIC v\u00e0 sealants l\u00e0 cung c\u1ea5p vecni fluoride v\u1edbi n\u1ed3ng \u0111\u1ed9 fluoride cao nh\u01b0 bifluorid 12 (6% NaF c\u1ed9ng v\u1edbi 6% CaF2).<\/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":"

B\u00e0i vi\u1ebft n\u00e0y s\u1ebd kh\u00e1i qu\u00e1t t\u1ed5ng quan t\u1ea5t c\u1ea3 c\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng s\u00e2u r\u0103ng b\u1eb1ng li\u1ec7u ph\u00e1p Fluor trong th\u1ef1c t\u1ebf. Nha s\u0129 tham kh\u1ea3o th\u00eam v\u00e0 \u1ee9ng d\u1ee5ng \u0111\u01b0\u1ee3c c\u00e1c ph\u01b0\u01a1ng ph\u00e1p d\u1ef1 ph\u00f2ng n\u00e0y tr\u00ean l\u00e2m s\u00e0ng. C\u00f9ng t\u00ecm hi\u1ec3u s\u00e2u h\u01a1n trong b\u00e0i vi\u1ebft n\u00e0y. 1. D\u1ef1 ph\u00f2ng s\u00e2u […]<\/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":"\nD\u1ef1 ph\u00f2ng s\u00e2u r\u0103ng b\u1eb1ng Fluoride - G\u00f3c nh\u00ecn t\u1ed5ng quan. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y s\u1ebd kh\u00e1i qu\u00e1t t\u1ed5ng quan t\u1ea5t c\u1ea3 c\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng s\u00e2u r\u0103ng b\u1eb1ng li\u1ec7u ph\u00e1p Fluor trong th\u1ef1c t\u1ebf. 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