{"id":33255,"date":"2023-05-11T20:33:08","date_gmt":"2023-05-11T13:33:08","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=33255"},"modified":"2023-05-11T20:39:36","modified_gmt":"2023-05-11T13:39:36","slug":"khi-cu-duy-tri-thao-lap-dai-cuong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/11\/khi-cu-duy-tri-thao-lap-dai-cuong\/","title":{"rendered":"Kh\u00ed c\u1ee5 duy tr\u00ec th\u00e1o l\u1eafp – \u0110\u1ea1i c\u01b0\u01a1ng."},"content":{"rendered":"

Ch\u1ec9nh h\u00ecnh kh\u00f4ng ch\u1ec9 quan t\u00e2m \u0111\u1ebfn vi\u1ec7c di chuy\u1ec3n r\u0103ng, x\u01b0\u01a1ng \u0111\u1ebfn v\u1ecb tr\u00ed mong mu\u1ed1n m\u00e0 c\u00f2n c\u1ea7n c\u1ea3 qu\u00e1 tr\u00ecnh duy tr\u00ec k\u1ebft qu\u1ea3 \u0111\u1ea1t \u0111\u01b0\u1ee3c sau qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. Nh\u01b0 v\u1eady, th\u1eddi gian duy tr\u00ec th\u1eadt s\u1ef1 c\u1ea7n thi\u1ebft sau qu\u00e1 tr\u00ecnh ch\u1ec9nh h\u00ecnh. Kh\u1edbp c\u1eafn \u1ed5n \u0111\u1ecbnh sau \u0111i\u1ec1u tr\u1ecb l\u00e0 m\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 gi\u00fap duy tr\u00ec k\u1ebft qu\u1ea3. C\u00f9ng t\u00ecm hi\u1ec3u nh\u1eefng kh\u00e1i ni\u1ec7m s\u01a1 l\u01b0\u1ee3c nh\u1ea5t li\u00ean quan \u0111\u1ebfn d\u1ea1ng kh\u00ed c\u1ee5 duy tr\u00ec th\u00e1o l\u1eafp trong Nha khoa.<\/strong><\/p>\n

1. M\u1edf \u0111\u1ea7u v\u1ec1 kh\u00ed c\u1ee5 duy tr\u00ec th\u00e1o l\u1eafp<\/h2>\n

Ch\u1ec9nh h\u00ecnh kh\u00f4ng ch\u1ec9 quan t\u00e2m \u0111\u1ebfn vi\u1ec7c di chuy\u1ec3n r\u0103ng, x\u01b0\u01a1ng \u0111\u1ebfn v\u1ecb tr\u00ed mong mu\u1ed1n m\u00e0 c\u00f2n c\u1ea7n c\u1ea3 qu\u00e1 tr\u00ecnh duy tr\u00ec k\u1ebft qu\u1ea3 \u0111\u1ea1t \u0111\u01b0\u1ee3c sau qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. Nh\u01b0 v\u1eady, th\u1eddi gian duy tr\u00ec th\u1eadt s\u1ef1 c\u1ea7n thi\u1ebft sau qu\u00e1 tr\u00ecnh ch\u1ec9nh h\u00ecnh. Kh\u1edbp c\u1eafn \u1ed5n \u0111\u1ecbnh sau \u0111i\u1ec1u tr\u1ecb l\u00e0 m\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 gi\u00fap duy tr\u00ec k\u1ebft qu\u1ea3. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, kh\u1edbp c\u1eafn \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb l\u00e0 y\u1ebfu t\u1ed1 ch\u00ednh gi\u00fap duy tr\u00ec k\u1ebft qu\u1ea3. V\u00ed d\u1ee5 nh\u01b0 c\u1eafn ch\u00e9o r\u0103ng c\u1eeda, sau khi \u0111i\u1ec1u tr\u1ecb c\u00e1c r\u0103ng c\u1eeda nh\u1ea3y kh\u1edbp v\u00e0 \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u1ed9 c\u1eafn ch\u00eca v\u00e0 c\u1eafn ph\u1ee7 th\u00edch h\u1ee3p. Ch\u00ednh \u0111\u1ed9 c\u1eafn ph\u1ee7 v\u00e0 c\u1eafn ch\u00eca \u0111\u1ea1t \u0111\u01b0\u1ee3c l\u00e0 y\u1ebfu t\u1ed1 duy tr\u00ec tr\u00e1nh t\u00e1i ph\u00e1t c\u1eafn ch\u00e9o.<\/p>\n

\u0110a s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f2n l\u1ea1i c\u1ea7n quan t\u00e2m \u0111\u1ebfn v\u1ea5n \u0111\u1ec1 duy tr\u00ec k\u1ebft qu\u1ea3. M\u1ee5c \u0111\u00edch c\u1ee7a duy tr\u00ec k\u1ebft qu\u1ea3 l\u00e0 gi\u00fap m\u00f4 n\u01b0\u1edbu v\u00e0 m\u00f4 nha chu c\u00f3 th\u1eddi gian \u0111\u1ec3 t\u00e1i c\u1ea5u tr\u00fac khi r\u0103ng \u0111\u00e3 thay \u0111\u1ed5i v\u1ecb tr\u00ed. H\u01a1n n\u1eefa, th\u1eddi gian duy tr\u00ec l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 m\u00f4 m\u1ec1m v\u00f9ng mi\u1ec7ng \u2013 m\u1eb7t thi\u1ebft l\u1eadp th\u0103ng b\u1eb1ng m\u1edbi sau qu\u00e1 tr\u00ecnh di chuy\u1ec3n r\u0103ng- x\u01b0\u01a1ng. \u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang trong giai \u0111o\u1ea1n t\u0103ng tr\u01b0\u1edfng, qu\u00e1 tr\u00ecnh t\u0103ng tr\u01b0\u1edfng c\u00f2n c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb do v\u1eady c\u1ea7n duy tr\u00ec \u0111\u1ebfn cu\u1ed1i th\u1eddi k\u1ef3 t\u0103ng tr\u01b0\u1edfng.<\/p>\n

L\u01b0u \u00fd r\u1eb1ng duy tr\u00ec kh\u00f4ng ph\u1ea3i l\u00e0 c\u1ed1 \u0111\u1ecbnh r\u0103ng v\u00e0o v\u1ecb tr\u00ed mong mu\u1ed1n m\u00e0 l\u1ea1i kh\u00f4ng \u1ed5n \u0111\u1ecbnh v\u1ec1 m\u1eb7t kh\u1edbp c\u1eafn ch\u1ee9c n\u0103ng. Nguy\u00ean t\u1eafc l\u00e0 sau khi \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh h\u00ecnh, c\u00e1c r\u0103ng \u0111\u01b0\u1ee3c s\u1eafp x\u1ebfp \u0111\u1ec1u \u0111\u1eb7n v\u00e0o v\u1ecb tr\u00ed \u1ed5n \u0111\u1ecbnh kh\u1edbp c\u1eafn tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u qu\u00e1 tr\u00ecnh duy tr\u00ec. Th\u1eadt s\u1ef1 kh\u00f4ng sinh l\u00fd n\u1ebfu gi\u1eef c\u1ed1 \u0111\u1ecbnh r\u0103ng \u1edf v\u1ecb tr\u00ed kh\u00f4ng \u1ed5n \u0111\u1ecbnh v\u1ec1 m\u1eb7t kh\u1edbp c\u1eafn. V\u00e0 nh\u01b0 v\u1eady \u0111\u00f3 kh\u00f4ng l\u00e0 qu\u00e1 tr\u00ecnh duy tr\u00ec m\u00e0 l\u00e0 qu\u00e1 tr\u00ecnh c\u1ed1 \u0111\u1ecbnh r\u0103ng.<\/p>\n

Duy tr\u00ec k\u1ebft qu\u1ea3 c\u0169ng c\u00f3 t\u00ednh ch\u1ea5t t\u01b0\u01a1ng \u0111\u1ed1i. Ngay nh\u1eefng tr\u01b0\u1eddng h\u1ee3p chen ch\u00fac r\u0103ng tr\u01b0\u1edbc, sau qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb c\u00e1c r\u0103ng \u0111\u01b0\u1ee3c s\u1eafp x\u1ebfp \u0111\u1ec1u \u0111\u1eb7n v\u00e0 v\u00e0o \u0111\u00fang kh\u1edbp c\u1eafn nh\u01b0ng theo th\u1eddi gian c\u00e1c r\u0103ng tr\u01b0\u1edbc c\u0169ng c\u00f3 th\u1ec3 h\u01a1i chen ch\u00fac tr\u1edf l\u1ea1i. Nh\u01b0 v\u1eady \u0111\u00f4i l\u00fac c\u1ea7n duy tr\u00ec v\u0129nh vi\u1ec5n nh\u1eefng tr\u01b0\u1eddng h\u1ee3p chen ch\u00fac r\u0103ng tr\u01b0\u1edbc n\u1ebfu ho\u00e0n to\u00e0n kh\u00f4ng mu\u1ed1n r\u0103ng b\u1ecb d\u1ecbch chuy\u1ec3n sau n\u00e0y theo th\u1eddi gian.<\/p>\n

C\u00f3 hai lo\u1ea1i kh\u00ed c\u1ee5 duy tr\u00ec: th\u00e1o l\u1eafp v\u00e0 c\u1ed1 \u0111\u1ecbnh. Trong ph\u1ea1m vi cu\u1ed1n s\u00e1ch n\u00e0y ch\u00fang t\u00f4i ch\u1ec9 \u0111\u1ec1 c\u1eadp \u0111\u1ebfn kh\u00ed c\u1ee5 duy tr\u00ec th\u00e1o l\u1eafp.<\/p>\n

2. Ph\u00e2n lo\u1ea1i tr\u00ean l\u00e2m s\u00e0ng<\/h2>\n

2.1. Kh\u00ed c\u1ee5 di chuy\u1ec3n r\u0103ng ho\u1eb7c kh\u00ed c\u1ee5 ch\u1ee9c n\u0103ng chuy\u1ec3n th\u00e0nh kh\u00ed c\u1ee5 duy tr\u00ec<\/strong><\/p>\n

C\u00e1c kh\u00ed c\u1ee5 th\u00e1o l\u1eafp \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb th\u1ec9nh tho\u1ea3ng c\u00f3 th\u1ec3 chuy\u1ec3n th\u00e0nh kh\u00ed c\u1ee5 duy tr\u00ec b\u1eb1ng c\u00e1ch gi\u1ea3m t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u00e1c th\u00e0nh ph\u1ea7n t\u1ea1o l\u1ef1c, th\u00eam nh\u1ef1a \u0111\u1ec3 gi\u1eef kh\u00f4ng cho t\u00e1c \u0111\u1ed9ng l\u1ef1c c\u1ee7a c\u00e1c l\u00f2 xo ho\u1eb7c \u1ed1c n\u1edbi r\u1ed9ng.<\/p>\n

V\u00ed d\u1ee5 kh\u00ed c\u1ee5 th\u00e1o l\u1eafp c\u00f3 l\u00f2 xo ch\u1eef Z \u0111\u1ea9y r\u0103ng tr\u01b0\u1edbc c\u1eafn ch\u00e9o. Sau khi r\u0103ng c\u1eafn ch\u00e9o nh\u1ea3y kh\u1edbp, gi\u1ea3m l\u1ef1c t\u00e1c \u0111\u1ed9ng l\u00f2 xo v\u00e0 kh\u00ed c\u1ee5 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 l\u00e0 kh\u00ed c\u1ee5 duy tr\u00ec.<\/p>\n

Trong \u0111i\u1ec1u tr\u1ecb sai kh\u1edbp c\u1eafn h\u1ea1ng II b\u1eb1ng kh\u00ed c\u1ee5 t\u00e1c \u0111\u1ed9ng, sau khi k\u1ebft qu\u1ea3 \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng kh\u00ed c\u1ee5 ch\u1ee9c n\u0103ng nh\u01b0 l\u00e0 kh\u00ed c\u1ee5 duy tr\u00ec \u0111\u1ec3 duy tr\u00ec k\u1ebft qu\u1ea3 sau \u0111i\u1ec1u tr\u1ecb.<\/p>\n

2.2. Kh\u00ed c\u1ee5 Hawley duy tr\u00ec<\/strong><\/p>\n

Kh\u00ed c\u1ee5 Hawley nguy\u00ean th\u1ee7y \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 gi\u1eef c\u00e1c r\u0103ng \u0111\u00fang v\u1ecb tr\u00ed mong mu\u1ed1n, sau khi \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh h\u00ecnh. Kh\u00ed c\u1ee5 Hawley c\u0103n b\u1ea3n g\u1ed3m c\u00f3 hai m\u00f3c Adams, cung m\u00f4i v\u00e0 n\u1ec1n nh\u1ef1a. M\u00f3c Adams tr\u00ean r\u0103ng c\u1ed1i l\u1edbn th\u1ee9 nh\u1ea5t gi\u00fap gi\u1eef d\u00ednh kh\u00ed c\u1ee5. Cung m\u00f4i \u00f4m \u0111\u1ec1u m\u1eb7t ngo\u00e0i c\u00e1c r\u0103ng c\u1eeda. N\u1ec1n nh\u1ef1a n\u1eb1m \u1edf m\u1eb7t trong: ph\u1ee7 ni\u00eam m\u1ea1c kh\u1ea9u c\u00e1i h\u00e0m tr\u00ean hay ni\u00eam m\u1ea1c m\u1eb7t l\u01b0\u1ee1i h\u00e0m d\u01b0\u1edbi. N\u1ec1n nh\u1ef1a \u0111i ngang qua m\u1ee9c \u0111\u01b0\u1eddng v\u00f2ng l\u1edbn nh\u1ea5t c\u00e1c r\u0103ng sau v\u00e0 ngang c\u1ed5 r\u0103ng c\u00e1c r\u0103ng tr\u01b0\u1edbc ho\u1eb7c ph\u1ee7 l\u00ean cingulum c\u00e1c r\u0103ng tr\u01b0\u1edbc.<\/p>\n

\"khi-cu-duy-tri-1\"
H\u00ecnh 1: A. Kh\u00ed c\u1ee5 Hawley duy tr\u00ec c\u01a1 b\u1ea3n g\u1ed3m cung m\u00f4i v\u00e0 m\u00f3c Adams. B. Kh\u00ed c\u1ee5 Hawley duy tr\u00ec k\u1ebft qu\u1ea3 sau \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh h\u00ecnh ti\u1ec1n ph\u1ee5c h\u00ecnh.<\/figcaption><\/figure>\n

2.3. Bi\u1ebfn th\u1ec3 c\u1ee7a kh\u00ed c\u1ee5 Hawley duy tr\u00ec<\/strong><\/p>\n

\"khi-cu-duy-tri-2\"
H\u00ecnh 2: Kh\u00ed c\u1ee5 duy tr\u00ec g\u1ed3m cung m\u00f4i ng\u1eafn, m\u00f3c b\u1ecb ho\u1eb7c m\u00f3c tam gi\u00e1c, m\u00f3c v\u00f2ng…<\/figcaption><\/figure>\n
\"khi-cu-duy-tri-3\"
H\u00ecnh 3: Kh\u00ed c\u1ee5 duy tr\u00ec g\u1ed3m (A) cung m\u00f4i, m\u00f3c Adams v\u00e0 t\u1ef1a m\u1eb7t nhai tr\u00ean r\u0103ng c\u1ed1i l\u1edbn ho\u1eb7c (B) ch\u1ec9 c\u00f3 cung m\u1ed7i ho\u1eb7c (C) cung m\u00f4i v\u00e0 t\u1ef1a m\u1eb7t nhai.<\/figcaption><\/figure>\n

T\u00f9y theo t\u1eebng tr\u01b0\u1eddng h\u1ee3p l\u00e2m s\u00e0ng c\u1ee5 th\u1ec3, kh\u00ed c\u1ee5 duy tr\u00ec \u0111\u01b0\u1ee3c ph\u00e1c h\u1ecda kh\u00e1c nhau. M\u00f3c Adams th\u01b0\u1eddng g\u00e2y v\u01b0\u1edbng c\u1ed9m kh\u1edbp c\u1eafn do \u0111\u00f3 \u0111\u1ed1i v\u1edbi kh\u00ed c\u1ee5 duy tr\u00ec kh\u00f4ng th\u1ef1c s\u1ef1 c\u1ea7n nh\u1eefng m\u00f3c l\u01b0u gi\u1eef t\u1ed1t nh\u01b0 m\u00f3c Adams, m\u00f3c Delta… n\u00ean tr\u00e1nh nh\u1eefng m\u00f3c d\u1ec5 g\u00e2y c\u1ed9m kh\u1edbp c\u1eafn v\u00ec c\u00f3 th\u1ec3 d\u1ecbch chuy\u1ec3n h\u00e0m d\u01b0\u1edbi ho\u1eb7c d\u1ecbch chuy\u1ec3n r\u0103ng kh\u00f4ng mong mu\u1ed1n sau qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n

Nh\u01b0 v\u1eady, khi ph\u00e1c h\u1ecda kh\u00ed c\u1ee5 duy tr\u00ec, c\u1ea7n x\u00e1c \u0111\u1ecbnh t\u01b0\u01a1ng quan kh\u1edbp c\u1eafn sau khi \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 m\u00f3c ho\u1eb7c cung m\u00f4i tr\u00e1nh b\u0103ng ngang qua m\u1eb7t nhai g\u00e2y c\u1ed9m kh\u1edbp c\u1eafn v\u00e0 c\u0169ng tr\u00e1nh b\u0103ng ngang qua v\u00f9ng c\u00f3 nh\u1ed5 r\u0103ng nh\u1eb1m h\u1ea1n ch\u1ebf t\u00e1i ph\u00e1t khe h\u1edf do nh\u1ed5 r\u0103ng.<\/p>\n

    \n
  • Kh\u00ed c\u1ee5 duy tr\u00ec Beggs: Kh\u00ed c\u1ee5 duy tr\u00ec Beggs tr\u00e1nh s\u1eed d\u1ee5ng m\u00f3c tr\u00ean r\u0103ng c\u1ed1i \u0111\u1ec3 h\u1ea1n ch\u1ebf v\u01b0\u1edbng c\u1ed9m kh\u1edbp c\u1eafn. Thay v\u00ec cung m\u1ed7i ng\u1eafn b\u0103ng qua m\u1eb7t nhai, kh\u00ed c\u1ee5 c\u00f3 cung m\u00f4i d\u00e0i v\u1edbi ch\u00e2n cung m\u1ed7i \u0111i qua ph\u00eda xa c\u1ee7a r\u0103ng c\u1ed1i h\u00e0m tr\u00ean. Kh\u00ed c\u1ee5 n\u00e0y c\u00f3 \u01b0u \u0111i\u1ec3m l\u00e0 tr\u00e1nh v\u01b0\u1edbng c\u1ed9m kh\u1edbp c\u1eafn nh\u01b0ng kh\u00f3 \u0111i\u1ec1u ch\u1ec9nh (H\u00ecnh 4).<\/li>\n<\/ul>\n
    \"khi-cu-duy-tri-4\"
    H\u00ecnh 4: Kh\u00ed c\u1ee5 duy tr\u00ec Beggs<\/figcaption><\/figure>\n
      \n
    • C\u00e1c d\u1ea1ng kh\u00ed c\u1ee5 duy tr\u00ec kh\u00e1c:\n
        \n
      • Kh\u00ed c\u1ee5 duy tr\u00ec g\u1ed3m cung m\u00f4i d\u00e0i v\u00e0 hai \u0111o\u1ea1n d\u00e2y ph\u00eda tr\u01b0\u1edbc n\u1ed1i cung m\u00f4i v\u00e0o n\u1ec1n nh\u1ef1a gi\u00fap \u1ed5n \u0111\u1ecbnh cung m\u00f4i ph\u00eda tr\u01b0\u1edbc theo chi\u1ec1u \u0111\u1ee9ng. (H\u00ecnh 5).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
        \"khi-cu-duy-tri-5\"
        H\u00ecnh 5: Kh\u00ed c\u1ee5 duy tr\u00ec g\u1ed3m cung m\u00f4i d\u00e0i v\u00e0 hai \u0111o\u1ea1n d\u00e2y ph\u00eda tr\u01b0\u1edbc.<\/figcaption><\/figure>\n
          \n
        • \n
            \n
          • Kh\u00ed c\u1ee5 duy tr\u00ec g\u1ed3m cung m\u1ed7i d\u00e0i \u0111i t\u1eeb ph\u00eda xa r\u0103ng c\u1ed1i sau c\u00f9ng, th\u01b0\u1eddng l\u00e0 r\u0103ng c\u1ed1i th\u1ee9 hai h\u00e0m tr\u00ean, gi\u00fap duy tr\u00ec v\u00e0 ki\u1ec3m so\u00e1t to\u00e0n b\u1ed9 cung r\u0103ng. Cung m\u00f4i d\u00e0i kh\u00f4ng b\u0103ng ngang qua m\u1eb7t nhai c\u00e1c r\u0103ng n\u00ean kh\u00f4ng g\u00e2y c\u1ea3n tr\u1edf kh\u1edbp c\u1eafn. Cung b\u00f9 tr\u1eeb c\u1ee7a cung m\u00f4i kh\u00f4ng n\u00ean \u0111\u1eb7t \u1edf v\u1ecb tr\u00ed r\u0103ng nanh trong tr\u01b0\u1eddng h\u1ee3p mu\u1ed1n ki\u1ec3m so\u00e1t r\u0103ng nanh l\u1ec7ch ngo\u00e0i. \u0110\u1ec3 gi\u00fap \u1ed5n \u0111\u1ecbnh cung m\u00f4i th\u01b0\u1eddng c\u00f3 th\u00eam 2 \u0111o\u1ea1n d\u00e2y ph\u00eda tr\u01b0\u1edbc \u0111\u01b0\u1ee3c g\u1eafn v\u00e0o cung m\u00f4i. Hai m\u00f3c v\u00f2ng \u1edf ph\u00eda xa r\u0103ng sau c\u00f9ng \u0111\u01b0\u1ee3c h\u00e0n v\u00e0o cung m\u00f4i \u0111\u1ec3 t\u0103ng \u0111\u1ed9 l\u01b0u gi\u1eef cho kh\u00ed c\u1ee5 v\u00e0 c\u0169ng kh\u00f4ng g\u00e2y c\u1ea3n tr\u1edf kh\u1edbp c\u1eafn, v\u00ec m\u00f3c v\u00f2ng kh\u00f4ng b\u0103ng ngang qua m\u1eb7t nhai c\u00e1c r\u0103ng (H\u00ecnh 6).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
            \"khi-cu-duy-tri-6\"
            H\u00ecnh 6: Kh\u00ed c\u1ee5 duy tr\u00ec g\u1ed3m cung m\u00f4i d\u00e0i v\u00e0 m\u00f3c v\u00f2ng.<\/figcaption><\/figure>\n
              \n
            • \n
                \n
              • Kh\u00ed c\u1ee5 duy tr\u00ec c\u00f3 th\u1ec3 g\u1ed3m cung m\u00f4i d\u00e0i \u0111\u01b0\u1ee3c h\u00e0n v\u1edbi thanh ngang c\u1ee7a m\u00f3c Adams (H\u00ecnh 7).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
                \"khi-cu-duy-tri-7\"
                H\u00ecnh 7: Kh\u00ed c\u1ee5 duy tr\u00ec c\u00f3 cung m\u00f4i d\u00e0i h\u00e0n v\u1edbi m\u00f3c Adams<\/figcaption><\/figure>\n
                  \n
                • \n
                    \n
                  • Kh\u00ed c\u1ee5 duy tr\u00ec ki\u1ec3m so\u00e1t r\u0103ng nanh h\u00e0m tr\u00ean: (H\u00ecnh 8) c\u00f3 hai thanh kim lo\u1ea1i h\u00e0n ph\u00eda xa ho\u1eb7c ph\u00eda g\u1ea7n c\u1ee7a cung m\u00f4i ng\u1eafn, \u0111\u1ec3 ki\u1ec3m so\u00e1t r\u0103ng nanh h\u00e0m tr\u00ean s\u1eed d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p r\u0103ng nanh h\u00e0m tr\u00ean ban \u0111\u1ea7u c\u00f3 v\u1ecb tr\u00ed l\u1ec7ch ngo\u00e0i.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
                    \"\"
                    H\u00ecnh 8: Kh\u00ed c\u1ee5 duy tr\u00ec ki\u1ec3m so\u00e1t r\u0103ng nanh h\u00e0m tr\u00ean.<\/figcaption><\/figure>\n
                      \n
                    • \n
                        \n
                      • Kh\u00ed c\u1ee5 duy tr\u00ec c\u00f3 cung m\u00f4i c\u00f3 nh\u1ef1a bao xung quanh: Nh\u1ef1a trong bao ph\u1ee7 cung m\u00f4i, ho\u1eb7c \u00f4m ch\u1eb7t m\u1eb7t ngo\u00e0i, m\u1eb7t trong v\u00e0 v\u00f9ng k\u1ebd gi\u1eefa c\u00e1c r\u0103ng c\u00e1c r\u0103ng tr\u01b0\u1edbc. Nh\u01b0 v\u1eady v\u1ecb tr\u00ed c\u00e1c r\u0103ng \u0111\u01b0\u1ee3c duy tr\u00ec r\u1ea5t t\u1ed1t (H\u00ecnh 9).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
                        \"\"
                        H\u00ecnh 9: Kh\u00ed c\u1ee5 duy tr\u00ec v\u1edbi n\u1ec1n nh\u1ef1a \u00f4m m\u1eb7t ngo\u00e0i v\u00e0 m\u1eb7t trong.<\/figcaption><\/figure>\n
                          \n
                        • \n
                            \n
                          • Kh\u00ed c\u1ee5 duy tr\u00ec c\u00f3 cung m\u00f4i bi\u1ebfn \u0111\u1ed5i: Cung m\u00f4i \u0111\u01b0\u1ee3c nh\u1ef1a bao xung quanh ho\u1eb7c cung m\u00f4i \u0111\u01b0\u1ee3c l\u00e0m b\u1eb1ng nh\u1ef1a (H\u00ecnh 10).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
                            \"\"
                            H\u00ecnh 10: Kh\u00ed c\u1ee5 duy tr\u00ec c\u00f3 cung bi\u1ebfn \u0111\u1ed5i<\/figcaption><\/figure>\n
                              \n
                            • \n
                                \n
                              • Kh\u00ed c\u1ee5 duy tr\u00ec ki\u1ec3m so\u00e1t \u0111\u1ed9 c\u1eafn s\u00e2u: Kh\u00ed c\u1ee5 duy tr\u00ec lo\u1ea1i n\u00e0y \u0111\u01b0\u1ee3c ph\u00e1c h\u1ecda t\u01b0\u01a1ng t\u1ef1 kh\u00ed c\u1ee5 duy tr\u00ec th\u00f4ng th\u01b0\u1eddng. Tuy nhi\u00ean n\u1ec1n nh\u1ef1a ph\u1ee7 \u0111\u1ebfn m\u1eb7t trong c\u00e1c r\u0103ng tr\u01b0\u1edbc h\u00e0m tr\u00ean th\u00e0nh m\u1eb7t ph\u1eb3ng c\u1eafn gi\u00fap ki\u1ec3m so\u00e1t \u0111\u1ed9
                                \nc\u1eafn ph\u1ee7 v\u00f9ng r\u0103ng tr\u01b0\u1edbc. Khi mang kh\u00ed c\u1ee5, r\u0103ng c\u1eeda ch\u1ea1m v\u00e0o n\u1ec1n nh\u1ef1a c\u1ee7a kh\u00ed c\u1ee5 duy tr\u00ec tr\u00e1nh t\u00e1i ph\u00e1t c\u1eafn s\u00e2u nh\u01b0ng n\u1ec1n nh\u1ef1a n\u00e0y kh\u00f4ng l\u00e0m h\u1edf kh\u1edbp r\u0103ng sau (H\u00ecnh 11 A,B,C).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
                                \"\"
                                H\u00ecnh 11: Kh\u00ed c\u1ee5 duy tr\u00ec c\u00f3 m\u1eb7t ph\u1eb3ng c\u1eafn ph\u00eda tr\u01b0\u1edbc tr\u00e1nh t\u00e1i ph\u00e1t c\u1eafn s\u00e2u (A,C) Nh\u00ecn t\u1eeb m\u1eb7t nhai, (B) Nh\u00ecn t\u1eeb m\u1eb7t b\u00ean.<\/figcaption><\/figure>\n
                                  \n
                                • \n
                                    \n
                                  • M\u1ea3ng duy tr\u00ec (vacuum-formed retainer): V\u1edbi nh\u1eefng t\u1ea5m nh\u1ef1a, nh\u1edd m\u00e1y \u00e9p ch\u00e2n kh\u00f4ng c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng l\u00e0m m\u00e1ng duy tr\u00ec. M\u00e1ng duy tr\u00ec l\u00e0 kh\u00ed c\u1ee5 duy tr\u00ec ho\u00e0n h\u1ea3o \u0111\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111i\u1ec1u tr\u1ecb r\u0103ng xoay. Tuy nhi\u00ean, m\u00e1ng duy tr\u00ec ph\u1ee7 to\u00e0n b\u1ed9 cung r\u0103ng h\u00e0m tr\u00ean\/ h\u00e0m d\u01b0\u1edbi do \u0111\u00f3 ng\u0103n c\u1ea3n c\u00e1c r\u0103ng h\u00e0m tr\u00ean v\u00e0 h\u00e0m d\u01b0\u1edbi g\u00e0i kh\u1edbp t\u1ed1t v\u1edbi nhau. Tr\u01b0\u1eddng h\u1ee3p c\u00f2n khe h\u1edf nh\u1ecf n\u00e0o \u0111\u00f3 \u1edf v\u00f9ng r\u0103ng c\u1ed1i sau khi th\u00e1o kh\u00e2u ho\u1eb7c \u1edf v\u1ecb tr\u00ed c\u00f3 nh\u1ed5 r\u0103ng tr\u01b0\u1edbc \u0111\u00f3, kh\u00f3 \u0111\u00f3ng k\u00edn khe h\u1edf n\u00e0y b\u1eb1ng m\u00e1ng duy tr\u00ec (H\u00ecnh 12).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
                                    \"\"
                                    H\u00ecnh 12: M\u00e1ng duy tr\u00ec.<\/figcaption><\/figure>\n

                                    Ngu\u1ed3n tham kh\u1ea3o: <\/em>S\u00e1ch ch\u1ec9nh h\u00ecnh r\u0103ng m\u1eb7t, kh\u00ed c\u1ee5 th\u00e1o l\u1eafp –\u00a0 B\u1ed9 m\u00f4n Ch\u1ec9nh h\u00ecnh r\u0103ng m\u1eb7t, Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c TP H\u1ed3 Ch\u00ed Minh<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

                                    Ch\u1ec9nh h\u00ecnh kh\u00f4ng ch\u1ec9 quan t\u00e2m \u0111\u1ebfn vi\u1ec7c di chuy\u1ec3n r\u0103ng, x\u01b0\u01a1ng \u0111\u1ebfn v\u1ecb tr\u00ed mong mu\u1ed1n m\u00e0 c\u00f2n c\u1ea7n c\u1ea3 qu\u00e1 tr\u00ecnh duy tr\u00ec k\u1ebft qu\u1ea3 \u0111\u1ea1t \u0111\u01b0\u1ee3c sau qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. Nh\u01b0 v\u1eady, th\u1eddi gian duy tr\u00ec th\u1eadt s\u1ef1 c\u1ea7n thi\u1ebft sau qu\u00e1 tr\u00ecnh ch\u1ec9nh h\u00ecnh. Kh\u1edbp c\u1eafn \u1ed5n \u0111\u1ecbnh sau \u0111i\u1ec1u […]<\/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":"\nKh\u00ed c\u1ee5 duy tr\u00ec th\u00e1o l\u1eafp - \u0110\u1ea1i c\u01b0\u01a1ng. - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00f9ng t\u00ecm hi\u1ec3u nh\u1eefng kh\u00e1i ni\u1ec7m s\u01a1 l\u01b0\u1ee3c nh\u1ea5t li\u00ean quan \u0111\u1ebfn d\u1ea1ng kh\u00ed c\u1ee5 duy tr\u00ec th\u00e1o l\u1eafp trong Nha khoa trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.\" \/>\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=\"Kh\u00ed c\u1ee5 duy tr\u00ec th\u00e1o l\u1eafp - \u0110\u1ea1i c\u01b0\u01a1ng. - 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