{"id":33546,"date":"2023-05-13T08:03:12","date_gmt":"2023-05-13T01:03:12","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=33546"},"modified":"2023-05-13T23:17:31","modified_gmt":"2023-05-13T16:17:31","slug":"giai-doan-chinh-nha-duong-dai-nganh-chinh-nha","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/giai-doan-chinh-nha-duong-dai-nganh-chinh-nha\/","title":{"rendered":"Giai \u0111o\u1ea1n ch\u1ec9nh nha \u0111\u01b0\u01a1ng \u0111\u1ea1i &#8211; Ng\u00e0nh ch\u1ec9nh nha."},"content":{"rendered":"<p><strong>Trong c\u00e1c chuy\u00ean ng\u00e0nh nha khoa, Ch\u1ec9nh nha ph\u00e1t tri\u1ec3n kh\u00e1 s\u1edbm th\u00e0nh chuy\u00ean khoa s\u00e2u. Ph\u1ea7n l\u01b0\u1ee3c s\u1eed ch\u1ec9nh nha tr\u00ecnh b\u00e0y kh\u00e1i l\u01b0\u1ee3c v\u1ec1 nh\u1eefng \u0111\u00f3ng g\u00f3p to l\u1edbn c\u1ee7a nh\u1eefng nh\u00e0 ti\u00ean phong trong l\u0129nh v\u1ef1c ch\u1ec9nh nha \u0111\u1ec3 c\u00f3 \u0111\u01b0\u1ee3c ng\u00e0nh ch\u1ec9nh nha hi\u1ec7n \u0111\u1ea1i nh\u01b0 ng\u00e0y h\u00f4m nay. Hi\u1ec3u v\u1ec1 l\u1ecbch s\u1eed ph\u00e1t tri\u1ec3n c\u1ee7a ch\u1ec9nh nha, gi\u00fap ch\u00fang ta c\u00f3 c\u00e1i nh\u00ecn tr\u00e2n tr\u1ecdng v\u1edbi \u0111\u00f3ng nay. g\u00f3p c\u1ee7a b\u1eadc \u201c\u0111\u1ea1i th\u1ee5 ch\u1ec9nh nha\u201d v\u00e0 hi\u1ec3u h\u01a1n v\u1ec1 xu h\u01b0\u1edbng ph\u00e1t tri\u1ec3n c\u1ee7a chuy\u00ean ng\u00e0nh. B\u00e0i vi\u1ebft n\u00f3i v\u1ec1 m\u1ed9t giai \u0111o\u1ea1n \u0111\u1eb7c bi\u1ec7t, giai \u0111o\u1ea1n ch\u1ec9nh nha \u0111\u01b0\u01a1ng \u0111\u1ea1i c\u1ee7a chuy\u00ean ng\u00e0nh ch\u1ec9nh nha v\u1edbi nh\u1eefng \u0111\u1ed9t ph\u00e1 to l\u1edbn. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n<h2>1. T\u1ed5ng quan v\u1ec1 chuy\u00ean ng\u00e0nh ch\u1ec9nh nha<\/h2>\n<p>Trong c\u00e1c chuy\u00ean ng\u00e0nh nha khoa, Ch\u1ec9nh nha ph\u00e1t tri\u1ec3n kh\u00e1 s\u1edbm th\u00e0nh chuy\u00ean khoa s\u00e2u. Ph\u1ea7n l\u01b0\u1ee3c s\u1eed ch\u1ec9nh nha tr\u00ecnh b\u00e0y kh\u00e1i l\u01b0\u1ee3c v\u1ec1 nh\u1eefng \u0111\u00f3ng g\u00f3p to l\u1edbn c\u1ee7a nh\u1eefng nh\u00e0 ti\u00ean phong trong l\u0129nh v\u1ef1c ch\u1ec9nh nha \u0111\u1ec3 c\u00f3 \u0111\u01b0\u1ee3c ng\u00e0nh ch\u1ec9nh nha hi\u1ec7n \u0111\u1ea1i nh\u01b0 ng\u00e0y h\u00f4m nay . Hi\u1ec3u v\u1ec1 l\u1ecbch s\u1eed ph\u00e1t tri\u1ec3n c\u1ee7a ch\u1ec9nh nha, gi\u00fap ch\u00fang ta c\u00f3 c\u00e1i nh\u00ecn tr\u00e2n tr\u1ecdng v\u1edbi \u0111\u00f3ng nay. g\u00f3p c\u1ee7a b\u1eadc \u201c\u0111\u1ea1i th\u1ee5 ch\u1ec9nh nha\u201d v\u00e0 hi\u1ec3u h\u01a1n v\u1ec1 xu h\u01b0\u1edbng ph\u00e1t tri\u1ec3n c\u1ee7a chuy\u00ean ng\u00e0nh. L\u01b0\u1ee3c s\u1eed ph\u00e1t tri\u1ec3n ch\u1ec9nh nha c\u00f3 th\u1ec3 xem x\u00e9t qua 3 giai \u0111o\u1ea1n:<\/p>\n<ul>\n<li>Giai \u0111o\u1ea1n b\u00ecnh minh c\u1ee7a chuy\u00ean ng\u00e0nh ch\u1ec9nh nha.<\/li>\n<li>Giai \u0111o\u1ea1n x\u00e2y d\u1ef1ng v\u00e0 ph\u00e1t tri\u1ec3n.<\/li>\n<li>Giai \u0111o\u1ea1n ho\u00e0n ch\u1ec9nh \u0111\u1ebfn \u0111\u01b0\u01a1ng \u0111\u1ea1i.<\/li>\n<\/ul>\n<h2>2. Giai \u0111o\u1ea1n ch\u1ec9nh nha \u0111\u01b0\u01a1ng \u0111\u1ea1i c\u1ee7a chuy\u00ean ng\u00e0nh ch\u1ec9nh nha<\/h2>\n<p>Giai \u0111o\u1ea1n ch\u1ec9nh nha \u0111\u01b0\u01a1ng \u0111\u1ea1i v\u1edbi ba t\u01b0\u1ee3ng \u0111\u00e0i \u0111\u1ea1i di\u1ec7n l\u00e0 Ricketts, Andrews v\u00e0 Sato. Ba t\u01b0\u1ee3ng \u0111\u00e0i n\u00e0y \u0111\u1ea1i di\u1ec7n cho ba tri\u1ebft l\u00fd v\u00e0 tr\u01b0\u1eddng ph\u00e1i ch\u1ec9nh nha \u0111\u01b0\u01a1ng \u0111\u1ea1i, trong \u0111\u00f3, Andrews l\u00e0 cha \u0111\u1ebb tri\u1ebft l\u00fd v\u00e0 tr\u01b0\u1eddng ph\u00e1i d\u00e2y th\u1eb3ng, Ricketts ph\u00e1t tri\u1ec3n tri\u1ebft l\u00fd v\u00e0 tr\u01b0\u1edfng ph\u00e1i ch\u1ec9nh nha d\u1ef1a tr\u00ean t\u0103ng tr\u01b0\u1edfng v\u00e0 ch\u1ee9c n\u0103ng (Bioprogressive) v\u1edbi k\u1ef9 thu\u1eadt ch\u1ec9nh nha ph\u00e2n \u0111o\u1ea1n; c\u00f2n Sato ph\u00e1t tri\u1ec3n tri\u1ebft l\u00fd \u0111\u1ed9ng h\u1ecdc s\u1ecd m\u1eb7t v\u00e0 ch\u1ee9c n\u0103ng v\u1edbi k\u1ef9 thu\u1eadt L-loop li\u00ean ho\u00e0n (MEAW: Multi-Edgewise Arch Wire) t\u1ea1o n\u00ean s\u1ef1 \u0111a d\u1ea1ng h\u00f3a trong ch\u1ec9nh nha \u0111\u01b0\u01a1ng \u0111\u1ea1i.<\/p>\n<p>G\u1ecdi Ricketts l\u00e0 t\u01b0\u1ee3ng \u0111\u00e0i trong ch\u1ec9nh nha qu\u1ea3 l\u00e0 kh\u00f4ng ngoa, n\u1ebfu ch\u00fang ta bi\u1ebft r\u1eb1ng \u00f4ng \u0111\u00e3 vi\u1ebft tr\u00ean 300 b\u00e0i b\u00e1o khoa h\u1ecdc trong l\u0129nh v\u1ef1c ch\u1ec9nh nha, c\u00f9ng v\u1edbi ba cu\u1ed1n s\u00e1ch g\u1ed1i \u0111\u1ea7u cho nh\u1eefng t\u00edn \u0111\u1ed3 (follower) c\u1ee7a tr\u01b0\u1eddng ph\u1ea3i n\u00e0y, \u0111\u00f3 l\u00e0 c\u00e1c cu\u1ed1n: \u201cRicketts Bioprogressive techniques\u201d, &#8220;Cephalometric paradigm 2000&#8221; v\u00e0 &#8220;Understanding the VTO\u201d, d\u00e0nh ri\u00eang cho nh\u1eefng b\u00e1c s\u0129 ch\u1ec9nh nha theo \u0111u\u1ed5i tr\u01b0\u1eddng ph\u00e1i bioprogressvive.<\/p>\n<p>Ricketts \u0111\u00e3 ph\u00e1t tri\u1ec3n m\u1ed9t c\u00e1ch to\u00e0n di\u1ec7n v\u00e0 ho\u00e0n ch\u1ec9nh h\u1ec7 th\u1ed1ng t\u1eeb ch\u1ea9n \u0111o\u00e1n \u0111\u1ebfn k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha tr\u00ean c\u01a1 s\u1edf ph\u00e2n t\u00edch \u0111o \u0111\u1ea7u Ricketts do t\u00e1c gi\u1ea3 ph\u00e1t tri\u1ec3n trong th\u1eddi gian 20 n\u0103m.<\/p>\n<figure id=\"attachment_33547\" aria-describedby=\"caption-attachment-33547\" style=\"width: 533px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-33547\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-285.png\" alt=\"chinh-nha-duong-dai-1\" width=\"533\" height=\"733\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-285.png 533w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-285-218x300.png 218w\" sizes=\"(max-width: 533px) 100vw, 533px\" \/><figcaption id=\"caption-attachment-33547\" class=\"wp-caption-text\">H\u00ecnh 1: Robert M. Ricketts (1920-2003)<\/figcaption><\/figure>\n<p>Ph\u00e2n t\u00edch Ricketts c\u00f3 th\u1ec3 xem l\u00e0 ph\u00e2n t\u00edch \u0111o \u0111\u1ea7u to\u00e0n di\u1ec7n nh\u1ea5t v\u00e0 c\u0169ng l\u00e0 ph\u1ee9c t\u1ea1p nh\u1ea5t. Trong ph\u00e2n t\u00edch n\u00e0y, t\u1ea5t c\u1ea3 c\u00e1c y\u1ebfu t\u1ed1 t\u01b0\u01a1ng quan s\u1ecd m\u1eb7t, m\u00f4 m\u1ec1m, ch\u1ee9c n\u0103ng \u0111\u01b0\u1eddng th\u1edf \u0111\u1ec1u \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1. Tr\u00ean c\u01a1 s\u1edf ph\u00e2n t\u00edch \u0111o \u0111\u1ea7u n\u00e0y, Ricketts ph\u00e1t tri\u1ec3n ph\u01b0\u01a1ng ph\u00e1p d\u1ef1 \u0111o\u00e1n t\u0103ng tr\u01b0\u1edfng ng\u1eafn h\u1ea1n (short range forcast) v\u00e0 d\u00e0i h\u1ea1n (long range forcast) kh\u00e1 ph\u1ee9c t\u1ea1p. T\u1eeb k\u1ebft qu\u1ea3 d\u1ef1 \u0111o\u00e1n t\u0103ng tr\u01b0\u1edfng n\u00e0y, Ricketts x\u00e2y d\u1ef1ng m\u1ed9t k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb nh\u00ecn th\u1ea5y tr\u01b0\u1edbc k\u1ebft qu\u1ea3 mong mu\u1ed1n, g\u1ecdi l\u00e0 VTO (Visualized Treatment Objective), tr\u00ean c\u01a1 s\u1edf t\u00edch h\u1ee3p \u0111\u00e1nh gi\u00e1 t\u0103ng tr\u01b0\u1edfng. VTO l\u00e0 l\u00f5i ch\u00ednh \u0111\u1ec3 x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb. \u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb, Ricketts ph\u00e1t tri\u1ec3n nh\u1eefng khi c\u1ee5 v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u01b0\u01a1ng \u1ee9ng v\u1edbi ph\u00e2n t\u00edch VTO nh\u01b0 kh\u00ed c\u1ee5 Quad helix, cung ti\u1ec7n \u00edch (Utility arch)&#8230;M\u1eb7t d\u00f9, s\u1ed1 l\u01b0\u1ee3ng b\u00e1c s\u0129 ch\u1ec9nh nha theo tr\u01b0\u1eddng ph\u00e1i Bioprogressive kh\u00f4ng nhi\u1ec1u, v\u00ec c\u00f3 l\u1ebd n\u00f3 qu\u00e1 kh\u00f3 so v\u1edbi c\u00e1c b\u00e1c s\u0129 ch\u1ec9nh nha kh\u00f4ng mu\u1ed1n \u0111\u01b0\u01a1ng \u0111\u1ea7u v\u1edbi nh\u1eefng th\u00e1ch th\u1ee9c. Trong chuy\u00ean ng\u00e0nh ch\u1ec9nh nha, t\u1ec9 l\u1ec7 c\u00e1c b\u00e1c s\u0129 ch\u1ec9nh nha th\u1ef1c h\u00e0nh theo tr\u01b0\u1eddng ph\u00e1i n\u00e0y ch\u1ec9 chi\u1ebfm kho\u1ea3ng 5%, nh\u01b0ng v\u1edbi nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 \u0111eo \u0111u\u1ed5i tr\u01b0\u1eddng ph\u00e1i n\u00e0y, s\u1ef1 h\u1ea5p d\u1eabn c\u1ee7a tri\u1ebft l\u00fd Bioprogressive t\u1ea1o n\u00ean c\u00e1c t\u00edn \u0111\u1ed3 (follower) th\u1ef1c s\u1ef1 v\u00e0 n\u00f3i theo ng\u00f4n t\u1eeb \u0111\u1eddi th\u01b0\u1eddng, l\u00e0 nh\u1eefng ng\u01b0\u1eddi cu\u1ed3ng Ricketts. Nh\u1eefng t\u00edn \u0111\u1ed3 Ricketts s\u1ebd kh\u00f3 m\u00e0 t\u1eeb b\u1ecf tr\u01b0\u1eddng ph\u00e1i n\u00e0y, v\u00ec \u0111\u00e2y ch\u00ednh l\u00e0 \u0111\u1ec9nh cao m\u00e0 h\u1ecd lu\u00f4n lu\u00f4n mu\u1ed1n chinh ph\u1ee5c.<\/p>\n<p>Andrews \u0111\u00e3 l\u00e0m cu\u1ed9c c\u00e1ch m\u1ea1ng ch\u1ec9nh nha, mang m\u00f4n khoa h\u1ecdc \u0111\u01b0\u1ee3c m\u1ec7nh danh huy\u1ec1n b\u00ed n\u00e0y \u0111\u1ebfn v\u1edbi \u0111\u1eddi th\u01b0\u1eddng, \u0111\u1ebfn v\u1edbi c\u00e1c b\u00e1c s\u0129 th\u1ef1c h\u00e0nh t\u1ed5ng qu\u00e1t mu\u1ed1n h\u1ecdc ch\u1ec9nh nha b\u1eb1ng c\u00e1ch \u0111\u01a1n gi\u1ea3n h\u00f3a quy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha v\u1edbi nh\u1eefng k\u1ef9 thu\u1eadt b\u1ebb d\u00e2y ph\u1ee9c t\u1ea1p tr\u1edf th\u00e0nh \u0111\u01a1n gi\u1ea3n h\u01a1n v\u1edbi k\u1ef9 thu\u1eadt d\u00e2y th\u1eb3ng.<\/p>\n<figure id=\"attachment_33548\" aria-describedby=\"caption-attachment-33548\" style=\"width: 568px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-33548\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-286.png\" alt=\"chinh-nha-duong-dai-2\" width=\"568\" height=\"839\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-286.png 568w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-286-203x300.png 203w\" sizes=\"(max-width: 568px) 100vw, 568px\" \/><figcaption id=\"caption-attachment-33548\" class=\"wp-caption-text\">H\u00ecnh 2: Laurent Andrews (1929-)<\/figcaption><\/figure>\n<p>Nghi\u00ean c\u1ee9u 120 m\u1eabu h\u00e0m tr\u00ean ng\u01b0\u1eddi c\u00f3 kh\u1edbp c\u1eafn b\u00ecnh th\u01b0\u1eddng, Andrews x\u00e2y d\u1ef1ng n\u00ean 6 ti\u00eau chu\u1ea9n kh\u1edbp c\u1eafn b\u00ecnh th\u01b0\u1eddng l\u00e0m c\u01a1 s\u1edf cho ch\u1ea9n \u0111o\u00e1n v\u00e0 l\u1eadp k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha v\u00e0o n\u0103m 1970.<\/p>\n<figure id=\"attachment_33549\" aria-describedby=\"caption-attachment-33549\" style=\"width: 1564px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-33549\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-287.png\" alt=\"\" width=\"1564\" height=\"631\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-287.png 1564w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-287-300x121.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-287-1024x413.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-287-768x310.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-287-1536x620.png 1536w\" sizes=\"(max-width: 1564px) 100vw, 1564px\" \/><figcaption id=\"caption-attachment-33549\" class=\"wp-caption-text\">H\u00ecnh 3: Ti\u00eau chu\u1ea9n s\u1ed1 1 Andrews, v\u1edbi y\u00eau c\u1ea7u l\u1ed3ng kh\u1edbp ho\u00e0n to\u00e0n gi\u1eefa r\u0103ng c\u1ed1i l\u1edbn th\u1ee9 nh\u1ea5t h\u00e0m tr\u00ean v\u1edbi r\u0103ng c\u1ed1i l\u1edbn th\u1ee9 nh\u1ea5t h\u00e0m d\u01b0\u1edbi \u1edf c\u1ea3 m\u00fai g\u1ea7n, m\u00fai xa v\u00e0 m\u00fai trong. A, L\u1ed3ng kh\u1edbp m\u00fai g\u1ea7n v\u00e0 m\u00fai xa nh\u00ecn t\u1eeb ngo\u00e0i tr\u00ean m\u1eabu h\u00e0m. B, L\u1ed3ng kh\u1edbp c\u00e1c m\u00fai nh\u00ecn t\u1eeb ngo\u00e0i, trong v\u00e0 thi\u1ebft \u0111\u1ed3 c\u1eaft ngang m\u00fai trong r\u0103ng c\u1ed1i l\u1edbn h\u00e0m tr\u00ean v\u1edbi tr\u0169ng gi\u1eefa r\u0103ng c\u1ed1i l\u1edbn h\u00e0m d\u01b0\u1edbi.<\/figcaption><\/figure>\n<p>C\u0169ng t\u1eeb 6 ti\u00eau chu\u1ea9n kh\u1edbp c\u1eafn n\u00e0y, Andrews x\u00e2y d\u1ef1ng t\u00edch h\u1ee3p c\u00e1c g\u00f3c \u0111\u1ed9 \u0111\u1ea1i di\u1ec7n cho \u0111\u1ed9 nghi\u00eang ngo\u00e0i trong (g\u1ecdi l\u00e0 \u0111\u1ed9 torque), \u0111\u1ed9 nghi\u00eang g\u1ea7n xa (g\u1ecdi l\u00e0 \u0111\u1ed9 tip) v\u00e0 \u0111\u1ed9 xoay v\u00e0o trong m\u1eafc c\u1ea3i, gi\u00fap gi\u1ea3m thi\u1ec3u b\u1ebb d\u00e2y, \u0111\u01a1n gi\u1ea3n h\u00f3a \u0111i\u1ec1u tr\u1ecb. V\u1edbi \u0111\u00f3ng g\u00f3p n\u00e0y, Andrews \u0111\u01b0\u1ee3c vinh danh l\u00e0 cha \u0111\u1ebb k\u1ef9 thu\u1eadt d\u00e2y th\u1eb3ng. K\u1ef9 thu\u1eadt d\u00e2y th\u1eb3ng ra \u0111\u1eddi c\u00f9ng v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n d\u00e2y \u0111\u00e0n h\u1ed3i (d\u00e2y Nitinol) t\u1eeb c\u00f4ng ngh\u1ec7 NASA. H\u01a1n 80% b\u00e1c s\u0129 ch\u1ec9nh nha tr\u00ean th\u1ebf gi\u1edbi \u0111ang th\u1ef1c h\u00e0nh ch\u1ec9nh nha theo tr\u01b0\u1eddng ph\u00e1i d\u00e2y th\u1eb3ng c\u1ee7a Andrews ph\u00e1t tri\u1ec3n. Kh\u00f4ng c\u00f3 Andrews, c\u00f3 l\u1ebd kh\u00f4ng nhi\u1ec1u b\u00e1c s\u0129 nha khoa d\u00e1m b\u01b0\u1edbc v\u00e0o l\u0129nh v\u1ef1c nhi\u1ec1u th\u00e1ch th\u1ee9c n\u00e0y. Kh\u00f4ng c\u00f3 Andrews, ch\u1eafc ch\u1eafn c\u00e1c b\u00e1c s\u0129 ch\u1ec9nh nha s\u1ebd qu\u00e1 t\u1ea3i b\u1ec7nh nh\u00e2n v\u00e0 s\u1ebd nhi\u1ec1u b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 c\u01a1 h\u1ed9i \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh nha, v\u00ec s\u1ed1 l\u01b0\u1ee3ng b\u00e1c s\u0129 ch\u1ec9nh nha kh\u00f4ng \u0111\u1ee7 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u b\u1ec7nh nh\u00e2n. Nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ee7a tr\u01b0\u1eddng ph\u00e1i d\u00e2y th\u1eb3ng l\u00e0 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i th\u1eddi gian \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ec5 g\u1eb7p s\u1ef1 c\u1ed1kh\u00f3 gi\u1ea3i quy\u1ebft v\u1edbi k\u1ef9 thu\u1eadt d\u00e2y th\u1eb3ng \u0111\u01a1n thu\u1ea7n. Tuy nhi\u00ean, \u0111\u00e2y v\u1eabn l\u00e0 k\u1ef9 thu\u1eadt ph\u1ed5 bi\u1ebfn nh\u1ea5t trong ch\u1ec9nh nha hi\u1ec7n nay.<\/p>\n<p>Sadao Sato\u00a0 nguy\u00ean l\u00e0 tr\u01b0\u1edfng khoa Nha, tr\u01b0\u1edfng b\u1ed9 m\u00f4n ch\u1ec9nh nha tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc Nakagawa (Tokyo), Nh\u1eadt B\u1ea3n.<\/p>\n<figure id=\"attachment_33550\" aria-describedby=\"caption-attachment-33550\" style=\"width: 562px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-33550\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-288.png\" alt=\"\" width=\"562\" height=\"759\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-288.png 562w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-288-222x300.png 222w\" sizes=\"(max-width: 562px) 100vw, 562px\" \/><figcaption id=\"caption-attachment-33550\" class=\"wp-caption-text\">H\u00ecnh 4: Sadao Sato (1947-)<\/figcaption><\/figure>\n<p>\u00d4ng l\u00e0 ng\u01b0\u1eddi ph\u00e1t tri\u1ec3n l\u00fd thuy\u1ebft \u0111\u1ed9ng h\u1ecdc s\u1ecd m\u1eb7t v\u00e0 ch\u1ec9nh nha ch\u1ee9c n\u0103ng, t\u1ea1o n\u00ean m\u1ed9t cu\u1ed9c c\u00e1ch m\u1ea1ng kh\u00e1c trong ch\u1ec9nh nha \u0111\u01b0\u01a1ng \u0111\u1ea1i. Tr\u00ean n\u1ec1n t\u1ea3ng k\u1ef9 thu\u1eadt MEAW do Kim \u0111\u1ec1 xu\u1ea5t, s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb c\u1eafn h\u1edf, Sato \u0111\u00e3 ph\u00e1t tri\u1ec3n th\u00e0nh m\u1ed9t h\u1ec7 th\u1ed1ng tri\u1ebft l\u00fd v\u00e0 k\u1ef9 thu\u1eadt ho\u00e0n ch\u1ec9nh. V\u1edbi l\u00fd thuy\u1ebft \u0111\u1ed9ng h\u1ecdc s\u1ecd m\u1eb7t, Sato \u0111\u00e3 gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c s\u1ef1 h\u00ecnh th\u00e0nh kh\u1edbp c\u1eafn h\u1ea1ng II, h\u1ea1ng III v\u00e0 t\u00ecnh tr\u1ea1ng l\u1ec7ch h\u00e0m.<\/p>\n<figure id=\"attachment_33551\" aria-describedby=\"caption-attachment-33551\" style=\"width: 1318px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-33551\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-289.png\" alt=\"\" width=\"1318\" height=\"871\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-289.png 1318w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-289-300x198.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-289-1024x677.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-289-768x508.png 768w\" sizes=\"(max-width: 1318px) 100vw, 1318px\" \/><figcaption id=\"caption-attachment-33551\" class=\"wp-caption-text\">H\u00ecnh 5: C\u01a1 ch\u1ebf h\u00ecnh th\u00e0nh t\u00ecnh tr\u1ea1ng l\u1ec7ch h\u00e0m do s\u1ef1 ph\u00e1t tri\u1ec3n kh\u00e1c nhau gi\u1eefa hai n\u1eeda h\u00e0m, trong \u0111\u00f3 m\u1ed9t b\u00ean ph\u00e1t tri\u1ec3n theo ki\u1ec3u h\u1ea1ng II v\u00e0 m\u1ed9t b\u00ean ph\u00e1t tri\u1ec3n theo ki\u1ec3u h\u1ea1ng III, k\u1ebft qu\u1ea3 h\u00e0m s\u1ebd l\u1ec7ch v\u1ec1 b\u00ean ph\u00e1t tri\u1ec3n ki\u1ec3u h\u1ea1ng II (ngu\u1ed3n: Sadao Sato).<\/figcaption><\/figure>\n<p>Tr\u00ean c\u01a1 s\u1edf l\u00fd thuy\u1ebft \u0111\u1ed9ng h\u1ecdc s\u1ecd m\u1eb7t n\u00e0y, Sato \u0111\u00e3 ph\u00e1t tri\u1ec3n k\u1ef9 thu\u1eadt \u0111i\u1ec1u tr\u1ecb \u0111\u1ea3o ng\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc ph\u00e1t tri\u1ec3n s\u1ecd m\u1eb7t.<\/p>\n<figure id=\"attachment_33552\" aria-describedby=\"caption-attachment-33552\" style=\"width: 1443px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-33552\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-290.png\" alt=\"\" width=\"1443\" height=\"802\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-290.png 1443w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-290-300x167.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-290-1024x569.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-290-768x427.png 768w\" sizes=\"(max-width: 1443px) 100vw, 1443px\" \/><figcaption id=\"caption-attachment-33552\" class=\"wp-caption-text\">H\u00ecnh 6: Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb tr\u00ean c\u01a1 s\u1edf \u0111\u1ed9ng h\u1ecdc s\u1ecd m\u1eb7t. A, H\u01b0\u1edbng ph\u00e1t tri\u1ec3n \u0111\u1ea3o ng\u01b0\u1ee3c (m\u0169i t\u00ean xanh) tr\u00ean ki\u1ec3u h\u00ecnh l\u1ec7ch l\u1ea1c h\u1ea1ng III (m\u0169i t\u00ean \u0111\u1ecf). B, S\u1ef1 thay \u0111\u1ed5i g\u00f3c n\u1ec1n s\u1ecd gi\u1eefa x\u01b0\u01a1ng ch\u1ea9m (m\u0169i t\u00ean xanh) v\u00e0 x\u01b0\u01a1ng b\u01b0\u1edbm (m\u0169i t\u00ean tr\u1eafng) khi\u1ebfn x\u01b0\u01a1ng l\u00e1 m\u00eda xoay tr\u01b0\u1edbc, \u0111\u1ea9y h\u00e0m tr\u00ean ra tr\u01b0\u1edbc, c\u1ea3i thi\u1ec7n t\u01b0\u01a1ng quan h\u1ea1ng III (ngu\u1ed3n: Sadao Sato, c\u00f3 c\u1ea3i bi\u00ean).<\/figcaption><\/figure>\n<figure id=\"attachment_33553\" aria-describedby=\"caption-attachment-33553\" style=\"width: 1497px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-33553\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-291.png\" alt=\"\" width=\"1497\" height=\"783\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-291.png 1497w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-291-300x157.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-291-1024x536.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-291-768x402.png 768w\" sizes=\"(max-width: 1497px) 100vw, 1497px\" \/><figcaption id=\"caption-attachment-33553\" class=\"wp-caption-text\">H\u00ecnh 7: Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb tr\u00ean c\u01a1 s\u1edf \u0111\u1ed9ng h\u1ecdc s\u1ecd m\u1eb7t. A, H\u01b0\u1edbng ph\u00e1t tri\u1ec3n \u0111\u1ea3o ng\u01b0\u1ee3c (m\u0169i t\u00ean xanh) tr\u00ean ki\u1ec3u h\u00ecnh l\u1ec7ch l\u1ea1c h\u1ea1ng II (m\u0169i t\u00ean \u0111\u1ecf). B, S\u1ef1 thay \u0111\u1ed5i g\u00f3c n\u1ec1n s\u1ecd gi\u1eefa x\u01b0\u01a1ng ch\u1eadm (m\u0169i t\u00ean xanh) v\u00e0 x\u01b0\u01a1ng b\u01b0\u1edbm (m\u0169i t\u00ean tr\u1eafng) khi\u1ebfn x\u01b0\u01a1ng l\u00e1 m\u00eda xoay tr\u01b0\u1edbc, gi\u1ea3m ph\u00e1t tri\u1ec3n h\u00e0m tr\u00ean ra tr\u01b0\u1edbc, c\u1ea3i thi\u1ec7n t\u01b0\u01a1ng quan h\u1ea1ng II (ngu\u1ed3n: Sadao Sato, c\u00f3 c\u1ea3i bi\u00ean).<\/figcaption><\/figure>\n<p>C\u00f9ng v\u1edbi Slavicek, Sato nghi\u00ean c\u1ee9u s\u1ef1 ph\u00e1t tri\u1ec3n \u0111\u1ed9ng h\u1ecdc s\u1ecd m\u1eb7t d\u01b0\u1edbi g\u00f3c nh\u00ecn ti\u1ebfn h\u00f3a v\u00e0 k\u1ebft n\u1ed1i ch\u00ednh nha v\u1edbi c\u1eafn kh\u1edbp, b\u1ed5 sung \u0111i\u1ec3m y\u1ebfu c\u1ee7a c\u00e1c b\u00e1c s\u0129 ch\u1ec9nh nha trong l\u0129nh v\u1ef1c c\u1eafn kh\u1edbp. Ba cu\u1ed1n s\u00e1ch do Sato c\u00f9ng c\u1ed9ng s\u1ef1 bi\u00ean so\u1ea1n th\u1ec3 hi\u1ec7n tri\u1ebft l\u00fd \u0111\u1ed9ng h\u1ecdc s\u1ecd m\u1eb7t v\u00e0 ch\u1ee9c n\u0103ng trong ch\u1ec9nh nha l\u00e0 c\u00e1c cu\u1ed1n: &#8220;A treatment approach to malocclusions under the consideration of craniofacial dynamics&#8221;, &#8220;Manual for the clinical application of MEAW technique&#8221; v\u00e0 &#8220;The vertical dimention in Prosthetics and orthognathodontics\u201d. Ngo\u00e0i ra, Sato c\u00f2n tham gia vi\u1ebft 2 ch\u01b0\u01a1ng trong s\u00e1ch Occlusion c\u1ee7a Slavicek.<\/p>\n<p>V\u1edbi tri\u1ebft l\u00fd \u0111\u1ed9ng h\u1ecdc s\u1ecd m\u1eb7t v\u00e0 ch\u1ee9c n\u0103ng, Sato \u0111\u00e3 bi\u1ebfn nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ch\u1ec9nh nha t\u1eeb \u201ckh\u00f4ng th\u1ec3\u201d th\u00e0nh \u201cc\u00f3 th\u1ec3\u201d trong \u0111i\u1ec1u tr\u1ecb nh\u1eefng tr\u01b0\u1eddng h\u1ee3p h\u1ea1ng III x\u01b0\u01a1ng, l\u1ec7ch h\u00e0m (H\u00ecnh 8) v\u1edbi k\u1ebft qu\u1ea3 ngo\u1ea1n m\u1ee5c, m\u00e0 tr\u01b0\u1edbc \u0111\u00e2y lu\u00f4n l\u00e0 \u1ee9ng vi\u00ean c\u1ee7a ph\u1eabu thu\u1eadt ch\u1ec9nh h\u00e0m (H\u00ecnh 9).<\/p>\n<figure id=\"attachment_33554\" aria-describedby=\"caption-attachment-33554\" style=\"width: 1426px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-33554\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-292.png\" alt=\"\" width=\"1426\" height=\"901\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-292.png 1426w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-292-300x190.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-292-1024x647.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-292-768x485.png 768w\" sizes=\"(max-width: 1426px) 100vw, 1426px\" \/><figcaption id=\"caption-attachment-33554\" class=\"wp-caption-text\">H\u00ecnh 8: Tr\u01b0\u1eddng h\u1ee3p l\u1ec7ch h\u00e0m, tr\u01b0\u1edbc \u0111\u00e2y ph\u1ea3i \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt (ngu\u1ed3n: Sadao Sato).<\/figcaption><\/figure>\n<figure id=\"attachment_33555\" aria-describedby=\"caption-attachment-33555\" style=\"width: 1654px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-33555\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-293.png\" alt=\"\" width=\"1654\" height=\"737\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-293.png 1654w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-293-300x134.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-293-1024x456.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-293-768x342.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Untitled-293-1536x684.png 1536w\" sizes=\"(max-width: 1654px) 100vw, 1654px\" \/><figcaption id=\"caption-attachment-33555\" class=\"wp-caption-text\">H\u00ecnh 9: L\u1ec7ch l\u1ea1c kh\u1edbp c\u1eafn h\u1ea1ng III \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng v\u1edbi k\u1ef9 thu\u1eadt MEAW.<\/figcaption><\/figure>\n<p><em>Ngu\u1ed3n: S\u00e1ch Ch\u1ec9nh nha l\u00e2m s\u00e0ng &#8211; T\u1eeb nguy\u00ean l\u00fd \u0111\u1ebfn k\u1ef9 thu\u1eadt, NXB Y h\u1ecdc Vi\u1ec7t Nam<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Trong c\u00e1c chuy\u00ean ng\u00e0nh nha khoa, Ch\u1ec9nh nha ph\u00e1t tri\u1ec3n kh\u00e1 s\u1edbm th\u00e0nh chuy\u00ean khoa s\u00e2u. Ph\u1ea7n l\u01b0\u1ee3c s\u1eed ch\u1ec9nh nha tr\u00ecnh b\u00e0y kh\u00e1i l\u01b0\u1ee3c v\u1ec1 nh\u1eefng \u0111\u00f3ng g\u00f3p to l\u1edbn c\u1ee7a nh\u1eefng nh\u00e0 ti\u00ean phong trong l\u0129nh v\u1ef1c ch\u1ec9nh nha \u0111\u1ec3 c\u00f3 \u0111\u01b0\u1ee3c ng\u00e0nh ch\u1ec9nh nha hi\u1ec7n \u0111\u1ea1i nh\u01b0 ng\u00e0y h\u00f4m nay. Hi\u1ec3u v\u1ec1 [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Giai \u0111o\u1ea1n ch\u1ec9nh nha \u0111\u01b0\u01a1ng \u0111\u1ea1i - Ng\u00e0nh ch\u1ec9nh nha. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00f3i v\u1ec1 m\u1ed9t giai \u0111o\u1ea1n \u0111\u1eb7c bi\u1ec7t, giai \u0111o\u1ea1n ch\u1ec9nh nha \u0111\u01b0\u01a1ng \u0111\u1ea1i c\u1ee7a chuy\u00ean ng\u00e0nh ch\u1ec9nh nha v\u1edbi nh\u1eefng \u0111\u1ed9t ph\u00e1 to l\u1edbn. 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