{"id":35362,"date":"2023-06-22T23:26:56","date_gmt":"2023-06-22T16:26:56","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=35362"},"modified":"2023-06-23T21:31:09","modified_gmt":"2023-06-23T14:31:09","slug":"dieu-tri-tuy-rang-thung-san-bang-mta","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/dieu-tri-tuy-rang-thung-san-bang-mta\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng th\u1ee7ng s\u00e0n b\u1eb1ng MTA"},"content":{"rendered":"

T\u00ecnh tr\u1ea1ng th\u1ee7ng s\u00e0n t\u1ee7y r\u0103ng x\u1ea3y ra khi l\u1edbp men b\u1ea3o v\u1ec7 c\u1ee7a r\u0103ng b\u1ecb ph\u00e1 h\u1ee7y, cho ph\u00e9p vi khu\u1ea9n x\u00e2m nh\u1eadp v\u00e0 g\u00e2y t\u1ed5n th\u01b0\u01a1ng \u0111\u1ebfn t\u1ee7y r\u0103ng. T\u00ecnh tr\u1ea1ng th\u1ee7ng s\u00e0n t\u1ee7y r\u0103ng c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u v\u1ea5n \u0111\u1ec1 kh\u00e1c nhau, bao g\u1ed3m \u0111au r\u0103ng, vi\u00eam nhi\u1ec5m v\u00e0 th\u1eadm ch\u00ed l\u00e0 m\u1ea5t r\u0103ng. Do \u0111\u00f3, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng th\u1ee7ng s\u00e0n l\u00e0 r\u1ea5t quan tr\u1ecdng trong nha khoa. MTA (Mineral Trioxide Aggregate) l\u00e0 m\u1ed9t lo\u1ea1i v\u1eadt li\u1ec7u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng th\u1ee7ng s\u00e0n. MTA c\u00f3 kh\u1ea3 n\u0103ng t\u1ea1o ra m\u1ed9t l\u1edbp m\u00e0ng b\u1ea3o v\u1ec7 cho t\u1ee7y r\u0103ng v\u00e0 ng\u0103n ng\u1eeba s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a vi khu\u1ea9n, gi\u00fap t\u0103ng \u0111\u1ed9 b\u1ec1n c\u1ee7a r\u0103ng v\u00e0 gi\u00fap b\u1ec7nh nh\u00e2n duy tr\u00ec s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng.<\/strong><\/p>\n

\u0110\u1ecbnh ngh\u0129a v\u00e0 th\u00e0nh ph\u1ea7n c\u1ee7a MTA:<\/strong>
\nMTA (Mineral Trioxide Aggregate) l\u00e0 m\u1ed9t lo\u1ea1i v\u1eadt li\u1ec7u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng th\u1ee7ng s\u00e0n. MTA \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1eb1ng c\u00e1ch tr\u1ed9n c\u00e1c th\u00e0nh ph\u1ea7n l\u00e0\u00a0c\u00e1c h\u1ea1t Trioxide nh\u01b0 oxide silicate, oxide tricalcium, oxide bismute v\u00e0 c\u00e1c h\u1ea1t \u01b0a n\u01b0\u1edbc nh\u01b0 tricalcium aluminate, tricalcium silicate<\/b> v\u1edbi n\u01b0\u1edbc. Sau khi tr\u1ed9n, MTA s\u1ebd c\u00f3 d\u1ea1ng b\u1ed9t v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng t\u1ef1 \u0111\u00f4ng r\u1eafn sau khi ti\u1ebfp x\u00fac v\u1edbi n\u01b0\u1edbc.<\/p>\n

\u1ee8ng d\u1ee5ng c\u1ee7a MTA trong \u0111i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng th\u1ee7ng s\u00e0n:<\/strong>
\nMTA \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t ch\u1ea5t \u0111\u00f3ng tr\u1ecb li\u1ec7u trong \u0111i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng th\u1ee7ng s\u00e0n. Khi t\u1ee7y r\u0103ng b\u1ecb th\u1ee7ng s\u00e0n, MTA s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o v\u1ecb tr\u00ed th\u1ee7ng s\u00e0n v\u00e0 \u0111\u01b0\u1ee3c c\u1eafm b\u00edt l\u1ea1i \u0111\u1ec3 \u0111\u00f3ng tr\u1ecb li\u1ec7u. MTA c\u00f3 kh\u1ea3 n\u0103ng t\u1ea1o ra m\u1ed9t l\u1edbp m\u00e0ng b\u1ea3o v\u1ec7 cho t\u1ee7y r\u0103ng v\u00e0 ng\u0103n ng\u1eeba s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a vi khu\u1ea9n, gi\u00fap t\u0103ng \u0111\u1ed9 b\u1ec1n c\u1ee7a r\u0103ng v\u00e0 gi\u00fap b\u1ec7nh nh\u00e2n duy tr\u00ec s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng. Ngo\u00e0i ra, MTA c\u00f2n c\u00f3 kh\u1ea3 n\u0103ng t\u1ea1o ra m\u00f4 x\u01b0\u01a1ng m\u1edbi v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c nh\u01b0 l\u1ed7 th\u1ee7ng \u1edf c\u1ed5 r\u0103ng v\u00e0 \u0111\u01b0\u1eddng k\u00eanh r\u1ec5. MTA c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c th\u1ee7 t\u1ee5c nha khoa kh\u00e1c nh\u01b0 \u0111i\u1ec1u tr\u1ecb t\u00e1i t\u1ea1o m\u00f4 m\u1ec1m, ph\u1eabu thu\u1eadt \u0111\u01b0\u1eddng k\u00eanh r\u1ec5 v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam quanh ch\u00e2n r\u0103ng.<\/p>\n

\"K\u1ebft<\/p>\n

1. \u0110\u1ea0I C\u01af\u01a0NG \u0110I\u1ec0U TR\u1eca T\u1ee6Y R\u0102NG TH\u1ee6NG S\u00c0N B\u1eb0NG MTA<\/h4>\n

– Th\u1ee7ng s\u00e0n t\u1ee7y c\u00f3 th\u1ec3 l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a b\u1ec7nh l\u00fd s\u00e2u r\u0103ng ho\u1eb7c tai bi\u1ebfn trong \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha.<\/p>\n

– MTA\u00a0(<\/strong>Mineral trioxide aggregate) l\u00e0 lo\u1ea1i xi m\u0103ng c\u00f3 t\u00ednh t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc cao, k\u00edch th\u00edch l\u00e0nh th\u01b0\u01a1ng v\u00e0 t\u00e1i t\u1ea1o x\u01b0\u01a1ng cho n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 h\u00e0n k\u00edn l\u1ed7 th\u1ee7ng s\u00e0n t\u1ee7y.<\/p>\n

2. CH\u1ec8 \u0110\u1ecaNH<\/h4>\n

– R\u0103ng th\u1ee7ng s\u00e0n t\u1ee7y do b\u1ec7nh l\u00fd s\u00e2u r\u0103ng..<\/p>\n

– Th\u1ee7ng s\u00e0n t\u1ee7y do tai bi\u1ebfn trong \u0111i\u1ec1u tr\u1ecb nha khoa.<\/p>\n

3. CH\u1ed0NG CH\u1ec8 \u0110\u1ecaNH<\/h4>\n

– R\u0103ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh nh\u1ed5.<\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh d\u1ecb \u1ee9ng v\u1edbi th\u00e0nh ph\u1ea7n c\u1ee7a MTA.<\/p>\n

– K\u00edch th\u01b0\u1edbc v\u00e0 v\u1ecb tr\u00ed l\u1ed7 th\u1ee7ng l\u00e0m m\u1ea5t ki\u1ec3m so\u00e1t \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng.<\/p>\n

4. CHU\u1ea8N B\u1eca<\/h4>\n

4.1. Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n<\/h5>\n

– B\u00e1c s\u0129 RHM.<\/p>\n

– Tr\u1ee3 th\u1ee7.<\/p>\n

4.2. Ph\u01b0\u01a1ng ti\u1ec7n<\/h5>\n

2.1. Ph\u01b0\u01a1ng ti\u1ec7n v\u00e0 d\u1ee5ng c\u1ee5<\/em><\/p>\n

– Gh\u1ebf m\u00e1y nha khoa<\/p>\n

– M\u00e1y si\u00eau \u00e2m, \u0111\u1ea7u si\u00eau \u00e2m n\u1ed9i nha<\/p>\n

– M\u00e1y \u0111o chi\u1ec1u d\u00e0i \u1ed1ng t\u1ee7y<\/p>\n

– B\u1ed9 kh\u00e1m: Khay, g\u01b0\u01a1ng, g\u1eafp, th\u00e1m tr\u00e2m\u2026<\/p>\n

– B\u1ed9 d\u1ee5ng c\u1ee5 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha<\/p>\n

– B\u1ed9 c\u00e1ch ly c\u00f4 l\u1eadp r\u0103ng<\/p>\n

– B\u1ed9 l\u00e8n n\u1ed9i nha A-D.<\/p>\n

– C\u00e2y nh\u1ed3i MTA<\/p>\n

2.2. Thu\u1ed1c v\u00e0 v\u1eadt li\u1ec7u<\/em><\/p>\n

– Thu\u1ed1c t\u00ea<\/p>\n

– Thu\u1ed1c s\u00e1t khu\u1ea9n<\/p>\n

– Dung d\u1ecbch b\u01a1m r\u1eeda<\/p>\n

– V\u1eadt li\u1ec7u \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha<\/p>\n

– MTA<\/p>\n

4.3. Ng\u01b0\u1eddi b\u1ec7nh<\/h5>\n

Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch v\u00e0 \u0111\u1ed3ng \u00fd \u0111i\u1ec1u tr\u1ecb.<\/p>\n

4.4. H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n<\/h5>\n

– H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n theo quy \u0111\u1ecbnh.<\/p>\n

– Phim ch\u1ee5p r\u0103ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y.<\/p>\n

5. C\u00c1C B\u01af\u1edaC TI\u1ebeN H\u00c0NH<\/h4>\n

5.1. Ki\u1ec3m tra h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n<\/h5>\n

– Ki\u1ec3m tra, \u0111\u1ed1i chi\u1ebfu h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n theo quy \u0111\u1ecbnh<\/p>\n

– Xem l\u1ea1i c\u00e1c phim ch\u1ee5p r\u0103ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y.<\/p>\n

5.2. Ki\u1ec3m tra ng\u01b0\u1eddi b\u1ec7nh<\/h5>\n

\u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng to\u00e0n th\u00e2n, t\u1ea1i ch\u1ed7 v\u00e0 r\u0103ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb<\/p>\n

5.3. Th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt<\/h5>\n

B\u01b0\u1edbc 1: S\u00e1t khu\u1ea9n v\u00e0 V\u00f4 c\u1ea3m<\/p>\n

S\u00e1t khu\u1ea9n b\u1eb1ng betadine v\u00e0 v\u00f4 c\u1ea3m b\u1eb1ng g\u00e2y t\u00ea t\u1ea1i ch\u1ed7 ho\u1eb7c\/v\u00e0 g\u00e2y t\u00ea v\u00f9ng b\u1eb1ng Xylocain 2%.<\/p>\n

B\u01b0\u1edbc 2: C\u00e1ch ly r\u0103ng<\/p>\n

S\u1eed d\u1ee5ng \u0111\u00ea cao su<\/p>\n

B\u01b0\u1edbc 3: M\u1edf t\u1ee7y<\/p>\n

– D\u00f9ng m\u0169i khoan th\u00edch h\u1ee3p m\u1edf \u0111\u01b0\u1eddng v\u00e0o bu\u1ed3ng t\u1ee7y<\/p>\n

– D\u00f9ng m\u0169i khoan Th\u00edch h\u1ee3p \u0111\u1ec3 m\u1edf to\u00e0n b\u1ed9 tr\u1ea7n bu\u1ed3ng t\u1ee7y.<\/p>\n

B\u01b0\u1edbc 4. S\u1eeda so\u1ea1n h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y<\/p>\n

– L\u1ea5y s\u1ea1ch t\u1ee7y \u1edf bu\u1ed3ng t\u1ee7y v\u00e0 \u1ed1ng t\u1ee7y.<\/p>\n

– X\u00e1c \u0111\u1ecbnh mi\u1ec7ng \u1ed1ng t\u1ee7y v\u00e0 s\u1ed1 l\u01b0\u1ee3ng \u1ed1ng t\u1ee7y:<\/p>\n

+ D\u00f9ng th\u00e1m tr\u00e2m n\u1ed9i nha \u0111\u1ec3 t\u00ecm mi\u1ec7ng \u1ed1ng t\u1ee7y,<\/p>\n

+ Tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng th\u1ec3 ph\u00e1t hi\u1ec7n mi\u1ec7ng \u1ed1ng t\u1ee7y, d\u00f9ng si\u00eau \u00e2m t\u1ea1o r\u00e3nh \u1edf s\u00e0n t\u1ee7y v\u00e0 th\u00e1m tr\u00e2m n\u1ed9i nha \u0111\u1ec3 t\u00ecm.<\/p>\n

+ D\u1ef1a v\u00e0o mi\u1ec7ng \u1ed1ng t\u1ee7y v\u00e0 c\u00e1c r\u00e3nh \u1edf s\u00e0n \u1ed1ng t\u1ee7y \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh s\u1ed1 l\u01b0\u1ee3ng \u1ed1ng t\u1ee7y.<\/p>\n

– X\u00e1c \u0111\u1ecbnh chi\u1ec1u d\u00e0i l\u00e0m vi\u1ec7c c\u1ee7a c\u00e1c \u1ed1ng t\u1ee7y: Th\u0103m d\u00f2 \u1ed1ng t\u1ee7y b\u1eb1ng tr\u00e2m s\u1ed1 10.<\/p>\n

– T\u1ea1o h\u00ecnh v\u00e0 l\u00e0m s\u1ea1ch h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y:<\/p>\n

+ S\u1eed d\u1ee5ng c\u00e1c file c\u1ea7m tay ho\u1eb7c\/ v\u00e0 m\u00e1y \u0111\u1ec3 t\u1ea1o h\u00ecnh h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y.<\/p>\n

+ B\u01a1m r\u1eeda h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y b\u1eb1ng c\u00e1c dung d\u1ecbch n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd, \u00f4xy gi\u00e0 3 th\u1ec3 t\u00edch, Natri hypoclorid 2,5-5%…<\/p>\n

– D\u00f9ng \u0111\u1ea7u si\u00eau \u00e2m ph\u1ed1i h\u1ee3p xen k\u1ebd v\u1edbi c\u00e1c file v\u00e0 dung d\u1ecbch b\u01a1m r\u1eeda \u0111\u1ec3 l\u00e0m s\u1ea1ch h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y.<\/p>\n

B\u01b0\u1edbc 5. H\u00e0n k\u00edn h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y<\/p>\n

– Ch\u1ecdn c\u00e2y l\u00e8n ngang v\u1edbi c\u00e1c k\u00edch th\u01b0\u1edbc ph\u00f9 h\u1ee3p: Ch\u1ecdn c\u00e2y l\u00e8n v\u1eeba kh\u00edt v\u00e0 ng\u1eafn h\u01a1n chi\u1ec1u d\u00e0i l\u00e0m vi\u1ec7c \u1ed1ng t\u1ee7y 1-2mm.<\/p>\n

– Ch\u1ecdn c\u00f4n gutta-percha ch\u00ednh:<\/p>\n

+ Ch\u1ecdn v\u00e0 \u0111\u1eb7t 1 c\u00f4n gutta-percha chu\u1ea9n ph\u00f9 h\u1ee3p v\u1edbi file \u0111\u00e3 t\u1ea1o h\u00ecnh sau c\u00f9ng.<\/p>\n

+ Ki\u1ec3m tra c\u00f4n gutta-percha trong \u1ed1ng t\u1ee7y tr\u00ean Xquang.<\/p>\n

+ R\u00fat c\u00f4n gutta-percha ra kh\u1ecfi \u1ed1ng t\u1ee7y.<\/p>\n

– \u0110\u1eb7t v\u00e0 l\u00e8n c\u00f4n Gutta percha v\u00e0o \u1ed1ng t\u1ee7y:<\/p>\n

+ \u0110\u01b0a ch\u1ea5t d\u00e1n d\u00ednh v\u00e0o th\u00e0nh \u1ed1ng t\u1ee7y \u1edf 1\/3 d\u01b0\u1edbi \u1ed1ng t\u1ee7y v\u1ec1 ph\u00eda cu\u1ed1ng r\u0103ng.<\/p>\n

+ \u0110\u1eb7t Gutta-percha ch\u00ednh v\u00e0o \u1ed1ng t\u1ee7y.<\/p>\n

+ L\u00e8n Gutta b\u1eb1ng c\u00e2y l\u00e8n ngang.<\/p>\n

+ \u0110\u1eb7t c\u00f4n ph\u1ee5 v\u00e0o kho\u1ea3ng tr\u1ed1ng \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1edfi c\u00e2y l\u00e8n, d\u00f9ng c\u00e2y l\u00e8n ti\u1ebfp theo \u0111\u1ec3 l\u00e8n.<\/p>\n

+ L\u1eb7p l\u1ea1i nhi\u1ec1u l\u1ea7n \u0111\u1eb7t v\u00e0 l\u00e8n Gutta \u0111\u1ebfn khi c\u00e2y l\u00e8n ch\u1ec9 c\u00f2n \u0111i \u0111\u01b0\u1ee3c 1\/3 tr\u00ean \u1ed1ng t\u1ee7y.<\/p>\n

+ L\u1ea5y b\u1ecf Gutta-percha th\u1eeba trong bu\u1ed3ng t\u1ee7y s\u00e1t \u0111\u1ebfn mi\u1ec7ng \u1ed1ng t\u1ee7y b\u1eb1ng nhi\u1ec7t.<\/p>\n

+ L\u00e8n 1\/3 tr\u00ean \u1ed1ng t\u1ee7y b\u1eb1ng c\u00e2y plugger \u0111\u00e3 \u0111\u01b0\u1ee3c h\u01a1 n\u00f3ng.<\/p>\n

– \u0110\u1eb7t v\u00e0 l\u00e8n Gutta c\u00e1c \u1ed1ng t\u1ee7y c\u00f2n l\u1ea1i: L\u1eb7p l\u1ea1i c\u00e1c b\u01b0\u1edbc \u0111\u1eb7t v\u00e0 l\u00e8n Gutta nh\u01b0 \u0111\u00e3 tr\u00ecnh b\u00e0y \u1edf tr\u00ean l\u1ea7n l\u01b0\u1ee3t \u1edf t\u1eebng \u1ed1ng t\u1ee7y c\u00f2n l\u1ea1i.<\/p>\n

– Ki\u1ec3m tra k\u1ebft qu\u1ea3 h\u00e0n h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y b\u1eb1ng Xquang.<\/p>\n

B\u01b0\u1edbc 6: H\u00e0n k\u00edn l\u1ed7 th\u1ee7ng s\u00e0n bu\u1ed3ng t\u1ee7y b\u1eb1ng MTA:<\/p>\n

– L\u00e0m kh\u00f4 s\u00e0n t\u1ee7y v\u00e0 l\u1ed7 th\u1ee7ng.<\/p>\n

– H\u00e0n l\u1ed7 th\u1ee7ng s\u00e0n b\u1eb1ng MTA:<\/p>\n

+ Tr\u1ed9n MTA<\/p>\n

+ L\u1ea5y MTA b\u1eb1ng c\u00e2y nh\u1ed3i MTA, \u0111\u1eb7t v\u00e0o v\u1ecb tr\u00ed th\u1ee7ng s\u00e0n, l\u00e8n nh\u1eb9.<\/p>\n

– H\u00e0n t\u1ea1m bu\u1ed3ng t\u1ee7y b\u1eb1ng v\u1eadt li\u1ec7u th\u00edch h\u1ee3p.<\/p>\n

B\u01b0\u1edbc 7: H\u00e0n k\u00edn l\u1ea1i bu\u1ed3ng t\u1ee7y v\u00e0 ph\u1ee5c h\u1ed3i th\u00e2n r\u0103ng ( l\u1ea7n h\u1eb9n sau ):<\/p>\n

– L\u1ea5y b\u1ecf l\u1edbp h\u00e0n t\u1ea1m tr\u00ean l\u1edbp MTA.<\/p>\n

– Ki\u1ec3m tra t\u00ecnh tr\u1ea1ng s\u00e0n bu\u1ed3ng t\u1ee7y.<\/p>\n

– H\u00e0n k\u00edn bu\u1ed3ng t\u1ee7y v\u00e0 ph\u1ee5c h\u1ed3i th\u00e2n r\u0103ng b\u1eb1ng v\u1eadt li\u1ec7u th\u00edch h\u1ee3p .<\/p>\n

6. THEO D\u00d5I V\u00c0 X\u1eec TR\u00cd TAI BI\u1ebeN<\/h4>\n

6.1. Trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb<\/h5>\n

– Th\u1ee7ng th\u00e0nh \u1ed1ng t\u1ee7y: H\u00e0n k\u00edn v\u1ecb tr\u00ed th\u1ee7ng b\u1eb1ng MTA, ho\u1eb7c Canxi hydroxide, ho\u1eb7c GIC.<\/p>\n

– G\u00e3y d\u1ee5ng c\u1ee5 trong \u1ed1ng t\u1ee7y: l\u1ea5y d\u1ee5ng c\u1ee5 g\u00e3y.<\/p>\n

6.2. Sau \u0111i\u1ec1u tr\u1ecb<\/h5>\n

– Vi\u00eam quanh cu\u1ed1ng r\u0103ng: \u0111i\u1ec1u tr\u1ecb vi\u00eam quanh cu\u1ed1ng.<\/p>\n

– Vi\u00eam v\u00f9ng ch\u1ebd ch\u00e2n r\u0103ng: \u0111i\u1ec1u tr\u1ecb vi\u00eam v\u00f9ng ch\u1ebd.<\/p>\n

7. \u01afu \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng th\u1ee7ng s\u00e0n b\u1eb1ng MTA<\/h4>\n

Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng th\u1ee7ng s\u00e0n b\u1eb1ng MTA c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m, bao g\u1ed3m:<\/p>\n

7.1. T\u1ea1o ra m\u1ed9t l\u1edbp m\u00e0ng b\u1ea3o v\u1ec7 cho t\u1ee7y r\u0103ng:<\/h5>\n

MTA khi \u0111\u00f3ng tr\u1ecb li\u1ec7u s\u1ebd t\u1ea1o ra m\u1ed9t l\u1edbp m\u00e0ng b\u1ea3o v\u1ec7 cho t\u1ee7y r\u0103ng v\u00e0 ng\u0103n ng\u1eeba c\u00e1c t\u00e1c nh\u00e2n b\u00ean ngo\u00e0i x\u00e2m nh\u1eadp v\u00e0o t\u1ee7y r\u0103ng.<\/p>\n

7.2. T\u0103ng \u0111\u1ed9 b\u1ec1n c\u1ee7a r\u0103ng:<\/h5>\n

MTA c\u00f3 kh\u1ea3 n\u0103ng k\u1ebft d\u00ednh v\u1edbi m\u00f4 r\u0103ng v\u00e0 t\u1ea1o ra m\u1ed9t m\u00e0ng b\u1ea3o v\u1ec7 cho t\u1ee7y r\u0103ng, gi\u00fap t\u0103ng \u0111\u1ed9 b\u1ec1n c\u1ee7a r\u0103ng v\u00e0 gi\u1ea3m nguy c\u01a1 m\u1ea5t r\u0103ng.<\/p>\n

7.3. Ng\u0103n ng\u1eeba s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a vi khu\u1ea9n trong t\u1ee7y r\u0103ng:<\/h5>\n

MTA c\u00f3 t\u00ednh ch\u1ea5t kh\u00e1ng khu\u1ea9n v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng ng\u0103n ng\u1eeba s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a vi khu\u1ea9n trong t\u1ee7y r\u0103ng, gi\u00fap b\u1ea3o v\u1ec7 t\u1ee7y r\u0103ng kh\u1ecfi c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan.<\/p>\n

7.4. T\u1ea1o ra m\u00f4 x\u01b0\u01a1ng m\u1edbi:<\/h5>\n

MTA c\u00f3 kh\u1ea3 n\u0103ng k\u00edch th\u00edch t\u1ea1o ra m\u00f4 x\u01b0\u01a1ng m\u1edbi v\u00e0 t\u00e1i t\u1ea1o m\u00f4 m\u1ec1m, gi\u00fap ph\u1ee5c h\u1ed3i c\u00e1c t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng v\u00e0 m\u00f4 li\u00ean quan \u0111\u1ebfn t\u1ee7y r\u0103ng.<\/p>\n

7.5. An to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3:<\/h5>\n

MTA l\u00e0 m\u1ed9t v\u1eadt li\u1ec7u an to\u00e0n, \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng th\u1ee7ng s\u00e0n v\u00e0 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng cho nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p kh\u00e1c trong nha khoa.<\/p>\n

T\u00f3m l\u1ea1i, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng th\u1ee7ng s\u00e0n b\u1eb1ng MTA c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m v\u1ec1 t\u00ednh an to\u00e0n, hi\u1ec7u qu\u1ea3 v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng t\u00e1i t\u1ea1o m\u00f4 x\u01b0\u01a1ng m\u1edbi. Vi\u1ec7c s\u1eed d\u1ee5ng MTA c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u00fang quy tr\u00ecnh v\u00e0 t\u00f9y thu\u1ed9c v\u00e0o t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

8. Nh\u1eefng l\u01b0u \u00fd khi s\u1eed d\u1ee5ng MTA trong \u0111i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng th\u1ee7ng s\u00e0n<\/h4>\n

Vi\u1ec7c s\u1eed d\u1ee5ng MTA trong \u0111i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng th\u1ee7ng s\u00e0n l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n, tuy nhi\u00ean c\u1ea7n l\u01b0u \u00fd m\u1ed9t s\u1ed1 \u0111i\u1ec3m quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u00ednh hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n c\u1ee7a qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 nh\u1eefng l\u01b0u \u00fd khi s\u1eed d\u1ee5ng MTA trong \u0111i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng th\u1ee7ng s\u00e0n:<\/p>\n

8.1. S\u1eed d\u1ee5ng MTA \u0111\u00fang c\u00e1ch \u0111\u1ec3 tr\u00e1nh t\u00e1c \u0111\u1ed9ng x\u1ea5u \u0111\u1ebfn t\u1ee7y r\u0103ng:<\/h5>\n

MTA c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o v\u1ecb tr\u00ed th\u1ee7ng s\u00e0n m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c v\u00e0 \u0111\u00fang \u0111\u1eafn \u0111\u1ec3 tr\u00e1nh t\u00e1c \u0111\u1ed9ng x\u1ea5u \u0111\u1ebfn t\u1ee7y r\u0103ng. N\u1ebfu s\u1eed d\u1ee5ng MTA kh\u00f4ng \u0111\u00fang c\u00e1ch, c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng \u0111\u1ebfn t\u1ee7y r\u0103ng ho\u1eb7c g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c li\u00ean quan \u0111\u1ebfn s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng.<\/p>\n

8.2. \u0110\u1ea3m b\u1ea3o v\u1ec7 sinh v\u00e0 kh\u1eed tr\u00f9ng d\u1ee5ng c\u1ee5 tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng MTA:<\/h5>\n

Tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng MTA, c\u00e1c d\u1ee5ng c\u1ee5 nha khoa c\u1ea7n \u0111\u01b0\u1ee3c v\u1ec7 sinh v\u00e0 kh\u1eed tr\u00f9ng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u00ednh an to\u00e0n v\u00e0 tr\u00e1nh nguy c\u01a1 nhi\u1ec5m tr\u00f9ng.<\/p>\n

8.3. L\u01b0u \u00fd \u0111\u1ebfn th\u1eddi gian \u0111\u00f3ng tr\u1ecb li\u1ec7u v\u00e0 ki\u1ec3m tra sau \u0111\u00f3:<\/h5>\n

Th\u1eddi gian \u0111\u00f3ng tr\u1ecb li\u1ec7u b\u1eb1ng MTA c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u00fang quy tr\u00ecnh \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u00ednh hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n. Sau khi ti\u1ebfn h\u00e0nh \u0111\u00f3ng tr\u1ecb li\u1ec7u, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 ki\u1ec3m tra th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u00ednh hi\u1ec7u qu\u1ea3 c\u1ee7a qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n

8.4. Kh\u00f4ng s\u1eed d\u1ee5ng MTA cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n b\u1ecb d\u1ecb \u1ee9ng v\u1edbi th\u00e0nh ph\u1ea7n c\u1ee7a MTA:<\/h5>\n

N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng v\u1edbi th\u00e0nh ph\u1ea7n c\u1ee7a MTA, kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng MTA trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng th\u1ee7ng s\u00e0n.<\/p>\n

T\u00f3m l\u1ea1i, vi\u1ec7c s\u1eed d\u1ee5ng MTA trong \u0111i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng th\u1ee7ng s\u00e0n l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n, tuy nhi\u00ean c\u1ea7n tu\u00e2n th\u1ee7 \u0111\u00fang quy tr\u00ecnh v\u00e0 l\u01b0u \u00fd nh\u1eefng \u0111i\u1ec3m quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u00ednh hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n c\u1ee7a qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o: Quy tr\u00ecnh R\u0103ng-h\u00e0m-m\u1eb7t_B\u1ed9 Y t\u1ebf\/2017<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

T\u00ecnh tr\u1ea1ng th\u1ee7ng s\u00e0n t\u1ee7y r\u0103ng x\u1ea3y ra khi l\u1edbp men b\u1ea3o v\u1ec7 c\u1ee7a r\u0103ng b\u1ecb ph\u00e1 h\u1ee7y, cho ph\u00e9p vi khu\u1ea9n x\u00e2m nh\u1eadp v\u00e0 g\u00e2y t\u1ed5n th\u01b0\u01a1ng \u0111\u1ebfn t\u1ee7y r\u0103ng. T\u00ecnh tr\u1ea1ng th\u1ee7ng s\u00e0n t\u1ee7y r\u0103ng c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u v\u1ea5n \u0111\u1ec1 kh\u00e1c nhau, bao g\u1ed3m \u0111au r\u0103ng, vi\u00eam nhi\u1ec5m v\u00e0 th\u1eadm ch\u00ed […]<\/p>\n","protected":false},"author":29,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[],"yoast_head":"\n\u0110i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng th\u1ee7ng s\u00e0n b\u1eb1ng MTA - Vinmec<\/title>\n<meta name=\"description\" content=\"MTA (Mineral Trioxide Aggregate) l\u00e0 m\u1ed9t lo\u1ea1i v\u1eadt li\u1ec7u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng th\u1ee7ng s\u00e0n..........\" \/>\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=\"\u0110i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng th\u1ee7ng s\u00e0n b\u1eb1ng MTA - 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