{"id":54457,"date":"2021-03-29T21:02:41","date_gmt":"2021-03-29T21:02:41","guid":{"rendered":"http:\/\/demo.dentalvibe.com\/dental-glossary\/root-planing-endodontics\/"},"modified":"2021-04-06T21:34:38","modified_gmt":"2021-04-06T21:34:38","slug":"root-planing-endodontics","status":"publish","type":"dental-glossary","link":"https:\/\/dentalvibe.com\/vi\/dental-glossary\/root-planing-endodontics\/","title":{"rendered":"B\u00e0o g\u1ed1c"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">C\u1ea1o v\u00f4i r\u0103ng v\u00e0 b\u00e0o ch\u00e2n r\u0103ng (l\u00e0m s\u1ea1ch s\u00e2u) l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt nha khoa ph\u1ee5c h\u1ed3i li\u00ean quan \u0111\u1ebfn vi\u1ec7c lo\u1ea1i b\u1ecf m\u1ea3ng b\u00e1m v\u00e0 v\u00f4i r\u0103ng (cao r\u0103ng) m\u1eafc k\u1eb9t \u1edf tr\u00ean v\u00e0 d\u01b0\u1edbi \u0111\u01b0\u1eddng vi\u1ec1n n\u01b0\u1edbu.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Th\u1ee7 thu\u1eadt n\u00e0y c\u1ea7n thi\u1ebft sau khi n\u01b0\u1edbu, x\u01b0\u01a1ng v\u00e0 c\u00e1c m\u00f4 xung quanh c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb t\u1ed5n th\u01b0\u01a1ng do b\u1ec7nh nha chu (vi\u00eam nha chu).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">T\u1ed5ng quan: B\u1ec7nh nha chu (vi\u00eam nha chu) l\u00e0 g\u00ec?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh nha chu, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 vi\u00eam nha chu, l\u00e0 m\u1ed9t b\u1ec7nh vi\u00eam nhi\u1ec5m n\u1eb7ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn n\u01b0\u1edbu, x\u01b0\u01a1ng v\u00e0 c\u00e1c m\u00f4 xung quanh trong khoang mi\u1ec7ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">N\u1ebfu b\u1ea1n kh\u00f4ng \u0111\u00e1nh r\u0103ng hai l\u1ea7n m\u1ed9t ng\u00e0y ho\u1eb7c l\u00e0m s\u1ea1ch r\u0103ng \u0111\u1ecbnh k\u1ef3, m\u1ea3ng b\u00e1m r\u0103ng tr\u00ean v\u00e0 gi\u1eefa c\u00e1c k\u1ebd r\u0103ng c\u1ee7a b\u1ea1n s\u1ebd kh\u00f4ng \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Theo th\u1eddi gian, m\u1ea3ng b\u00e1m n\u00e0y c\u1ee9ng l\u1ea1i t\u1ea1o th\u00e0nh cao r\u0103ng, vi khu\u1ea9n l\u00e2y lan sang n\u01b0\u1edbu. Qu\u00e1 tr\u00ecnh n\u00e0y d\u1eabn \u0111\u1ebfn vi\u00eam n\u01b0\u1edbu (b\u1ec7nh n\u01b0\u1edbu r\u0103ng s\u1edbm) v\u00e0 cu\u1ed1i c\u00f9ng l\u00e0 vi\u00eam nha chu.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Khi n\u01b0\u1edbu b\u1ecb k\u00edch th\u00edch, ch\u00fang s\u1ebd t\u00e1ch ra kh\u1ecfi r\u0103ng v\u00e0 h\u00ecnh th\u00e0nh c\u00e1c kho\u1ea3ng s\u00e2u. Nh\u1eefng kho\u1ea3ng tr\u1ed1ng n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u201ct\u00fai nha chu\u201d. Cao r\u0103ng th\u01b0\u1eddng n\u1eb1m b\u00ean d\u01b0\u1edbi n\u01b0\u1edbu (d\u01b0\u1edbi n\u01b0\u1edbu), tr\u00ean n\u1ec1n r\u0103ng, gi\u1eefa n\u01b0\u1edbu v\u00e0 ch\u00e2n r\u0103ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 ph\u1ed5 bi\u1ebfn nh\u1ea5t li\u00ean quan \u0111\u1ebfn vi\u00eam nha chu bao g\u1ed3m:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Th\u00f3i quen \u0111\u00e1nh r\u0103ng v\u00e0 d\u00f9ng ch\u1ec9 nha khoa k\u00e9m, d\u1eabn \u0111\u1ebfn t\u00edch t\u1ee5 m\u1ea3ng b\u00e1m v\u00e0 cao r\u0103ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">H\u00fat thu\u1ed1c ho\u1eb7c nhai thu\u1ed1c l\u00e1 trong th\u1eddi gian d\u00e0i<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng k\u00e9m, ch\u1eb3ng h\u1ea1n nh\u01b0 th\u01b0\u1eddng xuy\u00ean \u0103n th\u1ee9c \u0103n v\u00e0 \u0111\u1ed3 u\u1ed1ng c\u00f3 \u0111\u01b0\u1eddng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u1ed9t s\u1ed1 b\u1ec7nh huy\u1ebft \u00e1p, b\u1ec7nh tim, tim m\u1ea1ch, vi\u00eam ph\u1ed5i do vi khu\u1ea9n, co gi\u1eadt ho\u1eb7c thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">R\u0103ng kh\u1ea5p kh\u1ec3nh khi\u1ebfn m\u1ea3ng b\u00e1m v\u00e0 v\u00f4i r\u0103ng kh\u00f3 lo\u1ea1i b\u1ecf h\u01a1n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ti\u1ec1n s\u1eed gia \u0111\u00ecnh b\u1ecb vi\u00eam nha chu<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u0103ng th\u1eb3ng l\u00e2u d\u00e0i, g\u00e2y vi\u00eam<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam nha chu t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng v\u00e0 c\u00f3 th\u1ec3 bao g\u1ed3m:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">N\u01b0\u1edbu \u0111\u1ecf v\u00e0 s\u01b0ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vi\u00eam b\u00ean d\u01b0\u1edbi ho\u1eb7c xung quanh n\u01b0\u1edbu r\u0103ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">N\u01b0\u1edbu ch\u1ea3y m\u00e1u khi th\u0103m d\u00f2 (ch\u1eb3ng h\u1ea1n nh\u01b0 d\u00f9ng ch\u1ec9 nha khoa)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">R\u0103ng lung lay ho\u1eb7c n\u01b0\u1edbu b\u1ecb k\u00e9o ra kh\u1ecfi r\u0103ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">H\u00f4i mi\u1ec7ng, ngay c\u1ea3 sau khi \u0111\u00e1nh r\u0103ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00f3 m\u1ee7 gi\u1eefa r\u0103ng v\u00e0 n\u01b0\u1edbu<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">R\u0103ng \u0111\u1ed9t ng\u1ed9t l\u1ec7ch l\u1ea1c ho\u1eb7c kh\u1edbp c\u1eafn kh\u00f4ng ch\u00ednh x\u00e1c<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">L\u1eadp k\u1ebf ho\u1ea1ch c\u1ea1o v\u00f4i r\u0103ng v\u00e0 c\u1ea1o v\u00f4i r\u0103ng bao g\u1ed3m vi\u1ec7c lo\u1ea1i b\u1ecf m\u1ea3ng b\u00e1m, cao r\u0103ng c\u1ee9ng (v\u00f4i r\u0103ng), v\u00e0 c\u00e1c v\u1ebft \u1ed1 t\u1eeb r\u0103ng v\u00e0 ch\u00e2n r\u0103ng c\u1ee7a b\u1ec7nh nh\u00e2n. Chi ph\u00ed c\u1ea1o v\u00f4i r\u0103ng v\u00e0 l\u1eadp k\u1ebf ho\u1ea1ch ch\u00e2n r\u0103ng (l\u00e0m s\u1ea1ch s\u00e2u) ph\u1ee5 thu\u1ed9c v\u00e0o \u0111\u1ecba \u0111i\u1ec3m c\u1ee7a nha s\u0129 v\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 b\u1ea3o hi\u1ec3m hay kh\u00f4ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nha s\u0129 c\u1ee7a b\u1ea1n th\u01b0\u1eddng chia th\u1ee7 t\u1ee5c th\u00e0nh hai cu\u1ed9c h\u1eb9n. Trong l\u1ea7n h\u1eb9n \u0111\u1ea7u ti\u00ean, h\u1ecd s\u1ebd l\u00e0m s\u1ea1ch ph\u1ea7n t\u01b0 tr\u00ean v\u00e0 d\u01b0\u1edbi c\u1ee7a m\u1ed9t b\u00ean mi\u1ec7ng c\u1ee7a b\u1ea1n. Sau \u0111\u00f3, hai g\u00f3c ph\u1ea7n t\u01b0 kh\u00e1c \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch trong l\u1ea7n h\u1eb9n th\u1ee9 hai.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">C\u00e1c b\u01b0\u1edbc quy tr\u00ecnh chia t\u1ef7 l\u1ec7 v\u00e0 b\u00e0o g\u1ed1c th\u01b0\u1eddng bao g\u1ed3m:<\/span><\/h3>\n<ol>\n<li><span style=\"font-weight: 400;\"> Qu\u1ea3n l\u00fd g\u00e2y m\u00ea c\u1ee5c b\u1ed9<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">L\u1eadp k\u1ebf ho\u1ea1ch m\u1edf r\u1ed9ng quy m\u00f4 v\u00e0 t\u1eadn g\u1ed1c y\u00eau c\u1ea7u s\u1eed d\u1ee5ng thu\u1ed1c g\u00e2y t\u00ea c\u1ee5c b\u1ed9, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 thu\u1ed1c \u1ed5n \u0111\u1ecbnh m\u00e0ng, \u0111\u1ec3 gi\u00fap ki\u1ec3m so\u00e1t c\u01a1n \u0111au v\u00e0 xu\u1ea5t huy\u1ebft. G\u00e2y t\u00ea c\u1ee5c b\u1ed9 l\u00e0 lo\u1ea1i g\u00e2y t\u00ea ph\u1ed5 bi\u1ebfn nh\u1ea5t \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c th\u1ee7 thu\u1eadt nha khoa x\u00e2m l\u1ea5n nh\u1ecf.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110\u1ea7u ti\u00ean, nha s\u0129 ti\u00eam thu\u1ed1c v\u00e0o mi\u1ec7ng c\u1ee7a b\u1ea1n v\u00e0 l\u00e0m t\u00ea v\u00f9ng \u0111i\u1ec1u tr\u1ecb. Sau \u0111\u00f3, sau kho\u1ea3ng n\u0103m ph\u00fat, m\u1ea5t c\u1ea3m gi\u00e1c t\u1ea1m th\u1eddi x\u1ea3y ra. B\u1ea1n s\u1ebd v\u1eabn t\u1ec9nh t\u00e1o v\u00e0 t\u1ec9nh t\u00e1o trong to\u00e0n b\u1ed9 quy tr\u00ecnh nh\u01b0ng s\u1ebd kh\u00f4ng c\u1ea3m th\u1ea5y \u0111au. B\u1ea1n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y \u0111au \u1edf ch\u1ed7 ti\u00eam trong v\u00e0 sau khi \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n<ol start=\"2\">\n<li><span style=\"font-weight: 400;\"> M\u1edf r\u1ed9ng quy m\u00f4<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">B\u01b0\u1edbc th\u1ee9 hai trong quy tr\u00ecnh n\u00e0y l\u00e0 th\u1ef1c hi\u1ec7n c\u1ea1o v\u00f4i r\u0103ng d\u01b0\u1edbi n\u01b0\u1edbu, l\u00e0 khi b\u00e1c s\u0129 nha khoa t\u1ed5ng qu\u00e1t, b\u00e1c s\u0129 nha chu ho\u1eb7c b\u00e1c s\u0129 v\u1ec7 sinh r\u0103ng mi\u1ec7ng lo\u1ea1i b\u1ecf m\u1ea3ng b\u00e1m v\u00e0 v\u00f4i d\u01b0\u1edbi n\u01b0\u1edbu, gi\u1eefa n\u01b0\u1edbu v\u00e0 tr\u00ean th\u00e2n r\u0103ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Vi\u1ec7c chia t\u1ef7 l\u1ec7 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng tay ho\u1eb7c b\u1eb1ng thi\u1ebft b\u1ecb si\u00eau \u00e2m, ch\u1eb3ng h\u1ea1n nh\u01b0 Calvitron. C\u1ea3 hai k\u1ef9 thu\u1eadt \u0111\u1ec1u l\u00e0m l\u1ecfng m\u1ea3ng b\u00e1m v\u00e0 lo\u1ea1i b\u1ecf cao r\u0103ng c\u1ee9ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110\u1ec3 lo\u1ea1i b\u1ecf m\u1ea3ng b\u00e1m v\u00e0 vi khu\u1ea9n, m\u00e1y c\u1ea1o v\u00f4i r\u0103ng \u0111\u01b0\u1ee3c \u0111\u1eb7t trong t\u00fai v\u1edbi g\u00f3c xi\u00ean t\u1eeb 45 \u0111\u1ebfn 90 \u0111\u1ed9 so v\u1edbi r\u0103ng. C\u00e1c b\u1ec1 m\u1eb7t r\u0103ng v\u00e0 ch\u00e2n r\u0103ng sau \u0111\u00f3 \u0111\u01b0\u1ee3c c\u1ea1o v\u00e0 l\u00e0m s\u1ea1ch theo chuy\u1ec3n \u0111\u1ed9ng th\u1eb3ng \u0111\u1ee9ng, tr\u00f2n ho\u1eb7c ngang.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">3. K\u1ebf ho\u1ea1ch g\u1ed1c<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">V\u00f4i r\u0103ng, xi m\u0103ng, men r\u0103ng v\u00e0 c\u00f9i r\u0103ng l\u00e0 b\u1ed1n th\u00e0nh ph\u1ea7n ch\u00ednh c\u1ee7a r\u0103ng. Khi t\u00ecnh tr\u1ea1ng vi\u00eam nha chu k\u00e9o d\u00e0i, b\u1ec7nh th\u01b0\u1eddng l\u00e0m h\u1ecfng xi m\u0103ng, ng\u00e0 r\u0103ng ho\u1eb7c c\u1ea3 hai. B\u00e0o g\u1ed1c l\u00e0 m\u1ed9t n\u1ed7 l\u1ef1c \u0111\u1ec3 l\u00e0m ph\u1eb3ng c\u00e1c b\u1ec1 m\u1eb7t th\u00f4 r\u00e1p v\u00e0 lo\u1ea1i b\u1ecf b\u1ea5t k\u1ef3 vi khu\u1ea9n n\u00e0o \u1edf d\u01b0\u1edbi v\u1ecf.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Trong qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n, nha s\u0129 s\u1ebd l\u00e0m s\u1ea1ch s\u00e2u b\u00ean d\u01b0\u1edbi n\u01b0\u1edbu \u0111\u1ec3 lo\u1ea1i b\u1ecf m\u1ea3ng b\u00e1m v\u00e0 cao r\u0103ng t\u00edch t\u1ee5 tr\u00ean ch\u00e2n r\u0103ng, n\u01a1i x\u01b0\u01a1ng b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi nhi\u1ec5m tr\u00f9ng. Vi\u1ec7c l\u1eadp k\u1ebf ho\u1ea1ch bao g\u1ed3m vi\u1ec7c lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n l\u1edbp xi m\u0103ng, l\u00e0 l\u1edbp m\u00e0ng b\u1ecb v\u00f4i h\u00f3a bao ph\u1ee7 ch\u00e2n r\u0103ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Quy tr\u00ecnh n\u00e0y c\u0169ng c\u00f3 th\u1ec3 bao g\u1ed3m vi\u1ec7c lo\u1ea1i b\u1ecf m\u1ed9t l\u1edbp ng\u00e0 r\u0103ng nh\u1ecf, l\u00e0 l\u1edbp th\u1ee9 hai c\u1ee7a r\u0103ng ph\u00e1t tri\u1ec3n b\u00ean d\u01b0\u1edbi men r\u0103ng.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">4. H\u1eadu ph\u1eabu thu\u1eadt<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Sau khi quy tr\u00ecnh ho\u00e0n t\u1ea5t, nha s\u0129 r\u1eeda s\u1ea1ch khu v\u1ef1c n\u00e0y \u0111\u1ec3 lo\u1ea1i b\u1ecf h\u1ebft vi khu\u1ea9n c\u00f2n s\u00f3t l\u1ea1i. Sau \u0111\u00f3, h\u1ecd \u00e1p d\u1ee5ng \u00e1p l\u1ef1c \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o m\u00f4 n\u01b0\u1edbu ph\u00e1t tri\u1ec3n th\u00edch h\u1ee3p.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n th\u01b0\u1eddng b\u1ecb \u0111au nh\u1eb9 sau khi l\u00e0m th\u1ee7 thu\u1eadt. N\u01b0\u1edbu \u0111\u01b0\u1ee3c ch\u1eefa l\u00e0nh th\u00edch h\u1ee3p c\u00f3 v\u1ebb nh\u01b0 l\u00e0 m\u00f4 th\u00edch nghi t\u1ed1t, ch\u1eafc ch\u1eafn v\u00e0 c\u00f3 h\u00ecnh d\u1ea1ng b\u00ecnh th\u01b0\u1eddng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u00e1c tri\u1ec7u ch\u1ee9ng th\u00f4ng th\u01b0\u1eddng sau khi \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng h\u1ebft trong v\u00e0i ng\u00e0y v\u00e0 c\u00f3 th\u1ec3 bao g\u1ed3m:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u1ea3y m\u00e1u n\u01b0\u1edbu r\u0103ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">N\u01b0\u1edbu b\u1ecb k\u00edch \u1ee9ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kh\u00f3 ch\u1ecbu v\u1ec1 r\u0103ng, ch\u1eb3ng h\u1ea1n nh\u01b0 nh\u1ea1y c\u1ea3m v\u1edbi c\u00e1c ch\u1ea5t n\u00f3ng, l\u1ea1nh v\u00e0 \u0111\u01b0\u1eddng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">S\u01b0ng v\u00e0 vi\u00eam xung quanh khu v\u1ef1c \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">D\u1ecb \u1ee9ng v\u1edbi m\u1ed9t s\u1ed1 v\u1eadt li\u1ec7u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong quy tr\u00ecnh<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Th\u1ef1c h\u00e0nh v\u1ec7 sinh r\u0103ng mi\u1ec7ng t\u1ed1t l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a vi\u00eam nha chu m\u00e3n t\u00ednh. Vi\u00eam nha chu l\u00e0 m\u1ed9t d\u1ea1ng nghi\u00eam tr\u1ecdng nh\u1ea5t c\u1ee7a b\u1ec7nh n\u01b0\u1edbu r\u0103ng d\u1eabn \u0111\u1ebfn ti\u00eau x\u01b0\u01a1ng v\u0129nh vi\u1ec5n kh\u00f4ng th\u1ec3 m\u1ecdc tr\u1edf l\u1ea1i. B\u1ec7nh nha chu nghi\u00eam tr\u1ecdng c\u0169ng th\u01b0\u1eddng y\u00eau c\u1ea7u ph\u1eabu thu\u1eadt x\u00e2m l\u1ea5n.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110\u1ec3 tr\u00e1nh ph\u1ea3i ph\u1eabu thu\u1eadt, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i th\u1ef1c h\u00e0nh t\u1ed1t vi\u1ec7c ch\u0103m s\u00f3c r\u0103ng mi\u1ec7ng t\u1ea1i nh\u00e0. Nh\u1eefng th\u00f3i quen n\u00e0y bao g\u1ed3m l\u00e0m s\u1ea1ch r\u0103ng b\u1eb1ng b\u00e0n ch\u1ea3i \u0111\u00e1nh r\u0103ng hai l\u1ea7n m\u1ed9t ng\u00e0y, s\u1eed d\u1ee5ng florua, d\u00f9ng ch\u1ec9 nha khoa v\u00e0 s\u00fac mi\u1ec7ng b\u1eb1ng n\u01b0\u1edbc s\u00fac mi\u1ec7ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u00e1c cu\u1ed9c h\u1eb9n t\u00e1i kh\u00e1m c\u0169ng c\u1ea7n thi\u1ebft m\u1ed9t v\u00e0i tu\u1ea7n sau khi \u0111i\u1ec1u tr\u1ecb. \u0110\u00e2y l\u00e0 l\u00fac nha s\u0129 ki\u1ec3m tra n\u01b0\u1edbu \u0111ang l\u00e0nh v\u00e0 \u0111\u1ea3m b\u1ea3o r\u1eb1ng c\u00e1c t\u00fai nha chu \u0111\u00e3 gi\u1ea3m k\u00edch th\u01b0\u1edbc. N\u1ebfu c\u00e1c t\u00fai s\u00e2u h\u01a1n 3mm, c\u00f3 th\u1ec3 c\u1ea7n m\u1ed9t quy tr\u00ecnh kh\u00e1c.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb c\u1ea1o v\u00f4i r\u0103ng v\u00e0 c\u1ea1o v\u00f4i r\u0103ng kh\u00f4ng l\u00e0m m\u1ea5t r\u0103ng c\u1ee7a b\u1ea1n. Tuy nhi\u00ean, s\u1ef1 t\u00edch t\u1ee5 l\u00e2u ng\u00e0y c\u1ee7a m\u1ea3ng b\u00e1m v\u00e0 cao r\u0103ng b\u00ean d\u01b0\u1edbi \u0111\u01b0\u1eddng vi\u1ec1n n\u01b0\u1edbu c\u00f3 th\u1ec3 khi\u1ebfn r\u0103ng b\u1ea1n b\u1ecb bong ra kh\u1ecfi t\u00fai n\u01b0\u1edbu.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Th\u1ee7 thu\u1eadt c\u1ea1o v\u00f4i r\u0103ng v\u00e0 c\u1ea1o v\u00f4i r\u0103ng \u0111\u01b0\u1ee3c coi l\u00e0 hi\u1ec7u qu\u1ea3 n\u1ebfu sau \u0111\u00f3 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 duy tr\u00ec s\u1ee9c kh\u1ecfe nha chu c\u1ee7a h\u1ecd m\u00e0 kh\u00f4ng b\u1ecb ti\u00eau x\u01b0\u01a1ng ho\u1eb7c m\u1ea5t th\u00eam m\u00f4 b\u00e1m v\u00e0 n\u1ebfu n\u00f3 ng\u0103n ng\u1eeba \u0111\u01b0\u1ee3c s\u1ef1 l\u00e2y nhi\u1ec5m t\u00e1i ph\u00e1t v\u1edbi c\u00e1c t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh nha chu.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hi\u1ec7u qu\u1ea3 l\u00e2u d\u00e0i c\u1ee7a vi\u1ec7c m\u1edf r\u1ed9ng quy m\u00f4 v\u00e0 l\u1eadp k\u1ebf ho\u1ea1ch t\u1eadn g\u1ed1c ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1. C\u00e1c y\u1ebfu t\u1ed1 n\u00e0y bao g\u1ed3m s\u1ef1 tu\u00e2n th\u1ee7 c\u1ee7a b\u1ec7nh nh\u00e2n, ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh t\u1ea1i th\u1eddi \u0111i\u1ec3m can thi\u1ec7p, \u0111\u1ed9 s\u00e2u th\u0103m d\u00f2, v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 gi\u1ea3i ph\u1eabu nh\u01b0 r\u00e3nh \u1edf ch\u00e2n r\u0103ng, s\u00e2u r\u0103ng v\u00e0 s\u1ef1 li\u00ean quan c\u1ee7a \u1ed5 r\u0103ng c\u00f3 th\u1ec3 h\u1ea1n ch\u1ebf kh\u1ea3 n\u0103ng nh\u00ecn th\u1ea5y c\u1eb7n v\u00e0 m\u1ea3nh v\u1ee5n s\u00e2u b\u00ean d\u01b0\u1edbi.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110\u1ea7u ti\u00ean v\u00e0 quan tr\u1ecdng nh\u1ea5t, c\u1ea1o v\u00f4i r\u0103ng v\u00e0 c\u1ea1o v\u00f4i r\u0103ng l\u00e0 m\u1ed9t quy tr\u00ecnh ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n k\u1ef9 l\u01b0\u1ee1ng v\u00e0 ch\u00fa \u00fd \u0111\u1ebfn t\u1eebng chi ti\u1ebft \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n v\u00f4i r\u0103ng v\u00e0 m\u1ea3ng b\u00e1m \u1edf c\u00e1c v\u1ecb tr\u00ed li\u00ean quan. N\u1ebfu c\u00e1c t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh n\u00e0y kh\u00f4ng \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf, b\u1ec7nh s\u1ebd ti\u1ebfp t\u1ee5c ti\u1ebfn tri\u1ec3n v\u00e0 g\u00e2y ra nh\u1eefng t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng h\u01a1n. \u0110\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p vi\u00eam nha chu nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh, vi\u1ec7c c\u1ea1o v\u00f4i r\u0103ng v\u00e0 c\u1ea1o v\u00f4i r\u0103ng c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 tuy\u1ec7t v\u1eddi n\u1ebfu quy tr\u00ecnh th\u1ef1c hi\u1ec7n k\u1ef9 l\u01b0\u1ee1ng. Khi vi\u00eam nha chu t\u0103ng m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng, m\u1ed9t l\u01b0\u1ee3ng l\u1edbn x\u01b0\u01a1ng n\u00e2ng \u0111\u1ee1 b\u1ecb ph\u00e1 h\u1ee7y do nhi\u1ec5m tr\u00f9ng. \u0110i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c minh h\u1ecda tr\u00ean l\u00e2m s\u00e0ng b\u1eb1ng vi\u1ec7c \u0111\u00e0o s\u00e2u c\u00e1c t\u00fai nha chu nh\u1eb1m m\u1ee5c \u0111\u00edch l\u00e0m s\u1ea1ch v\u00e0 kh\u1eed tr\u00f9ng trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt. M\u1ed9t khi c\u00e1c t\u00fai nha chu c\u00f3 chi\u1ec1u s\u00e2u v\u01b0\u1ee3t qu\u00e1 6 mm, hi\u1ec7u qu\u1ea3 c\u1ee7a vi\u1ec7c lo\u1ea1i b\u1ecf c\u1eb7n b\u1eaft \u0111\u1ea7u gi\u1ea3m v\u00e0 kh\u1ea3 n\u0103ng ch\u1eefa l\u00e0nh ho\u00e0n to\u00e0n sau m\u1ed9t th\u1ee7 thu\u1eadt c\u0169ng b\u1eaft \u0111\u1ea7u gi\u1ea3m. T\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng c\u00e0ng n\u1eb7ng tr\u01b0\u1edbc khi can thi\u1ec7p th\u00ec c\u00e0ng ph\u1ea3i n\u1ed7 l\u1ef1c nhi\u1ec1u h\u01a1n \u0111\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a n\u00f3 v\u00e0 tr\u1ea3 l\u1ea1i s\u1ee9c kh\u1ecfe cho b\u1ec7nh nh\u00e2n. C\u00e1c t\u00fai b\u1ec7nh tr\u00ean 6 mm c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft th\u00f4ng qua ph\u1eabu thu\u1eadt t\u1ea1o v\u1ea1t nha chu, \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi m\u1ed9t chuy\u00ean gia nha khoa \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 B\u00e1c s\u0129 nha chu.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u1eb7c d\u00f9 vi\u1ec7c ch\u1eefa l\u00e0nh c\u00e1c m\u00f4 m\u1ec1m s\u1ebd b\u1eaft \u0111\u1ea7u ngay l\u1eadp t\u1ee9c sau khi lo\u1ea1i b\u1ecf m\u00e0ng sinh h\u1ecdc vi sinh v\u1eadt v\u00e0 ch\u1ea5t t\u00edch g\u00e2y ra b\u1ec7nh, nh\u01b0ng vi\u1ec7c c\u1ea1o v\u00f4i r\u0103ng v\u00e0 b\u00e0o g\u1ed1c ch\u1ec9 l\u00e0 b\u01b0\u1edbc \u0111\u1ea7u ti\u00ean \u0111\u1ec3 ng\u0103n ch\u1eb7n qu\u00e1 tr\u00ecnh b\u1ec7nh. Sau khi l\u00e0m s\u1ea1ch v\u00e0 kh\u1eed tr\u00f9ng ban \u0111\u1ea7u t\u1ea5t c\u1ea3 c\u00e1c v\u1ecb tr\u00ed b\u1ecb \u1ea3nh h\u01b0\u1edfng, c\u1ea7n ph\u1ea3i ng\u0103n ng\u1eeba nhi\u1ec5m tr\u00f9ng t\u00e1i ph\u00e1t. V\u00ec v\u1eady, cho \u0111\u1ebfn nay, s\u1ef1 tu\u00e2n th\u1ee7 c\u1ee7a b\u1ec7nh nh\u00e2n l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng nh\u1ea5t, c\u00f3 \u1ea3nh h\u01b0\u1edfng l\u1edbn nh\u1ea5t \u0111\u1ebfn s\u1ef1 th\u00e0nh c\u00f4ng hay th\u1ea5t b\u1ea1i c\u1ee7a can thi\u1ec7p nha chu. Ngay sau khi \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh nh\u00e2n s\u1ebd c\u1ea7n duy tr\u00ec ch\u1ebf \u0111\u1ed9 ch\u0103m s\u00f3c r\u0103ng mi\u1ec7ng tuy\u1ec7t v\u1eddi t\u1ea1i nh\u00e0. V\u1edbi vi\u1ec7c ch\u0103m s\u00f3c t\u1ea1i nh\u00e0 th\u00edch h\u1ee3p, bao g\u1ed3m nh\u01b0ng kh\u00f4ng gi\u1edbi h\u1ea1n \u1edf vi\u1ec7c \u0111\u00e1nh r\u0103ng hai l\u1ea7n m\u1ed7i ng\u00e0y trong 2-3 ph\u00fat, d\u00f9ng ch\u1ec9 nha khoa h\u00e0ng ng\u00e0y v\u00e0 s\u1eed d\u1ee5ng n\u01b0\u1edbc s\u00fac mi\u1ec7ng, ti\u1ec1m n\u0103ng ch\u1eefa l\u00e0nh hi\u1ec7u qu\u1ea3 sau khi c\u1ea1o v\u00f4i r\u0103ng v\u00e0 c\u1ea1o v\u00f4i r\u0103ng s\u1ebd t\u0103ng l\u00ean. Cam k\u1ebft v\u00e0 si\u00eang n\u0103ng ho\u00e0n th\u00e0nh k\u1ef9 l\u01b0\u1ee1ng c\u00e1c th\u1ef1c h\u00e0nh v\u1ec7 sinh r\u0103ng mi\u1ec7ng h\u00e0ng ng\u00e0y l\u00e0 \u0111i\u1ec1u c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c th\u00e0nh c\u00f4ng n\u00e0y. N\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng thay \u0111\u1ed5i c\u00e1c y\u1ebfu t\u1ed1 cho ph\u00e9p b\u1ec7nh kh\u1edfi ph\u00e1t - ch\u1eb3ng h\u1ea1n nh\u01b0 kh\u00f4ng d\u00f9ng ch\u1ec9 nha khoa ho\u1eb7c ch\u1ec9 \u0111\u00e1nh r\u0103ng m\u1ed9t l\u1ea7n m\u1ed7i ng\u00e0y - th\u00ec nhi\u1ec5m tr\u00f9ng s\u1ebd c\u00f3 kh\u1ea3 n\u0103ng t\u00e1i ph\u00e1t.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh t\u00fai nha chu s\u00e2u kh\u00f4ng di\u1ec5n ra trong m\u1ed9t s\u1edbm m\u1ed9t chi\u1ec1u. Do \u0111\u00f3, s\u1ebd kh\u00f4ng th\u1ef1c t\u1ebf khi mong \u0111\u1ee3i m\u00f4 l\u00e0nh ho\u00e0n to\u00e0n trong m\u1ed9t kho\u1ea3ng th\u1eddi gian ng\u1eafn t\u01b0\u01a1ng t\u1ef1. Vi\u1ec7c t\u0103ng g\u1eafn k\u1ebft n\u01b0\u1edbu c\u00f3 th\u1ec3 di\u1ec5n ra ch\u1eadm theo th\u1eddi gian v\u00e0 vi\u1ec7c th\u0103m kh\u00e1m b\u1ea3o d\u01b0\u1ee1ng nha chu li\u00ean t\u1ee5c th\u01b0\u1eddng \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb sau m\u1ed7i ba \u0111\u1ebfn b\u1ed1n th\u00e1ng \u0111\u1ec3 duy tr\u00ec s\u1ee9c kh\u1ecfe. T\u1ea7n su\u1ea5t c\u1ee7a nh\u1eefng l\u1ea7n h\u1eb9n sau n\u00e0y l\u00e0 ch\u00eca kh\u00f3a \u0111\u1ec3 duy tr\u00ec k\u1ebft qu\u1ea3 c\u1ea1o v\u00f4i r\u0103ng v\u00e0 c\u1ea1o v\u00f4i g\u1ed1c ban \u0111\u1ea7u, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong n\u0103m \u0111\u1ea7u ti\u00ean ngay sau khi \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">V\u00ec b\u1ec7nh nh\u00e2n v\u1eabn c\u00f3 th\u1ec3 c\u00f3 c\u00e1c t\u00fai v\u01b0\u1ee3t qu\u00e1 kh\u1ea3 n\u0103ng l\u00e0m s\u1ea1ch hi\u1ec7u qu\u1ea3 c\u1ee7a b\u00e0n ch\u1ea3i ho\u1eb7c ch\u1ec9 nha khoa, \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng l\u00e2u d\u00e0i, h\u1ecd n\u00ean quay l\u1ea1i sau m\u1ed7i 90 ng\u00e0y \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng c\u00e1c t\u00fai \u0111\u00f3 kh\u00f4ng b\u1ecb \u0111\u1ecdng l\u1ea1i. B\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch r\u1eb1ng 90 ng\u00e0y kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t kho\u1ea3ng th\u1eddi gian t\u00f9y \u00fd; Sau 90 ng\u00e0y, qu\u00e1 tr\u00ecnh ch\u1eefa l\u00e0nh c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch c\u1ea1o v\u00f4i r\u0103ng v\u00e0 b\u00e0o g\u1ed1c s\u1ebd ho\u00e0n t\u1ea5t. \u0110i\u1ec1u n\u00e0y s\u1ebd cho ph\u00e9p b\u00e1c s\u0129 \u0111o l\u1ea1i \u0111\u1ed9 s\u00e2u t\u00fai \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh li\u1ec7u can thi\u1ec7p c\u00f3 th\u00e0nh c\u00f4ng hay kh\u00f4ng. T\u1ea1i cu\u1ed9c h\u1eb9n n\u00e0y, s\u1ebd th\u1ea3o lu\u1eadn v\u1ec1 ti\u1ebfn tr\u00ecnh c\u0169ng nh\u01b0 b\u1ea5t k\u1ef3 b\u1ec7nh vi\u00eam nha chu kh\u00f3 ch\u1eefa n\u00e0o. Sau 90 ng\u00e0y k\u1ec3 t\u1eeb ng\u00e0y c\u1ea1o v\u00f4i r\u0103ng v\u00e0 c\u1ea1o v\u00f4i r\u0103ng ban \u0111\u1ea7u, vi khu\u1ea9n nha chu, n\u1ebfu c\u00f2n s\u00f3t l\u1ea1i, s\u1ebd ho\u1ea1t \u0111\u1ed9ng tr\u1edf l\u1ea1i. Do \u0111\u00f3, n\u1ebfu c\u00f3 nh\u1eefng v\u00f9ng b\u1ec7nh c\u00f2n s\u00f3t l\u1ea1i, b\u00e1c s\u0129 s\u1ebd l\u00e0m s\u1ea1ch l\u1ea1i v\u00e0 c\u00f3 th\u1ec3 \u0111\u1eb7t th\u00eam thu\u1ed1c kh\u00e1ng sinh \u0111\u1eb7c tr\u1ecb t\u1ea1i ch\u1ed7. H\u01a1n n\u1eefa, cu\u1ed9c h\u1eb9n n\u00e0y cho ph\u00e9p xem x\u00e9t vi\u1ec7c ch\u0103m s\u00f3c t\u1ea1i nh\u00e0, ho\u1eb7c b\u1ed5 sung c\u1ea7n thi\u1ebft ho\u1eb7c gi\u00e1o d\u1ee5c.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb vi\u00eam nha chu c\u00f3 th\u1ec3 bao g\u1ed3m m\u1ed9t s\u1ed1 b\u01b0\u1edbc, b\u01b0\u1edbc \u0111\u1ea7u ti\u00ean th\u01b0\u1eddng y\u00eau c\u1ea7u lo\u1ea1i b\u1ecf c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y b\u1ec7nh t\u1ea1i ch\u1ed7 \u0111\u1ec3 t\u1ea1o ra m\u1ed9t m\u00f4i tr\u01b0\u1eddng t\u01b0\u01a1ng th\u00edch sinh h\u1ecdc gi\u1eefa r\u0103ng v\u00e0 c\u00e1c m\u00f4 nha chu xung quanh, n\u01b0\u1edbu v\u00e0 x\u01b0\u01a1ng b\u00ean d\u01b0\u1edbi. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, t\u00ecnh tr\u1ea1ng vi\u00eam m\u00e3n t\u00ednh c\u1ee7a n\u01b0\u1edbu v\u00e0 m\u00f4 n\u00e2ng \u0111\u1ee1 c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh tim c\u1ee7a m\u1ed9t ng\u01b0\u1eddi.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u c\u00e1c th\u1ee7 thu\u1eadt n\u00e0y, b\u1ec7nh nh\u00e2n th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u00e2y t\u00ea trong khu v\u1ef1c d\u00e0nh cho thi\u1ebft b\u1ecb \u0111o. Do t\u00ednh ch\u1ea5t s\u00e2u h\u01a1n c\u1ee7a c\u1ea1o v\u00f4i r\u0103ng v\u00e0 c\u1ea1o v\u00f4i r\u0103ng, m\u1ed9t n\u1eeda ho\u1eb7c m\u1ed9t ph\u1ea7n t\u01b0 mi\u1ec7ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch trong m\u1ed9t l\u1ea7n h\u1eb9n. \u0110i\u1ec1u n\u00e0y cho ph\u00e9p b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c g\u00e2y t\u00ea ho\u00e0n to\u00e0n \u1edf khu v\u1ef1c c\u1ea7n thi\u1ebft trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. Th\u00f4ng th\u01b0\u1eddng kh\u00f4ng n\u00ean c\u1ea1o v\u00f4i r\u0103ng to\u00e0n b\u1ed9 mi\u1ec7ng t\u1ea1i m\u1ed9t bu\u1ed5i h\u1eb9n v\u00ec nh\u1eefng b\u1ea5t ti\u1ec7n v\u00e0 bi\u1ebfn ch\u1ee9ng ti\u1ec1m \u1ea9n c\u1ee7a vi\u1ec7c l\u00e0m t\u00ea to\u00e0n b\u1ed9 mi\u1ec7ng - t\u1ee9c l\u00e0 kh\u00f4ng th\u1ec3 \u0103n u\u1ed1ng, kh\u1ea3 n\u0103ng t\u1ef1 ch\u1ea5n th\u01b0\u01a1ng do c\u1eafn, v.v.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">N\u00f3i chung, b\u01b0\u1edbc \u0111\u1ea7u ti\u00ean l\u00e0 lo\u1ea1i b\u1ecf m\u1ea3ng b\u00e1m r\u0103ng, m\u00e0ng sinh h\u1ecdc vi khu\u1ea9n, kh\u1ecfi r\u0103ng, m\u1ed9t quy tr\u00ecnh \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 c\u1ea1o v\u00f4i r\u0103ng. L\u1eadp k\u1ebf ho\u1ea1ch ch\u00e2n r\u0103ng li\u00ean quan \u0111\u1ebfn vi\u1ec7c l\u00e0m nh\u1eb5n ch\u00e2n r\u0103ng. C\u00e1c quy tr\u00ecnh n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 c\u1ea1o v\u00f4i r\u0103ng v\u00e0 c\u1ea1o v\u00f4i r\u0103ng, l\u00e0m s\u1ea1ch nha chu ho\u1eb7c l\u00e0m s\u1ea1ch s\u00e2u. T\u1ea5t c\u1ea3 c\u00e1c t\u00ean n\u00e0y \u0111\u1ec1u \u0111\u1ec1 c\u1eadp \u0111\u1ebfn c\u00f9ng m\u1ed9t quy tr\u00ecnh. Thu\u1eadt ng\u1eef \u201cl\u00e0m s\u1ea1ch s\u00e2u\u201d b\u1eaft ngu\u1ed3n t\u1eeb th\u1ef1c t\u1ebf l\u00e0 t\u00fai \u1edf b\u1ec7nh nh\u00e2n nha chu s\u00e2u h\u01a1n so v\u1edbi t\u00fai \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb nha chu kh\u1ecfe m\u1ea1nh. Vi\u1ec7c l\u1eadp k\u1ebf ho\u1ea1ch c\u1ea1o v\u00f4i v\u00e0 ch\u00e2n r\u0103ng nh\u01b0 v\u1eady c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng m\u1ed9t s\u1ed1 d\u1ee5ng c\u1ee5 nha khoa, bao g\u1ed3m d\u1ee5ng c\u1ee5 si\u00eau \u00e2m v\u00e0 d\u1ee5ng c\u1ee5 c\u1ea7m tay, ch\u1eb3ng h\u1ea1n nh\u01b0 m\u00e1y c\u1ea1o v\u00f4i r\u0103ng v\u00e0 n\u1ea1o nha chu.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">M\u1ed9t nh\u00e2n vi\u00ean v\u1ec7 sinh r\u0103ng mi\u1ec7ng ch\u1ee9ng minh vi\u1ec7c c\u1ea1o v\u00f4i r\u0103ng<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">M\u1ee5c ti\u00eau c\u1ee7a c\u1ea1o v\u00f4i r\u0103ng v\u00e0 c\u1ea1o v\u00f4i r\u0103ng l\u00e0 lo\u1ea1i b\u1ecf m\u1ea3ng b\u00e1m v\u00e0 v\u00f4i r\u0103ng (cao r\u0103ng), l\u00e0 nh\u1eefng vi khu\u1ea9n sinh s\u1ed1ng gi\u1ea3i ph\u00f3ng \u0111\u1ed9c t\u1ed1 g\u00e2y vi\u00eam cho m\u00f4 n\u01b0\u1edbu v\u00e0 x\u01b0\u01a1ng xung quanh. K\u1ebf ho\u1ea1ch th\u01b0\u1eddng lo\u1ea1i b\u1ecf m\u1ed9t s\u1ed1 xi m\u0103ng ho\u1eb7c nh\u1ef1a th\u00f4ng kh\u1ecfi r\u0103ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Vi\u1ec7c lo\u1ea1i b\u1ecf m\u1ea3ng b\u00e1m v\u00e0 v\u00f4i r\u0103ng b\u1eb1ng d\u1ee5ng c\u1ee5 c\u1ea7m tay c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u1ef1 ph\u00f2ng tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng m\u1eafc b\u1ec7nh nha chu. D\u1ef1 ph\u00f2ng l\u00e0 c\u1ea1o v\u00f4i r\u0103ng v\u00e0 \u0111\u00e1nh b\u00f3ng r\u0103ng \u0111\u1ec3 ng\u0103n ng\u1eeba c\u00e1c b\u1ec7nh r\u0103ng mi\u1ec7ng. \u0110\u00e1nh b\u00f3ng kh\u00f4ng lo\u1ea1i b\u1ecf v\u00f4i r\u0103ng m\u00e0 ch\u1ec9 lo\u1ea1i b\u1ecf m\u1ed9t s\u1ed1 m\u1ea3ng b\u00e1m v\u00e0 v\u1ebft \u1ed1, do \u0111\u00f3 ch\u1ec9 n\u00ean th\u1ef1c hi\u1ec7n c\u00f9ng v\u1edbi vi\u1ec7c c\u1ea1o v\u00f4i r\u0103ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Th\u00f4ng th\u01b0\u1eddng, m\u1ed9t thi\u1ebft b\u1ecb \u0111i\u1ec7n, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 m\u00e1y c\u1ea1o v\u00f4i r\u0103ng si\u00eau \u00e2m, m\u00e1y c\u1ea1o v\u00f4i r\u0103ng \u00e2m thanh, ho\u1eb7c m\u00e1y c\u1ea1o v\u00f4i r\u0103ng \u0111i\u1ec7n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong qu\u00e1 tr\u00ecnh c\u1ea1o v\u00f4i r\u0103ng v\u00e0 b\u00e0o g\u1ed1c. M\u00e1y c\u1ea1o v\u00f4i r\u0103ng si\u00eau \u00e2m rung \u1edf t\u1ea7n s\u1ed1 cao gi\u00fap lo\u1ea1i b\u1ecf v\u1ebft \u1ed1, m\u1ea3ng b\u00e1m v\u00e0 v\u00f4i r\u0103ng. Ngo\u00e0i ra, m\u00e1y c\u1ea1o v\u00f4i si\u00eau \u00e2m t\u1ea1o ra c\u00e1c bong b\u00f3ng kh\u00ed nh\u1ecf th\u00f4ng qua m\u1ed9t qu\u00e1 tr\u00ecnh \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 cavitation. Nh\u1eefng bong b\u00f3ng n\u00e0y \u0111\u00f3ng m\u1ed9t ch\u1ee9c n\u0103ng quan tr\u1ecdng \u0111\u1ec3 l\u00e0m s\u1ea1ch nha chu. V\u00ec vi khu\u1ea9n s\u1ed1ng trong c\u00e1c t\u00fai li\u00ean quan \u0111\u1ebfn chu k\u1ef3 ch\u1ee7 y\u1ebfu l\u00e0 vi khu\u1ea9n k\u1ef5 kh\u00ed b\u1eaft bu\u1ed9c, c\u00f3 ngh\u0129a l\u00e0 kh\u00f4ng th\u1ec3 t\u1ed3n t\u1ea1i trong \u0111i\u1ec1u ki\u1ec7n c\u00f3 oxy, nh\u1eefng bong b\u00f3ng n\u00e0y gi\u00fap ti\u00eau di\u1ec7t ch\u00fang. Oxy gi\u00fap ph\u00e1 v\u1ee1 m\u00e0ng t\u1ebf b\u00e0o vi khu\u1ea9n v\u00e0 khi\u1ebfn ch\u00fang b\u1ecb \u0111\u00f4ng l\u1ea1i ho\u1eb7c v\u1ee1 ra.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">V\u00ec \u0111i\u1ec1u quan tr\u1ecdng nh\u1ea5t l\u00e0 ph\u1ea3i lo\u1ea1i b\u1ecf to\u00e0n b\u1ed9 c\u1eb7n l\u1eafng trong m\u1ed7i t\u00fai nha chu, n\u00ean ch\u00fa \u00fd \u0111\u1ebfn t\u1eebng chi ti\u1ebft trong quy tr\u00ecnh n\u00e0y l\u00e0 r\u1ea5t quan tr\u1ecdng. Do \u0111\u00f3, t\u00f9y thu\u1ed9c v\u00e0o \u0111\u1ed9 s\u00e2u c\u1ee7a t\u00fai v\u00e0 l\u01b0\u1ee3ng c\u1eb7n t\u00edch so v\u1edbi c\u1eb7n m\u00e0ng sinh h\u1ecdc m\u1ec1m, c\u00e1c d\u1ee5ng c\u1ee5 c\u1ea7m tay c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ho\u00e0n th\u00e0nh vi\u1ec7c c\u1ea1o v\u00f4i tay t\u1ed1t, lo\u1ea1i b\u1ecf b\u1ea5t c\u1ee9 th\u1ee9 g\u00ec m\u00e0 m\u00e1y c\u1ea1o v\u00f4i si\u00eau \u00e2m \u0111\u1ec3 l\u1ea1i. Ngo\u00e0i ra, m\u00e1y c\u1ea1o v\u00f4i r\u0103ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng sau khi c\u1ea1o v\u00f4i r\u0103ng b\u1eb1ng tay \u0111\u1ec3 lo\u1ea1i b\u1ecf c\u1eb7n b\u1ea9n \u0111\u00e3 \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf kh\u1ecfi c\u1ea5u tr\u00fac r\u0103ng ho\u1eb7c ch\u00e2n r\u0103ng, nh\u01b0ng v\u1eabn c\u00f2n trong t\u00fai nha chu.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Hai d\u1ee5ng c\u1ee5 si\u00eau \u00e2m<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">M\u00e1y c\u00e2n b\u1eb1ng \u00e2m thanh v\u00e0 s\u00f3ng si\u00eau \u00e2m \u0111\u01b0\u1ee3c cung c\u1ea5p b\u1edfi m\u1ed9t h\u1ec7 th\u1ed1ng l\u00e0m cho \u0111\u1ea7u kim rung \u0111\u1ed9ng. M\u00e1y thu nh\u1ecf \u00e2m thanh \u0111\u01b0\u1ee3c cung c\u1ea5p n\u0103ng l\u01b0\u1ee3ng b\u1edfi m\u1ed9t tuabin \u0111i\u1ec1u khi\u1ec3n b\u1eb1ng kh\u00f4ng kh\u00ed. M\u00e1y c\u00e2n si\u00eau \u00e2m s\u1eed d\u1ee5ng h\u1ec7 th\u1ed1ng \u00e1p t\u1eeb ho\u1eb7c \u00e1p \u0111i\u1ec7n \u0111\u1ec3 t\u1ea1o ra rung \u0111\u1ed9ng. M\u00e1y c\u00e2n b\u1eb1ng \u0111i\u1ec7n tr\u1edf Magneto s\u1eed d\u1ee5ng m\u1ed9t ch\u1ed3ng c\u00e1c t\u1ea5m kim lo\u1ea1i \u0111\u01b0\u1ee3c li\u00ean k\u1ebft v\u1edbi \u0111\u1ea7u d\u1ee5ng c\u1ee5. Cu\u1ed9n d\u00e2y b\u00ean ngo\u00e0i \u0111\u01b0\u1ee3c n\u1ed1i v\u1edbi ngu\u1ed3n xoay chi\u1ec1u g\u00e2y dao \u0111\u1ed9ng cho ng\u0103n x\u1ebfp. M\u00e1y c\u1ea1o v\u00f4i r\u0103ng si\u00eau \u00e2m c\u0169ng bao g\u1ed3m m\u1ed9t \u0111\u1ea7u ra ch\u1ea5t l\u1ecfng ho\u1eb7c n\u01b0\u1edbc r\u1eeda, h\u1ed7 tr\u1ee3 l\u00e0m m\u00e1t d\u1ee5ng c\u1ee5 trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng, c\u0169ng nh\u01b0 r\u1eeda s\u1ea1ch t\u1ea5t c\u1ea3 c\u00e1c v\u1eadt li\u1ec7u kh\u00f4ng mong mu\u1ed1n kh\u1ecfi r\u0103ng v\u00e0 \u0111\u01b0\u1eddng vi\u1ec1n n\u01b0\u1edbu. N\u01b0\u1edbc r\u1eeda c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 cung c\u1ea5p c\u00e1c ch\u1ea5t kh\u00e1ng khu\u1ea9n.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u1eb7c d\u00f9 k\u1ebft qu\u1ea3 cu\u1ed1i c\u00f9ng c\u1ee7a c\u1ea1o v\u00f4i r\u0103ng si\u00eau \u00e2m c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u00e1y c\u1ea1o v\u00f4i tay, nh\u01b0ng m\u00e1y c\u1ea1o v\u00f4i r\u0103ng si\u00eau \u00e2m \u0111\u00f4i khi nhanh h\u01a1n v\u00e0 \u00edt g\u00e2y kh\u00f3 ch\u1ecbu cho kh\u00e1ch h\u00e0ng. M\u00e1y c\u1ea1o v\u00f4i r\u0103ng si\u00eau \u00e2m t\u1ea1o ra c\u00e1c b\u00ecnh x\u1ecbt c\u00f3 th\u1ec3 ph\u00e1t t\u00e1n m\u1ea7m b\u1ec7nh khi kh\u00e1ch h\u00e0ng m\u1eafc b\u1ec7nh truy\u1ec1n nhi\u1ec5m. Nghi\u00ean c\u1ee9u kh\u00e1c nhau v\u1ec1 vi\u1ec7c li\u1ec7u c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 hi\u1ec7u qu\u1ea3 gi\u1eefa m\u00e1y c\u1ea1o v\u00f4i r\u0103ng si\u00eau \u00e2m v\u00e0 d\u1ee5ng c\u1ee5 c\u1ea7m tay hay kh\u00f4ng. \u0110i\u1ec1u \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi c\u00e1c nha s\u0129 l\u00e0 vi\u1ec7c s\u1eed d\u1ee5ng m\u00e1y c\u1ea1o v\u00f4i r\u0103ng si\u00eau \u00e2m c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 ch\u1ea5n th\u01b0\u01a1ng do c\u0103ng th\u1eb3ng l\u1eb7p \u0111i l\u1eb7p l\u1ea1i, v\u00ec m\u00e1y c\u1ea1o v\u00f4i r\u0103ng si\u00eau \u00e2m y\u00eau c\u1ea7u \u00edt \u00e1p l\u1ef1c v\u00e0 l\u1eb7p l\u1ea1i h\u01a1n so v\u1edbi m\u00e1y c\u1ea1o v\u00f4i tay.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u1ed9t b\u1ed5 sung m\u1edbi cho c\u00e1c c\u00f4ng c\u1ee5 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nha chu l\u00e0 laser nha khoa. C\u00e1c lo\u1ea1i laser c\u00f3 \u0111\u1ed9 m\u1ea1nh kh\u00e1c nhau \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho nhi\u1ec1u quy tr\u00ecnh trong nha khoa hi\u1ec7n \u0111\u1ea1i, bao g\u1ed3m c\u1ea3 tr\u00e1m r\u0103ng. Trong \u0111i\u1ec1u ki\u1ec7n nha chu, tia laser c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng sau khi c\u1ea1o v\u00f4i r\u0103ng v\u00e0 c\u1ea1o v\u00f4i r\u0103ng \u0111\u1ec3 th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh ch\u1eefa l\u00e0nh c\u00e1c m\u00f4.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Sau khi m\u1edf r\u1ed9ng quy m\u00f4<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Sau khi c\u1ea1o v\u00f4i r\u0103ng, c\u00e1c b\u01b0\u1edbc b\u1ed5 sung c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 kh\u1eed tr\u00f9ng c\u00e1c m\u00f4 nha chu. C\u00f3 th\u1ec3 d\u00f9ng dung d\u1ecbch chlorhexidine gluconate \u0111\u1ec3 t\u01b0\u1edbi b\u1eb1ng mi\u1ec7ng cho m\u00f4 nha chu, dung d\u1ecbch n\u00e0y c\u00f3 r\u1ea5t nhi\u1ec1u trong m\u00f4 mi\u1ec7ng. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 kh\u00f4ng gi\u1ed1ng nh\u01b0 c\u00e1c lo\u1ea1i n\u01b0\u1edbc s\u00fac mi\u1ec7ng kh\u00e1c, m\u00e0 l\u1ee3i \u00edch c\u1ee7a ch\u00fang k\u1ebft th\u00fac khi c\u00f3 t\u00e1c d\u1ee5ng, c\u00e1c th\u00e0nh ph\u1ea7n kh\u00e1ng khu\u1ea9n t\u00edch c\u1ef1c trong chlorhexidine gluconate s\u1ebd th\u00e2m nh\u1eadp v\u00e0o m\u00f4 v\u00e0 duy tr\u00ec ho\u1ea1t \u0111\u1ed9ng trong m\u1ed9t kho\u1ea3ng th\u1eddi gian. Tuy nhi\u00ean, chlorhexidine gluconate c\u00f3 hi\u1ec7u qu\u1ea3 kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e2u d\u00e0i. M\u1ed9t nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y c\u1ee7a ch\u00e2u \u00c2u cho th\u1ea5y m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa vi\u1ec7c s\u1eed d\u1ee5ng l\u00e2u d\u00e0i n\u01b0\u1edbc s\u00fac mi\u1ec7ng v\u00e0 huy\u1ebft \u00e1p cao, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1ef7 l\u1ec7 c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch cao h\u01a1n. T\u1ea1i Hoa K\u1ef3, n\u00f3 ch\u1ec9 \u0111\u01b0\u1ee3c b\u00e1n theo \u0111\u01a1n c\u1ee7a b\u00e1c s\u0129 v\u00e0 v\u1edbi li\u1ec1u l\u01b0\u1ee3ng nh\u1ecf, kh\u00f4ng th\u01b0\u1eddng xuy\u00ean, n\u00f3 \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u00f3 t\u00e1c d\u1ee5ng h\u1ed7 tr\u1ee3 ch\u1eefa l\u00e0nh m\u00f4 sau ph\u1eabu thu\u1eadt. Nghi\u00ean c\u1ee9u hi\u1ec7n t\u1ea1i ch\u1ec9 ra r\u1eb1ng vi\u1ec7c t\u01b0\u1edbi CHX sau SC \/ RP c\u00f3 th\u1ec3 \u1ee9c ch\u1ebf s\u1ef1 g\u1eafn l\u1ea1i c\u1ee7a c\u00e1c m\u00f4 nha chu. C\u1ee5 th\u1ec3 l\u00e0 ng\u0103n ch\u1eb7n s\u1ef1 h\u00ecnh th\u00e0nh c\u1ee7a c\u00e1c nguy\u00ean b\u00e0o s\u1ee3i. C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p t\u01b0\u1edbi thay th\u1ebf v\u1edbi povidone-iodine - n\u1ebfu kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh n\u00e0o.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Thu\u1ed1c kh\u00e1ng sinh \u0111\u1eb7c hi\u1ec7u t\u1ea1i ch\u1ed7 c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o t\u00fai nha chu sau khi c\u1ea1o v\u00f4i r\u0103ng v\u00e0 c\u1ea1o v\u00f4i r\u0103ng \u0111\u1ec3 gi\u00fap ch\u1eefa l\u00e0nh th\u00eam c\u00e1c m\u00f4 b\u1ecb nhi\u1ec5m tr\u00f9ng. Kh\u00f4ng gi\u1ed1ng nh\u01b0 thu\u1ed1c kh\u00e1ng sinh \u0111\u01b0\u1ee3c d\u00f9ng b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 to\u00e0n th\u00e2n, thu\u1ed1c kh\u00e1ng sinh \u0111\u1eb7c hi\u1ec7u t\u1ea1i ch\u1ed7 \u0111\u01b0\u1ee3c \u0111\u1eb7t c\u1ee5 th\u1ec3 v\u00e0o v\u00f9ng nhi\u1ec5m tr\u00f9ng. C\u00e1c kh\u00e1ng sinh n\u00e0y \u0111\u01b0\u1ee3c \u0111\u1eb7t tr\u1ef1c ti\u1ebfp v\u00e0o t\u00fai nha chu v\u00e0 gi\u1ea3i ph\u00f3ng t\u1eeb t\u1eeb trong m\u1ed9t kho\u1ea3ng th\u1eddi gian. \u0110i\u1ec1u n\u00e0y cho ph\u00e9p thu\u1ed1c th\u1ea5m v\u00e0o c\u00e1c m\u00f4 v\u00e0 ti\u00eau di\u1ec7t vi khu\u1ea9n c\u00f3 th\u1ec3 s\u1ed1ng trong n\u01b0\u1edbu, gi\u00fap kh\u1eed tr\u00f9ng v\u00e0 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i h\u01a1n n\u1eefa cho vi\u1ec7c ch\u1eefa l\u00e0nh. M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c kh\u00e1ng sinh c\u1ee5 th\u1ec3 cho t\u1eebng v\u1ecb tr\u00ed kh\u00f4ng ch\u1ec9 cung c\u1ea5p l\u1ee3i \u00edch n\u00e0y m\u00e0 c\u00f2n t\u1ef1 h\u00e0o c\u00f3 th\u00eam l\u1ee3i \u00edch l\u00e0 gi\u1ea3m \u0111\u1ed9 s\u00e2u t\u00fai. Arestin, m\u1ed9t nh\u00e3n hi\u1ec7u ph\u1ed5 bi\u1ebfn d\u00e0nh ri\u00eang cho v\u1ecb tr\u00ed c\u1ee7a thu\u1ed1c kh\u00e1ng sinh minocycline, \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 th\u1ec3 l\u1ea5y l\u1ea1i chi\u1ec1u cao g\u1eafn l\u1ea1i n\u01b0\u1edbu \u00edt nh\u1ea5t 1 mm.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Trong tr\u01b0\u1eddng h\u1ee3p vi\u00eam nha chu n\u1eb7ng, vi\u1ec7c c\u1ea1o v\u00f4i r\u0103ng v\u00e0 l\u1eadp k\u1ebf ho\u1ea1ch ch\u00e2n r\u0103ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c coi l\u00e0 li\u1ec7u ph\u00e1p ban \u0111\u1ea7u tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n c\u00e1c nhu c\u1ea7u ph\u1eabu thu\u1eadt trong t\u01b0\u01a1ng lai. C\u00e1c th\u1ee7 thu\u1eadt b\u1ed5 sung nh\u01b0 gh\u00e9p x\u01b0\u01a1ng, gh\u00e9p m\u00f4 v\u00e0 \/ ho\u1eb7c ph\u1eabu thu\u1eadt v\u1ea1t n\u01b0\u1edbu do b\u00e1c s\u0129 nha chu th\u1ef1c hi\u1ec7n (nha s\u0129 chuy\u00ean \u0111i\u1ec1u tr\u1ecb nha chu) c\u00f3 th\u1ec3 c\u1ea7n thi\u1ebft \u0111\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng ho\u1eb7c b\u1ec7nh nh\u00e2n b\u1ecb vi\u00eam nha chu kh\u00f3 ch\u1eefa (t\u00e1i ph\u00e1t).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh nha chu n\u1eb7ng ho\u1eb7c ho\u1ea1i t\u1eed c\u00f3 th\u1ec3 ph\u1ea3i th\u1ef1c hi\u1ec7n c\u00e1c b\u01b0\u1edbc ti\u1ebfp theo trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. Nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y th\u01b0\u1eddng c\u00f3 y\u1ebfu t\u1ed1 di truy\u1ec1n ho\u1eb7c h\u1ec7 th\u1ed1ng g\u00f3p ph\u1ea7n v\u00e0o s\u1ef1 ph\u00e1t tri\u1ec3n v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh vi\u00eam nha chu c\u1ee7a h\u1ecd. C\u00e1c v\u00ed d\u1ee5 ph\u1ed5 bi\u1ebfn bao g\u1ed3m b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng lo\u1ea1i I v\u00e0 lo\u1ea1i II, ti\u1ec1n s\u1eed gia \u0111\u00ecnh m\u1eafc b\u1ec7nh nha chu v\u00e0 nh\u1eefng ng\u01b0\u1eddi b\u1ecb suy gi\u1ea3m mi\u1ec5n d\u1ecbch. \u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n nh\u01b0 v\u1eady, b\u00e1c s\u0129 c\u00f3 th\u1ec3 l\u1ea5y m\u1ed9t m\u1eabu t\u1eeb c\u00e1c t\u00fai \u0111\u1ec3 cho ph\u00e9p nu\u00f4i c\u1ea5y v\u00e0 x\u00e1c \u0111\u1ecbnh c\u1ee5 th\u1ec3 h\u01a1n v\u00e0 \u0111i\u1ec1u tr\u1ecb sinh v\u1eadt g\u00e2y b\u1ec7nh. S\u1ef1 can thi\u1ec7p c\u0169ng c\u00f3 th\u1ec3 bao g\u1ed3m vi\u1ec7c ng\u1eebng thu\u1ed1c g\u00e2y t\u1ed5n th\u01b0\u01a1ng cho b\u1ec7nh nh\u00e2n ho\u1eb7c chuy\u1ec3n \u0111\u1ebfn b\u00e1c s\u0129 \u0111\u1ec3 gi\u1ea3i quy\u1ebft t\u00ecnh tr\u1ea1ng hi\u1ec7n c\u00f3 nh\u01b0ng ch\u01b0a \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc \u0111\u00f3 n\u1ebfu n\u00f3 \u0111\u00f3ng m\u1ed9t vai tr\u00f2 trong qu\u00e1 tr\u00ecnh b\u1ec7nh nha chu.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb to\u00e0n mi\u1ec7ng<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Th\u1ee7 t\u1ee5c g\u1ee1 r\u1ed1i \u201ctruy\u1ec1n th\u1ed1ng\u201d bao g\u1ed3m b\u1ed1n phi\u00ean c\u00e1ch nhau hai tu\u1ea7n, th\u1ef1c hi\u1ec7n m\u1ed9t g\u00f3c ph\u1ea7n t\u01b0 (m\u1ed9t ph\u1ea7n t\u01b0 mi\u1ec7ng) m\u1ed7i phi\u00ean. N\u0103m 1995, m\u1ed9t nh\u00f3m \u1edf Leuven \u0111\u1ec1 xu\u1ea5t th\u1ef1c hi\u1ec7n to\u00e0n b\u1ed9 mi\u1ec7ng trong kho\u1ea3ng 24 gi\u1edd (hai bu\u1ed5i). Khi \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng d\u1ee5ng c\u1ee5 si\u00eau \u00e2m, \u0111\u00e2y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 kh\u1eed tr\u00f9ng b\u1eb1ng si\u00eau \u00e2m to\u00e0n mi\u1ec7ng (FMUD). C\u01a1 s\u1edf l\u00fd lu\u1eadn cho vi\u1ec7c kh\u1eed s\u1ea1ch to\u00e0n b\u1ed9 mi\u1ec7ng l\u00e0 c\u00e1c g\u00f3c ph\u1ea7n t\u01b0 \u0111\u00e3 \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch s\u1ebd kh\u00f4ng b\u1ecb t\u00e1i nhi\u1ec5m vi khu\u1ea9n t\u1eeb c\u00e1c g\u00f3c ph\u1ea7n t\u01b0 ch\u01b0a \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch. C\u00e1c \u01b0u \u0111i\u1ec3m kh\u00e1c c\u1ee7a kh\u1eed tr\u00f9ng b\u1eb1ng si\u00eau \u00e2m to\u00e0n mi\u1ec7ng bao g\u1ed3m t\u1ed1c \u0111\u1ed9 \/ gi\u1ea3m th\u1eddi gian \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m nhu c\u1ea7u g\u00e2y m\u00ea, v\u1edbi k\u1ebft qu\u1ea3 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi vi\u1ec7c m\u1edf r\u1ed9ng quy m\u00f4 v\u00e0 l\u1eadp k\u1ebf ho\u1ea1ch. M\u1ed9t nghi\u00ean c\u1ee9u cho th\u1ea5y r\u1eb1ng th\u1eddi gian trung b\u00ecnh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb m\u1ed7i t\u00fai b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p kh\u1eed tr\u00f9ng b\u1eb1ng s\u00f3ng si\u00eau \u00e2m to\u00e0n mi\u1ec7ng l\u00e0 3,3 ph\u00fat, trong khi m\u1ea5t 8,8 ph\u00fat cho m\u1ed7i t\u00fai \u0111\u1ed1i v\u1edbi c\u1ea1o v\u00f4i r\u0103ng g\u00f3c ph\u1ea7n t\u01b0 v\u00e0 c\u1ea1o v\u00f4i r\u0103ng (SRP). S\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 s\u1ef1 c\u1ea3i thi\u1ec7n kh\u00f4ng c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea. C\u00e1c nghi\u00ean c\u1ee9u c\u1ee7a nh\u00f3m Leuven, s\u1eed d\u1ee5ng c\u00e1c giao th\u1ee9c h\u01a1i kh\u00e1c nhau, ph\u00e1t hi\u1ec7n ra r\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1ed9t giai \u0111o\u1ea1n (t\u1ee9c l\u00e0 trong 24 gi\u1edd) cho k\u1ebft qu\u1ea3 t\u1ed1t h\u01a1n so v\u1edbi ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn theo g\u00f3c ph\u1ea7n t\u01b0 (m\u1ea5t s\u00e1u tu\u1ea7n). H\u1ecd c\u0169ng cho b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng chlorhexidine trong hai th\u00e1ng sau khi \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Chi\u1ec1u s\u00e2u c\u1ee7a k\u1ebf ho\u1ea1ch<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">M\u1ed9t c\u00e2u h\u1ecfi kh\u00e1c trong vi\u1ec7c l\u00e0m s\u1ea1ch r\u0103ng l\u00e0 n\u00ean lo\u1ea1i b\u1ecf bao nhi\u00eau xi m\u0103ng ho\u1eb7c nh\u1ef1a th\u00f4ng ra kh\u1ecfi ch\u00e2n r\u0103ng. S\u1ef1 \u00f4 nhi\u1ec5m vi khu\u1ea9n tr\u00ean b\u1ec1 m\u1eb7t ch\u00e2n r\u0103ng b\u1ecb h\u1ea1n ch\u1ebf v\u1ec1 \u0111\u1ed9 s\u00e2u, v\u00ec v\u1eady vi\u1ec7c l\u1eadp k\u1ebf ho\u1ea1ch r\u1ed9ng r\u00e3i lo\u1ea1i b\u1ecf xi m\u0103ng - nh\u01b0 \u0111\u01b0\u1ee3c \u1ee7ng h\u1ed9 b\u1edfi ph\u01b0\u01a1ng ph\u00e1p c\u1ea1o v\u00f4i r\u0103ng v\u00e0 b\u00e0o ch\u00e2n r\u0103ng truy\u1ec1n th\u1ed1ng - l\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft \u0111\u1ec3 cho ph\u00e9p ch\u1eefa l\u00e0nh nha chu v\u00e0 h\u00ecnh th\u00e0nh c\u00e1c \u1ed5 b\u00e1m m\u1edbi. Tr\u00e1i ng\u01b0\u1ee3c v\u1edbi ph\u01b0\u01a1ng ph\u00e1p c\u1ea1o v\u00f4i v\u00e0 b\u00e0o ch\u00e2n r\u0103ng truy\u1ec1n th\u1ed1ng, m\u1ee5c \u0111\u00edch c\u1ee7a m\u1ed9t s\u1ed1 th\u1ee7 thu\u1eadt FMUD l\u00e0 l\u00e0m x\u00e1o tr\u1ed9n m\u00e0ng sinh h\u1ecdc vi khu\u1ea9n trong t\u00fai nha chu m\u00e0 kh\u00f4ng lo\u1ea1i b\u1ecf xi m\u0103ng. Th\u00f4ng th\u01b0\u1eddng, vi\u1ec7c l\u1eadp k\u1ebf ho\u1ea1ch ch\u00e2n r\u0103ng s\u1ebd y\u00eau c\u1ea7u s\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5 c\u1ea7m tay nh\u01b0 d\u1ee5ng c\u1ee5 n\u1ea1o nha khoa chuy\u00ean d\u1ee5ng thay v\u00ec c\u00e1c \u0111\u1ea7u c\u1ea1o v\u00f4i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong FMUD \u0111\u1ec3 m\u00e0i m\u00f2n b\u1ec1 m\u1eb7t ch\u00e2n r\u0103ng v\u00e0 t\u00fai nha chu.<\/span><\/p>","protected":false},"author":2,"featured_media":0,"parent":0,"template":"","dental-glossary-categories":[4516,4534,4543],"class_list":["post-54457","dental-glossary","type-dental-glossary","status-publish","hentry","dental-glossary-categories-all","dental-glossary-categories-r","dental-glossary-categories-terms-and-procedures"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/dental-glossary\/54457","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/dental-glossary"}],"about":[{"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/types\/dental-glossary"}],"author":[{"embeddable":true,"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/users\/2"}],"version-history":[{"count":0,"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/dental-glossary\/54457\/revisions"}],"wp:attachment":[{"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/media?parent=54457"}],"wp:term":[{"taxonomy":"dental-glossary-categories","embeddable":true,"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/dental-glossary-categories?post=54457"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}