{"id":54558,"date":"2021-03-29T21:02:55","date_gmt":"2021-03-29T21:02:55","guid":{"rendered":"http:\/\/demo.dentalvibe.com\/dental-glossary\/endodontics\/"},"modified":"2021-04-06T21:28:53","modified_gmt":"2021-04-06T21:28:53","slug":"endodontics","status":"publish","type":"dental-glossary","link":"https:\/\/dentalvibe.com\/vi\/dental-glossary\/endodontics\/","title":{"rendered":"N\u1ed9i nha"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">N\u1ed9i nha l\u00e0 m\u1ed9t nh\u00e1nh c\u1ee7a nha khoa gi\u1ea3i quy\u1ebft t\u1ee7y r\u0103ng v\u00e0 c\u00e1c m\u00f4 bao quanh ch\u00e2n r\u0103ng. V\u1ec1 c\u01a1 b\u1ea3n, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0y l\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ee7y r\u0103ng, nh\u01b0ng n\u00f3 \u0111i s\u00e2u h\u01a1n th\u1ebf r\u1ea5t nhi\u1ec1u. \u0110i\u1ec1u tr\u1ecb n\u1ed9i nha \u0111i\u1ec1u tr\u1ecb b\u00ean trong r\u0103ng, c\u1ee5 th\u1ec3 h\u01a1n l\u00e0 ph\u1ea7n m\u00f4 m\u1ec1m t\u1ee7y r\u0103ng. \u0110i\u1ec1u tr\u1ecb n\u00e0y th\u1ef1c s\u1ef1 ti\u1ebft ki\u1ec7m r\u0103ng, v\u00ec v\u1eady b\u00e1c s\u0129 n\u1ed9i nha chuy\u00ean v\u1ec1 gi\u00fap c\u1ee9u r\u0103ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110\u1ec3 tr\u1edf th\u00e0nh m\u1ed9t b\u00e1c s\u0129 n\u1ed9i nha y\u00eau c\u1ea7u m\u1ed9t ng\u01b0\u1eddi ph\u1ea3i ho\u00e0n th\u00e0nh \u00edt nh\u1ea5t hai n\u0103m ho\u1eb7c nhi\u1ec1u h\u01a1n ch\u01b0\u01a1ng tr\u00ecnh \u0111\u00e0o t\u1ea1o n\u00e2ng cao v\u1ec1 l\u0129nh v\u1ef1c n\u00e0y sau tr\u01b0\u1eddng nha khoa. C\u00f3 r\u1ea5t nhi\u1ec1u quy tr\u00ecnh n\u1ed9i nha th\u00f4ng th\u01b0\u1eddng v\u00e0 c\u00f3 r\u1ea5t nhi\u1ec1u quy tr\u00ecnh ph\u1ee9c t\u1ea1p v\u00e0 r\u1ea5t kh\u00f3 thu\u1ed9c l\u0129nh v\u1ef1c n\u1ed9i nha.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">B\u00e1c s\u0129 n\u1ed9i nha l\u00e0 m\u1ed9t chuy\u00ean gia c\u00f3 th\u1ec3 qu\u1ea3n l\u00fd m\u1ed9t lo\u1ea1t c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00f3 v\u1ec1 n\u1ed9i nha m\u1ed9t c\u00e1ch th\u00e0nh th\u1ea1o v\u00e0 hi\u1ec7u qu\u1ea3. C\u00f3 r\u1ea5t nhi\u1ec1u k\u1ef9 thu\u1eadt chuy\u00ean bi\u1ec7t v\u00e0 c\u00f4ng ngh\u1ec7 ti\u00ean ti\u1ebfn \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng b\u1edfi c\u00e1c b\u00e1c s\u0129 n\u1ed9i nha cho ph\u00e9p h\u1ecd c\u00f3 c\u00e1i nh\u00ecn r\u1ea5t ch\u00ednh x\u00e1c v\u1ec1 b\u00ean trong c\u1ee7a r\u0103ng. Vi\u1ec7c c\u00f3 th\u1ec3 quan s\u00e1t ch\u00ednh x\u00e1c b\u00ean trong r\u0103ng cho ph\u00e9p b\u00e1c s\u0129 n\u1ed9i nha kh\u00f4ng ch\u1ec9 \u0111i\u1ec1u tr\u1ecb r\u0103ng m\u00e0 c\u00f2n l\u00e0m vi\u1ec7c \u0111\u00f3 m\u1ed9t c\u00e1ch nhanh ch\u00f3ng v\u00e0 tho\u1ea3i m\u00e1i.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Khi nh\u00ecn v\u00e0o n\u1ed9i nha, ch\u00fang ta th\u1ea5y vi\u1ec7c th\u1ef1c h\u00e0nh li\u00ean quan \u0111\u1ebfn vi\u1ec7c th\u1ef1c h\u00e0nh khoa h\u1ecdc l\u00e2m s\u00e0ng c\u00f9ng v\u1edbi khoa h\u1ecdc c\u01a1 b\u1ea3n v\u1ec1 t\u1ee7y r\u0103ng, c\u0103n nguy\u00ean, ph\u00e2n t\u00edch, ng\u0103n ch\u1eb7n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh v\u00e0 c\u1ea3 ch\u1ea5n th\u01b0\u01a1ng c\u1ee7a t\u1ee7y r\u0103ng c\u00f9ng v\u1edbi c\u00e1c \u0111i\u1ec1u ki\u1ec7n kh\u00e1c li\u00ean quan \u0111\u1ebfn v\u00f9ng quanh r\u0103ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">T\u1ee7y r\u0103ng l\u00e0 ph\u1ea7n m\u00e0 b\u1ea1n s\u1ebd t\u00ecm th\u1ea5y \u1edf trung t\u00e2m c\u1ee7a r\u0103ng. Khu v\u1ef1c n\u00e0y \u0111\u01b0\u1ee3c t\u1ea1o th\u00e0nh t\u1eeb c\u00e1c t\u1ebf b\u00e0o \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 nguy\u00ean b\u00e0o tr\u1ee9ng v\u00e0 c\u0169ng \u0111\u01b0\u1ee3c t\u1ea1o th\u00e0nh t\u1eeb c\u00e1c m\u00f4 li\u00ean k\u1ebft s\u1ed1ng. T\u1ee7y r\u0103ng th\u1ef1c ch\u1ea5t l\u00e0 b\u00f3 m\u1ea1ch th\u1ea7n kinh trung t\u00e2m c\u1ee7a m\u1ed7i r\u0103ng; v\u00e0 \u0111i\u1ec1u n\u00e0y d\u00e0nh cho r\u0103ng ch\u00ednh c\u0169ng nh\u01b0 r\u0103ng v\u0129nh vi\u1ec5n. B\u00f3 t\u1ea1o n\u00ean t\u1ee7y r\u0103ng bao g\u1ed3m: bu\u1ed3ng t\u1ee7y trung t\u00e2m, s\u1eebng t\u1ee7y v\u00e0 c\u1ea3 \u1ed1ng t\u1ee7y.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bu\u1ed3ng t\u1ee7y trung t\u00e2m: Bu\u1ed3ng t\u1ee7y trung t\u00e2m n\u1eb1m d\u01b0\u1edbi l\u1edbp ng\u00e0 r\u0103ng, v\u00e0 \u0111\u00e2y l\u00e0 kh\u00f4ng gian s\u1ed1ng c\u1ee7a t\u1ee7y r\u0103ng. C\u00e1c d\u00e2y th\u1ea7n kinh, m\u1ea1ch m\u00e1u v\u00e0 m\u00f4 li\u00ean k\u1ebft \u0111\u1ec1u \u0111i qua bu\u1ed3ng t\u1ee7y trung t\u00e2m \u0111\u1ec3 \u0111\u1ebfn v\u00f9ng b\u00ean trong c\u1ee7a r\u0103ng.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">S\u1eebng t\u1ee7y: S\u1eebng t\u1ee7y l\u00e0 nh\u1eefng \u0111i\u1ec3m trong \u0111\u00f3 bu\u1ed3ng t\u1ee7y k\u00e9o d\u00e0i v\u1ec1 ph\u00eda \u0111\u1ec9nh c\u1ee7a r\u0103ng. C\u00f3 c\u00e1c l\u1ed7 \u1edf \u0111\u00e1y bu\u1ed3ng b\u1ed9t gi\u1ea5y; nh\u1eefng l\u1ed7 n\u00e0y cho ph\u00e9p c\u00e1c s\u1ee3i \u0111i v\u00e0o khoang qua ch\u00e2n r\u0103ng. N\u00f3i chung c\u00f3 m\u1ed9t s\u1eebng tr\u00ean m\u1ed7i \u0111\u1ec9nh ch\u1ee9c n\u0103ng. \u1ede nh\u1eefng r\u0103ng c\u1eeda tr\u1ebb h\u01a1n, n\u00f3 s\u1ebd l\u00e0 ba s\u1eebng t\u1ee7y.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">K\u00eanh th\u1ea5u k\u00ednh: K\u00eanh th\u1ea5u k\u00ednh l\u00e0 ph\u1ea7n \u0111\u1ec7m b\u00ean c\u1ee7a \u1ed1ng s\u1ed1ng c\u00f3 ch\u1ee9a r\u1ec5 th\u1ea7n kinh c\u1ed9t s\u1ed1ng t\u1eeb \u0111i\u1ec3m xu\u1ea5t hi\u1ec7n qua v\u1ecf th\u1ea7n kinh bao g\u1ed3m c\u00e1c \u1ed5 \u0111\u0129a \u0111\u1ec7m.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">T\u1ee7y r\u0103ng c\u00f3 n\u1ec1n t\u01b0\u01a1ng t\u1ef1 nh\u01b0 ng\u00e0 r\u0103ng. C\u1ea3 hai t\u00ecnh c\u1edd \u0111\u1ec1u b\u1eaft ngu\u1ed3n t\u1eeb nh\u00fa r\u0103ng c\u1ee7a m\u1ea7m r\u0103ng. Trong qu\u00e1 tr\u00ecnh t\u1ea1o r\u0103ng, khi ng\u00e0 r\u0103ng h\u00ecnh th\u00e0nh xung quanh nh\u00fa r\u0103ng, m\u00f4 trong c\u00f9ng \u0111\u01b0\u1ee3c coi l\u00e0 t\u1ee7y r\u0103ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u00f3 4 giai \u0111o\u1ea1n ph\u00e1t tri\u1ec3n ch\u00ednh c\u1ee7a r\u0103ng:<\/span><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\">Giai \u0111o\u1ea1n ch\u1ed3i<\/span><\/li>\n<li>Cap giai \u0111o\u1ea1n<\/li>\n<li>S\u00e2n kh\u1ea5u chu\u00f4ng<\/li>\n<li>Giai \u0111o\u1ea1n v\u01b0\u01a1ng mi\u1ec7n<\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Nh\u1eefng d\u1ea5u hi\u1ec7u \u0111\u1ea7u ti\u00ean c\u1ee7a s\u1ef1 ph\u00e1t tri\u1ec3n r\u0103ng \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn l\u00e0 s\u1edbm nh\u1ea5t l\u00e0 v\u00e0o tu\u1ea7n th\u1ee9 6 c\u1ee7a cu\u1ed9c s\u1ed1ng trong t\u1eed cung. Bi\u1ec3u m\u00f4 mi\u1ec7ng b\u1eaft \u0111\u1ea7u nh\u00e2n l\u00ean v\u00e0 x\u00e2m nh\u1eadp v\u00e0o c\u00e1c t\u1ebf b\u00e0o ectomesenchyme l\u00e0m ph\u00e1t sinh l\u1edbp m\u00e0ng r\u0103ng. L\u1edbp lam r\u0103ng l\u00e0 ngu\u1ed3n g\u1ed1c c\u1ee7a ch\u1ed3i r\u0103ng. Giai \u0111o\u1ea1n ch\u1ed3i ti\u1ebfn l\u00ean giai \u0111o\u1ea1n n\u1eafp khi bi\u1ec3u m\u00f4 h\u00ecnh th\u00e0nh c\u01a1 quan men. C\u00e1c t\u1ebf b\u00e0o ectomesenchyme c\u00f4 \u0111\u1eb7c h\u01a1n n\u1eefa v\u00e0 tr\u1edf th\u00e0nh nh\u00fa r\u0103ng. C\u00f9ng v\u1edbi nhau, c\u01a1 quan bi\u1ec3u m\u00f4 men v\u00e0 nh\u00fa v\u00e0 nang r\u0103ng ngo\u1ea1i m\u00f4 h\u00ecnh th\u00e0nh m\u1ea7m r\u0103ng. Nh\u00fa r\u0103ng l\u00e0 ngu\u1ed3n g\u1ed1c c\u1ee7a t\u1ee7y r\u0103ng. C\u00e1c t\u1ebf b\u00e0o \u1edf ngo\u1ea1i vi c\u1ee7a nh\u00fa r\u0103ng tr\u1ea3i qua qu\u00e1 tr\u00ecnh ph\u00e2n chia v\u00e0 bi\u1ec7t h\u00f3a t\u1ebf b\u00e0o \u0111\u1ec3 tr\u1edf th\u00e0nh nguy\u00ean b\u00e0o r\u0103ng. Nguy\u00ean b\u00e0o b\u1ed9t h\u00ecnh th\u00e0nh \u1edf gi\u1eefa t\u1ee7y r\u0103ng. \u0110i\u1ec1u n\u00e0y ho\u00e0n th\u00e0nh s\u1ef1 h\u00ecnh th\u00e0nh c\u1ee7a b\u1ed9t gi\u1ea5y. T\u1ee7y r\u0103ng th\u1ef1c ch\u1ea5t l\u00e0 m\u1ed9t nh\u00fa r\u0103ng \u0111\u00e3 tr\u01b0\u1edfng th\u00e0nh.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a t\u1ee7y r\u0103ng c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh hai giai \u0111o\u1ea1n:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a t\u1ee7y r\u0103ng (g\u1ea7n th\u00e2n r\u0103ng) v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a t\u1ee7y r\u0103ng (\u0111\u1ec9nh c\u1ee7a r\u0103ng).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">T\u1ee7y r\u0103ng ph\u00e1t tri\u1ec3n 4 v\u00f9ng t\u1eeb ngo\u1ea1i vi \u0111\u1ebfn t\u1ee7y trung t\u00e2m:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">V\u00f9ng 1: L\u1edbp Odontoblast<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">V\u00f9ng 2: V\u00f9ng kh\u00f4ng c\u00f3 t\u1ebf b\u00e0o - c\u00f3 th\u1ec3 l\u00e0 \u0111\u1ed3 t\u1ea1o t\u00e1c<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">V\u00f9ng 3: V\u00f9ng gi\u00e0u \u00f4<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">V\u00f9ng 4: L\u00f5i b\u1ed9t gi\u1ea5y<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">N\u1ed9i nha quan tr\u1ecdng trong nhi\u1ec1u kh\u00eda c\u1ea1nh kh\u00e1c nhau. N\u00f3 th\u1ef1c s\u1ef1 li\u00ean quan \u0111\u1ebfn vi\u1ec7c b\u1ea3o t\u1ed3n m\u1ed9t ph\u1ea7n c\u00f9i r\u0103ng, ho\u1eb7c th\u1eadm ch\u00ed c\u00f3 th\u1ec3 l\u00e0 to\u00e0n b\u1ed9 c\u00f9i r\u0103ng. N\u00f3 th\u1eadm ch\u00ed c\u00f3 th\u1ec3 l\u00e0 t\u1ea5t c\u1ea3 c\u00e1c b\u1ed9t gi\u1ea5y c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra khi ph\u00e1t hi\u1ec7n c\u00f3 b\u1ec7nh kh\u00f4ng th\u1ec3 ph\u1ee5c h\u1ed3i. M\u1ed9t s\u1ed1 trong s\u1ed1 n\u00e0y bao g\u1ed3m r\u0103ng b\u1ecb vi\u00eam kh\u00f4ng th\u1ec3 ph\u1ee5c h\u1ed3i v\u00e0 c\u1ea3 r\u0103ng b\u1ecb nhi\u1ec5m tr\u00f9ng m\u00f4 pulpal. N\u1ed9i nha li\u00ean quan \u0111\u1ebfn vi\u1ec7c \u0111i\u1ec1u tr\u1ecb khi c\u00f3 t\u1ee7y r\u0103ng, nh\u01b0ng \u0111\u00e2y kh\u00f4ng ph\u1ea3i l\u00e0 l\u1ea7n \u0111i\u1ec1u tr\u1ecb duy nh\u1ea5t. \u0110i\u1ec1u tr\u1ecb n\u1ed9i nha c\u0169ng c\u1ea7n thi\u1ebft khi b\u1ea3o t\u1ed3n nh\u1eefng r\u0103ng kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt, ho\u1eb7c ngay c\u1ea3 \u0111\u1ed1i v\u1edbi nh\u1eefng r\u0103ng \u0111\u00e3 c\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u1edbi.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u1eb7c d\u00f9 \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn, nh\u01b0ng \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u00e0 m\u1ed9t trong nh\u1eefng th\u1ee7 t\u1ee5c ph\u1ed5 bi\u1ebfn nh\u1ea5t. B\u1ea5t c\u1ee9 khi n\u00e0o t\u1ee7y r\u0103ng b\u1ecb b\u1ec7nh ho\u1eb7c b\u1ecb th\u01b0\u01a1ng, \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 c\u1ee9u l\u1ea5y ch\u00e2n r\u0103ng. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 quy tr\u00ecnh s\u1ebd thu\u1ed9c ph\u1ea1m vi n\u1ed9i nha c\u1ee7a l\u0129nh v\u1ef1c nha khoa.<\/span><\/p>","protected":false},"author":2,"featured_media":0,"parent":0,"template":"","dental-glossary-categories":[4516,4521,4543],"class_list":["post-54558","dental-glossary","type-dental-glossary","status-publish","hentry","dental-glossary-categories-all","dental-glossary-categories-e","dental-glossary-categories-terms-and-procedures"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/dental-glossary\/54558","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\/54558\/revisions"}],"wp:attachment":[{"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/media?parent=54558"}],"wp:term":[{"taxonomy":"dental-glossary-categories","embeddable":true,"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/dental-glossary-categories?post=54558"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}