{"id":54568,"date":"2021-03-29T21:02:57","date_gmt":"2021-03-29T21:02:57","guid":{"rendered":"http:\/\/demo.dentalvibe.com\/dental-glossary\/tmj-disorders\/"},"modified":"2021-04-09T22:39:46","modified_gmt":"2021-04-09T22:39:46","slug":"tmj-disorders","status":"publish","type":"dental-glossary","link":"https:\/\/dentalvibe.com\/vi\/dental-glossary\/tmj-disorders\/","title":{"rendered":"R\u1ed1i lo\u1ea1n TMJ"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">R\u1ed1i lo\u1ea1n kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m g\u00e2y kh\u00f3 ch\u1ecbu \u1edf b\u1ea3n l\u1ec1 n\u1ed1i hai x\u01b0\u01a1ng s\u1ecd th\u00e1i d\u01b0\u01a1ng, n\u1eb1m \u1edf hai b\u00ean mang tai, v\u1edbi H\u00e0m.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m ho\u1ea1t \u0111\u1ed9ng nh\u01b0 m\u1ed9t b\u1ea3n l\u1ec1 tr\u01b0\u1ee3t cho ph\u00e9p chuy\u1ec3n \u0111\u1ed9ng l\u00ean xu\u1ed1ng ho\u1eb7c sang hai b\u00ean. Tuy nhi\u00ean, m\u1ed9t ch\u1ee9ng r\u1ed1i lo\u1ea1n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 R\u1ed1i lo\u1ea1n kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m (TMJ) c\u00f3 th\u1ec3 g\u00e2y \u0111au kh\u1edbp v\u00e0 c\u01a1 ng\u0103n c\u1ea3n s\u1ef1 tho\u1ea3i m\u00e1i khi c\u1eed \u0111\u1ed9ng h\u00e0m. M\u1eb7c d\u00f9 R\u1ed1i lo\u1ea1n TMJ v\u1eabn c\u00f2n ph\u1ed5 bi\u1ebfn, nh\u01b0ng nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c c\u1ee7a ch\u1ee9ng r\u1ed1i lo\u1ea1n n\u00e0y v\u1eabn kh\u00f3 x\u00e1c \u0111\u1ecbnh<\/span><\/p>\n<h2><b>Nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn g\u00e2y r\u1ed1i lo\u1ea1n TMJ<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">C\u01a1n \u0111au b\u1ea1n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y khi c\u1eed \u0111\u1ed9ng h\u00e0m c\u00f3 th\u1ec3 ph\u00e1t sinh do s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 sau:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Di truy\u1ec1n h\u1ecdc<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vi\u00eam kh\u1edbp<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u1ea5n th\u01b0\u01a1ng h\u00e0m<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u1ea5n th\u01b0\u01a1ng r\u0103ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">H\u00e0m \/ r\u0103ng l\u1ec7ch l\u1ea1c<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nghi\u1ebfn r\u0103ng ho\u1eb7c nghi\u1ebfn r\u0103ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u01b0 th\u1ebf k\u00e9m<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">M\u1eb7c d\u00f9 m\u1ed9t s\u1ed1 ng\u01b0\u1eddi th\u01b0\u1eddng nghi\u1ebfn r\u0103ng ho\u1eb7c nghi\u1ebfn r\u0103ng theo th\u00f3i quen v\u00e0 hi\u1ebfm khi b\u1ecb r\u1ed1i lo\u1ea1n TMJ. C\u01a1n \u0111au li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n TMJ th\u01b0\u1eddng bi\u1ebfn m\u1ea5t th\u00f4ng qua \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt. R\u1ed1i lo\u1ea1n TMJ c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t b\u1eb1ng c\u00e1c bi\u1ec7n ph\u00e1p ch\u0103m s\u00f3c t\u1ef1 qu\u1ea3n l\u00fd v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p b\u1ea3o t\u1ed3n. Ph\u01b0\u01a1ng ph\u00e1p cu\u1ed1i c\u00f9ng n\u00ean can thi\u1ec7p b\u1eb1ng ph\u1eabu thu\u1eadt. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c h\u01b0\u1edfng l\u1ee3i t\u1eeb \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt.<\/span><\/p>\n<h2><b>C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a r\u1ed1i lo\u1ea1n TMJ<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">C\u00e1c kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m c\u00f3 c\u1ea5u tr\u00fac ph\u1ee9c t\u1ea1p v\u00e0 b\u1ea5t k\u1ef3 ch\u1ea5n th\u01b0\u01a1ng n\u00e0o \u0111\u1ed1i v\u1edbi c\u00e1c x\u01b0\u01a1ng, c\u01a1 v\u00e0 g\u00e2n n\u00e0y \u0111\u1ec1u c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn \u0111au. T\u00f9y thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c g\u00e2y ra c\u01a1n \u0111au c\u1ee7a b\u1ea1n, b\u1ea1n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y \u0111au \u1edf m\u1ed9t ho\u1eb7c c\u1ea3 hai b\u00ean c\u1ee7a v\u00f9ng h\u00e0m. B\u00ean c\u1ea1nh \u0111\u00f3, c\u01a1n \u0111au c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n khi ng\u01b0\u1eddi ta ng\u00e1p, nhai, n\u00f3i chuy\u1ec7n ho\u1eb7c th\u1eadm ch\u00ed khi ngh\u1ec9 ng\u01a1i. C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn m\u00e0 b\u1ea1n n\u00ean ch\u00fa \u00fd bao g\u1ed3m:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au m\u1eb7t<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kh\u00f3 \/ \u0111au khi nhai<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kh\u00f3 kh\u0103n khi m\u1edf ho\u1eb7c \u0111\u00f3ng mi\u1ec7ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au c\u01a1 th\u00e1i d\u01b0\u01a1ng h\u00e0m<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kh\u00f3 ch\u1ecbu \u1edf h\u00e0m<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nh\u1ee9c \u0111\u1ea7u<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">H\u00e0m nh\u1ea5p v\u00e0 nh\u1ea3y h\u00e0m<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au nh\u1ee9c c\u01a1 h\u00e0m<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kh\u00f3a kh\u1edbp<\/span><\/li>\n<\/ul>\n<h2><b>Ch\u1ea9n \u0111o\u00e1n R\u1ed1i lo\u1ea1n TMJ<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">L\u00ean k\u1ebf ho\u1ea1ch \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129, ng\u01b0\u1eddi s\u1ebd th\u1ea3o lu\u1eadn v\u1ec1 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau c\u1ee7a r\u1ed1i lo\u1ea1n TMJ. Nha s\u0129 c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n v\u1ec1 r\u1ed1i lo\u1ea1n TMJ. Khi b\u1ea1n \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 \/ nha s\u0129, h\u1ecd c\u00f3 th\u1ec3 s\u1ebd l\u1eafng nghe \u0111\u1ec3 c\u1ea3m nh\u1eadn chuy\u1ec3n \u0111\u1ed9ng h\u00e0m c\u1ee7a b\u1ea1n trong khi b\u1ea1n n\u00f3i, \u0103n ho\u1eb7c ng\u00e1p. B\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 ki\u1ec3m tra m\u1ee9c \u0111\u1ed9 di chuy\u1ec3n H\u00e0m c\u1ee7a b\u1ea1n. H\u1ecd c\u0169ng c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c v\u1ecb tr\u00ed g\u00e2y kh\u00f3 ch\u1ecbu ho\u1eb7c \u0111au b\u1eb1ng c\u00e1ch \u1ea5n v\u00e0o c\u00e1c v\u00f9ng xung quanh H\u00e0m. N\u1ebfu b\u00e1c s\u0129 nghi ng\u1edd c\u00f3 v\u1ea5n \u0111\u1ec1, h\u1ecd ph\u1ea3i cho ph\u00e9p ki\u1ec3m tra th\u00eam b\u1eb1ng c\u00e1ch:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ti\u1ebfn h\u00e0nh ch\u1ee5p X-quang r\u0103ng h\u00e0m v\u00e0 r\u0103ng c\u1ee7a b\u1ea1n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Y\u00eau c\u1ea7u ch\u1ee5p CT kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh x\u01b0\u01a1ng kh\u1edbp li\u00ean quan.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ti\u1ebfn h\u00e0nh ch\u1ee5p MRI cho c\u00e1c m\u00f4 m\u1ec1m xung quanh kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m v\u00e0 \u0111\u0129a \u0111\u1ec7m kh\u1edbp cho th\u1ea5y ch\u00ednh x\u00e1c v\u1ea5n \u0111\u1ec1<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">C\u00e1c b\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh n\u1ed9i soi kh\u1edbp TMJ trong khi ch\u1ea9n \u0111o\u00e1n c\u00e1c r\u1ed1i lo\u1ea1n TMJ. B\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u01b0a m\u1ed9t \u1ed1ng th\u00f4ng v\u00e0o khoang kh\u1edbp trong qu\u00e1 tr\u00ecnh n\u1ed9i soi kh\u1edbp TMJ. \u1ed0ng n\u1ed9i soi ho\u1eb7c \u1ed1ng m\u1ecfng nh\u1ecf gi\u00fap b\u00e1c s\u0129 \u0111\u01b0a m\u1ed9t m\u00e1y \u1ea3nh nh\u1ecf \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u1ed1ng n\u1ed9i soi kh\u1edbp v\u00e0o kh\u00f4ng gian kh\u1edbp \u0111\u1ec3 xem khu v\u1ef1c \u0111\u00f3 v\u00e0 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c nguy\u00ean nh\u00e2n g\u00e2y ra r\u1ed1i lo\u1ea1n TMJ c\u1ee7a b\u1ec7nh nh\u00e2n.<\/span><\/p>\n<h2><b>\u0110i\u1ec1u tr\u1ecb R\u1ed1i lo\u1ea1n TMJ<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p v\u00e0 tri\u1ec7u ch\u1ee9ng r\u1ed1i lo\u1ea1n TMJ \u0111\u1ec1u bi\u1ebfn m\u1ea5t m\u00e0 kh\u00f4ng c\u1ea7n can thi\u1ec7p y t\u1ebf. Th\u1eadt kh\u00f4ng may, n\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ea1n v\u1eabn ti\u1ebfp di\u1ec5n, th\u00ec \u0111\u00e3 \u0111\u1ebfn l\u00fac b\u1ea1n n\u00ean \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129, ng\u01b0\u1eddi c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb li\u1ec7u ph\u00e1p, can thi\u1ec7p ph\u1eabu thu\u1eadt, thu\u1ed1c ho\u1eb7c c\u00e1c bi\u1ec7n ph\u00e1p kh\u1eafc ph\u1ee5c t\u1ea1i nh\u00e0 \/ l\u1ed1i s\u1ed1ng. B\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb m\u1ed9t ho\u1eb7c k\u1ebft h\u1ee3p c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb \u0111\u1ed3ng th\u1eddi.<\/span><\/p>\n<h3><b>Thu\u1ed1c<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Thu\u1ed1c sau \u0111\u00e2y gi\u00fap gi\u1ea3m \u0111au do r\u1ed1i lo\u1ea1n JMJ.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Thu\u1ed1c ch\u1ed1ng vi\u00eam ho\u1eb7c thu\u1ed1c gi\u1ea3m \u0111au<\/b><span style=\"font-weight: 400;\">- b\u00e1c s\u0129 c\u00f3 th\u1ec3 k\u00ea \u0111\u01a1n thu\u1ed1c gi\u1ea3m \u0111au m\u1ea1nh n\u1ebfu thu\u1ed1c gi\u1ea3m \u0111au kh\u00f4ng k\u00ea \u0111\u01a1n kh\u00f4ng ch\u1ee9ng minh \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 \u0111\u1ed1i v\u1edbi c\u01a1n \u0111au TMJ c\u1ee7a b\u1ea1n.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ba v\u00f2ng- <\/b><span style=\"font-weight: 400;\">Thu\u1ed1c n\u00e0y, n\u1ebfu \u0111\u01b0\u1ee3c d\u00f9ng v\u1edbi li\u1ec1u l\u01b0\u1ee3ng th\u1ea5p, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111au, ki\u1ec3m so\u00e1t ch\u1ee9ng m\u1ea5t ng\u1ee7 v\u00e0 ch\u1ee9ng Bruxism, m\u1eb7c d\u00f9 m\u1ee5c \u0111\u00edch ch\u00ednh c\u1ee7a ch\u00fang l\u00e0 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb tr\u1ea7m c\u1ea3m.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Thu\u1ed1c gi\u00e3n c\u01a1-<\/b><span style=\"font-weight: 400;\"> Co th\u1eaft c\u01a1 c\u00f3 th\u1ec3 g\u00e2y ra c\u01a1n \u0111au li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n TMJ. D\u00f9ng thu\u1ed1c gi\u00e3n c\u01a1 trong th\u1eddi gian ng\u1eafn c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au.<\/span><\/li>\n<\/ul>\n<h3><b>Tr\u1ecb li\u1ec7u<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">C\u00e1c li\u1ec7u ph\u00e1p kh\u00f4ng ph\u1eabu thu\u1eadt v\u00e0 kh\u00f4ng d\u00f9ng thu\u1ed1c c\u0169ng c\u00f3 th\u1ec3 gi\u00fap \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng r\u1ed1i lo\u1ea1n TMJ. Ch\u00fang bao g\u1ed3m nh\u1eefng \u0111i\u1ec1u sau:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>V\u1eadt l\u00fd tr\u1ecb li\u1ec7u- ngo\u00e0i t\u1eadp th\u1ec3 d\u1ee5c,<\/b> <b>c\u00e1c b\u00e1c s\u0129 s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p n\u00e0y \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 t\u0103ng c\u01b0\u1eddng c\u01a1 h\u00e0m.<\/b><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>N\u1eb9p mi\u1ec7ng- <\/b><span style=\"font-weight: 400;\">li\u1ec7u ph\u00e1p n\u00e0y li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng d\u1ee5ng c\u1ee5 b\u1ea3o v\u1ec7 mi\u1ec7ng \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ecb \u0111au h\u00e0m. \u0110\u1eb7t m\u1ed9t thi\u1ebft b\u1ecb m\u1ec1m l\u00ean r\u0103ng c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au do r\u1ed1i lo\u1ea1n TMJ.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>T\u01b0 v\u1ea5n- <\/b><span style=\"font-weight: 400;\">t\u01b0 v\u1ea5n \u0111\u00f2i h\u1ecfi ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh c\u00e1c h\u00e0nh vi nh\u01b0 nghi\u1ebfn r\u0103ng c\u00f3 th\u1ec3 g\u00e2y ra ho\u1eb7c l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam c\u01a1n \u0111au c\u1ee7a b\u1ea1n. V\u1edbi s\u1ef1 t\u01b0 v\u1ea5n, m\u1ecdi ng\u01b0\u1eddi c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng hi\u1ec3u \u0111\u01b0\u1ee3c c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y ra r\u1ed1i lo\u1ea1n TMJ v\u00e0 do \u0111\u00f3, tr\u00e1nh ch\u00fang.<\/span><\/li>\n<\/ul>\n<h3><b>Can thi\u1ec7p ph\u1eabu thu\u1eadt v\u00e0 c\u00e1c th\u1ee7 t\u1ee5c kh\u00e1c<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Sau khi d\u00f9ng h\u1ebft thu\u1ed1c v\u00e0 li\u1ec7u ph\u00e1p, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb c\u00e1c th\u1ee7 t\u1ee5c sau:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Th\u0103m d\u00f2 kh\u1edbp - trong th\u1ee7 thu\u1eadt n\u00e0y, b\u00e1c s\u0129 s\u1ebd \u0111\u00e2m m\u1ed9t c\u00e2y kim nh\u1ecf v\u00e0o kh\u1edbp \u0111\u1ec3 lo\u1ea1i b\u1ecf c\u00e1c s\u1ea3n ph\u1ea9m ph\u1ee5 g\u00e2y vi\u00eam. Th\u1ee7 thu\u1eadt x\u00e2m l\u1ea5n n\u00e0y c\u0169ng c\u00f3 th\u1ec3 gi\u00fap lo\u1ea1i b\u1ecf c\u00e1c m\u1ea3nh v\u1ee5n trong khu v\u1ef1c kh\u1edbp<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ti\u00eam - b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb<\/span> <span style=\"font-weight: 400;\">ti\u00eam corticosteroid \u0111\u1ec3 gi\u1ea3m \u0111au do r\u1ed1i lo\u1ea1n TMJ. \u0110\u1ed9c t\u1ed1 botulinum lo\u1ea1i A c\u0169ng c\u00f3 th\u1ec3 h\u1eefu \u00edch trong vi\u1ec7c ch\u1ed1ng l\u1ea1i c\u01a1n \u0111au \u1edf c\u01a1 h\u00e0m.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">N\u1ed9i soi kh\u1edbp TMJ-<\/span> <span style=\"font-weight: 400;\">ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn ph\u1eabu thu\u1eadt an to\u00e0n h\u01a1n so v\u1edbi ph\u1eabu thu\u1eadt m\u1edf kh\u1edbp. N\u00f3 bao g\u1ed3m vi\u1ec7c \u0111\u01b0a m\u1ed9t \u1ed1ng th\u00f4ng v\u00e0o khoang kh\u1edbp, sau \u0111\u00f3 l\u00e0 m\u1ed9t m\u00e1y n\u1ed9i soi kh\u1edbp v\u00e0 m\u1ed9t d\u1ee5ng c\u1ee5 ph\u1eabu thu\u1eadt v\u00e0o v\u00f9ng kh\u1edbp. B\u00ean c\u1ea1nh vi\u1ec7c gi\u00fap ch\u1ea9n \u0111o\u00e1n, n\u1ed9i soi kh\u1edbp c\u00f2n ch\u1ee9ng minh hi\u1ec7u qu\u1ea3 trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00e1c ch\u1ee9ng r\u1ed1i lo\u1ea1n TMJ kh\u00e1c nhau. N\u1ed9i soi kh\u1edbp TMJ c\u00f3 \u00edt r\u1ee7i ro h\u01a1n khi so s\u00e1nh v\u1edbi c\u00e1c l\u1ef1a ch\u1ecdn ph\u1eabu thu\u1eadt kh\u00e1c. Tuy nhi\u00ean, n\u00f3 c\u00f3 nh\u1eefng h\u1ea1n ch\u1ebf c\u1ee7a n\u00f3.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Condylotomy \u0111\u00e3 s\u1eeda \u0111\u1ed5i-<\/span> <span style=\"font-weight: 400;\">lo\u1ea1i ph\u1eabu thu\u1eadt n\u00e0y ch\u1ee9ng t\u1ecf hi\u1ec7u qu\u1ea3, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi kh\u00f3a \u0111\u01b0\u1ee3c kinh nghi\u1ec7m. N\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n TMJ m\u1ed9t c\u00e1ch gi\u00e1n ti\u1ebfp. Ph\u1eabu thu\u1eadt c\u1eaft bao quy \u0111\u1ea7u c\u00f3 s\u1eeda \u0111\u1ed5i bao g\u1ed3m ph\u1eabu thu\u1eadt quanh h\u00e0m thay v\u00ec kh\u1edbp.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ph\u1eabu thu\u1eadt m\u1edf kh\u1edbp - ph\u1eabu thu\u1eadt n\u00e0y ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng khi c\u01a1n \u0111au b\u1eaft ngu\u1ed3n t\u1eeb m\u1ed9t v\u1ea5n \u0111\u1ec1 trong c\u1ea5u tr\u00fac c\u1ee7a kh\u1edbp. B\u00e1c s\u0129 th\u01b0\u1eddng khuy\u1ebfn ngh\u1ecb b\u1ec7nh nh\u00e2n th\u1eed c\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u00f4ng th\u01b0\u1eddng tr\u01b0\u1edbc do nh\u1eefng r\u1ee7i ro li\u00ean quan. Th\u1eadt kh\u00f4ng may, n\u1ebfu c\u01a1n \u0111au kh\u00f4ng gi\u1ea3i quy\u1ebft, b\u00e1c s\u0129 c\u00f3 th\u1ec3 gi\u1ea3i quy\u1ebft cho ph\u1eabu thu\u1eadt m\u1edf kh\u1edbp. Do \u0111\u00f3, h\u00e3y lu\u00f4n \u0111\u1ea3m b\u1ea3o r\u1eb1ng b\u00e1c s\u0129 gi\u1ea3i th\u00edch k\u1ef9 v\u1ec1 c\u00e1c r\u1ee7i ro, \u01b0u v\u00e0 nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ee7a lo\u1ea1i ph\u1eabu thu\u1eadt o n\u00e0y tr\u01b0\u1edbc khi b\u1ea1n \u0111\u1ed3ng \u00fd.<\/span><\/li>\n<\/ul>\n<h3><b>L\u1ed1i s\u1ed1ng v\u00e0 bi\u1ec7n ph\u00e1p kh\u1eafc ph\u1ee5c t\u1ea1i nh\u00e0<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">B\u1ea1n n\u00ean lu\u00f4n nh\u1eadn th\u1ee9c \u0111\u01b0\u1ee3c nh\u1eefng th\u00f3i quen li\u00ean quan \u0111\u1ebfn c\u0103ng th\u1eb3ng g\u00e2y ra r\u1ed1i lo\u1ea1n TMJ \u0111\u1ec3 tr\u00e1nh ch\u00fang. B\u1ea1n c\u00f3 th\u1ec3 gi\u1ea3m nguy c\u01a1 r\u1ed1i lo\u1ea1n TMJ n\u1ebfu b\u1ea1n c\u00f3 th\u1ec3 gi\u1ea3m t\u1ea7n su\u1ea5t c\u00e1c ho\u1ea1t \u0111\u1ed9ng nh\u01b0 nhai, nghi\u1ebfn r\u0103ng v\u00e0 nghi\u1ebfn h\u00e0m. Nh\u1eefng l\u1eddi khuy\u00ean sau \u0111\u00e2y s\u1ebd h\u1eefu \u00edch trong vi\u1ec7c gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng TMJ n\u1ebfu \u0111\u01b0\u1ee3c quan s\u00e1t:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Tr\u00e1nh l\u1ea1m d\u1ee5ng c\u01a1 h\u00e0m c\u1ee7a b\u1ea1n b\u1ea5t c\u1ee9 khi n\u00e0o b\u1ea1n c\u00f3 th\u1ec3<\/b><span style=\"font-weight: 400;\">- c\u01a1 h\u00e0m th\u01b0\u1eddng b\u1ecb nhi\u1ec1u nh\u1ea5t khi g\u1eb7p c\u00e1c c\u01a1n \u0111au li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n TMJ. B\u1ea1n c\u00f3 th\u1ec3 tr\u00e1nh l\u00e0m vi\u1ec7c qu\u00e1 s\u1ee9c c\u1ee7a c\u01a1 h\u00e0m b\u1eb1ng c\u00e1ch gi\u1ea3m thi\u1ec3u c\u00e1c ho\u1ea1t \u0111\u1ed9ng nh\u01b0 nhai k\u1eb9o cao su v\u00e0 \u0103n th\u1ee9c \u0103n d\u00ednh. Thay v\u00e0o \u0111\u00f3, h\u00e3y \u00e1p d\u1ee5ng nh\u1eefng th\u00f3i quen t\u1ed1t h\u01a1n, bao g\u1ed3m \u0103n th\u1ee9c \u0103n m\u1ec1m, c\u1eaft th\u1ee9c \u0103n th\u00e0nh nh\u1eefng mi\u1ebfng nh\u1ecf d\u1ec5 nhai h\u01a1n.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>K\u00e9o gi\u00e3n v\u00e0 xoa b\u00f3p-<\/b><span style=\"font-weight: 400;\"> b\u1ea1n c\u00f3 th\u1ec3 h\u1ecdc c\u00e1ch xoa b\u00f3p c\u01a1 h\u00e0m ho\u1eb7c nh\u1edd b\u00e1c s\u0129 h\u01b0\u1edbng d\u1eabn c\u00e1c b\u00e0i t\u1eadp t\u0103ng c\u01b0\u1eddng c\u01a1 h\u00e0m.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>K\u1ef9 thu\u1eadt nhi\u1ec7t ho\u1eb7c l\u1ea1nh<\/b><span style=\"font-weight: 400;\">- b\u1ea1n c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng nhi\u1ec7t \u1ea9m ho\u1eb7c n\u01b0\u1edbc \u0111\u00e1 \u0111\u1ec3 gi\u1ea3m \u0111au c\u01a1 h\u00e0m<\/span><\/li>\n<\/ul>\n<h2><b>Li\u1ec1u thu\u1ed1c thay th\u1ebf<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">N\u1ebfu c\u01a1n \u0111au v\u1eabn ti\u1ebfp di\u1ec5n, b\u1ea1n c\u00f3 th\u1ec3 th\u1ea5y c\u00e1c ph\u01b0\u01a1ng ph\u00e1p thay th\u1ebf thu\u1ed1c sau \u0111\u00e2y h\u1eefu \u00edch trong vi\u1ec7c gi\u1ea3m b\u1edbt c\u01a1n \u0111au:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>K\u1ef9 thu\u1eadt th\u01b0 gi\u00e3n-<\/b><span style=\"font-weight: 400;\"> th\u01b0 gi\u00e3n c\u01a1 c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au. H\u1ecdc c\u00e1ch l\u00e0m ch\u1eadm nh\u1ecbp th\u1edf b\u1eb1ng c\u00e1ch h\u00edt th\u1edf s\u00e2u \u0111\u1ec1u \u0111\u1eb7n \u0111\u1ec3 th\u01b0 gi\u00e3n c\u00e1c c\u01a1 \u0111ang c\u0103ng th\u1eb3ng.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Ph\u1ea3n h\u1ed3i sinh h\u1ecdc- <\/b><span style=\"font-weight: 400;\">b\u1ea1n c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng m\u1ed9t thi\u1ebft b\u1ecb \u0111i\u1ec7n t\u1eed \u0111\u1ec3 gi\u00fap b\u1ea1n th\u1ef1c h\u00e0nh nh\u1eefng c\u00e1ch hi\u1ec7u qu\u1ea3 \u0111\u1ec3 th\u01b0 gi\u00e3n c\u01a1 b\u1eafp \u0111ang c\u0103ng th\u1eb3ng c\u1ee7a b\u1ea1n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Ch\u00e2m c\u1ee9u - b\u1ea1n c\u0169ng c\u00f3 th\u1ec3 tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a m\u1ed9t chuy\u00ean gia \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u1ec1 \u0111i\u1ec1u tr\u1ecb \u0111au m\u00e3n t\u00ednh. Khi b\u1ea1n bi\u1ebft khu v\u1ef1c c\u1ee5 th\u1ec3 g\u00e2y ra c\u01a1n \u0111au TMJ, b\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0a kim m\u1ecfng nh\u01b0 t\u00f3c v\u00e0o \u0111\u1ec3 gi\u1ea3m \u0111au.<\/b><\/li>\n<\/ul>","protected":false},"author":2,"featured_media":0,"parent":0,"template":"","dental-glossary-categories":[4516,4536,4543],"class_list":["post-54568","dental-glossary","type-dental-glossary","status-publish","hentry","dental-glossary-categories-all","dental-glossary-categories-t","dental-glossary-categories-terms-and-procedures"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/dental-glossary\/54568","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\/54568\/revisions"}],"wp:attachment":[{"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/media?parent=54568"}],"wp:term":[{"taxonomy":"dental-glossary-categories","embeddable":true,"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/dental-glossary-categories?post=54568"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}