{"id":719,"date":"2022-06-28T12:03:27","date_gmt":"2022-06-28T05:03:27","guid":{"rendered":"https:\/\/hahnimplant.vn\/?p=719"},"modified":"2022-06-28T12:03:31","modified_gmt":"2022-06-28T05:03:31","slug":"nghien-cuu-hoi-cuu-danh-gia-lam-sang-va-x-quang-cua-he-thong-cay-ghep-hahn-trong-thoi-gian-dai","status":"publish","type":"post","link":"https:\/\/hahnimplant.vn\/en\/nghien-cuu-hoi-cuu-danh-gia-lam-sang-va-x-quang-cua-he-thong-cay-ghep-hahn-trong-thoi-gian-dai\/","title":{"rendered":"[Nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u] \u0110\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng v\u00e0 X quang c\u1ee7a h\u1ec7 th\u1ed1ng c\u1ea5y gh\u00e9p Hahn trong th\u1eddi gian d\u00e0i"},"content":{"rendered":"

Implant Hahn l\u00e0 s\u1ef1 \u0111\u00fac k\u1ebft h\u01a1n 40 n\u0103m kinh nghi\u1ec7m l\u00e0m vi\u1ec7c v\u00e0 nghi\u00ean c\u1ee9u c\u1ee7a b\u00e1c s\u0129 Jack Hahn, ch\u00ednh v\u00ec v\u1eady Implant Hahn \u0111\u00e3 mang tr\u00ean m\u00ecnh nh\u1eefng \u01b0u \u0111i\u1ec3m v\u01b0\u1ee3t tr\u1ed9i, ph\u00f9 h\u1ee3p v\u1edbi c\u00f4ng ngh\u1ec7 c\u1ea5y gh\u00e9p hi\u1ec7n \u0111\u1ea1i ng\u00e0y nay. H\u00e3y c\u00f9ng \u0111i\u1ec3m qua nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u “\u0110\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng v\u00e0 Xquang c\u1ee7a h\u1ec7 th\u1ed1ng c\u1ea5y gh\u00e9p Hahn trong th\u1eddi gian 6 n\u0103m” c\u1ee7a Mayuri Kerr, BDS, MS;* Brett Allen, MS;^ Neil Park, DMD#<\/em><\/strong><\/p>\n\n\n\n

T\u00d3M T\u1eaeT<\/strong><\/p>\n\n\n\n

C\u01a1 s\u1edf nghi\u00ean c\u1ee9u:  K\u1ebft qu\u1ea3 t\u1ed5ng th\u1ec3 c\u1ee7a m\u1ed9t h\u1ec7 th\u1ed1ng c\u1ea5y gh\u00e9p v\u1edbi thi\u1ebft k\u1ebf c\u1ea5y gh\u00e9p m\u1edbi c\u00f3 v\u00f2ng \u0111\u1ec7m \u0111\u01b0\u1ee3c gia c\u00f4ng \u0111\u1ec3 gi\u1ea3m s\u1ef1 t\u00edch t\u1ee5 m\u00e0ng sinh h\u1ecdc, c\u00e1c vi ph\u00e2n c\u1ef1c c\u1ee7a l\u1edbp t\u1ebf b\u00e0o \u0111\u1ec3 duy tr\u00ec x\u01b0\u01a1ng bi\u1ec3u m\u00f4, d\u1ea1ng thu\u00f4n v\u1edbi c\u00e1c ren \u0111\u1ee1 \u0111\u1ec3 thi\u1ebft l\u1eadp \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh ch\u00ednh v\u00e0 b\u1ec1 m\u1eb7t \u0111\u01b0\u1ee3c x\u1eed l\u00fd b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p b\u1ed9t phun t\u00e1i h\u1ea5p thu th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh t\u00edch h\u1ee3p t\u1ea1i v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 trong m\u1ed9t nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u k\u00e9o d\u00e0i 2 n\u0103m. Nghi\u00ean c\u1ee9u n\u00e0y nh\u1eb1m \u0111\u00e1nh gi\u00e1 ho\u1ea1t \u0111\u1ed9ng l\u00e2m s\u00e0ng l\u00e2u d\u00e0i c\u1ee7a h\u1ec7 th\u1ed1ng c\u1ea5y gh\u00e9p n\u00e0y li\u00ean quan \u0111\u1ebfn t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng, \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng s\u1ed1ng s\u00f3t v\u00e0 m\u1ee9c \u0111\u1ed9 m\u1ea5t x\u01b0\u01a1ng trung b\u00ecnh (MBL).<\/p>\n\n\n\n

V\u1eadt li\u1ec7u v\u00e0 Ph\u01b0\u01a1ng ph\u00e1p nghi\u00ean c\u1ee9u:  c\u00f3 t\u1ed5ng s\u1ed1 327 m\u00f4 c\u1ea5y \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea5y gh\u00e9p cho 117 b\u1ec7nh nh\u00e2n (\u0111\u00e3 \u0111\u1ed3ng \u00fd tham gia nghi\u00ean c\u1ee9u) t\u1eeb 2015-2021 v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 h\u1ed3i c\u1ee9u; sau khi lo\u1ea1i b\u1ecf nh\u1eefng m\u00f4 c\u1ea5y l\u1ed7i th\u00ec s\u1ed1 m\u00f4 c\u1ea5y c\u00f2n s\u1ed1ng s\u00f3t \u0111\u00e3 \u0111\u01b0\u1ee3c theo d\u00f5i b\u1eb1ng X-quang v\u00e0 \u0111\u01b0a v\u00e0o nghi\u00ean c\u1ee9u l\u00e0 238 m\u00f4 c\u1ea5y. Nghi\u00ean c\u1ee9u s\u1ebd \u0111\u00e1nh gi\u00e1 t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng, c\u0169ng nh\u01b0 MBL.<\/p>\n\n\n\n

K\u1ebft lu\u1eadn: \u0110i\u1ec1u tr\u1ecb b\u1eb1ng H\u1ec7 th\u1ed1ng Implant d\u1ea1ng thu\u00f4n Hahn mang l\u1ea1i k\u1ebft qu\u1ea3 \u0111\u00e1ng tin c\u1eady v\u1edbi t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng v\u00e0 s\u1ed1ng s\u00f3t c\u0169ng nh\u01b0 kh\u1ea3 n\u0103ng duy tr\u00ec x\u01b0\u01a1ng h\u00e0m cao.<\/p>\n\n\n\n

GI\u1edaI THI\u1ec6U<\/strong><\/p>\n\n\n\n

H\u1ec7 th\u1ed1ng Implant d\u1ea1ng thu\u00f4n Hahn \u2122 \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u ra th\u1ecb tr\u01b0\u1eddng v\u00e0o n\u0103m 2015 v\u00e0 \u0111\u00e3 nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 ch\u1ea5p nh\u1eadn r\u1ed9ng r\u00e3i trong nh\u1eefng n\u0103m ti\u1ebfp theo. Thi\u1ebft k\u1ebf c\u00f3 v\u00f2ng \u0111\u1ec7m \u0111\u01b0\u1ee3c gia c\u00f4ng 1 mm \u0111\u1ec3 gi\u1ea3m s\u1ef1 t\u00edch t\u1ee5 m\u00e0ng sinh h\u1ecdc v\u00e0 c\u00e1c s\u1ee3i si\u00eau nh\u1ecf \u1edf r\u00e3nh 1 mm \u0111\u1ec3 h\u1ed7 tr\u1ee3 duy tr\u00ec t\u00ednh to\u00e0n v\u1eb9n c\u1ee7a x\u01b0\u01a1ng bi\u00ean trong qu\u00e1 tr\u00ecnh t\u1ea3i ch\u1ee9c n\u0103ng.(1)<\/sup><\/p>\n\n\n\n

B\u1ec1 m\u1eb7t m\u00f4 c\u1ea5y \u0111\u01b0\u1ee3c x\u1eed l\u00fd b\u1eb1ng b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p b\u1ed9t phun t\u00e1i h\u1ea5p th\u1ee5 (RBM), mang \u0111\u1ebfn b\u1ec1 m\u1eb7t nh\u00e1m v\u1eeba ph\u1ea3i b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng v\u1eadt li\u1ec7u canxi photphat t\u01b0\u01a1ng th\u00edch sinh h\u1ecdc. B\u1ec1 m\u1eb7t \u0111\u01b0\u1ee3c l\u00e0m nh\u00e1m v\u1eeba ph\u1ea3i n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh t\u00edch h\u1ee3p x\u01b0\u01a1ng b\u1eb1ng c\u00e1ch t\u0103ng t\u1ef7 l\u1ec7 ti\u1ebfp x\u00fac gi\u1eefa x\u01b0\u01a1ng v\u1edbi implant. H\u00ecnh d\u1ea1ng v\u00e0 thi\u1ebft k\u1ebf c\u1ee7a m\u00f4 c\u1ea5y d\u1ea1ng thu\u00f4n nh\u1ecdn v\u1edbi c\u00e1c r\u00e3nh \u0111\u1ee1, r\u00e3nh k\u00e9p t\u1ef1 t\u1ea1o ren, c\u00e1c ren nh\u1ecf v\u00f2ng \u0111\u1ea7u v\u00e0 k\u1ebft n\u1ed1i ph\u1ee5c h\u00ecnh h\u00ecnh n\u00f3n \u0111\u1ea3m b\u1ea3o \u0111\u1ed9 kh\u00edt, \u1ed5n \u0111\u1ecbnh v\u00e0 duy tr\u00ec m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng h\u00e0m.<\/p>\n\n\n\n

X\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh l\u00e2u d\u00e0i c\u1ee7a \u0111\u01b0\u1eddng k\u00ednh c\u1ee7a x\u01b0\u01a1ng bi\u00ean ch\u00ednh l\u00e0 th\u00e0nh ph\u1ea7n quan tr\u1ecdng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng. Ng\u01b0\u1eddi \u0111\u1ea7u ti\u00ean \u0111\u01b0a ti\u00eau ch\u00ed n\u00e0y v\u00e0o vi\u1ec7c x\u00e1c \u0111\u1ecbnh s\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a c\u1ea5y gh\u00e9p nha khoa ch\u00ednh l\u00e0 b\u00e1c s\u0129 Schnitman v\u00e0 c\u00e1c c\u1ed9ng s\u1ef1 c\u1ee7a \u00f4ng, ch\u00ednh \u00f4ng \u0111\u00e3 x\u00e1c \u0111\u1ecbnh r\u1eb1ng m\u1ed9t ca c\u1ea5y gh\u00e9p th\u00e0nh c\u00f4ng th\u00ec l\u01b0\u1ee3ng x\u01b0\u01a1ng b\u1ecb m\u1ea5t \u0111i kh\u00f4ng \u0111\u01b0\u1ee3c l\u1edbn h\u01a1n m\u1ed9t ph\u1ea7n ba chi\u1ec1u cao x\u01b0\u01a1ng hi\u1ec7n c\u00f3.<\/p>\n\n\n\n

B\u00e1c s\u0129 Adell v\u00e0 nh\u1eefng c\u1ed9ng s\u1ef1 \u0111\u00e3 \u0111\u01b0a ra m\u1ed9t nghi\u00ean c\u1ee9u k\u00e9o d\u00e0i 15 n\u0103m v\u1ec1 s\u1ef1 li\u00ean k\u1ebft gi\u1eefa x\u01b0\u01a1ng v\u00e0 implant \u0111\u00e3 \u0111\u01b0a ra \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u1ed9 ti\u00eau x\u01b0\u01a1ng trung b\u00ecnh l\u00e0 1,5mm trong n\u0103m \u0111\u1ea7u ti\u00ean v\u00e0 m\u1ed7i n\u0103m sau \u0111\u00f3 s\u1ebd m\u1ea5t 0,1mm.<\/p>\n\n\n\n

B\u00e1c s\u0129 Cranin v\u00e0 c\u00e1c c\u1ed9ng s\u1ef1 c\u1ee7a \u00f4ng c\u0169ng \u0111\u01b0a ra nh\u1eadn \u0111\u1ecbnh tr\u00ean h\u00ecnh ch\u1ee5p X-quang kh\u00f4ng n\u00ean thi\u1ebfu m\u1ea5t h\u00ecnh ch\u1eef V hay \u1ed5 x\u01b0\u01a1ng v\u00e0 kh\u00f4ng m\u1edf r\u1ed9ng kho\u1ea3ng kh\u00f4ng quanh m\u00f4 c\u1ea5y gh\u00e9p. Kh\u00f4ng l\u00e2u sau \u0111\u00f3, b\u00e1c s\u0129 Albrektsson v\u00e0 nh\u1eefng c\u1ed9ng s\u1ef1 \u0111\u00e3 tuy\u00ean b\u1ed1 r\u1eb1ng s\u1ef1 m\u1ea5t x\u01b0\u01a1ng trung b\u00ecnh 1 mm sau n\u0103m \u0111\u1ea7u ti\u00ean, v\u00e0 tr\u00ean m\u00f4 c\u1ea5y kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng vi\u00eam nhi\u1ec5m th\u00ec \u0111\u01b0\u1ee3c coi l\u00e0 ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c; v\u00e0 nh\u1eefng n\u0103m sau \u0111\u00f3, m\u1ee9c ti\u00eau x\u01b0\u01a1ng trung b\u00ecnh d\u1ef1 ki\u1ebfn l\u00e0 \u00edt h\u01a1n 0,2 mm\/n\u0103m. Papaspyridakos v\u00e0 c\u00e1c c\u1ed9ng s\u1ef1 th\u00ec \u0111\u01b0a ra k\u1ebft lu\u1eadn r\u1eb1ng th\u00e0nh c\u00f4ng l\u00fd t\u01b0\u1edfng n\u00ean d\u1ef1a tr\u00ean t\u1ed5ng th\u1ec3 ph\u1ee9c h\u1ee3p c\u1ee7a m\u00f4 c\u1ea5y gh\u00e9p v\u00e0 ph\u1ee5c h\u00ecnh.<\/p>\n\n\n\n

\u0110i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i ph\u00e2n bi\u1ec7t gi\u1eefa c\u00e1c kh\u00e1i ni\u1ec7m m\u00f4 c\u1ea5y gh\u00e9p s\u1ed1ng s\u00f3t v\u00e0 m\u00f4 c\u1ea5y gh\u00e9p th\u00e0nh c\u00f4ng. S\u1ef1 s\u1ed1ng s\u00f3t c\u1ee7a implant l\u00e0 \u0111\u1ec1 c\u1eadp \u0111\u1ebfn vi\u1ec7c m\u00f4 c\u1ea5y gh\u00e9p t\u1ea1i v\u1ecb tr\u00ed c\u1ea5y \u1edf th\u1eddi \u0111i\u1ec3m ki\u1ec3m tra, cho d\u00f9 ch\u00fang \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u1ee5c h\u00ecnh hay ch\u01b0a. Ng\u01b0\u1ee3c l\u1ea1i, m\u00f4 c\u1ea5y gh\u00e9p th\u00e0nh c\u00f4ng c\u1ee7a \u0111\u01b0\u1ee3c bi\u1ec3u th\u1ecb kh\u00f4ng ch\u1ec9 t\u1ea1i v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p m\u00e0 c\u00f2n c\u1ea3 vi\u1ec7c t\u1ea3i \u0111\u01b0\u1ee3c ch\u1ee9c n\u0103ng c\u1ee7a m\u1ed9t ch\u00e2n r\u0103ng th\u1eadt. M\u1ed9t nghi\u00ean c\u1ee9u c\u1ee7a Pjetursson \u0111\u00e3 \u0111\u01b0a ra hai \u0111\u00e1nh gi\u00e1 c\u00f3 h\u1ec7 th\u1ed1ng v\u1ec1 t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t v\u00e0 t\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng trong kho\u1ea3ng 45 n\u0103m. \u0110\u00e1nh gi\u00e1 g\u1ea7n \u0111\u00e2y nh\u1ea5t kh\u00f4ng t\u00ecm th\u1ea5y s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t trong c\u00e1c nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u v\u00e0 ti\u1ec1n c\u1ee9u, v\u00e0 sau 5 n\u0103m, t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t c\u1ee7a ph\u1ee5c h\u00ecnh c\u1ed1 \u0111\u1ecbnh \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 c\u1ea5y gh\u00e9p l\u00e0 95,6 %. Nghi\u00ean c\u1ee9u hi\u1ec7n t\u1ea1i \u0111\u00e3 x\u00e1c \u0111\u1ecbnh t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng, b\u1edfi v\u00ec t\u1ea5t c\u1ea3 c\u00e1c m\u00f4 c\u1ea5y theo sau \u0111\u00e3 \u0111\u01b0\u1ee3c kh\u00f4i ph\u1ee5c ho\u00e0n to\u00e0n.<\/p>\n\n\n\n

Nghi\u00ean c\u1ee9u n\u00e0y l\u00e0 s\u1ef1 ti\u1ebfp n\u1ed1i c\u1ee7a \u0111\u00e1nh gi\u00e1 h\u1ed3i c\u1ee9u hai n\u0103m \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 v\u00e0o n\u0103m 2018, v\u1edbi vi\u1ec7c ti\u1ebfp t\u1ee5c theo d\u00f5i c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1eeb nghi\u00ean c\u1ee9u \u0111\u00f3, c\u0169ng nh\u01b0 theo d\u00f5i c\u00e1c tr\u01b0\u1eddng h\u1ee3p ti\u1ebfp theo. M\u1ee5c ti\u00eau c\u1ee7a b\u00e1o c\u00e1o n\u00e0y l\u00e0 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng l\u00e2u d\u00e0i v\u00e0 k\u1ebft qu\u1ea3 ch\u1ee5p X-quang c\u1ee7a thi\u1ebft k\u1ebf c\u1ea5y gh\u00e9p m\u1edbi n\u00e0y li\u00ean quan \u0111\u1ebfn lo\u1ea1i ph\u1ee5c h\u00ecnh \u0111\u01b0\u1ee3c \u0111\u1eb7t, t\u00ecnh tr\u1ea1ng ti\u00eau x\u01b0\u01a1ng v\u00e0 t\u00ecnh tr\u1ea1ng y t\u1ebf \u0111\u01b0\u1ee3c quan s\u00e1t \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i m\u1ed9t ph\u00f2ng kh\u00e1m.<\/p>\n\n\n\n

V\u1eacT LI\u1ec6U V\u00c0 PH\u01af\u01a0NG PH\u00c1P NGHI\u00caN C\u1ee8U<\/strong><\/p>\n\n\n\n

327 C\u1ea5y gh\u00e9p d\u1ea1ng thu\u00f4n Hahn \u2122 v\u1edbi nhi\u1ec1u \u0111\u01b0\u1eddng k\u00ednh v\u00e0 \u0111\u1ed9 d\u00e0i kh\u00e1c nhau \u0111\u00e3 \u0111\u01b0\u1ee3c s\u00e1u nha s\u0129 th\u1ef1c hi\u1ec7n c\u1ea5y gh\u00e9p cho 117 b\u1ec7nh nh\u00e2n trong kho\u1ea3ng th\u1eddi gian t\u1eeb th\u00e1ng 4 n\u0103m 2015 \u0111\u1ebfn th\u00e1ng 4 n\u0103m 2021 t\u1ea1i m\u1ed9t ph\u00f2ng kh\u00e1m. C\u00e1c b\u1ee9c \u1ea3nh X-quang khoang mi\u1ec7ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ph\u1ea7n x\u01b0\u01a1ng h\u00e0m xung quanh m\u00f4 c\u1ea5y. C\u00e1c b\u1ee9c \u1ea3nh n\u00e0y \u0111\u01b0\u1ee3c ch\u1ee5p b\u1eb1ng h\u1ec7 th\u1ed1ng tia X tr\u00ean m\u00e1y c\u1ea7m tay Nomad Pro \u2122 (Aribex, Inc.; Charlotte, N.C.) c\u00e0i \u0111\u1eb7t \u1edf 60 kVp v\u00e0 2.5 mA, s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt song song. T\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb trong kho\u1ea3ng th\u1eddi gian n\u00e0y \u0111\u1ec1u \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1, m\u1ed7i b\u1ec7nh nh\u00e2n \u0111\u1eb7t c\u1ea5y gh\u00e9p, theo d\u00f5i b\u1eb1ng ch\u1ee5p X-quang khoang mi\u1ec7ng h\u00e0ng n\u0103m \u00edt nh\u1ea5t m\u1ed9t l\u1ea7n, sau khi \u0111\u00e3 ph\u1ee5c h\u00ecnh l\u1ea7n cu\u1ed1i c\u00f9ng m\u1edbi \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o \u0111\u00e1nh gi\u00e1 t\u1ec9 l\u1ec7 ti\u00eau x\u01b0\u01a1ng. T\u1ea5t c\u1ea3 c\u00e1c m\u00f4 c\u1ea5y \u0111\u00e3 lo\u1ea1i b\u1ecf \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u1ed5ng th\u1ec3 t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng v\u00e0 t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t, b\u1ea5t k\u1ec3 ch\u00fang c\u00f3 \u0111\u01b0\u1ee3c theo d\u00f5i b\u1eb1ng X-quang hay kh\u00f4ng. T\u1eeb 327 m\u00f4 c\u1ea5y gh\u00e9p, th\u00ec c\u00f3 89 b\u1ecb lo\u1ea1i b\u1ecf v\u00ec c\u00f3 th\u1eddi gian theo d\u00f5i d\u01b0\u1edbi m\u1ed9t n\u0103m ho\u1eb7c phim ch\u1ee5p X-quang kh\u00f4ng \u0111\u1ee7 ch\u1ea5t l\u01b0\u1ee3ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1. Do \u0111\u00f3, c\u00f3 238 m\u00f4 c\u1ea5y gh\u00e9p \u0111\u01b0\u1ee3c c\u1ea5y gh\u00e9p tr\u00ean 101 b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o nghi\u00ean c\u1ee9u n\u00e0y. (H\u00ecnh 1)<\/p>\n\n\n\n

\"\"
H\u00ecnh 1: H\u00ecnh minh h\u1ecda qu\u00e1 tr\u00ecnh \u0111\u00e1nh gi\u00e1 v\u00e0 thi\u1ebft k\u1ebf nghi\u00ean c\u1ee9u<\/figcaption><\/figure><\/div>\n\n\n\n

\u0110\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng m\u1ea5t x\u01b0\u01a1ng \u1edf v\u00f9ng x\u01b0\u01a1ng h\u00e0m, th\u00ec c\u1ea7n c\u00f3 h\u00ecnh ch\u1ee5p X-quang ngay sau ph\u1eabu thu\u1eadt v\u00e0 l\u1ea7n theo d\u00f5i g\u1ea7n nh\u1ea5t. \u0110\u1ec3 \u0111\u01b0a v\u00e0o ph\u00e2n t\u00edch th\u00ec y\u00eau c\u1ea7u h\u00ecnh ch\u1ee5p ph\u1ea3i th\u1ec3 hi\u1ec7n r\u00f5 ph\u1ea7n ren c\u1ee7a m\u00f4 c\u1ea5y gh\u00e9p, c\u00f3 th\u1ec3 th\u1ea5y c\u1ea3 ph\u1ea7n ren \u1edf xa v\u00e0 ph\u1ea7n gi\u1eefa. \u0110\u00e1nh gi\u00e1 m\u1ea5t x\u01b0\u01a1ng \u0111\u01b0\u1ee3c th\u1ec3 hi\u1ec7n qua ph\u1ea7n m\u1ec1m ch\u1ee5p \u1ea3nh nha khoa DEXIS \u2122.\u00a0 \u0110\u01b0\u1eddng k\u00ednh b\u1ed9 c\u1ea5y gh\u00e9p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 hi\u1ec7u ch\u1ec9nh k\u00edch th\u01b0\u1edbc h\u00ecnh \u1ea3nh v\u1edbi h\u1ec7 s\u1ed1 ph\u00f3ng \u0111\u1ea1i 1.0, kh\u00f4ng \u00e1p d\u1ee5ng b\u1ea5t k\u1ef3 hi\u1ec7u ch\u1ec9nh ph\u00f3ng \u0111\u1ea1i n\u00e0o cho h\u00ecnh \u1ea3nh \u0111\u00e3 hi\u1ec7u ch\u1ec9nh. (H\u00ecnh 2-A).<\/p>\n\n\n\n

Kho\u1ea3ng c\u00e1ch tuy\u1ebfn t\u00ednh t\u1eeb ph\u1ea7n vai Implant \u0111\u1ebfn \u0111i\u1ec3m ti\u1ebfp x\u00fac \u0111\u1ea7u ti\u00ean c\u1ee7a x\u01b0\u01a1ng v\u1edbi b\u1ed9 ph\u1eadn c\u1ea5y gh\u00e9p \u0111\u01b0\u1ee3c \u0111o \u1edf c\u1ea3 m\u1eb7t gi\u1eefa v\u00e0 m\u1eb7t xa, nh\u01b0 \u0111\u01b0\u1ee3c quan s\u00e1t trong H\u00ecnh 2-B.<\/p>\n\n\n\n

\"\"
H\u00ecnh 2: A – H\u00ecnh ch\u1ee5p X-quang m\u00f4 t\u1ea3 hi\u1ec7u ch\u1ec9nh c\u1ee7a implant b\u1eb1ng c\u00e1ch \u0111o \u0111\u01b0\u1eddng k\u00ednh \u1edf vai c\u1ea5y (\u0111\u01b0\u1eddng m\u00e0u xanh l\u00e1 c\u00e2y). B – \u0110o ti\u00eau x\u01b0\u01a1ng (v\u1ea1ch \u0111\u1ecf) t\u1eeb vai c\u1ea5y gh\u00e9p \u0111\u1ebfn \u0111i\u1ec3m ti\u1ebfp x\u00fac \u0111\u1ea7u ti\u00ean c\u1ee7a x\u01b0\u01a1ng c\u1ea7n c\u1ea5y gh\u00e9p.<\/figcaption><\/figure><\/div>\n\n\n\n

Ph\u00e9p \u0111o X-quang \u0111\u01b0\u1ee3c l\u1eb7p l\u1ea1i c\u00e1ch nhau m\u1ed9t tu\u1ea7n \u0111\u1ec3 t\u0103ng \u0111\u1ed9 tin c\u1eady c\u1ee7a ph\u00e9p \u0111o v\u00e0 c\u00e1c ph\u00e9p \u0111o trung b\u00ecnh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00e2n t\u00edch. \u0110\u1ed9 m\u1ea5t x\u01b0\u01a1ng trung b\u00ecnh (MBL) \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp l\u00e0 s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa s\u1ed1 \u0111o c\u1ee7a phim ch\u1ee5p X-quang khoang mi\u1ec7ng sau ph\u1eabu thu\u1eadt ban \u0111\u1ea7u v\u00e0 X-quang theo d\u00f5i g\u1ea7n \u0111\u00e2y nh\u1ea5t. MBL c\u0169ng \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 li\u00ean quan \u0111\u1ebfn v\u1ecb tr\u00ed \u0111\u1eb7t v\u00e0 c\u1ea3 lo\u1ea1i ph\u1ee5c h\u00ecnh cu\u1ed1i c\u00f9ng.<\/p>\n\n\n\n

S\u1ef1 s\u1ed1ng s\u00f3t c\u1ee7a implant \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1edfi s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a implant t\u1ea1i ch\u1ed7 c\u1ea5y gh\u00e9 khi \u0111\u01b0\u1ee3c theo d\u00f5i. Trong khi \u0111\u00f3, th\u00e0nh c\u00f4ng c\u1ee7a ca c\u1ea5y gh\u00e9p \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1edfi: (1) ch\u1ee9c n\u0103ng h\u1ed7 tr\u1ee3 ph\u1ee5c h\u00ecnh d\u1ee9t \u0111i\u1ec3m; (2) t\u1ea1i ch\u1ed7 c\u1ea5y gh\u00e9p kh\u00f4ng tri\u1ec7u ch\u1ee9ng; v\u00e0 (3) kh\u00f4ng c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng ph\u00f3ng x\u1ea1 li\u00ean t\u1ee5c xung quanh m\u00f4 c\u1ea5y.<\/p>\n\n\n\n

Ph\u00e2n t\u00edch th\u1ed1ng k\u00ea \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho nghi\u00ean c\u1ee9u n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n th\u00f4ng qua Th\u1ed1ng k\u00ea SPSS c\u1ee7a IBM d\u00e0nh cho Windows (phi\u00ean b\u1ea3n 21.0.0.0; IBM Corp., Armonk, NY, USA). \u0110\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ed1i quan h\u1ec7 gi\u1eefa c\u00e1c tham s\u1ed1 \u0111\u01b0\u1ee3c th\u1eed nghi\u1ec7m, ph\u00e2n t\u00edch Log Rank (Mantel-Cox) v\u00e0 Pearson\u2019s r \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n; Gi\u00e1 tr\u1ecb P \u0111\u01b0\u1ee3c coi l\u00e0 c\u00f3 \u00fd ngh\u0129a n\u1ebfu p <0.05 v\u00e0 p <0.01 t\u01b0\u01a1ng \u1ee9ng. Ph\u00e2n t\u00edch t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t c\u1ee7a Kaplan-Meier \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh kh\u1ea3 n\u0103ng s\u1ed1ng s\u00f3t t\u00edch l\u0169y c\u1ee7a c\u00e1c m\u00f4 c\u1ea5y \u0111\u01b0\u1ee3c \u0111\u1eb7t trong su\u1ed1t 6 n\u0103m, c\u0169ng nh\u01b0 t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t \u0111\u1ed1i v\u1edbi v\u1ecb tr\u00ed v\u00e0 \u0111\u1ed9 d\u00e0i c\u1ee7a m\u00f4 c\u1ea5y.<\/p>\n\n\n\n

K\u1ebeT QU\u1ea2<\/strong><\/p>\n\n\n\n

T\u1ed5ng s\u1ed1 101 b\u1ec7nh nh\u00e2n v\u1edbi tu\u1ed5i trung b\u00ecnh l\u00e0 44,9 \u00b1 12,8 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1; 48 nam v\u00e0 53 n\u1eef \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 trong nghi\u00ean c\u1ee9u n\u00e0y (B\u1ea3ng 1). Trong 101 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c bao g\u1ed3m, c\u00f3 47 b\u1ec7nh nh\u00e2n b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi c\u00e1c t\u00ecnh tr\u1ea1ng y t\u1ebf, trong \u0111\u00f3 huy\u1ebft \u00e1p cao l\u00e0 b\u1ec7nh th\u01b0\u1eddng xuy\u00ean \u0111\u01b0\u1ee3c quan s\u00e1t th\u1ea5y nh\u1ea5t (B\u1ea3ng 2).<\/p>\n\n\n\n

M\u00f4 t\u1ea3<\/strong><\/td>Tu\u1ed5i<\/strong><\/td>\u0110\u1ed9 l\u1ec7ch std<\/strong><\/td>\u0110\u1ed1i t\u01b0\u1ee3ng<\/strong><\/td><\/tr>
Tu\u1ed5i trung b\u00ecnh t\u1ed5ng th\u1ec3<\/td>44.9<\/td>12.80<\/td>101<\/td><\/tr>
Tu\u1ed5i trung b\u00ecnh (nam)<\/td>44.4<\/td>12.78<\/td>48<\/td><\/tr>
Tu\u1ed5i trung b\u00ecnh (n\u1eef)<\/td>45.8<\/td>11.85<\/td>53<\/td><\/tr><\/tbody><\/table>
B\u1ea3ng 1: Nh\u00e2n kh\u1ea9u h\u1ecdc t\u1ed5ng b\u1ec7nh nh\u00e2n<\/figcaption><\/figure>\n\n\n\n
M\u00f4 t\u1ea3<\/strong><\/td>\u0110\u1ed1i t\u01b0\u1ee3ng \u1ea3nh h\u01b0\u1edfng<\/strong><\/td>S\u1ed1 Implant<\/strong><\/td><\/tr>
H\u00fat thu\u1ed1c<\/td>5<\/td>12<\/td><\/tr>
B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng<\/td>6<\/td>15<\/td><\/tr>
Huy\u1ebft \u00e1p cao<\/td>23<\/td>60<\/td><\/tr>
Tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y<\/td>3<\/td>11<\/td><\/tr>
R\u1ed1i lo\u1ea1n tuy\u1ebfn gi\u00e1p<\/td>7<\/td>17<\/td><\/tr>
H\u00f3a tr\u1ecb li\u1ec7u<\/td>2<\/td>4<\/td><\/tr>
Vi r\u00fat epstein barr<\/td>1<\/td>4<\/td><\/tr>
T\u1ed5ng<\/td>47<\/td>123<\/td><\/tr><\/tbody><\/table>
B\u1ea3ng 2: D\u1eef li\u1ec7u m\u00f4 t\u1ea3 v\u1ec1 c\u00e1c t\u00ecnh tr\u1ea1ng y t\u1ebf \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c b\u1ec7nh nh\u00e2n<\/figcaption><\/figure>\n\n\n\n

T\u1ef7 l\u1ec7 s\u1ed1ng t\u00edch l\u0169y t\u1ed5ng th\u1ec3 trong th\u1eddi gian theo d\u00f5i 6 n\u0103m \u0111\u1ed1i v\u1edbi 238 implant \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 96,2% (H\u00ecnh 3). Ph\u00e2n t\u00edch Kaplan Meier \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u00ednh to\u00e1n t\u1ef7 l\u1ec7 s\u1ed1ng t\u00edch l\u0169y t\u1ed5ng th\u1ec3 c\u0169ng nh\u01b0 t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t li\u00ean quan \u0111\u1ebfn v\u1ecb tr\u00ed v\u00e0 chi\u1ec1u d\u00e0i c\u1ea5y gh\u00e9p (B\u1ea3ng 3). Tuy nhi\u00ean, ki\u1ec3m tra Log Rank v\u1ec1 s\u1ef1 b\u00ecnh \u0111\u1eb3ng c\u1ee7a ph\u00e2n b\u1ed1 t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t cho th\u1ea5y kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea v\u1ec1 t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t \u0111\u1ed1i v\u1edbi c\u00e1c v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p v\u00e0 \u0111\u1ed9 d\u00e0i c\u1ea5y gh\u00e9p kh\u00e1c nhau (B\u1ea3ng 4).<\/p>\n\n\n\n

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H\u00ecnh 3: T\u1ef7 l\u1ec7 s\u1ed1ng t\u00edch l\u0169y c\u1ee7a c\u00e1c implant theo l\u00f4 ph\u00e2n t\u00edch t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t c\u1ee7a Kaplan-Meier.<\/figcaption><\/figure><\/div>\n\n\n\n
 <\/td>Bi\u1ebfn \u0111\u1ed5i<\/td>Implants<\/td>Implant l\u1ed7i<\/td>Ph\u00e2n t\u00edch s\u1ed1ng s\u00f3t<\/td><\/tr>
 <\/td> <\/td> <\/td> <\/td>S\u1ed1 l\u01b0\u1ee3ng<\/td>Ph\u1ea7n tr\u0103m %<\/td><\/tr>
V\u1ecb tr\u00ed c\u1ea5y gh\u00e9p<\/td>H\u00e0m tr\u00ean ph\u00eda trong
H\u00e0m tr\u00ean ph\u00eda tr\u01b0\u1edbc
Ph\u00eda trong h\u00e0m d\u01b0\u1edbi
Ph\u00eda tr\u01b0\u1edbc h\u00e0m d\u01b0\u1edbi<\/td>		86
42
93
17<\/td>		6
1
1
1<\/td>		80
41
92
16<\/td>		93.0%
97.6%
98.9%
94.1%<\/td><\/tr>
Chi\u1ec1u d\u00e0i Implant<\/td>8mm
10mm
11.5mm
13mm
16mm<\/td>		39
53
85
51
10<\/td>		3
3
2
1
0<\/td>		36
50
83
50
10<\/td>		92.3%
94.3%
97.6%
98.0%
100.0%<\/td><\/tr>
T\u1ed5ng th\u1ec3<\/td> <\/td>238<\/td>9<\/td>229<\/td>96.2%<\/td><\/tr><\/tbody><\/table>
B\u1ea3ng 3: K\u1ebft qu\u1ea3 ph\u00e2n t\u00edch kh\u1ea3 n\u0103ng s\u1ed1ng s\u00f3t c\u1ee7a Kaplan-meier<\/figcaption><\/figure>\n\n\n\n
C\u00e1c bi\u1ebfn s\u1ed1 \u0111\u00e1nh gi\u00e1<\/strong><\/td>Ki\u1ec3m \u0111\u1ecbnh b\u00ecnh ph\u01b0\u01a1ng (Chi-Square)<\/strong><\/td>B\u1eadc s\u1ed1 t\u1ef1 do (df)<\/strong><\/td>H\u1ec7 s\u1ed1 Sig.<\/strong><\/td><\/tr>
V\u1ecb tr\u00ed c\u1ea5y gh\u00e9p<\/td>4.184<\/td>3<\/td>.242<\/td><\/tr>
Chi\u1ec1u d\u00e0i implant<\/td>3.666<\/td>4<\/td>.453<\/td><\/tr><\/tbody><\/table>
B\u1ea3ng 4: Ki\u1ec3m tra Log Rank (Mantel-cox) v\u1ec1 s\u1ef1 b\u00ecnh \u0111\u1eb3ng trong c\u00e1c ch\u1ec9 s\u1ed1 implant \u0111\u00e3 s\u1ed1ng s\u00f3t. (*\u00dd ngh\u0129a th\u1ed1ng k\u1ebf p<0.05)<\/em><\/figcaption><\/figure>\n\n\n\n

C\u00f3 9 ca c\u1ea5y gh\u00e9p th\u1ea5t b\u1ea1i \u0111\u01b0\u1ee3c quan s\u00e1t \u1edf 8 b\u1ec7nh nh\u00e2n, ph\u00e2n b\u1ed5 g\u1ea7n nh\u01b0 \u0111\u1ed3ng \u0111\u1ec1u gi\u1eefa c\u00e1c gi\u1edbi t\u00ednh v\u00e0 \u0111\u1ed9 tu\u1ed5i t\u1eeb 28 \u0111\u1ebfn 62 tu\u1ed5i. 67% s\u1ed1 ca c\u1ea5y gh\u00e9p th\u1ea5t b\u1ea1i n\u1eb1m \u1edf h\u00e0m tr\u00ean ph\u00eda trong, v\u1edbi 78% s\u1ed1 ca c\u1ea5y gh\u00e9p th\u1ea5t b\u1ea1i \u0111\u01b0\u1ee3c \u0111\u1eb7t b\u1eb1ng tay v\u00e0 22% \u0111\u01b0\u1ee3c \u0111\u1eb7t b\u1eb1ng khu\u00f4n theo h\u01b0\u1edbng d\u1eabn k\u1ef9 thu\u1eadt s\u1ed1. \u00cdt h\u01a1n 60% s\u1ed1 c\u1ea5y gh\u00e9p th\u1ea5t b\u1ea1i \u0111\u01b0\u1ee3c gh\u00e9p x\u01b0\u01a1ng, v\u00e0 g\u1ea7n m\u1ed9t n\u1eeda \u0111\u01b0\u1ee3c l\u1ea5y ra tr\u01b0\u1edbc th\u00e1ng \u0111\u1ea7u ti\u00ean sau khi ti\u1ebfn h\u00e0nh c\u1ea5y gh\u00e9p (B\u1ea3ng 5).<\/p>\n\n\n\n

\u0110\u01b0\u1eddng k\u00ednh v\u00e0 chi\u1ec1u d\u00e0i Implant<\/strong><\/td>V\u1ecb tr\u00ed c\u1ea5y gh\u00e9p<\/strong><\/td>B\u1ec7nh n\u1ec1n<\/strong><\/td>Tu\u1ed5i<\/strong><\/td>Gi\u1edbi t\u00ednh<\/strong><\/td>Ph\u01b0\u01a1ng th\u1ee9c ph\u1eabu thu\u1eadt<\/strong><\/td>Gh\u00e9p x\u01b0\u01a1ng<\/strong><\/td>Th\u1eddi gian l\u1ed7i (th\u00e1ng)<\/strong><\/td><\/tr>
\u00d83.5 x 8mm<\/td>H\u00e0m tr\u00ean ph\u00eda trong<\/td>Kh\u00f4ng<\/td>62  <\/td>Nam<\/td>Tay<\/td>C\u00f3<\/td>4<\/td><\/tr>
\u00d83.5 x 10mm<\/td>H\u00e0m tr\u00ean ph\u00eda tr\u01b0\u1edbc<\/td>Kh\u00f4ng<\/td>62<\/td>Nam<\/td>Tay<\/td>C\u00f3<\/td>10<\/td><\/tr>
\u00d83.5 x 11.5mm<\/td>H\u00e0m tr\u00ean ph\u00eda trong<\/td>Ti\u1ec3u \u0111\u01b0\u1eddng<\/td>39<\/td>N\u1eef<\/td>M\u00e1ng<\/td>Kh\u00f4ng<\/td>68<\/td><\/tr>
\u00d84.3 x 10mm<\/td>H\u00e0m tr\u00ean ph\u00eda trong<\/td>Vi r\u00fat epstein barr<\/td>53<\/td>N\u1eef<\/td>Tay<\/td>C\u00f3<\/td>6<\/td><\/tr>
\u00d84.3 x 11.5mm<\/td>Ph\u00eda trong h\u00e0m d\u01b0\u1edbi<\/td>Kh\u00f4ng<\/td>38<\/td>N\u1eef<\/td>Tay<\/td>Kh\u00f4ng<\/td>0<\/td><\/tr>
\u00d84.3 x 13mm<\/td>Ph\u00eda tr\u01b0\u1edbc h\u00e0m d\u01b0\u1edbi<\/td>Huy\u1ebft \u00e1p cao<\/td>60<\/td>Nam<\/td>M\u00e1ng<\/td>Kh\u00f4ng<\/td>0<\/td><\/tr>
\u00d85.0 x 8mm<\/td>H\u00e0m tr\u00ean ph\u00eda trong<\/td>Kh\u00f4ng<\/td>28<\/td>Nam<\/td>Tay<\/td>C\u00f3<\/td>0<\/td><\/tr>
\u00d85.0 x 10mm<\/td>H\u00e0m tr\u00ean ph\u00eda trong<\/td>Huy\u1ebft \u00e1p cao \/H\u00f3a tr\u1ecb li\u1ec7u<\/td>38<\/td>N\u1eef<\/td>Tay<\/td>Kh\u00f4ng<\/td>0<\/td><\/tr>
\u00d87.0 x 8mm<\/td>H\u00e0m tr\u00ean ph\u00eda trong<\/td>Kh\u00f4ng<\/td>39<\/td>Nam<\/td>Tay<\/td>C\u00f3<\/td>0<\/td><\/tr><\/tbody><\/table>
B\u1ea3ng 5: \u0110\u1eb7c \u0111i\u1ec3m k\u1ef9 thu\u1eadt c\u1ee7a ch\u00edn m\u00f4 c\u1ea5y kh\u00f4ng th\u00e0nh c\u00f4ng trong nghi\u00ean c\u1ee9u n\u00e0y<\/figcaption><\/figure>\n\n\n\n

M\u1ee9c \u0111\u1ed9 x\u01b0\u01a1ng \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 trong 229 ca c\u1ea5y gh\u00e9p, trong \u0111\u00f3 nh\u1eefng ca c\u1ea5y gh\u00e9p th\u1ea5t b\u1ea1i s\u1ebd \u0111\u01b0\u1ee3c lo\u1ea1i ra kh\u1ecfi ph\u00e9p \u0111o MBL. T\u1ed5ng th\u1ec3 MBL thu \u0111\u01b0\u1ee3c l\u00e0 0.6\u00b10.753mm v\u00e0 ph\u00e2n ph\u1ed1i chu\u1ea9n li\u00ean quan \u0111\u1ebfn t\u1ea7n s\u1ed1 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y trong h\u00ecnh 4.<\/p>\n\n\n\n

\"\"
H\u00ecnh 4: T\u1ea7n su\u1ea5t m\u1ea5t x\u01b0\u01a1ng trung b\u00ecnh c\u1ee7a nh\u1eefng Implant \u0111\u01b0\u1ee3c quan s\u00e1t (n=229)<\/figcaption><\/figure><\/div>\n\n\n\n
\"\"<\/figure><\/div>\n\n\n\n
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H\u00ecnh 5: Bi\u1ec3u \u0111\u1ed3 h\u1ed9p m\u1ea5t x\u01b0\u01a1ng trung b\u00ecnh li\u00ean quan \u0111\u1ebfn v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p v\u00e0 ph\u1ee5c h\u00ecnh cu\u1ed1i c\u00f9ng.<\/figcaption><\/figure><\/div>\n\n\n\n

MBL \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 li\u00ean quan \u0111\u1ebfn v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p v\u00e0 lo\u1ea1i ph\u1ee5c h\u00ecnh cu\u1ed1i c\u00f9ng (H\u00ecnh 5). M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p t\u0103ng chi\u1ec1u cao x\u01b0\u01a1ng \u1edf \u0111\u1ec9nh implant \u0111\u01b0\u1ee3c ch\u1ec9 ra b\u1eb1ng gi\u00e1 tr\u1ecb \u00e2m \u0111\u1ed1i v\u1edbi MBL, nh\u01b0 \u0111\u01b0\u1ee3c th\u1ea5y trong B\u1ea3ng 6 v\u00e0 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 tr\u00ean c\u1ea3 ph\u1ea7n gi\u1eefa v\u00e0 ph\u1ea7n xa c\u1ee7a m\u00f4 c\u1ea5y trong H\u00ecnh 6. Kh\u00f4ng t\u00ecm th\u1ea5y m\u1ed1i t\u01b0\u01a1ng quan \u0111\u00e1ng k\u1ec3 n\u00e0o gi\u1eefa MBL v\u00e0 v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p. Trong khi c\u1ea5y gh\u00e9p \u1edf h\u00e0m tr\u01b0\u1edbc cho th\u1ea5y MBL cao nh\u1ea5t (1,095 mm) trong s\u1ed1 b\u1ed1n v\u1ecb tr\u00ed \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1, ph\u00e1t hi\u1ec7n n\u00e0y kh\u00f4ng c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea (B\u1ea3ng 7). MBL t\u01b0\u01a1ng t\u1ef1 \u1edf h\u00e0m tr\u00ean v\u00e0 h\u00e0m d\u01b0\u1edbi, v\u1edbi s\u1ed1 \u0111o l\u1ea7n l\u01b0\u1ee3t l\u00e0 0,554 mm v\u00e0 0,529 mm. C\u00f3 m\u1ed9t m\u1ed1i t\u01b0\u01a1ng quan thu\u1eadn \u0111\u00e1ng k\u1ec3 gi\u1eefa MBL v\u00e0 lo\u1ea1i ph\u1ee5c h\u00ecnh cu\u1ed1i c\u00f9ng. G\u1ea7n 70% ca c\u1ea5y gh\u00e9p \u0111\u01b0\u1ee3c ph\u1ee5c h\u00ecnh v\u1edbi m\u1ed9t m\u00e3o duy nh\u1ea5t, v\u00e0 nh\u00f3m n\u00e0y cho th\u1ea5y MBL th\u1ea5p nh\u1ea5t trong s\u1ed1 ba lo\u1ea1i ph\u1ee5c h\u00ecnh cu\u1ed1i c\u00f9ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. C\u1ea5y gh\u00e9p \u0111\u01b0\u1ee3c ph\u1ee5c h\u00ecnh v\u1edbi m\u00e3o b\u1eaft c\u1ea7u v\u00e0 ph\u1ee5c h\u00ecnh c\u1ed1 \u0111\u1ecbnh to\u00e0n h\u00e0m cho th\u1ea5y MBL t\u01b0\u01a1ng \u1ee9ng l\u00e0 0,935 mm v\u00e0 0,924 mm. Tuy nhi\u00ean, MBL cao nh\u1ea5t l\u00e0 4 mm ch\u1ec9 \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y tr\u00ean hai thi\u1ebft b\u1ecb c\u1ea5y gh\u00e9p, m\u1ed9t trong s\u1ed1 \u0111\u00f3 \u0111\u01b0\u1ee3c ph\u1ee5c h\u00ecnh v\u1edbi b\u1eaft c\u1ea7u ng\u1eafn v\u00e0 c\u00e1i c\u00f2n l\u1ea1i l\u00e0 v\u1edbi c\u1ea7u to\u00e0n h\u00e0m.<\/p>\n\n\n\n

Bi\u1ebfn s\u1ed1<\/strong><\/td>Implants<\/strong><\/td>MBL<\/strong><\/td>Gi\u00e1 tr\u1ecb (mm)<\/strong><\/td><\/tr>
H\u00e0m tr\u00ean ph\u00eda trong<\/td>80<\/td>Trung b\u00ecnh \u0110\u1ed9 l\u1ec7ch chu\u1ea9n T\u1ed1i thi\u1ec3u T\u1ed1i \u0111a<\/td>.554 .6409 -.7 3.2<\/td><\/tr>
H\u00e0m tr\u00ean ph\u00eda tr\u01b0\u1edbc<\/td>41<\/td>Trung b\u00ecnh \u0110\u1ed9 l\u1ec7ch chu\u1ea9n T\u1ed1i thi\u1ec3u T\u1ed1i \u0111a<\/td>.679 .7866 -1.3 2.5<\/td><\/tr>
Ph\u00eda trong h\u00e0m d\u01b0\u1edbi<\/td>92<\/td>Trung b\u00ecnh \u0110\u1ed9 l\u1ec7ch chu\u1ea9n T\u1ed1i thi\u1ec3u T\u1ed1i \u0111a<\/td>.529 .7739 -8 4.3<\/td><\/tr>
Ph\u00eda tr\u01b0\u1edbc h\u00e0m d\u01b0\u1edbi<\/td>16<\/td>Trung b\u00ecnh \u0110\u1ed9 l\u1ec7ch chu\u1ea9n T\u1ed1i thi\u1ec3u T\u1ed1i \u0111a<\/td>1.095 .9185 -.3 2.4<\/td><\/tr>
M\u00e3o \u0111\u01a1n<\/td>158<\/td>Trung b\u00ecnh \u0110\u1ed9 l\u1ec7ch chu\u1ea9n T\u1ed1i thi\u1ec3u T\u1ed1i \u0111a<\/td>.458 .6307 -1.3 3.2<\/td><\/tr>
B\u1eaft c\u1ea7u ng\u1eafn<\/td>37<\/td>Trung b\u00ecnh \u0110\u1ed9 l\u1ec7ch chu\u1ea9n T\u1ed1i thi\u1ec3u T\u1ed1i \u0111a<\/td>.935 .86.6 -.7 3.8<\/td><\/tr>
To\u00e0n h\u00e0m<\/td>34<\/td>Trung b\u00ecnh \u0110\u1ed9 l\u1ec7ch chu\u1ea9n T\u1ed1i thi\u1ec3u T\u1ed1i \u0111a<\/td>.924 .9393 -.7 4.3<\/td><\/tr>
T\u1ed5ng th\u1ec3 MBL<\/strong><\/td>229<\/strong><\/td>Trung b\u00ecnh<\/strong> \u0110\u1ed9 l\u1ec7ch chu\u1ea9n<\/strong> T\u1ed1i thi\u1ec3u<\/strong> T\u1ed1i \u0111a<\/strong><\/td>.604<\/strong> .7527<\/strong> -1.3<\/strong> 4.3<\/strong><\/td><\/tr><\/tbody><\/table>
B\u1ea3ng 6: K\u1ebft qu\u1ea3 thu \u0111\u01b0\u1ee3c t\u1eeb \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 m\u1ea5t x\u01b0\u01a1ng trung b\u00ecnh (MBL: m\u1ea5t x\u01b0\u01a1ng trung b\u00ecnh)<\/em><\/figcaption><\/figure>\n\n\n\n
Bi\u1ebfn s\u1ed1<\/strong><\/td>S\u1ed1 l\u01b0\u1ee3ng (N)<\/strong><\/td>H\u1ec7 s\u1ed1 t\u01b0\u01a1ng quan<\/strong><\/td>\u00dd ngh\u0129a th\u1ed1ng k\u00ea <\/strong>(ki\u1ec3m \u0111\u1ecbnh hai ph\u00eda)<\/em><\/td><\/tr>
V\u1ecb tr\u00ed c\u1ea5y gh\u00e9p<\/td>229<\/td>.075<\/td>.260<\/td><\/tr>
Ph\u1ee5c h\u00ecnh cu\u1ed1i c\u00f9ng<\/td>229<\/td>.268**<\/td>.000<\/td><\/tr><\/tbody><\/table>
B\u1ea3ng 7: H\u1ec7 s\u1ed1 t\u01b0\u01a1ng quan gi\u1eefa m\u1ea5t x\u01b0\u01a1ng trung b\u00ecnh (MBL), v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p, ph\u1ee5c h\u00ecnh cu\u1ed1i c\u00f9ng (**\u00dd ngh\u0129a th\u1ed1ng k\u00ea p=0.01 (ki\u1ec3m \u0111\u1ecbnh hai ph\u00eda<\/em>))<\/figcaption><\/figure>\n\n\n\n
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H\u00ecnh 6: Sau khi c\u1ea5y gh\u00e9p v\u00e0 theo d\u00f5i h\u00ecnh ch\u1ee5p X-quang cho th\u1ea5y gia t\u0103ng chi\u1ec1u cao x\u01b0\u01a1ng \u0111\u1ec9nh.<\/figcaption><\/figure><\/div>\n\n\n\n

Th\u1ea3o lu\u1eadn<\/strong><\/p>\n\n\n\n

Sau s\u00e1u n\u0103m theo d\u00f5i l\u00e2m s\u00e0ng, t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t t\u00edch l\u0169y c\u1ee7a Implant \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong nghi\u00ean c\u1ee9u n\u00e0y v\u1ec1 H\u1ec7 th\u1ed1ng c\u1ea5y gh\u00e9p thu\u00f4n nh\u1ecdn Hahn l\u00e0 96,2%. K\u1ebft qu\u1ea3 n\u00e0y so s\u00e1nh kh\u00e1 thu\u1eadn l\u1ee3i v\u1edbi c\u00e1c nghi\u00ean c\u1ee9u kh\u00e1c c\u00f3 th\u1eddi gian theo d\u00f5i t\u01b0\u01a1ng t\u1ef1 \u0111\u00e3 b\u00e1o c\u00e1o t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t dao \u0111\u1ed9ng t\u1eeb 93% \u0111\u1ebfn 95,6%. H\u01a1n n\u1eefa, ca c\u1ea5y gh\u00e9p \u0111\u01b0\u1ee3c xem l\u00e0 th\u00e0nh c\u00f4ng x\u00e1c \u0111\u1ecbnh b\u1eb1ng xung quanh v\u1ecb tr\u00ed c\u1ea5y gh\u00e9p kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng v\u1edbi ph\u1ee5c h\u00ecnh cu\u1ed1i c\u00f9ng t\u01b0\u01a1ng \u1ee9ng, v\u00e0 kh\u00f4ng c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng ph\u00f3ng x\u1ea1 li\u00ean t\u1ee5c quanh tr\u1ee5 implant, gi\u00e1 tr\u1ecb n\u00e0y c\u0169ng \u0111\u1ea1t \u0111\u01b0\u1ee3c l\u00e0 96,2%. Ch\u00fang t\u00f4i tin ch\u1eafc r\u1eb1ng \u0111\u00e2y ch\u00ednh l\u00e0 d\u1eef li\u1ec7u h\u1eefu \u00edch \u0111\u1ec3 c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 t\u1ef1 tin th\u00f4ng b\u00e1o cho b\u1ec7nh nh\u00e2n v\u1ec1 t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng mong \u0111\u1ee3i c\u1ee7a Implant s\u1ebd \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 c\u1ea5y gh\u00e9p.<\/p>\n\n\n\n

H\u1ea1n ch\u1ebf \u0111\u00e1ng k\u1ec3 nh\u1ea5t c\u1ee7a nghi\u00ean c\u1ee9u n\u00e0y l\u00e0 vi\u1ec7c s\u1eed d\u1ee5ng tia X trong khoang mi\u1ec7ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 x\u01b0\u01a1ng. \u0110\u00e2y l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 ch\u1ea9n \u0111o\u00e1n hai chi\u1ec1u, n\u00f3 kh\u00f4ng \u0111o ch\u00ednh x\u00e1c m\u1ee9c \u0111\u1ed9 x\u01b0\u01a1ng h\u00e0m, y\u1ebfu t\u1ed1 quan tr\u1ecdng quy\u1ebft \u0111\u1ecbnh \u0111\u1ebfn tu\u1ed5i th\u1ecd c\u1ee7a implant. Tuy nhi\u00ean, \u0111\u00e2y l\u00e0 ph\u01b0\u01a1ng ti\u1ec7n ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn hi\u1ec7n nay v\u00ec m\u1ee9c \u0111\u1ed9 ti\u1ebfp x\u00fac v\u1edbi b\u1ee9c x\u1ea1 th\u1ea5p v\u00e0 ti\u1ebft ki\u1ec7m chi ph\u00ed. M\u1ed1i t\u01b0\u01a1ng quan \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y gi\u1eefa MBL v\u00e0 lo\u1ea1i ph\u1ee5c h\u00ecnh cu\u1ed1i c\u00f9ng \u0111\u01b0\u1ee3c th\u1ec3 hi\u1ec7n qua s\u1ef1 m\u1ea5t x\u01b0\u01a1ng trung b\u00ecnh \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y tr\u00ean c\u1ea5y gh\u00e9p v\u1edbi m\u00e3o \u0111\u01a1n nh\u1ecf h\u01a1n so v\u1edbi b\u1eaft c\u1ea7u ng\u1eafn hay to\u00e0n h\u00e0m. K\u1ebft qu\u1ea3 n\u00e0y t\u01b0\u01a1ng t\u1ef1 v\u1edbi k\u1ebft qu\u1ea3 \u0111\u01b0\u1ee3c Alhammadi c\u00f9ng c\u1ed9ng s\u1ef1 \u0111\u00e3 b\u00e1o c\u00e1o, trong \u0111\u00f3 t\u1ef7 l\u1ec7 ti\u00eau x\u01b0\u01a1ng vi\u1ec1n c\u1ee7a ca c\u1ea5y gh\u00e9p b\u1eaft c\u1ea7u ng\u1eafn l\u1edbn h\u01a1n so v\u1edbi c\u1ea5y gh\u00e9p m\u00e3o r\u0103ng \u0111\u01a1n b\u1ebb.<\/p>\n\n\n\n

Nghi\u00ean c\u1ee9u n\u00e0y c\u0169ng mang nh\u1eefng nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ed1 h\u1eefu chung c\u1ee7a c\u00e1c lo\u1ea1i nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u c\u1ed1 h\u1eefu l\u00e0 h\u1ed3 s\u1ee3 l\u1ecbch s\u1eed y t\u1ebf kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7 v\u00e0 thi\u1ebfu c\u00e1c b\u1ee9c \u1ea3nh ch\u1ee5p X-quang ti\u1ebfp n\u1ed1i nhau \u0111\u1ec3 gi\u1ea3m k\u00edch th\u01b0\u1edbc m\u1eabu nghi\u00ean c\u1ee9u. Ngo\u00e0i ra, kh\u00f4ng th\u1ec3 ki\u1ec3m so\u00e1t m\u1ed9t s\u1ed1 bi\u1ebfn s\u1ed1 kh\u00e1c bao g\u1ed3m nh\u01b0 tu\u1ed5i t\u00e1c, s\u1ee9c kh\u1ecfe (v\u00ed d\u1ee5: h\u00fat thu\u1ed1c, b\u1ec7nh nha chu), ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a x\u01b0\u01a1ng, quy tr\u00ecnh n\u00e2ng x\u01b0\u01a1ng, quay tr\u00ecnh \u0111i\u1ec1u tr\u1ecb cho t\u1eebng b\u1ec7nh nh\u00e2n. M\u1ed9t nghi\u00ean c\u1ee9u \u0111\u1ecbnh h\u01b0\u1edbng theo d\u00f5i c\u00f3 ki\u1ec3m so\u00e1t vi\u1ec7c thu th\u1eadp ti\u1ec1n s\u1eed y t\u1ebf v\u00e0 nha khoa \u0111\u1ea7y \u0111\u1ee7 n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t \u0111\u1ec3 m\u1edf r\u1ed9ng ph\u00e2n t\u00edch nghi\u00ean c\u1ee9u hi\u1ec7n t\u1ea1i.<\/p>\n\n\n\n

K\u1ebeT LU\u1eacN<\/strong><\/p>\n\n\n\n

Nghi\u00ean c\u1ee9u k\u00e9o trong d\u00e0i s\u00e1u n\u0103m n\u00e0y \u0111\u00e3 ch\u1ee9ng minh r\u1eb1ng h\u1ec7 th\u1ed1ng c\u1ea5y gh\u00e9p d\u1ea1ng thu\u00f4n c\u1ee7a Hahn c\u00f3 t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng cao l\u00e0 96,2% v\u00e0 duy tr\u00ec m\u1ee9c \u0111\u1ed9 x\u01b0\u01a1ng \u0111\u1ec9nh v\u1edbi MBL t\u1ed5ng th\u1ec3 l\u00e0 0,6 mm. Trong nh\u1eefng h\u1ea1n ch\u1ebf c\u1ee7a nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u n\u00e0y, c\u00e1c k\u1ebft qu\u1ea3 thu \u0111\u01b0\u1ee3c cho th\u1ea5y r\u1eb1ng c\u1ea5y gh\u00e9p thu\u00f4n c\u1ee7a Hahn l\u00e0 m\u1ed9t h\u1ec7 th\u1ed1ng c\u1ea5y gh\u00e9p th\u00e0nh c\u00f4ng v\u00e0 \u0111\u00e1ng tin c\u1eady \u0111\u1ec3 thay th\u1ebf c\u00e1c r\u0103ng \u0111\u00e3 m\u1ea5t.<\/p>\n\n\n\n

Link t\u1ea3i file g\u1ed1c: https:\/\/by.com.vn\/gRvXU3<\/p>\n\n\n\n

Link t\u1ea3i file nghi\u00ean c\u1ee9u \u0111\u00e3 d\u1ecbch: https:\/\/hahnimplant.vn\/gallery\/catalog\/<\/p>\n\n\n\n

hahnimplant.vn<\/strong><\/a><\/p>","protected":false},"excerpt":{"rendered":"

Implant Hahn l\u00e0 s\u1ef1 \u0111\u00fac k\u1ebft h\u01a1n 40 n\u0103m kinh nghi\u1ec7m l\u00e0m vi\u1ec7c v\u00e0 nghi\u00ean c\u1ee9u c\u1ee7a b\u00e1c s\u0129 Jack Hahn, ch\u00ednh v\u00ec v\u1eady Implant Hahn \u0111\u00e3 mang tr\u00ean m\u00ecnh nh\u1eefng \u01b0u \u0111i\u1ec3m v\u01b0\u1ee3t tr\u1ed9i, ph\u00f9 h\u1ee3p v\u1edbi c\u00f4ng ngh\u1ec7 c\u1ea5y gh\u00e9p hi\u1ec7n \u0111\u1ea1i ng\u00e0y nay. H\u00e3y c\u00f9ng \u0111i\u1ec3m qua nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u “\u0110\u00e1nh<\/p>","protected":false},"author":1,"featured_media":726,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"yst_prominent_words":[],"class_list":["post-719","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc"],"_links":{"self":[{"href":"https:\/\/hahnimplant.vn\/en\/wp-json\/wp\/v2\/posts\/719"}],"collection":[{"href":"https:\/\/hahnimplant.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hahnimplant.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hahnimplant.vn\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hahnimplant.vn\/en\/wp-json\/wp\/v2\/comments?post=719"}],"version-history":[{"count":0,"href":"https:\/\/hahnimplant.vn\/en\/wp-json\/wp\/v2\/posts\/719\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hahnimplant.vn\/en\/wp-json\/wp\/v2\/media\/726"}],"wp:attachment":[{"href":"https:\/\/hahnimplant.vn\/en\/wp-json\/wp\/v2\/media?parent=719"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hahnimplant.vn\/en\/wp-json\/wp\/v2\/categories?post=719"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hahnimplant.vn\/en\/wp-json\/wp\/v2\/tags?post=719"},{"taxonomy":"yst_prominent_words","embeddable":true,"href":"https:\/\/hahnimplant.vn\/en\/wp-json\/wp\/v2\/yst_prominent_words?post=719"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}