1 nh ngha: Phc hnh rng c nh (PHRC) l loi phc hnh rng c thc hin bao bc nhng thn rng

g b mt cht ln, thay th nhng thn rng b mt hay phc hi nhng rng b mt hon ton, loi phc hnh ny c gn cht vo rng bnh nhn m bnh nhn khng th t tho c.

2 Mc tiu ca mt PHRC: Chc nng Thm m Bn vng Phng bnh * Vt liu: PHRC c lm bng kim loi, s, nha, composite, kt hp kim loi vi s/nha/composite.

3 Cc loi PHRC: Inlay: L vt c bng kim loi hoc lm bng s/composite nm trong lng mt hay nhiu mt ca thn rng dng trm mt xoang rng hay dng nng cho mt rng k cn (trong cu rng ngt lc); inlay thng lm mt nhai, ngoi, trong hay mt ni lin mt nhai v cc mt khc.

 Phn loi: inlay c 5 loi ty theo v tr t:

Loi 1: Inlay mt nhai R ci Loi 2: Inlay mt nhai kt hp mt bn Loi 3: Inlay mt bn R ca Loi 4: Inlay mt bn kt hp cnh cn R ca Loi 5: Inlay mt ngoi cc rng

 Onlay: Khi inlay m rng bao ph c mt nhai v hai

mt gn xa th c gi l onlay; onlay thng c s dng khi thn rng b mt cht qu nhiu, kh nng chu lc km khng trm thm m hay dng inlay c

 Pinlay, Pinledge: L inlay kim loi c cc cht nh gn

vo ng rng; rng ci gi l pinlay, rng ca v rng nanh gi l pinledge.

 Mo rng: L mt chp c hnh dng thn rng phc hi

ton phn hoc mt phn rng trn mt rng ring r sau khi rng ny c mi ton phn hoc mt phn ty theo loi mo ch nh. Mo ton din: bao ph ton b cc mt ca thn rng; c lm t kim loi, composite, s, sn kim loi ph s/nha

 Mo tng phn: l phc hnh bng kim loi, bao ph mt

ca thn R lm sng (khng bo ph ton b thn R lm sng), ty s mt/din tch bao ph c cc loi: 3/4, 4/5, 1/2, 7/8

 Rng cht v ci gi: thn rng gi c mt cht di c

gn vo ng chn rng ca mt chn rng cha ty

Cht thng: phn cht ca rng c lm bng kim loi

tin ch (lm sn), c gn vi thn rng ton bng nha hay s. Cht Richmond: Phn cht c c theo hnh dng ng ty, thn rng tng t cht thng Ci gi: phn cht c c theo hnh ng ty, phn thn c c tng t ci R

Cu rng:l loi phc hnh tng phn c nh dng

phc hi mt hay nhiu rng mt bng cch dng cc rng k cn cc rng mt lm tr mang gnh cc rng gi thay th cho rng mt
Cu rng c gn cht vo cc rng tr bng ciment v

bnh nhn khng th t tho ra c Cu rng c cng dng duy tr s n nh cho cung rng v mt phng nhai,phc hi chc nng nhai,pht m v thm m Cu rng km thm m hn phc hnh tho lp nht l trong trng hp mt rng lu,tiu xng nhiu

 Cc thnh phn ca cu rng:

Tr cu: l mt thn/chn rng tht dng chng cho

cu Phn gi: l phn ca cu rng bm gi trn rng tr v ni vi rng nhp cu; n c th l inlay, onlay, mo tng phn/ton din, rng cht Phn cu (nhp cu): l phn thay th cho cc rng mt, gip phc hi chc nng v hnh th cc rng mt

Phn ni: l phn ni lin nhp cu vi phn gi, n c th l loi cng chc (hn/c dnh vi nhp cu v phn gi) hoc khng cng chc (dng kha ngm, cn gi l cu rng ngt lc/bn c

 Phn loi cu rng:

Theo hnh dng v tnh cht:

Cu R c nh Cu R c R tr 2 u tn cng Cu R c R tr trung gian Cu R c nhp cu tn cng: cu vi Cu R bn c nh (cu R ngt lc) Theo v tr: Cu R trc: t R nanh tr v trc Cu R sau: t R ci nh 1 tr v sau Cu R hn hp: mt bn hay ton hm (>10 n v)

bridge)
Trong thi gian ch i hon thnh mt phc hnh, cc ci

rng cn c bo v v to cho bnh nhn s thoi mi, d chu, vic lm cu rng tm s nh hng ti kt qu cui cng v to mt s tin cy i vi bnh nhn.

Yu cu: Bo v ty rng v m rng n nh ci rng Duy tr tm chc nng nhai v thm m D gi v sinh Cnh ca phc hnh tm khng c lm kch thch vin nu C tnh lu gi v chc chn Vt liu: Nha t cng

 Np c nh (fixed splint): l 1 loi phng tin (?) dng

n nh, bo tn cc R lng lo/yu v phn phi u lc nhai trn cc R

Cc cng dng khc:

Ci thin hnh dng v chc nng ca R iu chnh khp cn, tng quan 2 hm Ci thin chc nng n nhai Cc loi np c nh: Da trn khong mt rng: np 1 bn, 2 bn hm Da vo thi gian dng: np tm thi (hng tun/thng), vnh vin (khng gii hn thi gian) Da vo v tr t: np trong R (intracoronal splint np ngoi R (extracoronal splint)

4 Tm tt cc giai on thc hin mt PHRC Chn on, xc nh, ly du s khi (lm sng) mu s khi, lm KLDCN, lm PH tm (labo) Sa son rng, ly du sau cng, ghi du tng quan nu cn, gn PH tm (lm sng) mu sau cng, v , ca die, gt die, v gi khp, lm mu sp, gn kim c, v bt c, c, hn nhng thnh phn ring l ca cu R, nh bng tm, p nha/p s giai on ny hoc sau khi th, iu chnh trn ming bnh nhn (labo)

 Th PH trn ming bnh nhn, iu chnh ng c R,

giao cho labo sa nu cn (lm sng) Sa cha (nu cn), hon tt v nh bng (labo) Gn PH hon tt trn ming bnh nhn, ti khm theo di kim tra (lm sng).