{"id":35480,"date":"2019-10-31T22:04:33","date_gmt":"2019-10-31T19:04:33","guid":{"rendered":"https:\/\/prohoster.info\/blog\/zuby-mudrosti-tyanem-potyanem\/"},"modified":"2019-10-31T22:04:33","modified_gmt":"2019-10-31T19:04:33","slug":"zuby-mudrosti-tyanem-potyanem","status":"publish","type":"post","link":"https:\/\/prohoster.info\/cs\/blog\/news\/zuby-mudrosti-tyanem-potyanem","title":{"rendered":"Zuby moudrosti: T\u00e1hneme a t\u00e1hneme","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

\"Zuby
\nPo publikaci p\u0159edchoz\u00edch \u010dl\u00e1nk\u016f, a zejm\u00e9na \u201eZuby moudrosti \u2013 odstranit nelze nechat\u201c<\/a><\/noindex>, obdr\u017eel jsem n\u011bkolik koment\u00e1\u0159\u016f s ot\u00e1zkami \u2013 \u201eA pokud byla 7. zub n\u011bkdy odstran\u011bna, vyroste 8. na jeho m\u00edsto?\u201c nebo \u201eJe mo\u017en\u00e9 vyt\u00e1hnout 8. (horizont\u00e1ln\u00ed) zub a um\u00edstit ho na m\u00edsto 7., kter\u00fd neexistuje?\u201c
\n<\/a><\/noindex>
\nTak\u017ee, teoreticky to lze ud\u011blat tak, jak si p\u0159edstavujete, ale\u2026 je to obt\u00ed\u017en\u00e9.<\/p>\n

Ano, samoz\u0159ejm\u011b, existuj\u00ed \u201emist\u0159i\u201c, kte\u0159\u00ed aktivn\u011b praktikuj\u00ed a propaguj\u00ed tuto metodiku. Ale \u017e\u00e1dn\u00fd z nich v\u00e1m ned\u00e1 z\u00e1ruku, \u017ee po roce \u010di dvou letech pokus\u016f vyt\u00e1hnout takovou 8 a um\u00edstit ji do \u0159ady s ostatn\u00edmi zuby bude m\u00edt stoprocentn\u00ed \u00fasp\u011bch. Existuj\u00ed tak\u00e9 metody replantace zub\u016f, k nim\u017e se vztahuj\u00ed s velk\u00fdm skepticismem. O to v\u00edc v p\u0159\u00edpad\u011b, kdy na m\u00edst\u011b 6. nebo 7. zubu, kter\u00e9 byly d\u00e1vno odstran\u011bny, je vyfr\u00e9zov\u00e1na um\u011bl\u00e1 \u201ed\u00edra\u201c (prost\u011b \u201ejamka\u201c v kosti), do n\u00ed\u017e je um\u00edst\u011bn tak\u00e9 vyfr\u00e9zovan\u00fd horizont\u00e1ln\u00ed zub moudrosti. Ten, na druhou stranu, pot\u0159ebuje endodontick\u00e9 o\u0161et\u0159en\u00ed (to znamen\u00e1 odstranit z n\u011bj nerv). Ne\u0159\u00edk\u00e1te, \u017ee je to absurdn\u00ed?<\/p>\n

Z m\u00e9ho pohledu \u2013 je to prost\u011b hloup\u00e9, ale! Takov\u00e9 p\u0159\u00edpady se vyskytuj\u00ed. Ka\u017ed\u00fd \u201epracuje\u201c, jak chce nebo um\u00ed, pokud to tak chcete \u0159\u00edct. Jak se \u0159\u00edk\u00e1 \u2013 \u201ev\u0161echno podle indikac\u00ed\u201c. Vyjad\u0159uji sv\u016fj n\u00e1zor, kter\u00fd se m\u016f\u017ee radik\u00e1ln\u011b li\u0161it od n\u00e1zor\u016f ostatn\u00edch.<\/p>\n

Tak pro\u010d nezat\u00e1hnout zub moudrosti?<\/p>\n

Ortodonti d\u00e1vaj\u00ed rovn\u00e1tka, posouvaj\u00ed zuby, vytahuj\u00ed \u201ele\u017e\u00edc\u00ed\u201c retinovan\u00e9 (nepro\u0159ezan\u00e9) \u0161pi\u010d\u00e1ky, kter\u00e9 jsou um\u00edst\u011bny horizont\u00e1ln\u011b v \u010delisti. \u0158eknete si \u2013 poj\u010fme vyt\u00e1hnout i 8!<\/p>\n

Probl\u00e9m je v tom, \u017ee oblast zub\u016f moudrosti, a zejm\u00e9na doln\u00edch<\/b> 8-ek, je dost specifick\u00e1. Kostn\u00ed tk\u00e1\u0148 na tomto m\u00edst\u011b je velmi hust\u00e1 a samotn\u00fd \u00fasek je obvykle \u0161irok\u00fd. Tato oblast je dokonce d\u00e1rce p\u0159i plastick\u00fdch kostn\u00edch operac\u00edch.<\/p>\n

\"Zuby
\n
\nTo znamen\u00e1, \u017ee na tomto m\u00edst\u011b pomoc\u00ed speci\u00e1ln\u00edch n\u00e1stroj\u016f m\u016f\u017eete vz\u00edt kostn\u00ed fragment (blok) a p\u0159en\u00e9st jej tam, kde je kostn\u00ed tk\u00e1n\u011b nedostatek pro um\u00edst\u011bn\u00ed implant\u00e1tu. A tato z\u00f3na (kde byl odebr\u00e1n kostn\u00ed fragment) se \u010dasem obnov\u00ed a v p\u0159\u00edpad\u011b pot\u0159eby lze manipulaci opakovat.<\/p>\n

\"Zuby
\n
\nAle kostn\u00ed plastiky, to je t\u00e9ma samostatn\u00fdch \u010dl\u00e1nk\u016f, kter\u00e9 ur\u010dit\u011b probereme pozd\u011bji.<\/p>\n

Tak\u017ee, kost je hust\u00e1 a \u0161irok\u00e1. Pokud se pokus\u00edte vyt\u00e1hnout osmi\u010dku, vznikne za n\u00ed hlubok\u00e1 kostn\u00ed kapsa, a ka\u017ed\u00fd zub si zaslou\u017e\u00ed b\u00fdt obklopen kostn\u00ed tk\u00e1n\u00ed ze v\u0161ech stran. Mal\u00fd p\u0159\u00edklad: vezm\u011bte h\u016fl a zap\u00edchn\u011bte ji do p\u00edsku, co se stane? V p\u00edsku se objev\u00ed 'kan\u00e1l'. Stejn\u011b tak bude v kosti podobn\u00fd probl\u00e9m. Vyt\u00e1hnout horizont\u00e1ln\u00ed zub tak, aby byl obklopen kost\u00ed ze v\u0161ech stran, je velmi pochybn\u00e9.<\/p>\n

\"Zuby
\n
\n\u0158eknete: \u201eDob\u0159e, a co vertik\u00e1ln\u011b stoj\u00edc\u00ed zub?\u201c<\/p>\n

Odpov\u00edm, situace s vertik\u00e1ln\u011b stoj\u00edc\u00edm zubem je pon\u011bkud odli\u0161n\u00e1, takov\u00e9 z\u00e1va\u017en\u00e9 pohyby se samoz\u0159ejm\u011b nebudou muset d\u011blat. Ale probl\u00e9m bude stejn\u00fd, 'pohybovat' zubem z\u00fa\u017een\u011b je dost obt\u00ed\u017en\u00e9. V\u0161ichni v\u00edme, \u017ee \u010d\u00edm je \u010dlov\u011bk star\u0161\u00ed, t\u00edm pomaleji prob\u00edhaj\u00ed procesy hojen\u00ed v t\u011ble ve srovn\u00e1n\u00ed s mlad\u00fdmi lidmi. A\u0165 jde nap\u0159\u00edklad o zlomeninu. A to v\u0161e kv\u016fli tomu, \u017ee v kostech d\u00edt\u011bte je mnohem v\u00edce organick\u00fdch l\u00e1tek ne\u017e u dosp\u011bl\u00fdch. Obal, kter\u00fd pokr\u00fdv\u00e1 kost zven\u010d\u00ed (okostice), je siln\u00fd, dob\u0159e prokrven\u00fd. A tak d\u00e1le. A \u010d\u00edm je \u010dlov\u011bk star\u0161\u00ed, t\u00edm d\u00e9le a slo\u017eit\u011bji prob\u00edhaj\u00ed regenera\u010dn\u00ed procesy. Se zuby to je stejn\u00fd p\u0159\u00edb\u011bh. Pokud je v\u00e1m 14, v\u0161echny pohyby zub\u016f, kter\u00e9 napl\u00e1noval ortodont, prob\u011bhnou mnohem rychleji a snadn\u011bji, ne\u017e kdybyste byli ve v\u011bku 40 let. Stejn\u00fd p\u0159\u00edb\u011bh s 'vytahov\u00e1n\u00edm' \u0161pi\u010d\u00e1k\u016f, o kter\u00e9m jsem mluvil v\u00fd\u0161e \u2013 pokud se t\u00edmto zab\u00fdv\u00e1te ve v\u011bku 14 let, \u00fasp\u011b\u0161nost z\u00e1kroku je maxim\u00e1ln\u00ed.<\/p>\n

\"Zuby
\n
\nPokud jste ve v\u011bku 40 let poprv\u00e9 ud\u011blali panoramatick\u00fd sn\u00edmek zub\u016f a doktor objevil tam retinovan\u00fd horizont\u00e1ln\u011b le\u017e\u00edc\u00ed \u0161pi\u010d\u00e1k, \u0161ance na \u00fasp\u011bch jsou mnohem ni\u017e\u0161\u00ed. Tak\u00e9 s osmi\u010dkou, pokud by v\u00e1m bylo 14, teoreticky by takov\u00e1 manipulace byla mo\u017en\u00e1, dokonce bych se mohl domn\u00edvat, \u017ee by byla \u00fasp\u011b\u0161n\u00e1. Ale je tu velk\u00e9 ALE! V tomto v\u011bku je\u0161t\u011b ko\u0159eny osmi\u010dek nejsou utvo\u0159eny, na panoramatick\u00e9m sn\u00edmku vid\u00edme pouze vyvinutou korunkovou \u010d\u00e1st zubu, nach\u00e1zej\u00edc\u00ed se ve folikulu (kapsli obklopuj\u00edc\u00ed z\u00e1rodek zubu), co tedy 't\u00e1hnout'?<\/p>\n

\"Zuby
\n
\nV takov\u00e9m p\u0159\u00edpad\u011b m\u016f\u017eete po\u0161kodit z\u00e1rodek a zub bude stejn\u011b muset b\u00fdt odstran\u011bn. A ano, pokud jste ve 14 letech n\u011bkter\u00fd ze zub\u016f dot\u00e1hli k odstran\u011bn\u00ed... To je, m\u00edrn\u011b \u0159e\u010deno, smutn\u00e9. Co se pak stane se zuby ve 40 letech?<\/p>\n

A je\u0161t\u011b jedna v\u011bc, kter\u00e1 nen\u00ed a\u017e tak d\u016fle\u017eit\u00e1, ale je relevantn\u00ed. To je anatomie tvaru a velikosti korunky 7. a 8. zubu. Ty se li\u0161\u00ed. Je mo\u017en\u00e9 vytvo\u0159it plnohodnotn\u00fd kontakt, ale je to spr\u00e1vn\u00e9?<\/p>\n

Pokud byl 6. zub d\u00e1vno odstran\u011bn, m\u016f\u017ee se 7. zub posunout na m\u00edsto 6. a 8. na m\u00edsto 7.?<\/p>\n

Ne\u2026 Bude to n\u011bco takov\u00e9ho \u2014 \"Zuby
\n
\n\u201eSvat\u00e9 m\u00edsto pr\u00e1zdn\u00e9 neb\u00fdv\u00e1\u201c. P\u0159i dlouhodob\u00e9 absenci jak\u00e9hokoli zubu se sousedn\u00ed zuby postupn\u011b za\u010d\u00ednaj\u00ed posouvat sm\u011brem k jejich m\u00edstu. Takov\u00e9 pohyby prob\u00edhaj\u00ed pouze vp\u0159ed. Tedy, pokud odstran\u00edme 8.<\/a><\/noindex>, tak se 7. zub neohne zp\u011bt jako na sn\u00edmku. Pokud nejsou probl\u00e9my se skusem. (uzav\u0159en\u00edm zub\u016f).<\/p>\n

Mohu odstranit pouze doln\u00ed zub moudrosti a horn\u00ed nechat (nebo naopak), ten p\u0159ece neobt\u011b\u017euje?<\/p>\n

Bohu\u017eel, ani to ne.<\/p>\n

N\u00ed\u017ee je p\u0159\u00edklad, i kdy\u017e nen\u00ed se 8. zubem, ale smysl je stejn\u00fd. P\u0159i absenci jak\u00e9hokoli zubu se jeho antagonist (ten zub, se kter\u00fdm se uzav\u00edr\u00e1) za\u010d\u00edn\u00e1 postupn\u011b vysouvat sm\u011brem k chyb\u011bj\u00edc\u00edmu, \u201esna\u017e\u00edce se\u201c naj\u00edt kontakt.<\/p>\n

\"Zuby
\n
\nUm\u00edstit implant\u00e1t do oblasti 7. zubu nen\u00ed probl\u00e9m, ale spr\u00e1vn\u011b protetizovat (nasadit korunku) takov\u00fd zub je nemo\u017en\u00e9. Pro\u010d? Proto\u017ee korunka v takov\u00e9m p\u0159\u00edpad\u011b bude dvakr\u00e1t ni\u017e\u0161\u00ed. A vznik\u00e1 takzvan\u00fd \u201eblok\u201c, p\u0159i pohybu doln\u00ed \u010delisti, o kter\u00e9m jsem mluvil. v tomto \u010dl\u00e1nku<\/a><\/noindex>.<\/p>\n

Logick\u00e1 ot\u00e1zka je \u2014 \u201eCo tedy d\u011blat? Co s touto situac\u00ed?\u201c<\/p>\n

A to je to. Zvol\u00e1v\u00e1me na pomoc na\u0161e obl\u00edben\u00e9 ortodontisty a pomoc\u00ed speci\u00e1ln\u00edch konstrukc\u00ed a elastick\u00fdch p\u00e1sk\u016f se sna\u017e\u00edme postavit zuby do spr\u00e1vn\u00e9 polohy, jak to zam\u00fd\u0161lela p\u0159\u00edroda. V\u016fbec si mysl\u00edm, \u017ee ortodontist\u00e9 jsou nejd\u016fle\u017eit\u011bj\u0161\u00ed zuba\u0159i. Pro\u010d? Kdy\u017e se zamysl\u00edme, v\u0161echny probl\u00e9my se zuby od \u010deho jsou? \u2014 Od jejich polohy. Pokud jsou \"zuby k\u0159iv\u00e9\", zbytky j\u00eddla se v\u00edce ucp\u00e1vaj\u00ed mezi zuby, odsud trp\u00ed hygiena, odsud kaz a v\u0161echny s t\u00edm spojen\u00e9 komplikace. Nav\u00edc p\u0159et\u00ed\u017een\u00ed zub\u016f kv\u016fli nespr\u00e1vn\u00e9mu uz\u00e1v\u011bru. Ahoj opot\u0159eben\u00ed, \u010dipy na zubech a r\u016fzn\u00e9 kl\u00ednovit\u00e9 defekty (nekazov\u00e9 po\u0161kozen\u00ed, kter\u00e9 se nach\u00e1z\u00ed v oblasti kr\u010dk\u016f zub\u016f ve form\u011b kl\u00ednovit\u00e9ho defektu). Tak\u00e9 trp\u00ed TMK (temporo-mandibul\u00e1rn\u00ed kloub), mohou se objevit prask\u00e1n\u00ed, cvak\u00e1n\u00ed, bolestiv\u00e9 pocity atd. A pokud s pokusem probl\u00e9m nen\u00ed \u2014 prost\u011b si \u010dist\u011bte zuby a budete \u0161\u0165astn\u00ed. Ale a\u010d to zn\u00ed jakkoli sm\u011b\u0161n\u011b \u2014 a to je t\u0159eba d\u011blat spr\u00e1vn\u011b. M\u016f\u017eete \u010distit zuby 20 minut, ale \u017e\u00e1dn\u00fd \u00fa\u010dinek z toho nebude.<\/p>\n

Omlouv\u00e1me se za odklon. Tady je mal\u00fd klinick\u00fd p\u0159\u00edpad.<\/p>\n

\"Zuby
\n
\nByl zaveden implant\u00e1t a sou\u010dasn\u011b zah\u00e1jeno l\u00e9\u010den\u00ed u ortodontisty. Jak vid\u00edme, doln\u00ed prav\u00fd 7. zub je naklon\u011bn, zat\u00edmco horn\u00ed prav\u00fd 6. zub se trochu posunul dol\u016f.<\/p>\n

V\u0161imn\u011bte si, nen\u00ed nutn\u00e9 instalovat plnohodnotn\u00fd ortodontick\u00fd apar\u00e1t, abychom tento probl\u00e9m odstranili. Sta\u010d\u00ed p\u0159ilepit 3 rovn\u00e1tka na 4., 5. a 7. zub, a pomoc\u00ed speci\u00e1ln\u00ed pru\u017einy posunout probl\u00e9mov\u00fd zub na sv\u00e9 m\u00edsto. Na horn\u00ed \u010delisti je situace o n\u011bco odli\u0161n\u00e1. K odstran\u011bn\u00ed probl\u00e9mu se instaluj\u00ed dv\u011b ortodontick\u00e9 \u0161rouby. Jeden ze strany tv\u00e1\u0159e a druh\u00fd ze strany patra. Na zuby se lep\u00ed dv\u011b tla\u010d\u00edtka a je pod\u00e1no nap\u011bt\u00ed (speci\u00e1ln\u00ed gumi\u010dky). Tyto \u201et\u00e1hnou\u201c zub na m\u00edsto.<\/p>\n

\"Zuby
\n
\nA z jin\u00e9ho \u00fahlu \u2014 \"Zuby
\n
\nA te\u010f m\u00e1m ot\u00e1zku, pro\u010d to pot\u0159ebujete? M\u00e1m na mysli vytahov\u00e1n\u00ed osmi\u010dek.<\/p>\n

Zub moudrosti nen\u00ed \u201erezervn\u00ed kolo\u201c. Nem\u016f\u017eete jednodu\u0161e vz\u00edt a nahradit ztracen\u00fd zub. Krom\u011b toho, \u017ee proces posunu je velmi dlouh\u00fd, obzvl\u00e1\u0161\u0165 s v\u011bkem, tak tak\u00e9 nezaru\u010den\u00fd. To znamen\u00e1 \u2013 str\u00e1vili jste asi rok, dva na \u201evytahov\u00e1n\u00ed\u201c osmi\u010dky. Za to v\u00e1m nikdo ned\u00e1 z\u00e1ruky, a nakonec, stane se, \u017ee ho stejn\u011b odstran\u00edte. Odpov\u00edd\u00e1 to tomu?<\/p>\n

Ve skute\u010dnosti je mo\u017en\u00e9 v\u010das um\u00edstit jednor\u00e1zov\u00fd implant\u00e1t do m\u00edsta vytr\u017een\u00e9ho zubu a za t\u0159i m\u011bs\u00edce (pokud mluv\u00edme o doln\u00ed \u010delisti) budete m\u00edt zub, kter\u00fd bez probl\u00e9m\u016f \u017ev\u00fdk\u00e1 a kter\u00fd v\u00e1m bude slou\u017eit po cel\u00fd \u017eivot. A \u017e\u00e1dn\u00e9 dal\u0161\u00ed \"t\u00e1hneme, p\u0159esouv\u00e1me\". To v\u0161e za p\u0159edpokladu dodr\u017eov\u00e1n\u00ed v\u0161ech doporu\u010den\u00ed a n\u00e1v\u0161t\u011bv zuba\u0159e ka\u017ed\u00fdch \u0161est m\u011bs\u00edc\u016f za \u00fa\u010delem preventivn\u00ed prohl\u00eddky. S implant\u00e1tem se prost\u011b nic nestane. M\u016f\u017eete se pt\u00e1t: - \"Pro\u010d tedy chodit?\" Proto\u017ee pokud za\u010dnou m\u00edt probl\u00e9my sousedn\u00ed zuby, mohou se t\u00fdkat i implant\u00e1tu. A\u0165 u\u017e je to probl\u00e9m s d\u00e1sn\u011bmi nebo kostn\u00ed tk\u00e1n\u00ed kolem. Preventivn\u00ed prohl\u00eddky se povinn\u00fdm rentgenem zub\u016f pomohou takov\u00e9mu probl\u00e9mu p\u0159edej\u00edt. A samoz\u0159ejm\u011b, ide\u00e1ln\u00ed je profesion\u00e1ln\u00ed hygiena \u00fastn\u00ed dutiny tak\u00e9 ka\u017ed\u00fdch \u0161est m\u011bs\u00edc\u016f. To plat\u00ed zejm\u00e9na pro lidi se \u0161kodliv\u00fdmi n\u00e1vyky, jako je kou\u0159en\u00ed. Mysl\u00edm, \u017ee nen\u00ed t\u0159eba vysv\u011btlovat pro\u010d. V\u0161ichni to ch\u00e1pou.<\/p>\n

\u0158eknete \u2013 \"To je nepom\u011brn\u011b drah\u00e9!\" nebo \"Sv\u00e9 zuby jsou p\u0159ece lep\u0161\u00ed!\"<\/p>\n

Pokud jde o cenu. Nechci v\u00e1s zklamat, ale chirurgick\u00e1 f\u00e1ze, plus instalace ortodontick\u00e9 konstrukce a v\u00fdm\u011bna tah\u016f b\u011bhem n\u011bkolika let u ortodontisty, nakonec bude cenov\u011b t\u00e9m\u011b\u0159 srovnateln\u00e1 s instalac\u00ed implant\u00e1tu a v\u00fdrobou korunky. Ale v prvn\u00edm p\u0159\u00edpad\u011b nejsou \u017e\u00e1dn\u00e9 z\u00e1ruky, zat\u00edmco ve druh\u00e9m je do\u017eivotn\u00ed. C\u00edt\u00edte ten rozd\u00edl?<\/p>\n

Sv\u00e9 zuby jsou samoz\u0159ejm\u011b lep\u0161\u00ed. V\u017edy. Je t\u0159eba o n\u011b bojovat a\u017e do posledn\u00edho. Ale jen pokud jsou tyto zuby d\u016fle\u017eit\u00e9. A to nejsou zuby moudrosti, od kter\u00fdch nen\u00ed mo\u017en\u00e9 o\u010dek\u00e1vat nic jin\u00e9ho ne\u017e probl\u00e9my.<\/p>\n

Na dnes v\u0161e, d\u011bkuji za pozornost!<\/p>\n

Z\u016fsta\u0148te na p\u0159\u00edjmu!<\/p>\n

S \u00factou, Andrej Da\u0161kovi\u010d.
\n
Zdroj: habr.com<\/a><\/p>","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

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