{"id":36008,"date":"2019-10-31T22:09:07","date_gmt":"2019-10-31T19:09:07","guid":{"rendered":"https:\/\/prohoster.info\/blog\/ustanovka-implantata-kak-eto-delaetsya\/"},"modified":"2019-10-31T22:09:07","modified_gmt":"2019-10-31T19:09:07","slug":"ustanovka-implantata-kak-eto-delaetsya","status":"publish","type":"post","link":"https:\/\/prohoster.info\/cs\/blog\/news\/ustanovka-implantata-kak-eto-delaetsya","title":{"rendered":"Implantace: jak se to d\u011bl\u00e1?","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

\"Implantace:
\nDobr\u00fd den, v\u00e1\u017een\u00ed p\u0159\u00e1tel\u00e9! Dnes bych v\u00e1m cht\u011bl \u0159\u00edct, a hlavn\u011b uk\u00e1zat, jak prob\u00edh\u00e1 operace zaveden\u00ed implant\u00e1tu \u2014 se v\u0161emi n\u00e1stroji a dal\u0161\u00edm vybaven\u00edm. Pokud jsem u\u017e vypr\u00e1v\u011bl o procesu extrakce zubu<\/a><\/noindex>, konkr\u00e9tn\u011b zub\u016f moudrosti<\/a><\/noindex> \u2014 nastal \u010das mluvit o n\u011b\u010dem v\u00e1\u017en\u011bj\u0161\u00ed.<\/p>\n

POZOR!-Uwaga!-Pa\u017enju!-Attention!-Achtung!-Attenzione!-POZOR!-Uwaga!-Pa\u017enju!<\/p>\n

N\u00ed\u017ee budou uvedeny fotografie po\u0159\u00edzen\u00e9 b\u011bhem operace! S pohledy na zuby, d\u00e1sn\u011b, krev a anatomick\u00e9 \u010d\u00e1sti. Senzitivn\u011bj\u0161\u00ed osoby pros\u00edm, aby si tento \u010dl\u00e1nek nep\u0159e\u010detly.<\/b><\/p><\/blockquote>\n

<\/a><\/noindex>
\nJste je\u0161t\u011b tady? Tak poj\u010fme na to!<\/p>\n

Konzultace a vy\u0161et\u0159en\u00ed<\/h3>\n

\nKrom\u011b vizu\u00e1ln\u00ed prohl\u00eddky:<\/p>\n

\"Implantace:
\n
\nJe t\u0159eba prov\u00e9st rentgenov\u00e9 vy\u0161et\u0159en\u00ed. V tomto p\u0159\u00edpad\u011b n\u00e1m nebude sta\u010dit jednoduch\u00e9 OPG (panoramatick\u00fd sn\u00edmek zub\u016f). Bude pot\u0159eba CBCT<\/b> (k\u00f3nicko paprskov\u00e1 po\u010d\u00edta\u010dov\u00e1 tomografie).<\/p>\n

\"Implantace:
\n<\/p>\n

Jak\u00fd je tedy rozd\u00edl?<\/h3>\n

\nOPG<\/b> (ortopantomogram) \u2014 p\u0159ehledn\u00fd sn\u00edmek zubn\u011b-\u010delistn\u00edho syst\u00e9mu. Tento sn\u00edmek je plo\u0161n\u00fd, co\u017e znamen\u00e1, \u017ee doch\u00e1z\u00ed k p\u0159ekr\u00fdv\u00e1n\u00ed ka\u017ed\u00e9ho detailu sn\u00edmku vrstven\u00edm na sebe. Nen\u00ed tedy mo\u017en\u00e9 prozkoumat objekt zkoum\u00e1n\u00ed, konkr\u00e9tn\u011b m\u00edsto pl\u00e1novan\u00e9 implantace, ze v\u0161ech rovin, z jin\u00e9ho \u00fahlu nebo jin\u00e9 projekce.<\/p>\n

CBCT<\/b> (k\u00f3nicko paprskov\u00e1 po\u010d\u00edta\u010dov\u00e1 tomografie) \u2014 3D objemov\u00fd sn\u00edmek, naopak n\u00e1m tuto mo\u017enost d\u00e1v\u00e1.<\/p>\n

\"Implantace:
\n
\nV tomto p\u0159\u00edpad\u011b je objem kostn\u00ed tk\u00e1n\u011b dostate\u010dn\u00fd pro stabilizaci optim\u00e1ln\u011b velk\u00e9ho implant\u00e1tu, a kvalita d\u00e1sn\u011b umo\u017e\u0148uje vytvo\u0159en\u00ed estetick\u00e9ho kontury bez dal\u0161\u00edch procedur:<\/p>\n

\"Implantace:
\n
\nPo proveden\u00ed pot\u0159ebn\u00fdch vy\u0161et\u0159en\u00ed p\u0159ech\u00e1z\u00edme k samotn\u00e9 implantaci.<\/p>\n

V\u0161echno za\u010d\u00edn\u00e1 samoz\u0159ejm\u011b anestezi\u00ed. Nikdo p\u0159ece nechce b\u011bhem operace k\u0159i\u010det bolest\u00ed, \u017ee?<\/p>\n

Aby se minimalizovaly v\u0161echny nep\u0159\u00edjemn\u00e9 pocity a vpich jehly byl m\u00e9n\u011b bolestiv\u00fd \u2014 pou\u017e\u00edv\u00e1 se tzv. aplikovan\u00e1 anestezie.<\/b><\/p>\n

\"Implantace:
\n
\nD\u00e1le se prov\u00e1d\u00ed infiltrov\u00e1n\u00ed<\/b> anestetika v oblasti pl\u00e1novan\u00e9 operace. Na fotografii je zobrazen opakovan\u011b pou\u017eiteln\u00fd karpuln\u00ed injektor, kter\u00fd se, samoz\u0159ejm\u011b, po ka\u017ed\u00e9m pacientovi sterilizuje, stejn\u011b jako jak\u00fdkoliv jin\u00fd n\u00e1stroj. Dva jednor\u00e1zov\u00e9 karpuly s anestetikem a dv\u011b jehly r\u016fzn\u00fdch d\u00e9lek:<\/p>\n

\"Implantace:
\n
\nJak to vypad\u00e1 v \u00fastech:<\/p>\n

\"Implantace:
\n
\nPo proveden\u00e9 anestezii se prov\u00e1d\u00ed \u0159ez skalpelem \u2014 \u0159ez<\/b>, a takzvan\u00fdm rozparova\u010dem \u2014 skeletov\u00e1n\u00ed kosti<\/b>. (odd\u011blen\u00ed periostu od kompaktn\u00ed hmoty kosti).<\/p>\n

\"Implantace:
\n
\n\u0158ez:<\/p>\n

\"Implantace:
\n
\nSkeletov\u00e1n\u00ed kosti:<\/p>\n

\"Implantace:
\n
\nN\u00e1sledn\u011b se prov\u00e1d\u00ed p\u0159\u00edprava l\u016f\u017eka pro implant\u00e1t (preparace).<\/p>\n

N\u00ed\u017ee je uvedeno za\u0159\u00edzen\u00ed jedn\u00e9 z n\u011bmeck\u00fdch implantologick\u00fdch syst\u00e9m\u016f, kter\u00e9 pou\u017e\u00edv\u00e1m ve sv\u00e9 praxi.<\/p>\n

\"Implantace:
\n
\nKrom\u011b chirurgick\u00e9 sady m\u00e1me speci\u00e1ln\u00ed p\u0159\u00edstroj naz\u00fdvan\u00fd physiodispenser:<\/p>\n

\"Implantace:
\n
\nNa rozd\u00edl od b\u011b\u017en\u00e9 zubn\u00ed vrta\u010dky umo\u017e\u0148uje nejen p\u0159esn\u011b regulovat ot\u00e1\u010dky a ochlazovat \u0159ezn\u00fd n\u00e1stroj fyziologick\u00fdm roztokem, ale tak\u00e9 kontrolovat krout\u00edc\u00ed moment.<\/p>\n

Implantace za\u010d\u00edn\u00e1 ozna\u010den\u00edm. To se prov\u00e1d\u00ed pomoc\u00ed kulov\u00e9ho vrt\u00e1ku:<\/p>\n

\"Implantace:
\n
\nD\u00e1le, pomoc\u00ed pilotn\u00edho fr\u00e9zky o pr\u016fm\u011bru 2 mm, nastavujeme osu l\u016f\u017eka budouc\u00edho implant\u00e1tu, kterou kontrolujeme pomoc\u00ed kol\u00edk\u016f*<\/p>\n

\"Implantace:
\n*V\u011bc pro kontrolu polohy implant\u00e1tu<\/p>\n

Pokud byla osa l\u016f\u017eka nastavena spr\u00e1vn\u011b, zb\u00fdv\u00e1 n\u00e1m jen dov\u00e9st l\u016f\u017eko na po\u017eadovan\u00fd pr\u016fm\u011br. K tomu se pou\u017e\u00edvaj\u00ed hlavn\u00ed pracovn\u00ed fr\u00e9zky. Prvn\u00ed z nich \u2014 o pr\u016fm\u011bru 3,0 mm:<\/p>\n

\"Implantace:
\n
\nPot\u00e9 \u2014 kontrola polohy pomoc\u00ed analog\u016f implant\u00e1t\u016f, kter\u00e9 jsou sou\u010d\u00e1st\u00ed sady:<\/p>\n

\"Implantace:
\n
\nNa \u0159ad\u011b je dal\u0161\u00ed fr\u00e9za o pr\u016fm\u011bru 3,4 mm:<\/p>\n

\"Implantace:
\n
\nA te\u010f p\u0159ich\u00e1z\u00ed nejd\u016fle\u017eit\u011bj\u0161\u00ed f\u00e1ze \u2014 fin\u00e1ln\u00ed fr\u00e9za pro n\u00e1\u0161 implant\u00e1t o pr\u016fm\u011bru 3,8 mm. Nyn\u00ed sni\u017eujeme ot\u00e1\u010dky na physiodispenseru na minimum, abychom zabr\u00e1nili p\u0159eh\u0159\u00e1t\u00ed a poran\u011bn\u00ed kostn\u00ed tk\u00e1n\u011b, po \u010dem\u017e velmi, velmi opatrn\u011b projdeme l\u016f\u017eko:<\/p>\n

\"Implantace:
\n
\nJe\u0161t\u011b jednou kontrolujeme v\u0161e pomoc\u00ed analog\u016f implant\u00e1tu. Jak se \u0159\u00edk\u00e1, sedmkr\u00e1t zm\u011b\u0159, jednou vra\u017e:<\/p>\n

\"Implantace:
\n
\nDovedli jsme l\u016f\u017eko do hloubky 11 mm a pr\u016fm\u011bru 3,8 mm. Ale t\u00edm p\u0159\u00edprava l\u016f\u017eka nekon\u010d\u00ed.<\/p>\n

A to proto, \u017ee kostn\u00ed tk\u00e1\u0148 je pru\u017en\u00e9 prost\u0159ed\u00ed, a abychom eliminovali nap\u011bt\u00ed od kortik\u00e1ln\u00ed desky (a p\u0159ede\u0161li periimplantitid\u011b), pou\u017e\u00edv\u00e1me speci\u00e1ln\u00ed kortik\u00e1ln\u00ed fr\u00e9zu:<\/p>\n

\"Implantace:
\n
\nP\u0159i pr\u00e1ci s velmi hustou kostn\u00ed tk\u00e1n\u00ed nav\u00edc pou\u017e\u00edv\u00e1me speci\u00e1ln\u00ed z\u00e1vitn\u00edk:<\/p>\n

\"Implantace:
\n
\nNyn\u00ed m\u016f\u017eeme p\u0159istoupit k instalaci implant\u00e1tu.<\/p>\n

Implant\u00e1t po\u017eadovan\u00e9 velikosti (3,8 x 11 mm) se upev\u0148uje na hexagon\u00e1ln\u00edm kl\u00ed\u010di, po \u010dem\u017e se instaluje do p\u0159ipraven\u00e9ho l\u016f\u017eka:<\/p>\n

\"Implantace:
\n
\nJe\u0161t\u011b jednou kontrolujeme polohu implant\u00e1tu:<\/p>\n

\"Implantace:
\n
\nD\u00e1le odstran\u00edme do\u010dasn\u00fd abutment, kter\u00fd v tomto p\u0159\u00edpad\u011b plnil funkci nosi\u010de implant\u00e1tu:<\/p>\n

\"Implantace:
\n
\nDal\u0161\u00edm krokem je instalace form\u00e1toru d\u00e1sn\u011b:<\/p>\n

\"Implantace:
\n
\nS ohledem na klinick\u00e9 podm\u00ednky jsme k instalovan\u00e9mu implant\u00e1tu vybrali form\u00e1tor Slim (bez roz\u0161\u00ed\u0159en\u00ed) o v\u00fd\u0161ce 3 mm:<\/p>\n

\"Implantace:
\n
\nNa\u0161i operaci kon\u010d\u00edme se\u0161it\u00edm:<\/p>\n

\"Implantace:
\n
\nA kontroln\u00edm sn\u00edmkem:<\/p>\n

\"Implantace:
\n
\nIntegraci implant\u00e1tu obvykle trv\u00e1 pr\u016fm\u011brn\u011b 4 m\u011bs\u00edce. Sou\u010dasn\u011b prob\u00edh\u00e1 formov\u00e1n\u00ed m\u011bkk\u00fdch tk\u00e1n\u00ed, tak\u017ee p\u0159ibli\u017en\u011b za 12 t\u00fddn\u016f obdr\u017e\u00edme syst\u00e9m p\u0159ipraven\u00fd k instalaci korunky.<\/p>\n

To je pro dnes v\u0161e.<\/p>\n

D\u011bkujeme za pozornost!<\/p>\n

S pozdravem, Andrej Da\u0161kova<\/p>\n

Co si je\u0161t\u011b p\u0159e\u010d\u00edst o implantaci zub\u016f?<\/b><\/p>\n

—<\/b> Sinus-lifting a okam\u017eit\u00e1 implantace<\/a><\/noindex>
\n
Zdroj: habr.com<\/a><\/p>","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

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