{"id":36209,"date":"2019-10-31T22:10:17","date_gmt":"2019-10-31T19:10:17","guid":{"rendered":"https:\/\/prohoster.info\/blog\/implantatsiya-pri-polnom-otsutstvii-zubov-kak-sledstvie-nesvoevremennogo-obrashheniya-k-stomatologu\/"},"modified":"2019-10-31T22:10:17","modified_gmt":"2019-10-31T19:10:17","slug":"implantatsiya-pri-polnom-otsutstvii-zubov-kak-sledstvie-nesvoevremennogo-obrashheniya-k-stomatologu","status":"publish","type":"post","link":"https:\/\/prohoster.info\/cs\/blog\/news\/implantatsiya-pri-polnom-otsutstvii-zubov-kak-sledstvie-nesvoevremennogo-obrashheniya-k-stomatologu","title":{"rendered":"Implantace p\u0159i \u00fapln\u00e9 ztr\u00e1t\u011b zub\u016f, jako d\u016fsledek opo\u017ed\u011bn\u00e9ho vyhled\u00e1n\u00ed zubn\u00edho l\u00e9ka\u0159e","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

\"Implantace
\n
\nDraz\u00ed p\u0159\u00e1tel\u00e9, jsem r\u00e1d, \u017ee v\u00e1s mohu znovu p\u0159iv\u00edtat! U\u017e jsme hodn\u011b diskutovali o zubech moudrosti, jak\u00e9 jsou<\/a><\/noindex>, jak se odstra\u0148uj\u00ed<\/a><\/noindex>, nebol\u00ed, neznamen\u00e1, \u017ee je v\u0161e v po\u0159\u00e1dku<\/a><\/noindex>, co d\u011blat v \u010cL\u0425<\/a><\/noindex> a u\u017e v\u016fbec ne \u201eje vytahovat\u201c<\/a><\/noindex>. Velmi m\u011b t\u011b\u0161\u00ed, \u017ee se mnoh\u00fdm z v\u00e1s \u010dl\u00e1nky l\u00edbily, ale dnes \u2014 p\u0159esto budu pokra\u010dovat v t\u00e9matu implantace.<\/p>\n

V\u0161ichni v\u00edme, \u017ee n\u00e1\u0161 n\u00e1rod chod\u00ed k l\u00e9ka\u0159\u016fm v mimo\u0159\u00e1dn\u00fdch p\u0159\u00edpadech. Kdy\u017e u\u017e je pozd\u011b. N\u00e1v\u0161t\u011bva zuba\u0159e nen\u00ed v\u00fdjimkou. Samoz\u0159ejm\u011b, \u017ee se to m\u00e1lo vztahuje na u\u017eivatele Chabra, ale cht\u011bl bych v\u00e1m \u0159\u00edct, a hlavn\u011b uk\u00e1zat, jak to m\u016f\u017ee skon\u010dit.
\n<\/a><\/noindex>
\nTak poj\u010fme za\u010d\u00edt!<\/p>\n

\u010ceho se tedy v\u0161ichni boj\u00ed? Co je zastavuje? Ka\u017ed\u00fd m\u00e1 svou vlastn\u00ed p\u0159\u00ed\u010dinu. Pokud mluv\u00edme o stomatologii, pak si mysl\u00edm, \u017ee jsou hlavn\u00ed dv\u011b: strach, \u017ee to bude bolet (nebo je\u0161t\u011b v\u00edc, ne\u017e te\u010f) a strach, \u017ee to bude drah\u00e9. Je lep\u0161\u00ed utratit tyto pen\u00edze na dovolenou, nov\u00e9 auto nebo\u2026 8PACK OrionX. Priority m\u00e1 ka\u017ed\u00fd jin\u00e9.<\/p>\n

Ale m\u00e1lokdo si uv\u011bdomuje, \u017ee odklad n\u00e1v\u0161t\u011bvy l\u00e9ka\u0159e m\u016f\u017ee situaci pouze zhor\u0161it. \u010casto, zat\u00edmco p\u0159em\u00fd\u0161l\u00edte \u201evydr\u017e\u00edm a samo to p\u0159ejde\u201c, se situace m\u016f\u017ee zhor\u0161it a\u017e do v\u00e1\u017en\u00fdch komplikac\u00ed, kdy jedinou mo\u017enost\u00ed bude zavolat z\u00e1chrannou slu\u017ebu. Ale tak\u00e9 se st\u00e1v\u00e1, \u017ee mnoho probl\u00e9m\u016f se zuby prob\u00edh\u00e1 asymptomaticky a odhal\u00ed se jen n\u00e1hodou. Tak\u017ee \u201enebol\u00ed a je fajn\u201c, pozd\u011bji to dojde k tomu, \u017ee nelze zachr\u00e1nit ani jeden zub a je t\u0159eba je v\u0161echny odstranit. Jak v\u00edme, \u010d\u00edm v\u00edce objem, t\u00edm t\u011b\u017e\u0161\u00ed pr\u00e1ce a vy\u0161\u0161\u00ed n\u00e1klady. A\u0165 u\u017e se to t\u00fdk\u00e1 jak\u00e9koli sf\u00e9ry. Proto je z\u00e1sadn\u011b d\u016fle\u017eit\u00e9 nav\u0161t\u011bvovat zuba\u0159e ka\u017ed\u00fdch \u0161est m\u011bs\u00edc\u016f, abyste v\u010das sledovali v\u0161echna tato \u201enebol\u00ed\u201c. Pro\u010d ka\u017ed\u00fdch \u0161est m\u011bs\u00edc\u016f? P\u0159edpokl\u00e1d\u00e1 se, \u017ee b\u011bhem maxim\u00e1ln\u011b \u0161esti m\u011bs\u00edc\u016f lze probl\u00e9my objevit a vy\u0159e\u0161it je\u0161t\u011b v po\u010d\u00e1te\u010dn\u00edch st\u00e1di\u00edch v\u00fdvoje.<\/p>\n

Zde je jeden z p\u0159\u00edklad\u016f<\/p>\n

\"Implantace
\n
\nPacientka se k sv\u00fdm zub\u016fm stav\u00ed velmi opatrn\u011b. Jak vid\u00edme, aktivn\u011b se v\u011bnovala l\u00e9\u010db\u011b a obnov\u011b zub\u016f. Ale \u010das plyne, a tud\u00ed\u017e doba trv\u00e1n\u00ed plomb, korun a m\u016fstk\u016f dosp\u011bla ke konci. Krom\u011b toho, \u017ee se kaz\u00ed jej\u00ed vlastn\u00ed zuby, mohou se objevit probl\u00e9my i s nainstalovan\u00fdmi implant\u00e1ty, jako v tomto p\u0159\u00edpad\u011b. Tak\u00e9 je nutn\u00e9 je odstranit. Nemluv\u011b o tom, \u017ee n\u011bkte\u0159\u00ed l\u00e9ka\u0159i st\u00e1le instaluj\u00ed ploch\u00e9 implant\u00e1ty bez jak\u00fdchkoli indikac\u00ed. Kter\u00e9 se mohou snadno zlomit, jako v tomto p\u0159\u00edpad\u011b. A pro\u010d? Proto\u017ee zde chyb\u011bl komplexn\u00ed p\u0159\u00edstup, pl\u00e1n l\u00e9\u010dby a celkov\u00e1 vize situace. \u0158ekn\u011bte mi, pro\u010d sem \u201evpa\u0161ovali\u201c tenkou desku p\u0159i takov\u00e9 \u0161\u00ed\u0159ce kosti? O\u010dek\u00e1v\u00e1m, \u017ee podm\u00ednky p\u0159ed operac\u00ed byly je\u0161t\u011b lep\u0161\u00ed. Rozhodn\u011b ne hor\u0161\u00ed.<\/p>\n

\"Implantace
\n
\nJedn\u00edm spr\u00e1vn\u00fdm \u0159e\u0161en\u00edm bude odstran\u011bn\u00ed ploch\u00e9ho implant\u00e1tu. A\u010dkoli... odstran\u011bn\u00ed, to je slab\u00e9 slovo. Bude ho t\u0159eba vy\u0159ezat. Co t\u00edm mysl\u00edm? M\u00e1m na mysli, MUS\u00cdTE O\u0158EZAT. Po tomto slov\u011b, n\u011bkde na obzoru, se pomalu, ale jist\u011b bl\u00ed\u017e\u00ed panenka Billy na sv\u00e9m kole, a schopnost adekv\u00e1tn\u011b vn\u00edmat informace se pomalu vytr\u00e1c\u00ed, souhlas\u00edte.<\/p>\n

\"Implantace
\n
\nJak v\u00edme, desti\u010dkov\u00e9 implant\u00e1ty nemaj\u00ed integraci. To znamen\u00e1, \u017ee se nepropojuj\u00ed nebo neusazuj\u00ed v kosti. Dr\u017e\u00ed se pouze mechanicky. P\u0159i vytv\u00e1\u0159en\u00ed lo\u017ee pro implant\u00e1t se vytv\u00e1\u0159\u00ed \"p\u0159\u00edkop\" pod\u00e9l alveol\u00e1rn\u00edho h\u0159ebene, do kter\u00e9ho se tato deska um\u00eds\u0165uje. V pr\u016fb\u011bhu \u010dasu proch\u00e1zej\u00ed kostn\u00ed tk\u00e1n\u011b otvory tohoto implant\u00e1tu. A vznik\u00e1 n\u011bco jako z\u00e1mek. Proto jin\u00fdm zp\u016fsobem ne\u017e t\u00edm, co jsem uvedl v\u00fd\u0161e, jej nelze odstranit. \u0158eknete, \u017ee obvykl\u00fd cylindrick\u00fd implant\u00e1t se mus\u00ed vyjmout tak\u00e9 takto? Dob\u0159e, nyn\u00ed porovnejte plochu r\u00e1ny p\u0159i odstran\u011bn\u00ed desky p\u0159ibli\u017en\u011b 2 cm na d\u00e9lku a cylindru, v pr\u016fm\u011bru 4,5 mm v pr\u016fm\u011bru. Je tam rozd\u00edl? V\u00edce ne\u017e to, pokud z n\u011bjak\u00e9ho d\u016fvodu nastanou probl\u00e9my s cylindrick\u00fdm implant\u00e1tem, pak obvykle bu\u010f nenabyl integrace (nesrostl s kost\u00ed), a proto jej lze vyjmout i rukama, nebo do\u0161lo k kritick\u00e9 ztr\u00e1t\u011b kostn\u00ed hmoty kolem implant\u00e1tu, jako v tomto p\u0159\u00edpad\u011b. \u010casto se pr\u00e1ce vrta\u010dky nebo ultrazvukov\u00e9 \u0161pi\u010dky minimalizuje, stejn\u011b jako trauma po manipulaci. Samoz\u0159ejm\u011b to v\u0161ak nijak nezmen\u0161uje obt\u00ed\u017ee, kter\u00e9 souvisej\u00ed s obnovou objemu ztracen\u00e9 kosti v t\u00e9to oblasti. Zpravidla z\u016fst\u00e1v\u00e1 zna\u010dn\u00e1 \"d\u00edra\".<\/p>\n

\"Implantace
\n
\nTak\u017ee, po zohledn\u011bn\u00ed v\u00fdsledk\u016f diagnostiky, konzultace s ortopedem a, co\u017e je d\u016fle\u017eit\u00e9, p\u0159\u00e1n\u00ed pacienta (!), bylo rozhodnuto o odstran\u011bn\u00ed v\u0161ech zub\u016f na horn\u00ed a doln\u00ed \u010delisti, v\u010detn\u011b d\u0159\u00edve nainstalovan\u00fdch implant\u00e1t\u016f. Krom\u011b desti\u010dkov\u00e9ho implant\u00e1tu, ten jsem si nechal na dezert.<\/p>\n

Mysl\u00edte, \u017ee je to v\u0161echno? M\u016f\u017eeme za\u010d\u00edt? Kdepak! V t\u00e9to f\u00e1zi za\u010d\u00ednaj\u00ed nov\u00e9 obavy, jako \"Co\u017ee?! Odstranit v\u0161echno najednou?!\", \"P\u0159e\u017eiji v\u016fbec?\", \"Jak potom budu \u017ev\u00fdkat d\u00e1sn\u011bmi?\"<\/p>\n

\"Implantace
\n
\nVe skute\u010dnosti na tom nen\u00ed nic nebezpe\u010dn\u00e9ho. Va\u0161emu zdrav\u00ed a u\u017e v\u016fbec ne \u017eivotu nic nehroz\u00ed. Nav\u00edc nikdo bez zub\u016f z kliniky neodejde. P\u0159ed odstran\u011bn\u00edm se nutn\u011b ortopedem po\u0159izuj\u00ed odlitky \u010delist\u00ed a pot\u00e9 technik v laborato\u0159i vyr\u00e1b\u00ed kompletn\u00ed sn\u00edmateln\u00e9 prot\u00e9zy. Jakmile pr\u00e1ce doraz\u00ed na kliniku, pacienta objednaj\u00ed na vyta\u017een\u00ed zub\u016f a hned pot\u00e9 na zkou\u0161ku a p\u0159ed\u00e1n\u00ed konstrukce ve form\u011b do\u010dasn\u00fdch prot\u00e9z. To znamen\u00e1, \u017ee jak p\u0159ijdete na kliniku se zuby, tak z n\u00ed i odejdete se zuby.<\/p>\n

P\u0159ed a po odstran\u011bn\u00ed:<\/p>\n

\"Implantace
\n
\nDo\u010dasn\u00e1 sn\u00edmateln\u00e1 prot\u00e9za, vyzkou\u0161en\u00e1 ihned po odstran\u011bn\u00ed zub\u016f:<\/p>\n

\"Implantace
\n
\nP\u0159ed zah\u00e1jen\u00edm implantace by m\u011bly uplynout p\u0159ibli\u017en\u011b 2 m\u011bs\u00edce, aby r\u00e1na \u00fapln\u011b zhojila. Nen\u00ed smyslupln\u00e9 \u010dekat d\u00e9le, kost se t\u00edmto zp\u016fsobem nezv\u011bt\u0161\u00ed, ale zmen\u0161ov\u00e1n\u00ed jej\u00edho objemu se \u010dasem bude st\u00e1le v\u00edce projevovat. \u010celist se samoz\u0159ejm\u011b nerozpust\u00ed, ale p\u0159i dlouh\u00e9m nedostatku zubu, a tedy i zat\u00ed\u017een\u00ed v t\u00e9 \u010di on\u00e9 oblasti, kostn\u00ed tk\u00e1\u0148 pomalu za\u010d\u00edn\u00e1 ub\u00fdvat. \u010c\u00edm d\u00e9le se s obnovou v\u00e1h\u00e1, t\u00edm hor\u0161\u00ed budou podm\u00ednky v okam\u017eiku implantace. To znamen\u00e1, \u017ee pravd\u011bpodobnost a pot\u0159eba kostn\u00ed plastiky se pouze zv\u00fd\u0161\u00ed.<\/p>\n

No, dva m\u011bs\u00edce uplynuly a je \u010das za\u010d\u00edt s implantac\u00ed! A jak je mo\u017en\u00e9 nainstalovat implant\u00e1ty, kdy\u017e nen\u00ed ani jeden zub? Na co se orientovat, aby st\u00e1ly rovn\u011b a na sv\u00e9m m\u00edst\u011b? Nem\u016f\u017eeme je p\u0159ece um\u00edstit jen tak nahodile. Aby se to nepovedlo takto:<\/p>\n

\"Implantace
\n
\nProto se pou\u017e\u00edv\u00e1 chirurgick\u00e1 \u0161ablona. Speci\u00e1ln\u00ed kapna, kter\u00e1 velmi p\u0159ipom\u00edn\u00e1 sportovn\u00ed, s jednou podm\u00ednkou, \u017ee m\u00e1 otvory v oblastech t\u011bch zub\u016f, kter\u00e9 budou v budoucnu implantov\u00e1ny. To je pot\u0159eba, aby chirurg v\u011bd\u011bl, na jak\u00e9m p\u0159esn\u011b m\u00edst\u011b m\u00e1 implant\u00e1t st\u00e1t. N\u00ed\u017ee je uvedena pozi\u010dn\u00ed \u0161ablona, kter\u00e1 slou\u017e\u00ed pouze pro vymezen\u00ed:<\/p>\n

\"Implantace
\n
\nV p\u0159\u00edpad\u011b t\u00e9to pacientky nen\u00ed v\u00fdroba samostatn\u00e9 chirurgick\u00e9 \u0161ablony pot\u0159ebn\u00e1. Ortoped pomoc\u00ed fr\u00e9zy vytv\u00e1\u0159\u00ed podobn\u00e9 otvory v samotn\u00e9m do\u010dasn\u00e9m prot\u00e9zu, kter\u00fd bude plnit funkci \u0161ablony. Pot\u00e9, co byla operace provedena, ten sam\u00fd l\u00e9ka\u0159 tyto otvory zapln\u00ed speci\u00e1ln\u00edm materi\u00e1lem a prot\u00e9zu bude mo\u017en\u00e9 nad\u00e1le pou\u017e\u00edvat a\u017e do vyhotoven\u00ed trval\u00e9 konstrukce. A ne, d\u00e1vat ji p\u0159ed span\u00edm do sklenice s vodou nebude t\u0159eba.<\/p>\n

Na panoramatick\u00e9m sn\u00edmku n\u00ed\u017ee jsou ve st\u0159edu jasn\u011b vid\u011bt kontrastn\u00ed \u201eb\u00edl\u00e9 v\u00e1lce\u201c, to je pr\u00e1v\u011b ten materi\u00e1l, kter\u00fdm byla zakryta otvor v horn\u00ed sn\u00edmateln\u00e9 prot\u00e9ze. Sama prot\u00e9za nen\u00ed rentgenokontrastn\u00ed, tak\u017ee ji na sn\u00edmku nen\u00ed vid\u011bt.<\/p>\n

\"Implantace
\n
\nA nyn\u00ed na dezert. Uvid\u00edte! Tohle je, TVAR\u011bn\u00ed! O tom jsem mluvil, pl\u00e1tkov\u00fd implant\u00e1t s otvory v n\u011bm, do kter\u00fdch prorostla kostn\u00ed tk\u00e1\u0148. A tak\u00e9 zlomen\u00fd \u201e\u010dep\u201c, kter\u00fd byl jednou z opor pro m\u016fstkovou prot\u00e9zu.<\/p>\n

\"Implantace
\n
\nCo bylo s druhou oporou, zept\u00e1te se? Bubnov\u00e1 r\u00e1na. Jej\u00ed vlastn\u00ed zuby! \u0160pi\u010d\u00e1k a prvn\u00ed premol\u00e1r (\u010dty\u0159ka). Pacientka p\u0159inesla sn\u00edmek. Je dost star\u00fd. Filmov\u00fd a ne nejjasn\u011bj\u0161\u00ed, ale co je. (Vyfotil jsem to telefonem)<\/p>\n

\"Implantace
\n
\nN\u011bkdo si m\u016f\u017ee myslet, co je na tom tak zvl\u00e1\u0161tn\u00edho? No, implant\u00e1t, no, zub. M\u016fstky a mosty. Ale to, \u017ee zuby maj\u00ed vazivov\u00fd apar\u00e1t, jeho\u017e jedna z funkc\u00ed je amortizace. To znamen\u00e1, \u017ee p\u0159i \u017ev\u00fdk\u00e1n\u00ed zuby trochu \u201apru\u017e\u00ed\u2018, zat\u00edmco implant\u00e1t je pevn\u011b fixov\u00e1n v kosti a postr\u00e1d\u00e1 tuto funkci. Vych\u00e1z\u00ed to jako n\u011bco, co p\u0159ipom\u00edn\u00e1 p\u00e1ku. Doch\u00e1z\u00ed k p\u0159et\u00ed\u017een\u00ed oblasti p\u0159echodu \u201e\u010depu\u201c do t\u011bla implant\u00e1tu, co\u017e m\u00e1 za n\u00e1sledek jeho zlomen\u00ed.<\/p>\n

No co, shr\u0148me to!<\/p>\n

Draz\u00ed p\u0159\u00e1tel\u00e9, mus\u00edte ch\u00e1pat, \u017ee ani velk\u00e9 mno\u017estv\u00ed pr\u00e1ce, ani odstran\u011bn\u00ed v\u0161ech zub\u016f, ani kostn\u00ed plastiky, ani mno\u017estv\u00ed nainstalovan\u00fdch implant\u00e1t\u016f nejsou d\u011bsiv\u00e9. D\u011bsiv\u00e9 je jen to, \u017ee jedno mal\u00e9 \u201evydr\u017e\u00edm\u201c, se m\u016f\u017ee zm\u011bnit v velk\u00e9 \u201em\u011blo to b\u00fdt u\u017e v\u010dera\u201c. \u010c\u00edm v\u00edce a d\u00e9le vydr\u017e\u00edte, t\u00edm rozs\u00e1hlej\u0161\u00ed a del\u0161\u00ed bude va\u0161e l\u00e9\u010dba. Pokud si v\u010das vy\u010dist\u00edte zuby, m\u016f\u017eete se vyhnout kazu. Vyl\u00e9\u010den\u00edm kazu v po\u010d\u00e1te\u010dn\u00edch f\u00e1z\u00edch se zbav\u00edte jeho komplikac\u00ed, jako je nap\u0159\u00edklad pulpitis nebo parodontitis. Vyl\u00e9\u010den\u00edm pulpitis nebo parodontitis se vyhnete odstran\u011bn\u00ed zubu. V\u010dasn\u00e1 obnova ztracen\u00e9ho zubu v\u00e1s ochr\u00e1n\u00ed p\u0159ed kostn\u00edmi plastikami atd. Po tom v\u0161em nem\u00e1 smysl mluvit o tom, \u017ee v\u010dasn\u00e1 n\u00e1v\u0161t\u011bva zubn\u00edho l\u00e9ka\u0159e, stejn\u011b jako jak\u00e9hokoli jin\u00e9ho l\u00e9ka\u0159e, v\u00e1s uchr\u00e1n\u00ed od zbyte\u010dn\u00fdch nerv\u016f a v\u00fddaj\u016f. Tady je to jasn\u00e9 i bez slov. Tak\u017ee si \u010dist\u011bte zuby, sna\u017ete se a setk\u00e1vejme se \u010dast\u011bji na preventivn\u00edch prohl\u00eddk\u00e1ch, ne\u017e p\u0159i probl\u00e9mech se zuby.<\/p>\n

Z\u016fsta\u0148te nalad\u011bni!<\/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> Implantace: jak se to d\u011bl\u00e1?<\/a><\/noindex><\/p>\n

—<\/b> Sinus-lifting a okam\u017eit\u00e1 implantace<\/a><\/noindex>
\n
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