{"id":47663,"date":"2019-06-10T00:00:00","date_gmt":"2019-06-09T21:00:00","guid":{"rendered":"https:\/\/prohoster.info\/blog\/blog_prohoster\/zuby-mudrosti-udalit-nelzya-ostavit-2"},"modified":"2020-02-18T13:53:07","modified_gmt":"2020-02-18T10:53:07","slug":"zuby-mudrosti-udalit-nelzya-ostavit-2","status":"publish","type":"post","link":"https:\/\/prohoster.info\/cs\/blog\/news\/zuby-mudrosti-udalit-nelzya-ostavit-2","title":{"rendered":"Zuby moudrosti: vyjmout nelze nechat","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

\"Zuby
\n
\nDraz\u00ed p\u0159\u00e1tel\u00e9, dnes bych v\u00e1m cht\u011bl navrhnout, abychom se pobavili o zubech moudrosti. A to konkr\u00e9tn\u011b o tom nejt\u011b\u017e\u0161\u00edm a nejm\u00e9n\u011b pochopiteln\u00e9m \u2014 indikac\u00edch k jejich odstran\u011bn\u00ed.<\/p>\n

O zubech moudrosti (osmi\u010dk\u00e1ch, t\u0159et\u00edch st\u00e1l\u00fdch zubech) se traduje nespo\u010det vtip\u016f, pov\u011br, legend a p\u0159\u00edb\u011bh\u016f, v\u010detn\u011b t\u011bch velmi stra\u0161ideln\u00fdch. Tato mytologie je roz\u0161\u00ed\u0159ena nejen mezi b\u011b\u017en\u00fdmi lidmi, ale i v l\u00e9ka\u0159sk\u00fdch kruz\u00edch. Postupn\u011b, b\u011bhem na\u0161\u00ed diskuse, se pokus\u00edm tyto m\u00fdty rozpt\u00fdlit a uk\u00e1zat, \u017ee zuby moudrosti nejsou takov\u00fdm probl\u00e9mem, jak co se t\u00fd\u010de diagnostiky, tak odstran\u011bn\u00ed. Obzvl\u00e1\u0161\u0165 pokud hovo\u0159\u00edme o modern\u00edm l\u00e9ka\u0159i a modern\u00ed klinice.
\n<\/a><\/noindex>
\n\"Zuby
\n<\/p>\n

Pro\u010d se zuby moudrosti tak naz\u00fdvaj\u00ed?<\/h4>\n

\nTo je jednoduch\u00e9. Osmi\u010dky se obvykle pro\u0159ez\u00e1vaj\u00ed ve v\u011bku od 16 do 25 let. V rozumn\u00e9m v\u011bku, pom\u011brn\u011b pozd\u011b, ve srovn\u00e1n\u00ed s ostatn\u00edmi zuby. Jakoby, stal jsi se tak moudr\u00fdm? Z\u00edsk\u00e1v\u00e1\u0161 zuby moudrosti ve form\u011b probl\u00e9m\u016f s skusem a perikoronitidy \u2014 n\u011b! Ano, n\u011bkdy se moudrost \u010dlov\u011bka za\u010d\u00edn\u00e1 bolest\u00ed a utrpen\u00edm spojen\u00fdm se zuby moudrosti. Bez bolesti, \u017e\u00e1dn\u00fd zisk, jak se \u0159\u00edk\u00e1.<\/p>\n

Pro\u010d se zuby moudrosti u n\u011bkoho pro\u0159ez\u00e1vaj\u00ed, a u n\u011bkoho ne?<\/h4>\n

\nProto\u017ee n\u011bkte\u0159\u00ed lid\u00e9 jsou moud\u0159\u00ed, jin\u00ed u\u017e m\u00e9n\u011b. Vtip.<\/p>\n

Nejd\u0159\u00edve je t\u0159eba objasnit, \u017ee zuby moudrosti m\u00e1 drtiv\u00e1 v\u011bt\u0161ina lid\u00ed, a jejich absence od narozen\u00ed je velmi, velmi vz\u00e1cn\u00e1. Narodit se bez zub\u016f moudrosti a jejich z\u00e1rodk\u016f je jako vyhr\u00e1t jackpot \u2014 rychle si kupte los, proto\u017ee jste \u0161\u0165astn\u00fd \u010dlov\u011bk.<\/p>\n

\"Zuby
\n
\nAle osmi\u010dky se nepro\u0159ez\u00e1vaj\u00ed u v\u0161ech. A to z\u00e1vis\u00ed na stavu skusu. A p\u0159esn\u011bji \u2014 na p\u0159\u00edtomnosti m\u00edsta v \u010delisti pro jejich pro\u0159ez\u00e1v\u00e1n\u00ed.<\/p>\n

Stalo se tak, \u017ee za\u010d\u00ednaj\u00ed r\u016fst v obdob\u00ed, kdy se aktivn\u00ed r\u016fst \u010delistn\u00edch kost\u00ed zpomaluje a zubn\u00ed oblouk je u\u017e jaksi 'kompletn\u00ed'. Zub roste nahoru (nebo dol\u016f, pokud je na horn\u00ed \u010delisti), naraz\u00ed na p\u0159ek\u00e1\u017eku v podob\u011b u\u017e pro\u0159ezan\u00e9ho sedmi\u010dky, zastav\u00ed se nebo se za\u010dne ot\u00e1\u010det.<\/p>\n

\"Zuby
\n
\nA tak vznikaj\u00ed nejen retinovan\u00e9 (nepro\u0159ezan\u00e9), ale i anom\u00e1ln\u011b um\u00edst\u011bn\u00e9 (distopovan\u00e9) osmi\u010dky.<\/p>\n

\"Zuby
\n
\nJe t\u0159eba poznamenat, \u017ee m\u016f\u017ee b\u00fdt v\u00edce ne\u017e \u010dty\u0159i zuby moudrosti. Ob\u010das se vyskytuj\u00ed nejen \"osmi\u010dky\", ale i \"dev\u00edtky\" nebo dokonce \"des\u00edtky\". Samoz\u0159ejm\u011b, takov\u00e9 mno\u017estv\u00ed v \u00fastech nevede k ni\u010demu dobr\u00e9mu.<\/p>\n

Pokud jsou osmi\u010dky, znamen\u00e1 to, \u017ee jsou k n\u011b\u010demu pot\u0159ebn\u00e9?<\/h4>\n

\nV\u011bt\u0161ina lid\u00ed m\u00e1 pup\u00edk. A ten je o\u010dividn\u011b tak\u00e9 k n\u011b\u010demu ur\u010den. Nap\u0159\u00edklad pro shroma\u017e\u010fov\u00e1n\u00ed chlupat\u00fdch \u017emolk\u016f a jin\u00fdch materi\u00e1l\u016f pro u\u017eite\u010dn\u00e9 tvo\u0159en\u00ed.<\/p>\n

\"Zuby
\n
\nPokud to vezmeme v\u00e1\u017en\u011b, osmi\u010dky jsou jak\u00fdmsi atavismem. P\u0159ipom\u00ednkou doby, kdy na\u0161i p\u0159edkov\u00e9 jedli syrov\u00e9 maso, mamuty a dal\u0161\u00ed zv\u00ed\u0159ata, a dokonce i vegani byli mnohem brut\u00e1ln\u011bj\u0161\u00ed; m\u00edsto celeru \u017ev\u00fdkali k\u016fru baobabu.<\/p>\n

Kv\u016fli tomu m\u011bly \u010delisti na\u0161ich p\u0159edk\u016f mnohem v\u011bt\u0161\u00ed a \u0161ir\u0161\u00ed a i Nikolaj Valujev by na jejich pozad\u00ed vypadal pon\u011bkud \u017eensky. A v\u0161ech t\u0159icet dva zub\u016f se v takov\u00fdch \u010delistech ve\u0161lo n\u00e1dhern\u011b, v\u0161ichni byli \u0161\u0165astn\u00ed.<\/p>\n

Av\u0161ak v pr\u016fb\u011bhu evoluce se lid\u00e9 stali rozumn\u011bj\u0161\u00edmi, nau\u010dili se zpracov\u00e1vat j\u00eddlo, p\u00e9ct maso a dusit baobab s brokolic\u00ed. Pot\u0159eba velk\u00fdch \u010delist\u00ed a masivn\u00edho \u017ev\u00fdkac\u00edho apar\u00e1tu vymizela, lid\u00e9 se stali elegantn\u011bj\u0161\u00edmi a glamourn\u011bj\u0161\u00edmi. Jejich \u017ev\u00fdkac\u00ed svaly a \u010delisti tak\u00e9. Po\u010det zub\u016f se v\u0161ak nezm\u011bnil. A ob\u010das se jednodu\u0161e nevejdou do glamourn\u00edch \u010delist\u00ed. A tomu, kdo posledn\u00ed, z\u016fst\u00e1v\u00e1 b\u00fdt papa retence nebo dystopie.<\/p>\n

Tak osmi\u010dky se staly \"nadbyte\u010dn\u00fdmi\" zuby. A mo\u017en\u00e1 by bylo spr\u00e1vn\u011bj\u0161\u00ed je naz\u00fdvat ne \"zuby moudrosti\", ale \"zuby australopitek\u016f\" \u2014 mo\u017en\u00e1 by lid\u00e9 za\u010dali k nim p\u0159istupovat rozumn\u011bji.<\/p>\n

Jak\u00e9 jsou r\u016fzn\u00e9 druhy osmi\u010dek?<\/h4>\n

\nNebudete v\u011b\u0159it, ale v\u011bt\u0161inou jsou osmi\u010dky osm\u00e9 v po\u0159ad\u00ed.<\/p>\n

\"Zuby
\n<\/p>\n

Co se stane, pokud se v\u016fbec nebudeme starat o zuby moudrosti?<\/h4>\n

\nPokud se osmi\u010dky pro\u0159ezaly, jsou v skusu a norm\u00e1ln\u011b funguj\u00ed, tak se samoz\u0159ejm\u011b nic nestane. Je dostate\u010dn\u00e9 pe\u010dliv\u011b sledovat hygienu v jejich oblasti, proto\u017ee s n\u00ed mohou b\u00fdt ur\u010dit\u00e9 pot\u00ed\u017ee kv\u016fli d\u00e1ven\u00ed a \u0161patn\u00e9mu v\u00fdhledu, ob\u010das nav\u0161t\u011bvovat zuba\u0159e \u2014 a je to v po\u0159\u00e1dku. Takov\u00e9 zuby moudrosti budou existovat dlouho a \u0161\u0165astn\u011b.<\/p>\n

\"Zuby
\n
\nS pro\u0159ezan\u00fdmi zuby moudrosti je to, jak se zd\u00e1, tak\u00e9 jasn\u00e9 \u2014 vzhledem k jejich um\u00edst\u011bn\u00ed se zt\u011b\u017euje hygiena \u00fastn\u00ed dutiny a tyto zuby docela rychle podl\u00e9haj\u00ed kazu. Je\u0161t\u011b hor\u0161\u00ed je, pokud se kaz \u0161\u00ed\u0159\u00ed na sousedn\u00ed sedmi\u010dky, kter\u00e9, na rozd\u00edl od osmi\u010dek, jsou funk\u010dn\u011b velmi d\u016fle\u017eit\u00e9. \u010casto se kaz objevuje na nejzaz\u0161\u00ed a \u0161patn\u011b viditeln\u00e9 plo\u0161e zubu. A \u010dlov\u011bk si toho v\u0161imne a\u017e tehdy, kdy\u017e to za\u010dne bolet. To znamen\u00e1, \u017ee je u\u017e p\u0159\u00edli\u0161 pozd\u011b.<\/p>\n

\"Zuby
\n
\nKrom\u011b toho abnorm\u00e1ln\u011b um\u00edst\u011bn\u00e9 zuby moudrosti vytv\u00e1\u0159\u00ed v skusu tzv. \"traumatick\u00e9 uzly\", naru\u0161uj\u00ed obvykl\u00e9 reflexn\u00ed spojen\u00ed, co\u017e vede k probl\u00e9m\u016fm s \u017ev\u00fdkac\u00edm svalov\u011b-kloubn\u00edm apar\u00e1tem. V n\u00e1sledku to zhor\u0161uj\u00ed patologie skusu, p\u0159et\u00ed\u017een\u00ed \u017ev\u00fdkac\u00edch sval\u016f, prask\u00e1n\u00ed v temporomandibul\u00e1rn\u00edch kloubech, tj. se objevuj\u00ed p\u0159\u00edznaky svalov\u011b-kloubn\u00ed dysfunkce. A obvykle je l\u00e9\u010dba takov\u00fdch svalov\u011b-kloubn\u00edch dysfunkc\u00ed zah\u00e1jena pr\u00e1v\u011b studiem role osmi\u010dkov\u00fdch zub\u016f v uveden\u00e9 patologii a p\u0159ij\u00edm\u00e1n\u00edm nezbytn\u00fdch opat\u0159en\u00ed (tj. jejich odstran\u011bn\u00ed).<\/p>\n

Obt\u00ed\u017en\u011bji se ch\u00e1pe, co se d\u011bje s retenovan\u00fdmi (nevytvo\u0159en\u00fdmi) zuby moudrosti. Zd\u00e1lo by se, \u017ee zub nen\u00ed vid\u011bt, kaz mu t\u00e9m\u011b\u0159 nehroz\u00ed, tak si prost\u011b sed\u011bl a sed\u011bl\u2026 Av\u0161ak i zde existuje \u0159ada nep\u0159\u00edjemn\u00fdch n\u00e1sledk\u016f.<\/p>\n

I kdy\u017e je\u0161t\u011b zub nepro\u0159ezal, ji\u017e m\u00e1 vliv na zubn\u00ed oblouk. M\u016f\u017ee vyvolat posunut\u00ed zub\u016f a vznik zubn\u00ed zhu\u0161t\u011bn\u00ed v p\u0159edn\u00edm \u00faseku:<\/p>\n

\"Zuby
\n
\nVzhledem k absenci kostn\u00ed p\u0159ep\u00e1\u017eky mezi jamkami sedm\u00e9ho a osm\u00e9ho zubu se mezi nimi vytv\u00e1\u0159\u00ed hlubok\u00e1 kapsa, do kter\u00e9 se mohou dost\u00e1vat zbytky j\u00eddla, zubn\u00ed plak a mikroby, co\u017e vede k z\u00e1n\u011btu. N\u011bkdy dost ostr\u00e9mu a nebezpe\u010dn\u00e9mu pro zdrav\u00ed.<\/p>\n

Samotn\u00fd proces pro\u0159ez\u00e1v\u00e1n\u00ed retenovan\u00fdch zub\u016f, zejm\u00e9na ve v\u011bku od 20 let a v\u00fd\u0161e, je \u010dasto doprov\u00e1zen z\u00e1n\u011btem \u2014 perikoronitidou.<\/p>\n

\"Zuby
\n
\n\"Zuby
\n
\nL\u00e9\u010dba perikoronitidy je zvl\u00e1\u0161tn\u00ed t\u00e9ma. N\u011bkdy ji probereme, ale nyn\u00ed pot\u0159ebujete zn\u00e1t hlavn\u00ed thing \u2014 k perikoronitid\u011b se l\u00e9pe nedost\u00e1vat a pokud je jasn\u00e9, \u017ee zub\u016fm moudrosti nebude sta\u010dit m\u00edsto a jejich pro\u0159ez\u00e1v\u00e1n\u00ed bude spojeno s obt\u00ed\u017eemi \u2014 je lep\u0161\u00ed je odstranit p\u0159edem.<\/p>\n

Nejhor\u0161\u00ed, co m\u016f\u017eete od retenovan\u00fdch zub\u016f moudrosti o\u010dek\u00e1vat, jsou cysty.<\/p>\n

\"Zuby
\n
\nJeho zdrojem je folikul, kter\u00fd obklopuje z\u00e1rodek zubu. Kdy\u017e zub pro\u0159ez\u00e1, folikul zmiz\u00ed, ale v p\u0159\u00edpad\u011b retence z\u016fst\u00e1v\u00e1 a m\u016f\u017ee slou\u017eit jako zdroj n\u00e1dor\u016f a cyst. <\/p>\n

N\u011bkdy \u2013 dostate\u010dn\u011b velk\u00fdch a velmi nebezpe\u010dn\u00fdch pro zdrav\u00ed.<\/p>\n

\"Zuby
\n
\nA i kdy\u017e se to v\u0161echno pom\u011brn\u011b dob\u0159e l\u00e9\u010d\u00ed, souhlas\u00edte, \u017ee je lep\u0161\u00ed nedovolit si dostat se do takov\u00e9ho stavu.<\/p>\n

\"Zuby
\n<\/p>\n

Pro\u010d jsou n\u00e1zory l\u00e9ka\u0159\u016f na odstra\u0148ov\u00e1n\u00ed zub\u016f moudrosti tak protich\u016fdn\u00e9?<\/h4>\n

\nHlavn\u011b v\u0161e z\u00e1vis\u00ed na tom, jak\u00e9 m\u00e1 doktor zku\u0161enosti s odstra\u0148ov\u00e1n\u00edm zub\u016f moudrosti. Pokud mu samotn\u00fd postup d\u011bl\u00e1 pot\u00ed\u017ee, trv\u00e1 dlouho a zp\u016fsobuje pacientovi pouze utrpen\u00ed, je v\u011bt\u0161inou odp\u016frcem jejich odstran\u011bn\u00ed. Naopak, pokud odstra\u0148ov\u00e1n\u00ed osmi\u010dek, i t\u011bch nejt\u011b\u017e\u0161\u00edch, nep\u0159edstavuje pro l\u00e9ka\u0159e v\u00e1\u017en\u00e9 obt\u00ed\u017ee, pak zast\u00e1v\u00e1 n\u00e1zor na definitivn\u00ed a radik\u00e1ln\u00ed \u0159e\u0161en\u00ed \u2013 operaci odstran\u011bn\u00ed.<\/p>\n

Kdy je trest smrti nal\u00e9hav\u00e9 zanechat? Kdy nelze odstranit?<\/h4>\n

\nMezit\u00edm jsou krit\u00e9ria pro odstran\u011bn\u00ed\/neodstran\u011bn\u00ed zub\u016f moudrosti velmi jednoduch\u00e1. V\u0161echno lze shrnout do jedn\u00e9 prost\u00e9 v\u011bty:<\/p>\n

Onemocn\u011bn\u00ed a komplikace spojen\u00e9 se zuby moudrosti, nebo hrozby t\u011bchto onemocn\u011bn\u00ed a komplikac\u00ed jsou indikacemi pro odstran\u011bn\u00ed zub\u016f moudrosti.<\/p>\n

To je v\u0161e. Neexistuj\u00ed \u017e\u00e1dn\u00e9 dal\u0161\u00ed indikace\/protiklady.<\/p>\n

Pod\u00edvejme se na p\u0159\u00edklady:<\/p>\n

    \n
  1. Obvykl\u00fd, pro\u0159ezan\u00fd a pln\u011b funk\u010dn\u00ed v norm\u00e1ln\u00edm skusu nen\u00ed pot\u0159eba odstra\u0148ovat. Ba naopak, takov\u00e9 zuby lze (a m\u011bly by se) l\u00e9\u010dit v p\u0159\u00edpad\u011b zubn\u00edho kazu. Jin\u00e1 situace nast\u00e1v\u00e1, pokud je kaz komplikovan\u00fd pulpitem nebo parodontitidou \u2013 v takov\u00fdch p\u0159\u00edpadech m\u00e1 smysl p\u0159em\u00fd\u0161let, nebo\u0165 l\u00e9\u010dba ko\u0159enov\u00fdch kan\u00e1lk\u016f u t\u0159et\u00edch mol\u00e1r\u016f p\u0159edstavuje ur\u010dit\u00e9 obt\u00ed\u017ee. Nem\u011blo by se snad zam\u00fd\u0161let o kan\u00e1lech?<\/li>\n
  2. Anom\u00e1ln\u011b um\u00edst\u011bn\u00fd (dystopick\u00fd) zub moudrosti. Chyb\u011blo mu m\u00edsto, a bu\u010f se naklonil na n\u011bjakou stranu, nebo z\u016fstal nap\u016fl v d\u00e1sni. Takov\u00fd zub nikdy nebude funk\u010dn\u00ed, ale vytv\u00e1\u0159\u00ed probl\u00e9my jak pro skus, tak pro sousedn\u00ed zuby. Je pot\u0159eba ho odstranit? Bezpochyby.<\/li>\n
  3. Reten\u010dn\u00ed (nepro\u0159ezan\u00fd) zub moudrosti. Jakoby se neobt\u011b\u017eoval. Nach\u00e1z\u00ed se kdesi tam, daleko. Nepod\u00edl\u00ed se na \u017ev\u00fdk\u00e1n\u00ed a nikdy se pod\u00edlet nebude. K \u010demu m\u016f\u017ee v\u00e9st reten\u010dn\u00ed osmi\u010dka, to u\u017e v\u00edme. M\u00e1 smysl \u010dekat na tyto komplikace? Mysl\u00edm, \u017ee ne, nem\u00e1.<\/li>\n
  4. Zub se za\u010dal pro\u0159ez\u00e1vat, sliznice nad n\u00edm se zan\u00edtila. Perikoronarit, jak se toto onemocn\u011bn\u00ed naz\u00fdv\u00e1, je zn\u00e1mkou toho, \u017ee zubu chyb\u00ed m\u00edsto v \u010delisti a nakonec bude bu\u010f distopovan\u00fd, nebo povede k posunu zub\u016f a poru\u0161en\u00ed skusu. M\u00e1 smysl l\u00e9\u010dit perikoronarit jednoduch\u00fdm vy\u0159\u00edznut\u00edm kapuce? Pochybuji. Je lep\u0161\u00ed vy\u0159e\u0161it tento probl\u00e9m radik\u00e1ln\u011b, a to odstran\u011bn\u00edm probl\u00e9mov\u00e9ho zubu.<\/li>\n<\/ol>\n

    <\/p>\n

    Z\u00e1v\u011br<\/h3>\n

    \nZ v\u00fd\u0161e uveden\u00e9ho lze vyvodit, \u017ee odstran\u011bn\u00ed zub\u016f moudrosti se obvykle prov\u00e1d\u00ed, kdy\u017e pacienta zvl\u00e1\u0161\u0165 nezat\u011b\u017euj\u00ed. Tedy, tato procedura je prevenc\u00ed mo\u017en\u00fdch komplikac\u00ed spojen\u00fdch s osmi\u010dkami. A to je spr\u00e1vn\u011b. Neexistuje efektivn\u011bj\u0161\u00ed a levn\u011bj\u0161\u00ed metoda ne\u017e prevence. A nejlep\u0161\u00ed medic\u00edna je medic\u00edna preventivn\u00ed.<\/p>\n

    P\u0159\u00ed\u0161t\u011b v\u00e1m pov\u00edm, jak vlastn\u011b prob\u00edh\u00e1 odstran\u011bn\u00ed zub\u016f moudrosti, jak se na tuto proceduru p\u0159ipravit a co po n\u00ed d\u011blat.<\/p>\n

    D\u011bkuji za pozornost! Neodch\u00e1zejte!<\/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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