{"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\/ro\/blog\/news\/implantatsiya-pri-polnom-otsutstvii-zubov-kak-sledstvie-nesvoevremennogo-obrashheniya-k-stomatologu","title":{"rendered":"Implantarea \u00een absen\u021ba total\u0103 a din\u021bilor, ca urmare a unei vizite tardive la dentist","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

\"Implantarea
\n
\nDragi prieteni, m\u0103 bucur s\u0103 v\u0103 salut din nou! Am discutat deja multe despre din\u021bii de \u00een\u021belepciune, ce tipuri exist\u0103<\/a><\/noindex>, cum sunt extra\u0219i<\/a><\/noindex>, faptul c\u0103 nu te doare nu \u00eenseamn\u0103 c\u0103 totul este \u00een regul\u0103<\/a><\/noindex>, nu e nimic de f\u0103cut \u00een CHD<\/a><\/noindex> iar cu at\u00e2t mai pu\u021bin \u201es\u0103-i extragem\u201d<\/a><\/noindex>. M\u0103 bucur foarte mult c\u0103 articolele mele au pl\u0103cut multora dintre voi, dar ast\u0103zi voi continua subiectul implanturilor.<\/p>\n

\u0218tim cu to\u021bii c\u0103 oamenii din \u021bara noastr\u0103 merg la doctori \u00een cazuri excep\u021bionale. Atunci c\u00e2nd este deja prea t\u00e2rziu. Vizita la stomatolog nu este o excep\u021bie. Desigur, asta se aplic\u0103 mai pu\u021bin utilizatorilor de pe Habr, dar a\u0219 dori s\u0103 v\u0103 spun, \u0219i mai ales s\u0103 v\u0103 ar\u0103t, ce s-ar putea \u00eent\u00e2mpla.
\n<\/a><\/noindex>
\nA\u0219adar, s\u0103 \u00eencepem!<\/p>\n

De ce se tem to\u021bi at\u00e2t de mult? Ce \u00eei opre\u0219te? Fiecare are motivul s\u0103u. Dac\u0103 vorbim despre stomatologie, din punctul meu de vedere, principalele dou\u0103 motive sunt frica de durere (sau chiar o durere \u0219i mai mare dec\u00e2t acum) \u0219i frica de costuri. E mai bine s\u0103 cheltuie ace\u0219ti bani pe o vacan\u021b\u0103, o ma\u0219in\u0103 nou\u0103 sau\u2026 8PACK OrionX. Priorit\u0103\u021bile sunt diferite pentru toat\u0103 lumea.<\/p>\n

Dar pu\u021bini se g\u00e2ndesc la faptul c\u0103 o vizit\u0103 \u00eent\u00e2rziat\u0103 la doctor poate agrava doar situa\u021bia. De multe ori, \u00een timp ce te g\u00e2nde\u0219ti \u201evoi rezista \u0219i o va trece\u201d, situa\u021bia se poate \u00eenr\u0103ut\u0103\u021bi p\u00e2n\u0103 la apari\u021bia complica\u021biilor grave, \u00een cazul c\u0103rora singura solu\u021bie ar fi s\u0103 chemi o ambulan\u021b\u0103. Dar se \u00eent\u00e2mpl\u0103 \u0219i ca multe probleme cu din\u021bii s\u0103 evolueze asimptomatic, iar descoperirea lor s\u0103 se fac\u0103 \u00eent\u00e2mpl\u0103tor. Astfel, \u201enu m\u0103 doare, deci e \u00een regul\u0103\u201d, ajungem mai t\u00e2rziu la situa\u021bia \u00een care niciun dinte nu mai poate fi salvat \u0219i trebuie s\u0103 fie extra\u0219i pe to\u021bi. \u0218i, dup\u0103 cum \u0219tim, cu c\u00e2t volumul este mai mare, cu at\u00e2t mai greu este de lucrat \u0219i costurile sunt mai mari. Indiferent de domeniul implicat. De aceea, este extrem de important s\u0103 vizitezi stomatologul la fiecare \u0219ase luni pentru a urm\u0103ri la timp toate aceste \u201enu m\u0103 doare\u201d. De ce la \u0219ase luni? Este considerat c\u0103 \u00een maximum \u0219ase luni, po\u021bi descoperi \u0219i rezolva problema \u00eenc\u0103 din stadiile sale ini\u021biale.<\/p>\n

Iat\u0103 unul dintre exemple<\/p>\n

\"Implantarea
\n
\nPacienta este destul de atent\u0103 la din\u021bii ei. A\u0219a cum vedem, ea a fost activ implicat\u0103 \u00een tratamentul \u0219i restaurarea din\u021bilor. Dar timpul trece, iar durata de via\u021b\u0103 a plombelor, coroanelor \u0219i pun\u021bilor a expirat. \u00cen plus fa\u021b\u0103 de deteriorarea din\u021bilor proprii, problemele pot \u00eencepe \u0219i cu implanturile instalate, ca \u00een acest caz. Cele din urm\u0103 trebuie, de asemenea, s\u0103 fie extrase. \u0218i s\u0103 nu mai vorbim despre faptul c\u0103 unii medici \u00eenc\u0103 instaleaz\u0103 implanturi din material plastic f\u0103r\u0103 niciun fel de indica\u021bii. Acestea pot s\u0103 se rup\u0103 foarte u\u0219or, ca \u00een acest caz. \u0218i toate acestea de ce? Pentru c\u0103 nu a fost o abordare complex\u0103, un plan de tratament \u0219i o viziune asupra situa\u021biei. Spune\u021bi-mi, de ce a fost \u201e\u00eempins\u0103\u201d o plac\u0103 sub\u021bire \u00eentr-o asemenea l\u0103\u021bime a osului? Cu siguran\u021b\u0103, condi\u021biile erau chiar mai bune \u00eenainte de opera\u021bie. Cu siguran\u021b\u0103 nu mai r\u0103u.<\/p>\n

\"Implantarea
\n
\nSingura decizie corect\u0103 va fi \u00eendep\u0103rtarea implantului din material plastic. De\u0219i\u2026 \u00eendep\u0103rtare este spus prea bl\u00e2nd. Va trebui s\u0103 \u00eel t\u0103iem. Ce vreau s\u0103 spun? Vreau s\u0103 spun, V\u0102 TREBUIE S\u0102 T\u0102IA\u021aI. Dup\u0103 acest cuv\u00e2nt, undeva la orizont, p\u0103pu\u0219a Billy c\u0103lare pe bicicleta lui \u00eencepe s\u0103 se apropie lent, dar sigur, iar capacitatea de a percepe informa\u021bia \u00een mod adecvat dispare treptat, s\u0103 fim serio\u0219i.<\/p>\n

\"Implantarea
\n
\nCum \u0219tim, implanturile plate nu au integrare. Aceasta \u00eenseamn\u0103 c\u0103 ele nu se \u00eenr\u0103d\u0103cineaz\u0103 \u00een os. Se sprijin\u0103 doar mecanic. Atunci c\u00e2nd se formeaz\u0103 un pat pentru implant, se face o \"tran\u0219ee\" de-a lungul crestei alveolare, unde se introduce aceast\u0103 plac\u0103. Cu timpul, \u021besutul osos cre\u0219te prin orificiile acestui implant. \u0218i se ob\u021bine un fel de \u00eencuietoare. De aceea, nu va fi posibil s\u0103 fie \u00eendep\u0103rtat \u00een alt mod dec\u00e2t cel indicat mai sus. Vei spune, dar oare implantul cilindric obi\u0219nuit nu trebuie \u00eendep\u0103rtat \u00een acela\u0219i mod? A\u0219adar, acum compar\u0103 suprafa\u021ba r\u0103nii c\u00e2nd se \u00eendep\u0103rteaz\u0103 o plac\u0103 de aproximativ 2 cm lungime \u0219i un cilindru, cu un diametru mediu de 4,5 mm. Exist\u0103 vreo diferen\u021b\u0103? Mai mult, dac\u0103 din diverse motive apar probleme cu implantul cilindric, \u00een general, acesta fie nu s-a integrat (nu s-a \u00eenr\u0103d\u0103cinat \u00een os), a\u0219adar, poate fi scos cu degetele, fie a avut loc o pierdere critic\u0103 a \u021besutului osos din jurul implantului, ca \u00een acest caz. De cele mai multe ori, utilizarea burghiului sau a dispozitivului cu ultrasunete este minimizat\u0103, la fel ca \u0219i trauma dup\u0103 manipulare. De\u0219i, desigur, acest lucru nu diminueaz\u0103 dificult\u0103\u021bile legate de restaurarea volumului osos pierdut \u00een aceast\u0103 zon\u0103. Deoarece, de obicei, r\u0103m\u00e2ne un \"g\u0103uri\" considerabil\u0103.<\/p>\n

\"Implantarea
\n
\nA\u0219adar, dup\u0103 ce au fost luate \u00een considerare rezultatele diagnosticului, consultarea cu ortopedul \u0219i, ceea ce este foarte important, dorin\u021bele pacientului (!), s-a luat decizia de a \u00eendep\u0103rta to\u021bi din\u021bii de pe maxilarul superior \u0219i inferior, inclusiv implanturile instalate anterior. \u00cen afar\u0103 de implantul plat, pe acesta l-am l\u0103sat pentru desert.<\/p>\n

Crede\u021bi c\u0103 aici se termin\u0103? Putem \u00eencepe? Nici vorb\u0103! \u00cen aceast\u0103 etap\u0103 apar noi temeri, cum ar fi \u2014 \u201eCe?! \u00cendep\u0103rtez totul deodat\u0103?!\u201d, \u201eOare voi supravie\u021bui?\u201d, \u201eCum voi mesteca cu gingiile dup\u0103 asta?\u201d<\/p>\n

\"Implantarea
\n
\n\u00cen realitate, nu este nimic periculos \u00een asta. S\u0103n\u0103t\u0103\u021bii dumneavoastr\u0103, \u0219i cu at\u00e2t mai pu\u021bin vie\u021bii, nu \u00eei amenin\u021b\u0103 nimic. Mai mult, nimeni nu v\u0103 va l\u0103sa s\u0103 pleca\u021bi din clinic\u0103 f\u0103r\u0103 din\u021bi. \u00cenainte de extrac\u021bie, ortopedul va lua obligatoriu amprentele maxilarelor, iar dup\u0103 aceea, tehnicianul din laborator va realiza proteze complete deta\u0219abile. Dup\u0103 ce lucrarea ajunge \u00een clinic\u0103, pacientul este programat pentru extrac\u021bia din\u021bilor \u0219i imediat pentru prob\u0103 \u0219i predarea construc\u021biei sub form\u0103 de proteze temporare. Asta \u00eenseamn\u0103 c\u0103 a\u0219a cum a\u021bi venit la clinic\u0103 cu din\u021bi, a\u0219a ve\u021bi pleca \u0219i cu din\u021bi.<\/p>\n

\u00cenainte \u0219i dup\u0103 extrac\u021bie:<\/p>\n

\"Implantarea
\n
\nProteza temporar\u0103 deta\u0219abil\u0103, probat\u0103 imediat dup\u0103 extrac\u021bia din\u021bilor:<\/p>\n

\"Implantarea
\n
\n\u00cenainte de a \u00eencepe implantarea, trebuie s\u0103 treac\u0103 aproximativ 2 luni pentru o vindecare complet\u0103 a r\u0103nii. Nu are sens s\u0103 a\u0219tepta\u021bi mai mult de aceast\u0103 perioad\u0103, deoarece osul nu va cre\u0219te din nou, iar volumul s\u0103u va continua s\u0103 scad\u0103 tot mai mult \u00een timp. Maxilarul nu se va dizolva, \u00eens\u0103 \u00een absen\u021ba prelungit\u0103 a unui dinte \u0219i, prin urmare, a unei sarcini \u00een acea zon\u0103, \u021besutul osos \u00eencepe s\u0103 scad\u0103 lent. Cu c\u00e2t sunte\u021bi mai lent \u00een a restaura, cu at\u00e2t condi\u021biile vor fi mai proaste la momentul implant\u0103rii. Aceasta \u00eenseamn\u0103 c\u0103 probabilitatea \u0219i necesitatea unei plastii osoase vor cre\u0219te.<\/p>\n

Ei bine, au trecut dou\u0103 luni \u0219i a venit momentul s\u0103 \u00eencepem implantarea! Dar cum putem instala implanturile, dac\u0103 nu avem niciun dinte? La ce s\u0103 ne raport\u0103m pentru a fi a\u0219ezate corect \u0219i la locul lor? Nu putem s\u0103 le punem doar a\u0219a, la \u00eent\u00e2mplare. Ca s\u0103 nu ajungem aici:<\/p>\n

\"Implantarea
\n
\nDe aceea se folose\u0219te un \u0219ablon chirurgical. O plac\u0103 special\u0103, care seam\u0103n\u0103 foarte mult cu cele pentru sport, cu o singur\u0103 condi\u021bie: are orificii \u00een zona din\u021bilor care vor fi implanta\u021bi ulterior. Acest lucru este necesar pentru ca chirurgul s\u0103 \u00een\u021beleag\u0103 exact unde ar trebui s\u0103 fie implantul. Mai jos este prezentat un \u0219ablon pozi\u021bional, care serve\u0219te doar pentru marcare:<\/p>\n

\"Implantarea
\n
\n\u00cen cazul acestei paciente, nu este necesar\u0103 fabricarea unui \u0219ablon chirurgical separat. Medicii ortopedici formeaz\u0103 astfel de g\u0103uri \u00een proteza temporar\u0103, care va \u00eendeplini func\u021bia de \u0219ablon. Dup\u0103 ce opera\u021bia este efectuat\u0103, acela\u0219i doctor va umple aceste g\u0103uri cu un material special, astfel \u00eenc\u00e2t pacientul va putea folosi proteza p\u00e2n\u0103 la realizarea structurii permanente. \u0218i nu, nu este nevoie s\u0103 o pui \u00eentr-un pahar cu ap\u0103 \u00eenainte de culcare.<\/p>\n

\u00cen imaginea panoramic\u0103 de mai jos, \u00een mijloc sunt vizibile clar \u201ecilindrii albi\u201d contrastan\u021bi, care sunt exact acel material cu care au fost \u00eenchise g\u0103urile din proteza superioar\u0103 deta\u0219abil\u0103. Proteza \u00een sine nu este radiocontrastant\u0103, a\u0219a c\u0103 nu apare \u00een imagine.<\/p>\n

\"Implantarea
\n
\n\u0218i acum, pentru desert. Uita\u021bi! Iat\u0103 TV\u0102RIErea! Despre asta vorbeam, implantatul de tip plac\u0103 cu g\u0103uri \u00een el, prin care a crescut \u021besutul osos. \u0218i un \u201estil\u201d, care a fost unul dintre suporturile pentru proteza de tip pod.<\/p>\n

\"Implantarea
\n
\nCe s-a \u00eent\u00e2mplat cu cel\u0103lalt suport, \u00eentreba\u021bi? B\u0103t\u0103i de tob\u0103. Din\u021bii proprii! Caninul \u0219i primul premolar (num\u0103rul 4). Pacienta a adus o radiografie. Este destul de veche. Pe film \u0219i nu cea mai clar\u0103, dar este ceea ce avem. (Am fotografiat-o cu telefonul)<\/p>\n

\"Implantarea
\n
\nUnii ar putea s\u0103 se \u00eentrebe, ce e at\u00e2t de important? Ei bine, un implant, un dinte. Un pod \u0219i un pod. \u00cens\u0103 din\u021bii au un aparat ligamentos, una dintre func\u021biile acestuia fiind amortizarea. Asta \u00eenseamn\u0103 c\u0103, atunci c\u00e2nd mestec\u0103m, din\u021bii se comport\u0103 pu\u021bin ca ni\u0219te \u201earcuri\u201d, \u00een timp ce implantul este fixat rigid \u00een os \u0219i lipsit de aceast\u0103 func\u021bie. Rezultatul este ceva ce sem\u0103n\u0103 cu un levier. Se produce o suprasarcin\u0103 \u00een zona de tranzi\u021bie \u00eentre \u201estil\u201d \u0219i corpul implantului, ceea ce duce la fracturarea acestuia.<\/p>\n

Ei bine, s\u0103 tragem concluziile!<\/p>\n

Dragi prieteni, trebuie s\u0103 \u00een\u021belege\u021bi c\u0103 nu este nimic \u00eenfrico\u0219\u0103tor \u00een privin\u021ba volumului mare de munc\u0103, a extragerii tuturor din\u021bilor, a plastiei osoase sau a num\u0103rului de implante. Ceea ce este \u00eenfrico\u0219\u0103tor este c\u0103 un mic \u201e\u00eendur\u201d se poate transforma \u00eentr-un mare \u201ear fi trebuit s\u0103 fac asta ieri\u201d. Cu c\u00e2t a\u0219tepta\u021bi mai mult, cu at\u00e2t tratamentul vostru va fi mai complex \u0219i va dura mai mult. Cur\u0103\u021b\u00e2ndu-v\u0103 din\u021bii la timp, pute\u021bi preveni cariile. Trat\u00e2nd cariile \u00een stadiile incipiente, v\u0103 ve\u021bi scuti de complica\u021bii precum pulpita sau parodontoza. Trat\u00e2nd la timp pulpita sau parodontoza, extrac\u021bia din\u021bilor v\u0103 va ocoli. Restaurarea la timp a din\u021bilor pierdu\u021bi v\u0103 va proteja de plastii osos \u0219i alte interven\u021bii. Dup\u0103 toate acestea, nu cred c\u0103 mai are rost s\u0103 spunem c\u0103 o vizit\u0103 la timp la dentist, dar \u0219i la orice alt medic, v\u0103 va feri de nervi \u0219i cheltuieli inutile. Aici totul este evident f\u0103r\u0103 cuvinte. A\u0219adar, peria\u021bi-v\u0103 din\u021bii, face\u021bi exerci\u021bii \u0219i haide\u021bi s\u0103 ne \u00eent\u00e2lnim mai des pentru controale preventive dec\u00e2t c\u00e2nd avem probleme cu din\u021bii.<\/p>\n

R\u0103m\u00e2ne\u021bi pe faz\u0103!<\/p>\n

Cu respect, Andrei Dashkov<\/p>\n

Ce altceva s\u0103 citim despre implantarea din\u021bilor?<\/b><\/p>\n

\u2014<\/b> Implantare: cum se face aceasta?<\/a><\/noindex><\/p>\n

\u2014<\/b> Lift sinusal \u0219i implantare imediat\u0103<\/a><\/noindex>
\n
Sursa: habr.com<\/a><\/p>","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

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