{"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\/sk\/blog\/news\/zuby-mudrosti-udalit-nelzya-ostavit-2","title":{"rendered":"Zuby m\u00fadrosti: odstr\u00e1ni\u0165 nemo\u017eno necha\u0165","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

\"Zuby
\n
\nV\u00e1\u017een\u00ed priatelia, dnes v\u00e1m navrhujem hovori\u0165 o zuboch m\u00fadrosti. A to konkr\u00e9tne o tom najd\u00f4le\u017eitej\u0161om a najz\u00e1hadnej\u0161om \u2013 indik\u00e1ci\u00e1ch na ich odstr\u00e1nenie.<\/p>\n

Od d\u00e1vna s \u00f4smymi zubami (tret\u00edmi mol\u00e1rmi alebo \u201ezubami m\u00fadrosti\u201c) s\u00fa spojen\u00e9 mnoh\u00e9 vtipy, povery, legendy a pr\u00edbehy, vr\u00e1tane ve\u013emi stra\u0161ideln\u00fdch. A t\u00e1to mytol\u00f3gia je roz\u0161\u00edren\u00e1 nielen medzi be\u017en\u00fdmi \u013eu\u010fmi, ale aj v medic\u00ednskom spolo\u010denstve. Postupne, v priebehu diskusie, sa pok\u00fasim rozpt\u00fdli\u0165 tieto m\u00fdty a uk\u00e1za\u0165, \u017ee zuby m\u00fadrosti nie s\u00fa tak\u00fdm probl\u00e9mom, \u010di u\u017e z h\u013eadiska diagnostiky alebo odstr\u00e1nenia. O to viac, ak hovor\u00edme o modernom doktorovi a modernej klinike.
\n<\/a><\/noindex>
\n\"Zuby
\n<\/p>\n

Pre\u010do sa zuby m\u00fadrosti tak naz\u00fdvaj\u00fa?<\/h4>\n

\nV\u0161etko je ve\u013emi jednoduch\u00e9. \u00d4sme zuby sa zvy\u010dajne preder\u00fa vo veku od 16 do 25 rokov. V uvedomelom veku, dos\u0165 neskoro v porovnan\u00ed s ostatn\u00fdmi zubami. Akoby ste sa stali m\u00fadrej\u0161\u00edmi? Z\u00edskajte zuby m\u00fadrosti vo forme probl\u00e9mov so zahryznut\u00edm a perikoronit\u00eddy \u2013 na! \u00c1no, niekedy m\u00fadros\u0165 \u010dloveka za\u010d\u00edna boles\u0165ou a utrpen\u00edm spojen\u00fdm so zubami m\u00fadrosti. Bez bolesti nie je zisku, ako sa hovor\u00ed.<\/p>\n

Pre\u010do sa zuby m\u00fadrosti niekomu preder\u00fa a niekomu nie?<\/h4>\n

\nPreto\u017ee niekto je m\u00fadry a niekto moc nie. Vtip.<\/p>\n

Na za\u010diatok treba objasni\u0165, \u017ee zuby m\u00fadrosti m\u00e1 drviv\u00e1 v\u00e4\u010d\u0161ina \u013eud\u00ed a ich nepr\u00edtomnos\u0165 od narodenia je ve\u013emi, ve\u013emi ve\u013ek\u00e1 vz\u00e1cnos\u0165. Narodi\u0165 sa bez zubov m\u00fadrosti a ich z\u00e1rodku je, ako vyhra\u0165 jackpot \u2013 okam\u017eite si k\u00fapte los, preto\u017ee ste \u0161\u0165astn\u00fd \u010dlovek.<\/p>\n

\"Zuby
\n
\nAle zuby m\u00fadrosti sa preder\u00fa nie u v\u0161etk\u00fdch. A z\u00e1vis\u00ed to od stavu zahryznutia. A presnej\u0161ie \u2013 od pr\u00edtomnosti miesta v \u010de\u013eusti na ich prerastanie.<\/p>\n

Tak sa stalo, \u017ee za\u010d\u00ednaj\u00fa r\u00e1s\u0165 v obdob\u00ed, ke\u010f sa akt\u00edvny rast \u010de\u013eustn\u00fdch kost\u00ed spoma\u013euje a zubn\u00fd rad sa akosi u\u017e \u201euzatv\u00e1ra\u201c. Zub rastie hore (alebo dole, ak ide o horn\u00fa \u010de\u013eus\u0165), naraz\u00ed na prek\u00e1\u017eku v podobe u\u017e prerasten\u00e9ho siedmeho zuba, zastav\u00ed sa alebo za\u010dne ot\u00e1\u010danie.<\/p>\n

\"Zuby
\n
\nTak vznikaj\u00fa nielen retinovan\u00e9 (neprerasten\u00e9), ale aj abnorm\u00e1lne umiestnen\u00e9 (dystopovan\u00e9) \u00f4smy zuby.<\/p>\n

\"Zuby
\n
\nNa spravodlivos\u0165, treba poznamena\u0165, \u017ee zubov m\u00fadrosti m\u00f4\u017ee by\u0165 viac ako \u0161tyri. Zriedkavo sa vyskytuj\u00fa nielen \u201eosmi\u010dky\u201c, ale aj \u201edeviatky\u201c alebo dokonca \u201edesiatky\u201c. Samozrejme, tak\u00fdto sortiment v \u00fastnej dutine neprin\u00e1\u0161a ni\u010d dobr\u00e9.<\/p>\n

Ak s\u00fa osmi\u010dky, znamen\u00e1 to, \u017ee s\u00fa na nie\u010do potrebn\u00e9?<\/h4>\n

\nNo, v\u00e4\u010d\u0161ina \u013eud\u00ed m\u00e1 pupok. A ten, je o\u010dividne, tie\u017e na nie\u010do ur\u010den\u00fd. Napr\u00edklad, na uskladnenie vlnen\u00fdch gu\u013e\u00f4\u010dok a in\u00fdch materi\u00e1lov pre praktick\u00e9 umenie.<\/p>\n

\"Zuby
\n
\nAk hovor\u00edme v\u00e1\u017ene, osmi\u010dky s\u00fa ak\u00fdmsi atavizmom. Pripomienka toho, \u017ee pred mili\u00f3nmi rokov na\u0161i predkovia sa stravovali surov\u00fdm m\u00e4som, mamutmi a inou zverou, a aj veg\u00e1ni boli omnoho brut\u00e1lnej\u0161\u00ed, namiesto zeleru \u017euvali k\u00f4ru baobabu.<\/p>\n

S t\u00fdm s\u00favis\u00ed, \u017ee \u010de\u013euste na\u0161ich predkov boli v\u00fdrazne v\u00e4\u010d\u0161ie a \u0161ir\u0161ie, a aj Nikolaj Valujev by na ich pozad\u00ed vyzeral mierne \u017eensky. A v\u0161etk\u00fdch tridsa\u0165 dva zubov sa v tak\u00fdch \u010de\u013eustiach zmestilo skvele, v\u0161etci boli \u0161\u0165astn\u00ed.<\/p>\n

Av\u0161ak, v procese evol\u00facie sa \u013eudia stali rozumnej\u0161\u00edmi, nau\u010dili sa spracov\u00e1va\u0165 jedlo, piec\u0165 m\u00e4so a dusi\u0165 baobab brokolicu. Potreba ve\u013ek\u00fdch \u010de\u013eust\u00ed a mas\u00edvneho \u017euvacieho apar\u00e1tu odpadla, \u013eudia sa stali elegantnej\u0161\u00edmi a glam\u00farn realizuj\u00fa. Ich \u017euvacie svaly a \u010de\u013euste tie\u017e. A po\u010det zubov sa nezmenil. A niekedy sa jednoducho nezmestia do m\u00f3dnych \u010de\u013eust\u00ed. A tomu, kto je posledn\u00fd, sa dostane \u201eotcovskej\u201c polohy retencie alebo dystopie.<\/p>\n

Tak sa osmi\u010dky stali \u201ezbyto\u010dn\u00fdmi\u201c zubami. A pravdepodobne by bolo spr\u00e1vnej\u0161ie nazva\u0165 ich nie \u201ezubami m\u00fadrosti\u201c, ale \u201ezubami australopitekov\u201c \u2014 a mo\u017eno sa k nim \u013eudia za\u010dn\u00fa adekv\u00e1tnej\u0161ie spr\u00e1va\u0165.<\/p>\n

Ak\u00e9 s\u00fa osmi\u010dky?<\/h4>\n

\nNeuver\u00edte, ale v\u00e4\u010d\u0161inou s\u00fa osmi\u010dky \u00f4sme v porad\u00ed.<\/p>\n

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

\u010co sa stane, ak sa s zubami m\u00fadrosti v\u00f4bec nezaober\u00e1te?<\/h4>\n

\nAk sa osmi\u010dky prerezali, s\u00fa v skuse a norm\u00e1lne funguj\u00fa, tak sa samozrejme ni\u010d nestane. Sta\u010d\u00ed si d\u00f4kladne str\u00e1\u017ei\u0165 hygienu v ich oblasti, preto\u017ee s \u0148ou m\u00f4\u017eu nasta\u0165 nejak\u00e9 \u0165a\u017ekosti kv\u00f4li d\u00e1viv\u00e9mu reflexu a zl\u00e9mu preh\u013eadu, pravidelne chodi\u0165 k zub\u00e1rovi \u2014 a je to v poriadku. Tak\u00e9to zuby m\u00fadrosti bud\u00fa existova\u0165 dlho a \u0161\u0165astne.<\/p>\n

\"Zuby
\n
\nS d\u00fdchac\u00edm zubom m\u00fadrosti je to, zd\u00e1 sa, tie\u017e jasn\u00e9 \u2014 vzh\u013eadom na ich umiestnenie je \u0165a\u017ek\u00e9 dodr\u017eiava\u0165 hygienu \u00fastnej dutiny a tieto zuby sa pomerne r\u00fdchlo po\u0161kodzuj\u00fa zubn\u00fdm kazom. Hor\u0161ie je, ak sa zubn\u00fd kaz \u0161\u00edri na susedn\u00e9 sedmi\u010dky, ktor\u00e9 s\u00fa, na rozdiel od \u00f4smych, funk\u010dne ve\u013emi d\u00f4le\u017eit\u00e9. Zubn\u00fd kaz sa \u010dasto objavuje na najvzdialenej\u0161ej a zle vidite\u013enej ploche zuba. A \u010dlovek si toho v\u0161imne a\u017e vtedy, ke\u010f to za\u010dne bolie\u0165. To znamen\u00e1, \u017ee je pr\u00edli\u0161 neskoro.<\/p>\n

\"Zuby
\n
\nOkrem toho anom\u00e1lne umiestnen\u00e9 zuby m\u00fadrosti vytv\u00e1raj\u00fa v skuse tzv. \"traumatick\u00e9 uzly\", naru\u0161uj\u00fa obvykl\u00e9 reflexn\u00e9 spojenia, \u010do vedie k probl\u00e9mom s svalovo-k\u013abov\u00fdm \u017euvac\u00edm apar\u00e1tom. N\u00e1sledne sa to zhor\u0161uje patol\u00f3giou skusu, pre\u0165a\u017een\u00edm \u017euvac\u00edch svalov, praskan\u00edm v temporomandibul\u00e1rnych k\u013aboch, teda sa objavuj\u00fa znaky svalovo-k\u013abovej dysfunkcie. A zvy\u010dajne sa lie\u010denie t\u00fdchto svalovo-k\u013abov\u00fdch dysfunkci\u00ed za\u010d\u00edna pr\u00e1ve sk\u00faman\u00edm \u00falohy \u00f4smych zubov v uvedenej patol\u00f3gii a prijat\u00edm potrebn\u00fdch opatren\u00ed (t.j. odstr\u00e1nen\u00edm).<\/p>\n

Zlo\u017eitej\u0161ie je pochopi\u0165, \u010do sa deje s retenovan\u00fdmi (neprerezan\u00fdmi) zubami m\u00fadrosti. Zdalo by sa, \u017ee zub nie je vidie\u0165, zubn\u00fd kaz mu takmer nehroz\u00ed, mohol by si len tak sedie\u0165... Av\u0161ak aj tu s\u00fa ur\u010dit\u00e9 nepr\u00edjemn\u00e9 n\u00e1sledky.<\/p>\n

Napriek tomu, \u017ee zub sa e\u0161te neprerezal, u\u017e ovplyv\u0148uje zubn\u00fd rad. M\u00f4\u017ee sp\u00f4sobi\u0165 posun zubov a vytvorenie zubnej preplnenosti v prednej \u010dasti:<\/p>\n

\"Zuby
\n
\nZ d\u00f4vodu absencie kostnej prie\u010dky medzi jamkami siedmich a \u00f4smych zubov sa medzi nimi formuje hlbok\u00e1 kapsa, do ktorej sa m\u00f4\u017eu dost\u00e1va\u0165 zvy\u0161ky potravy, zubn\u00fd povlak a mikroby, \u010do vedie k z\u00e1palu. Niekedy dos\u0165 ak\u00fatnemu a nebezpe\u010dn\u00e9mu pre zdravie.<\/p>\n

Samotn\u00fd proces prerez\u00e1vania retenovan\u00fdch zubov, najm\u00e4 vo veku nad 20 rokov, je \u010dasto sprev\u00e1dzan\u00fd z\u00e1palom \u2014 perikoronarit\u00eddou.<\/p>\n

\"Zuby
\n
\n\"Zuby
\n
\nLie\u010dba perikoronarit\u00eddy je samostatn\u00e1 t\u00e9ma. Niekedy ju prediskutujeme, ale teraz je potrebn\u00e9 vedie\u0165 jedno \u2014 perikoronarit\u00eddu je lep\u0161ie nedovoli\u0165 a, ak je jasn\u00e9, \u017ee zubom m\u00fadrosti bude ch\u00fdba\u0165 miesto a ich prerez\u00e1vanie bude spojen\u00e9 s \u0165a\u017ekos\u0165ami \u2014 je lep\u0161ie ich vopred odstr\u00e1ni\u0165.<\/p>\n

Ale najnepr\u00edjemnej\u0161ie, \u010do m\u00f4\u017eete o\u010dak\u00e1va\u0165 od retenovan\u00fdch zubov m\u00fadrosti \u2014 s\u00fa cysty.<\/p>\n

\"Zuby
\n
\nIch len\u00ed ri folikula, ktore obklopuj\u00fa z\u00e1rodok zubu. Ke\u010f zub prerast\u00e1, folikul zmizne, ale v pr\u00edpade retencie ost\u00e1va a m\u00f4\u017ee sl\u00fa\u017ei\u0165 ako zdroj n\u00e1dorov a c\u00fdst. <\/p>\n

Niekedy \u2014 dostato\u010dne ve\u013ek\u00fdch a dos\u0165 nebezpe\u010dn\u00fdch pre zdravie.<\/p>\n

\"Zuby
\n
\nA hoci sa v\u0161etko to d\u00e1 lie\u010di\u0165, s\u00fahlaste, \u017ee je lep\u0161ie nedovoli\u0165 si dosta\u0165 sa do tak\u00e9ho stavu.<\/p>\n

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

Pre\u010do s\u00fa n\u00e1zory lek\u00e1rov na odstr\u00e1nenie zubov m\u00fadrosti tak\u00e9 protichodn\u00e9?<\/h4>\n

\nV podstate ide o to, ak\u00e9 m\u00e1 doktor sk\u00fasenosti s odstra\u0148ovan\u00edm zubov m\u00fadrosti. Ak je samotn\u00fd v\u00fdkon pre doktora n\u00e1ro\u010dn\u00fd, trv\u00e1 ve\u013ea \u010dasu a pacientovi sp\u00f4sobuje iba utrpenie, v\u00e4\u010d\u0161inou je odporcom odstr\u00e1nenia. Naopak, ak odstr\u00e1nenie osmi\u010diek, aj t\u00fdch najzlo\u017eitej\u0161\u00edch, neprin\u00e1\u0161a pre lek\u00e1ra v\u00e1\u017ene \u0165a\u017ekosti, potom naopak, je za \u00fapln\u00e9 a radik\u00e1lne rie\u0161enie \u2014 oper\u00e1ciu odstr\u00e1nenia.<\/p>\n

Kedy je trest smrti nemo\u017en\u00e9 odpusti\u0165, nie je mo\u017en\u00e9 odstr\u00e1ni\u0165, ale ani necha\u0165?<\/h4>\n

\nMedzi t\u00fdm, krit\u00e9ri\u00e1 na odstr\u00e1nenie\/neodstr\u00e1nenie zubov m\u00fadrosti s\u00fa ve\u013emi jednoduch\u00e9. V\u0161etky ich m\u00f4\u017eeme zhrn\u00fa\u0165 do jednej jednoduchej vety:<\/p>\n

Ochorenia a komplik\u00e1cie spojen\u00e9 so zubami m\u00fadrosti alebo hrozby t\u00fdchto ochoren\u00ed a komplik\u00e1ci\u00ed s\u00fa indik\u00e1ciami na odstr\u00e1nenie zubov m\u00fadrosti.<\/p>\n

To je v\u0161etko. In\u00e9 indik\u00e1cie\/kontraindik\u00e1cie neexistuj\u00fa.<\/p>\n

Pozrime sa na pr\u00edklady:<\/p>\n

    \n
  1. Oby\u010dajn\u00fd, prerasten\u00fd a plne funk\u010dn\u00fd zub v norm\u00e1lnom skusu nie je potrebn\u00e9 odstra\u0148ova\u0165. Navy\u0161e, tak\u00e9 zuby v pr\u00edpade kazu je mo\u017en\u00e9 (a treba) lie\u010di\u0165. In\u00e1 situ\u00e1cia nast\u00e1va, ak sa kaz komplikuje pulp\u00edtom alebo parodontit\u00eddou \u2014 v tak\u00fdch pr\u00edpadoch m\u00e1 zmysel poprem\u00fd\u0161\u013ea\u0165, lebo lie\u010dba kore\u0148ov\u00fdch kan\u00e1lov pri tret\u00edch mol\u00e1roch predstavuje ur\u010dit\u00e9 \u0165a\u017ekosti. Mo\u017eno netreba experimentova\u0165 s kan\u00e1lmi?<\/li>\n
  2. Anom\u00e1lne umiestnen\u00fd (dystopovan\u00fd) zub m\u00fadrosti. Nemalo miesto, tak\u017ee sa bu\u010f naklonilo na nejak\u00fa stranu, alebo zostalo napoly v \u010fasne. Tak\u00fd zub nikdy nebude funk\u010dn\u00fd, ale vytv\u00e1ra probl\u00e9my ako pre skus, tak pre susedn\u00e9 zuby. Je potrebn\u00e9 ho odstr\u00e1ni\u0165? Bezpochyby.<\/li>\n
  3. Retinovan\u00fd (nepreeraj\u00faci) zub m\u00fadrosti. Zd\u00e1 sa, \u017ee nesp\u00f4sobuje probl\u00e9my. Nach\u00e1dza sa niekde tam, \u010faleko. Na \u017euvan\u00ed sa nepodie\u013ea a nikdy sa podie\u013ea\u0165 nebude. K \u010domu m\u00f4\u017ee vies\u0165 retinovan\u00e1 osmi\u010dka, u\u017e vieme. M\u00e1 zmysel \u010daka\u0165 na tieto komplik\u00e1cie? Mysl\u00edm, \u017ee nie, nem\u00e1.<\/li>\n
  4. Zub sa za\u010dal preb\u00edja\u0165, \u010fasno nad n\u00edm sa zap\u00e1lilo. Perikoron\u00e1rny z\u00e1pal, presne takto sa toto ochorenie naz\u00fdva, je znakom toho, \u017ee zubu ch\u00fdba miesto v \u010de\u013eusti a nakoniec bude bu\u010f distopovan\u00fd, alebo sp\u00f4sob\u00ed posun zubov a naru\u0161enie uhryzu. M\u00e1 zmysel lie\u010di\u0165 perikoron\u00e1rny z\u00e1pal jednoduch\u00fdm vyrezan\u00edm kapucne? Sk\u00f4r nie. Je lep\u0161ie vyrie\u0161i\u0165 tento probl\u00e9m radik\u00e1lne, a to odstr\u00e1nen\u00edm probl\u00e9mov\u00e9ho zubu.<\/li>\n<\/ol>\n

    <\/p>\n

    Z\u00e1ver<\/h3>\n

    \nZ hore uveden\u00e9ho m\u00f4\u017eeme odvodi\u0165, \u017ee odstr\u00e1nenie zubov m\u00fadrosti sa naj\u010dastej\u0161ie uskuto\u010d\u0148uje vtedy, ke\u010f pacienta osobitne nebothera. To znamen\u00e1, \u017ee t\u00e1to proced\u00fara je prevenciou mo\u017en\u00fdch komplik\u00e1ci\u00ed zo strany osmi\u010diek. A to je spr\u00e1vne. Neexistuje efekt\u00edvnej\u0161ia a lacnej\u0161ia met\u00f3da ako prevencia. A najlep\u0161ia medic\u00edna je medic\u00edna prevent\u00edvna.<\/p>\n

    Na bud\u00face sa v\u00e1m poviem, ako sa vlastne uskuto\u010d\u0148uje odstr\u00e1nenie zubov m\u00fadrosti, ako sa pripravi\u0165 na tento postup a \u010do treba robi\u0165 po \u0148om.<\/p>\n

    \u010eakujem za pozornos\u0165! Neodch\u00e1dzajte!<\/p>\n

    Sincerely, Andrey Dashkov.
    \n
    Zdroj:     habr.com<\/a><\/p>","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

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