{"id":11385567,"date":"2009-07-15T00:00:00","date_gmt":"2009-07-14T22:00:00","guid":{"rendered":"https:\/\/alertdiver.eu\/uncategorized-cs_cz\/pristrojove-potapeni-a-zubni-implantaty\/"},"modified":"2009-07-15T00:00:00","modified_gmt":"2009-07-14T22:00:00","slug":"pristrojove-potapeni-a-zubni-implantaty","status":"publish","type":"post","link":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/pristrojove-potapeni-a-zubni-implantaty\/","title":{"rendered":"P\u0159\u00edstrojov\u00e9 pot\u00e1p\u011bn\u00ed a zubn\u00ed implant\u00e1ty"},"content":{"rendered":"<p style=\"text-align: justify;\">St\u00e1le v\u00edce lid\u00ed si nech\u00e1v\u00e1 nahradit nezdrav\u00e9 nebo chyb\u011bj\u00edc\u00ed zuby zubn\u00edmi implant\u00e1ty. Tradi\u010dn\u00ed \u0159e\u0161en\u00ed pro chyb\u011bj\u00edc\u00ed zuby jsou n\u00e1sleduj\u00edc\u00ed implant\u00e1ty: M\u016fstky, vyj\u00edmateln\u00e9 \u010d\u00e1sti chrupu nebo cel\u00fd um\u011bl\u00fd chrup. Jako dent\u00e1ln\u00ed chirurg a poradce DAN, scubadoc (viz informace na webov\u00e9 str\u00e1nce pro pot\u00e1p\u011b\u010dskou medicinu online: <a href=\"http:\/\/scuba-doc.com\/\">http:\/\/scuba-doc.com\/<\/a> a tak\u00e9 ScubaBoard na: <a href=\"http:\/\/www.scubaboard.com\">www.scubaboard.com<\/a>), dost\u00e1v\u00e1m v souvislosti s p\u0159\u00edstrojov\u00fdm d\u00fdch\u00e1n\u00edm st\u00e1le \u010dast\u011bj\u0161\u00ed dotazy na zubn\u00ed implant\u00e1ty.<br \/> D\u00fdchac\u00ed automatika kon\u010d\u00ed p\u0159esn\u011b v m\u00edstech, kde se nach\u00e1zej\u00ed zubn\u00ed implant\u00e1ty a tam tak\u00e9 p\u0159ich\u00e1z\u00ed plyn, jeho\u017e tlak se mus\u00ed b\u011bhem pot\u00e1p\u011bn\u00ed vyrovn\u00e1vat. N\u00e1sledkem toho se neust\u00e1le opakuj\u00ed dotazy typu:&nbsp; &quot;Jak dlouho bych m\u011bl po\u010dkat s pot\u00e1p\u011bn\u00edm po nasazen\u00ed implant\u00e1t\u016f?&quot;, nebo: &quot;Nebude m\u00edt tlak zub\u016f p\u0159i stisknut\u00ed regul\u00e1toru negativn\u00ed dopad na m\u00e9 \u00fastn\u00ed implant\u00e1ty?&quot;<\/p>\n<p style=\"text-align: justify;\"> <strong>Kr\u00e1tk\u00e1 historie zubn\u00edch implant\u00e1t\u016f <\/strong><br \/> Jak dlouho se ji\u017e pou\u017e\u00edvaj\u00ed implant\u00e1ty? Existuj\u00ed archeologick\u00e9 d\u016fkazy o tom, \u017ee ji\u017e v rann\u00fdch civilizac\u00edch se lid\u00e9 pokou\u0161eli reimplantovat zuby, o kter\u00e9 p\u0159i\u0161li, nebo se sna\u017eili je nahradit n\u00e1hradami vyroben\u00fdmi nap\u0159. ze d\u0159eva nebo ze slonoviny. V 18. stolet\u00ed se do lidsk\u00fdch \u010delist\u00ed za\u010daly vsazovat implant\u00e1ty ze zlata, st\u0159\u00edbra a pozd\u011bji i z platiny a tato metoda se setkala s \u00fasp\u011bchem. Dr. Alvin E. Strock z univerzity v Harwardu vsadil prvn\u00ed \u00fasp\u011b\u0161n\u00e9 implant\u00e1ty v roce 1937. Byly z chirurgick\u00e9 nerezov\u00e9 oceli zn\u00e1m\u00e9 pod jm\u00e9nem vitallium, co\u017e je slitina chromu, kobaltu a molybdenu (jedn\u00e1 se o \u0161edou kovovou l\u00e1tku), kter\u00e1 se b\u011b\u017en\u011b pou\u017e\u00edvala pro vyj\u00edmateln\u00e9 \u010d\u00e1sti chrupu.  <\/p>\n<p style=\"text-align: justify;\">Gustav Dahl ze \u0160v\u00e9dska ozn\u00e1mil prvn\u00ed subperiost\u00e1ln\u00ed implant\u00e1t, t.j. implant\u00e1t na kost, v roce 1948. V roce 1967 pak za\u010dali Leonard Linkow, Ralph Roberts a Harold Roberts pou\u017e\u00edvat endost\u00e1ln\u00ed \u010depelkov\u00fd implant\u00e1t, co\u017e byl implant\u00e1t do kosti. A kone\u010dn\u011b v roce 1981, dr. Per Ingvar BrOEnemark, ortopedick\u00fd chirurg ze \u0160v\u00e9dska, za\u010dal pou\u017e\u00edvat endost\u00e1ln\u00ed ko\u0159enov\u00fd implant\u00e1t z titanu. Dnes se nej\u010dast\u011bji pou\u017e\u00edv\u00e1 zubn\u00ed implant\u00e1t ko\u0159enov\u00fd. Kl\u00ed\u010dem k jeho \u00fasp\u011bchu je pou\u017e\u00edv\u00e1n\u00ed titanu. V roce 1952, kdy\u017e dr. BrOEnemark prov\u00e1d\u011bl pokusy s l\u00e9\u010den\u00edm kosti na kr\u00e1l\u00edc\u00edch, vsadil malou titanovou \u010depelku s p\u0159ipojen\u00fdm mikroobjektivem do kosti pokusn\u00fdch zv\u00ed\u0159at. To mu umo\u017enilo mikroskopick\u00e9 pozorov\u00e1n\u00ed vnit\u0159ku kosti a tedy sledov\u00e1n\u00ed cel\u00e9ho l\u00e9\u010debn\u00e9ho procesu.<\/p>\n<p style=\"text-align: justify;\"><strong>Osseointegrace<\/strong><br \/> Po ukon\u010den\u00ed pokus\u016f, kdy\u017e se BrOEnemark pokusil vyjmout titanovou \u010depelku, zjistil, \u017ee se kost spojila s kovem. Toto spojen\u00ed kosti s kovem nazval osseointegrac\u00ed. D\u00edky t\u00e9to skute\u010dnosti (objeven\u00e9 \u010d\u00e1ste\u010dn\u011b i \u0161\u0165astnou n\u00e1hodou) se stalo mo\u017en\u00fdm \u00fasp\u011b\u0161n\u011b vsazovat zubn\u00ed implant\u00e1ty i jin\u00e9 implantovateln\u00e9 ortopedick\u00e9 prost\u0159edky.<\/p>\n<p style=\"text-align: justify;\"><strong>Chirurgick\u00e9 postupy<\/strong><br \/> Prvn\u00edm krokem je odstranit zub v problematick\u00e9m m\u00edst\u011b. Pot\u00e9 je n\u011bkdy pot\u0159eba do zubn\u00edho l\u016f\u017eka naroubovat kost, aby se vytvo\u0159ilo vhodn\u00e9 m\u00edsto pro budouc\u00ed implant\u00e1t, jindy mus\u00ed chirurg vyplnit \u010d\u00e1st dutiny v horn\u00ed \u010delisti tak, aby se pacientovi vytvo\u0159ila takov\u00e1 vertik\u00e1ln\u00ed v\u00fd\u0161ka kosti, kter\u00e1 bude pro podporu implant\u00e1t\u016f v horn\u00ed zadn\u00ed \u010d\u00e1sti \u00fast dosta\u010duj\u00edc\u00ed. V n\u011bkter\u00fdch extr\u00e9mn\u00edch p\u0159\u00edpadech je pot\u0159eba k tomuto \u00fa\u010delu odebrat kostn\u00ed hmotu z jin\u00e9 \u010d\u00e1sti t\u011bla, nap\u0159. z oblasti ky\u010dle, nebo se mus\u00ed pou\u017e\u00edt n\u011bjak\u00e9 um\u011bl\u00e9 zdroje, aby se obnovila kost, kter\u00e1 ustoupila. Pacienti, kte\u0159\u00ed se cht\u011bj\u00ed v\u011bnovat p\u0159\u00edstrov\u00e9mu pot\u00e1p\u011bn\u00ed a maj\u00ed se zuby probl\u00e9my, mus\u00ed podstoupit chirurgick\u00fd z\u00e1krok (nebo chirurgick\u00e9 z\u00e1kroky), p\u0159e\u010dkat n\u00e1sledn\u00e9 obdob\u00ed pot\u0159ebn\u00e9 po hojen\u00ed a pot\u00e9 absolvovat cel\u00fd protetick\u00fd proces.  <\/p>\n<p style=\"text-align: justify;\">V\u0161eobecn\u011b lze \u0159\u00edci, \u017ee kdy\u017e v n\u011bkter\u00e9m m\u00edst\u011b chyb\u00ed zub a jsou tam vhodn\u00e9 kostn\u00ed podm\u00ednky i rozm\u011bry, chirurg vyvrt\u00e1 do kosti p\u0159esn\u011b dimenzovan\u00fdmi vrt\u00e1ky pot\u0159ebn\u00fd otvor. Pot\u00e9 se tam samo\u0159ezn\u00fdm zp\u016fsobem v\u0161roubuje implant\u00e1t. Na &ldquo;ho\u0159ej\u0161ek&rdquo; implant\u00e1tu se pak na\u0161roubuje kryc\u00ed \u0161roub nebo ochrann\u00fd kryt, kter\u00fd chr\u00e1n\u00ed a podporuje proces hojen\u00ed. Pot\u00e9 se \u010dty\u0159i a\u017e \u0161est m\u011bs\u00edc\u016f nech\u00e1 implant\u00e1t osseointegrovat.<br \/> Aby nebylo nutn\u00e9 prov\u00e9st je\u0161t\u011b jeden chirurgick\u00fd z\u00e1krok, v\u011bt\u0161ina zubn\u00edch chirurg\u016f nyn\u00ed pou\u017e\u00edv\u00e1 ochrany implant\u00e1t\u016f, kter\u00e9 b\u011bhem doby hojen\u00ed prostupuj\u00ed d\u00e1sn\u011bmi. Jakmile je implant\u00e1t p\u0159ipraven k dokon\u010den\u00ed cel\u00e9ho procesu, protetik ochranu jednodu\u0161e od\u0161roubuje. A\u017e skon\u010d\u00ed obdob\u00ed pot\u0159ebn\u00e9 pro osseointegraci, implant\u00e1t se znovu odkryje a na jeho odkrytou \u010d\u00e1st se nainstaluj\u00ed zb\u00fdvaj\u00edc\u00ed \u010d\u00e1sti, \u010d\u00edm\u017e se cel\u00fd proces obnoven\u00ed p\u016fvodn\u011b vadn\u00e9 \u010d\u00e1sti chrupu dokon\u010d\u00ed.<br \/> &nbsp;<\/p>\n<p style=\"text-align: justify;\"><strong>Nutnost vyhnout se tlaku zp\u016fsoben\u00e9mu skousnut\u00edm p\u0159i pot\u00e1p\u011bn\u00ed <\/strong><br \/> A\u017e dosud se zubn\u00ed chirurgov\u00e9 nesjednotili na \u017e\u00e1dn\u00fdch jednotn\u00fdch rad\u00e1ch a doporu\u010den\u00edch ohledn\u011b slu\u010ditelnosti \u00fastn\u00ed chirurgie s p\u0159\u00edstrojov\u00fdm pot\u00e1p\u011bn\u00edm. V\u0161eobecn\u011b v\u0161ak plat\u00ed, \u017ee \u010d\u00edm je chirurgick\u00fd z\u00e1krok komplikovan\u011bj\u0161\u00ed, t\u00edm d\u00e9le je pot\u0159eba \u010dekat s pot\u00e1p\u011bn\u00edm. A \u010dekac\u00ed dobu je\u0161t\u011b prodlou\u017e\u00ed p\u0159\u00edpadn\u00e9 poopera\u010dn\u00ed komplikace, dal\u0161\u00ed mo\u017en\u00e9 pr\u016fvodn\u00ed zdravotn\u00ed okolnosti, konzumace tab\u00e1ku a\/nebo konzumace alkoholu. B\u011bhem poopera\u010dn\u00ed osseointegrace je nutn\u00e9 vyh\u00fdbat se v\u0161emu, co by mohlo vytv\u00e1\u0159et tlak na vrstvu nad implant\u00e1tem a na kryc\u00ed \u0161roub nebo na op\u011bru pou\u017eitou jako ochranu ochranu pro hojen\u00ed. Pot\u00e1p\u011bt se p\u0159\u00edli\u0161 brzy po operaci (co\u017e mus\u00ed b\u00fdt nutn\u011b prov\u00e1zeno tlakem, i kdy\u017e t\u0159eba jen m\u00edrn\u00fdm) m\u016f\u017ee m\u00edt za n\u00e1sledek po\u0161kozen\u00ed posti\u017een\u00e9ho m\u00edsta. Nap\u0159. jestli\u017ee jsou op\u011brn\u00e9 desti\u010dky n\u00e1ustku regul\u00e1toru p\u0159\u00edmo nad implant\u00e1tem, m\u016f\u017ee s\u00edla skousnut\u00ed, kter\u00e1 se p\u0159es n\u011b p\u0159enese, implant\u00e1t po\u0161kodit. <\/p>\n<p style=\"text-align: justify;\">B\u011bhem procesu hojen\u00ed je nejen nutno vyhnout se pot\u00e1p\u011bn\u00ed, tak\u00e9 se doporu\u010duje dodr\u017eovat tzv. m\u011bkkou dietu a ne\u017ev\u00fdkat p\u0159\u00edmo v m\u00edst\u011b proveden\u00e9ho opera\u010dn\u00edho z\u00e1kroku. Riziko po\u0161kozen\u00ed je nejvy\u0161\u0161\u00ed b\u011bhem prvn\u00edch 4 t\u00fddn\u016f po operaci, pak se zmen\u0161uje.<br \/> Nav\u00edc je pot\u0159eba vz\u00edt v \u00favahu i dal\u0161\u00ed okolnosti. Pot\u00e1p\u011bn\u00ed by se m\u011blo odlo\u017eit na tak dlouho, dokud nen\u00ed jistota, \u017ee v souvislost\u00ed s chirurgick\u00fdm z\u00e1krokem nenastanou v \u00fastn\u00ed dutin\u011b n\u011bjak\u00e9 jin\u00e9 komplikace. To znamen\u00e1, \u017ee a\u017e do doby, kdy:<\/p>\n<ul>\n<li>se obnov\u00ed vaskularizace (t.j. norm\u00e1ln\u00ed tok krve);<\/li>\n<li>se dokon\u010d\u00ed stabilizace implant\u00e1tu;<\/li>\n<li>se znormalizuje tlak v \u00fastn\u00ed i nosn\u00ed dutin\u011b;<\/li>\n<li>je pacient schopen udr\u017eet v \u00fastech regul\u00e1tor; a<\/li>\n<li>skon\u010d\u00ed pou\u017e\u00edv\u00e1n\u00ed medikace pro ti\u0161en\u00ed bolesti nebo kv\u016fli infekci.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Obnova vaskularizace je d\u016fle\u017eit\u00e1 a chce sv\u016fj \u010das.<br \/> V\u00fdm\u011bna plynu, kter\u00e1 prob\u00edh\u00e1 v t\u011ble p\u0159i p\u0159i pot\u00e1p\u011bn\u00ed (s n\u00e1sledn\u00fdm rozpou\u0161t\u011bn\u00edm a vyt\u011bs\u0148ov\u00e1n\u00edm dus\u00edku) je jednou z funkc\u00ed vaskulatury (uspo\u0159\u00e1d\u00e1n\u00ed krevn\u00edch cest) m\u00edstn\u00edch tk\u00e1n\u00ed. M\u00edsta, kde do\u0161lo k jednoduch\u00e9 extrakci, si obnovuj\u00ed p\u0159\u00edvod krve pom\u011brn\u011b rychle. K podobn\u011b rychl\u00e9 revaskularizaci doch\u00e1z\u00ed i v p\u0159\u00edpad\u011b naroubov\u00e1n\u00ed zubn\u00edho l\u016f\u017eka po extrakci. Po jednoduch\u00e9 extrakci je v\u0161ak nutno po\u010dkat s pot\u00e1p\u011bn\u00edm jeden a\u017e dva t\u00fddny.<br \/> &nbsp;<\/p>\n<p style=\"text-align: justify;\"><strong>Kostn\u00ed \u0161t\u011bpy ovliv\u0148uj\u00ed dobu pot\u0159ebnou pro zotaven\u00ed.<\/strong><br \/> Chirurgie roubov\u00e1n\u00ed kostn\u00ed hmoty a operace dutin jsou pon\u011bkud slo\u017eit\u011bj\u0161\u00ed postupy, a proto vy\u017eaduj\u00ed del\u0161\u00ed dobu na zotaven\u00ed. \u010c\u00edm v\u011bt\u0161\u00ed je roubovan\u00e9 m\u00edsto, t\u00edm d\u00e9le se mus\u00ed \u010dekat. N\u011bkte\u0159\u00ed l\u00e9ka\u0159i doporu\u010duj\u00ed vyh\u00fdbat se jak\u00e9koliv \u010dinnosti, kter\u00e1 by mohla m\u00edt za n\u00e1sledek i pouh\u00fd mikropohyb, po dobu alespo\u0148 \u0161esti m\u011bs\u00edc\u016f. Hojen\u00ed kosti v m\u00edst\u011b implant\u00e1tu m\u016f\u017ee ve skute\u010dnosti trvat a\u017e jeden rok. I kdy\u017e je pot\u00e1p\u011bn\u00ed p\u0159ed vypr\u0161en\u00edm t\u00e9to lh\u016fty mo\u017en\u00e9 a nemus\u00ed zp\u016fsobit \u017e\u00e1dn\u00fd probl\u00e9m, p\u0159esto by m\u011bl o vhodn\u00e9m term\u00ednu rozhodnout v\u00e1\u0161 zubn\u00ed chirurg. I kdy\u017e se v jeho p\u0159\u00edpad\u011b nemus\u00ed jednat o pot\u00e1p\u011b\u010de, p\u0159esto jej po\u017e\u00e1dejte o radu a \u0159i\u010fte se podle n\u00ed. Na d\u00e9lku \u010dekac\u00ed doby pro pot\u00e1p\u011bn\u00ed se t\u011bch lid\u00ed, kte\u0159\u00ed prod\u011blali implantaci, m\u00e1 tak\u00e9 vliv mno\u017estv\u00ed a kvalita kosti pod implant\u00e1tem. <\/p>\n<p style=\"text-align: justify;\">N\u011bkte\u0159\u00ed lid\u00e9 maj\u00ed kost velmi tvrdou a hustou, jin\u00ed m\u011bkkou a por\u00e9zn\u00ed. To samoz\u0159ejm\u011b v\u00fdrazn\u011b ovliv\u0148uje stabilitu vsazen\u00e9ho implant\u00e1tu. Implant\u00e1ty um\u00edst\u011bn\u00e9 do tvrd\u00e9 a hust\u00e9 kosti jsou m\u00e9n\u011b citliv\u00e9 na shora uveden\u00e9 mikropohyby. Opak je pravdou v p\u0159\u00edpad\u011b m\u011bkk\u00e9 a por\u00e9zn\u00ed kostn\u00ed hmoty.<br \/> Nov\u011b vsazen\u00e9 implant\u00e1ty jsou nejcitliv\u011bj\u0161\u00ed na pohyb v obdob\u00ed prvn\u00edch dvou a\u017e \u010dty\u0159 t\u00fddn\u016f po chirurgick\u00e9m z\u00e1kroku. Ve skute\u010dnosti to funguje tak, \u017ee implant\u00e1ty se po vsazen\u00ed na ur\u010den\u00e9 m\u00edsto nejd\u0159\u00edve trochu uvoln\u00ed a teprve potom se za\u010dnou stabilizovat. B\u011bhem tohoto \u00favodn\u00edho st\u00e1dia osseointegrace se p\u0159\u00edstrojov\u00e9 d\u00fdch\u00e1n\u00ed mus\u00ed zcela vylou\u010dit. Implant\u00e1t se pova\u017euje za upevn\u011bn\u00fd a stabiln\u00ed nejd\u0159\u00edve po p\u011bti t\u00fddnech a\u017e dvou m\u011bs\u00edc\u00edch (podle druhu kostn\u00ed hmoty). Po proveden\u00e9m roubov\u00e1n\u00ed v\u011bt\u0161\u00edho rozsahu je pot\u0159eba po\u010d\u00edtat je\u0161t\u011b s del\u0161\u00ed dobou na rekonvalescenci.<\/p>\n<p style=\"text-align: justify;\"><strong>Kdy se m\u016f\u017ee implant\u00e1t za\u010d\u00edt pou\u017e\u00edvat<\/strong><br \/> B\u011bhem hojen\u00ed implant\u00e1tu jej pacient nem\u016f\u017ee pou\u017e\u00edvat. V\u011bt\u0161inou se zde um\u00edst\u00ed n\u011bjak\u00e1 do\u010dasn\u00e1 prot\u00e9za, kter\u00e1 se hoj\u00edc\u00edho implant\u00e1tu nedot\u00fdk\u00e1. V\u011bt\u0161inou se jedn\u00e1 o n\u011bjakou vyj\u00edmatelnou zubn\u00ed prot\u00e9zu. V posledn\u00edch letech se velmi zdokonalily postupy, d\u00edky kter\u00fdm se takov\u00e9 prot\u00e9zy zhotovuj\u00ed na m\u00edru velice rychle. Prozat\u00edmn\u00ed prot\u00e9zy se zhotovuj\u00ed z um\u011bl\u00e9 hmoty a upev\u0148uj\u00ed se n\u011bjak\u00fdm do\u010dasn\u00fdm pojivem\/lepidlem, nebo se p\u0159i\u0161roubuj\u00ed. Rozhodn\u011b doporu\u010dujeme b\u00fdt opatrn\u011bj\u0161\u00ed a odlo\u017eit p\u0159\u00edstrojov\u00e9ho pot\u00e1p\u011bn\u00ed a\u017e na dobu po \u00fapln\u00e9m ukon\u010den\u00ed obnovy p\u0159\u00edslu\u0161n\u00e9ho m\u00edsta chrupu. Jestli\u017ee by se toti\u017e do\u010dasn\u00e9 lepidlo uvolnilo, nebo kdyby um\u011blohmotn\u00e1 prot\u00e9za praskla, vyvstalo by velk\u00e9 nebezp\u011b\u010d\u00ed vdechnut\u00ed prot\u00e9zy. Zubn\u00ed chirurg pak nasad\u00ed trvalou prot\u00e9zu ve fin\u00e1ln\u00ed podob\u011b. <\/p>\n<p style=\"text-align: justify;\">Bude se jednat o korunku nasazenou na implant\u00e1t, nebo o pevn\u00fd m\u016fstek, nebo o vyj\u00edmatelnou \u010d\u00e1st chrupu, v ka\u017ed\u00e9m p\u0159\u00edpad\u011b se to v\u0161ak provede nejd\u0159\u00edve po \u010dty\u0159ech a\u017e \u0161esti m\u011bs\u00edc\u00edch procesu osseointegrace. Jakmile se zubn\u00ed implant\u00e1ty pln\u011b osseointegrovaly a jsou na nich um\u00edst\u011bny fin\u00e1ln\u00ed prot\u00e9zy, nehroz\u00ed p\u0159i p\u0159\u00edstrojov\u00e9m pot\u00e1p\u011bn\u00ed implant\u00e1t\u016fm a opraven\u00e9mu chrupu \u017e\u00e1dn\u00e9 zvl\u00e1\u0161tn\u00ed nebezpe\u010d\u00ed. Prostory vytvo\u0159en\u00e9 v implant\u00e1tech, aby dr\u017eely kryc\u00ed \u0161rouby, ochrany a prot\u00e9zy, jsou mal\u00e9 a vypln\u011bn\u00e9 titanem. Mezi implant\u00e1ty a okoln\u00edmi tk\u00e1n\u011bni nejsou \u017e\u00e1dn\u00e9 mezery, kter\u00fdmi by proudil vzduch. Implant\u00e1t je dostate\u010dn\u011b siln\u00fd na to, aby snesl tlak, kter\u00fd by mohl vzniknout n\u00e1sledkem n\u011bjak\u00e9ho men\u0161\u00edho mno\u017estv\u00ed plynu p\u0159ich\u00e1zej\u00edc\u00edho na opraven\u00e9 m\u00edsto.<\/p>\n<p style=\"text-align: justify;\">Z<strong>\u00e1v\u011bre\u010dn\u00e9 pozn\u00e1mky<\/strong><br \/> Prot\u00e9zy um\u00edst\u011bn\u00e9 na implant\u00e1tech mohou p\u0159i p\u0159\u00edstrojov\u00e9m pot\u00e1p\u011bn\u00ed \u010dinit stejn\u00e9 probl\u00e9my, jako norm\u00e1ln\u00ed zuby (i kdy\u017e je to sp\u00ed\u0161e vz\u00e1cn\u00e9). M\u016f\u017ee prasknout keramick\u00e1 hmota nebo povolit lepidlo, vsazen\u00fd implant\u00e1t toti\u017e nem\u00e1 \u017e\u00e1dnou speci\u00e1ln\u00ed vlastnost, kter\u00e1 by um\u011bl\u00e9 zuby p\u0159ed takov\u00fdm po\u0161kozen\u00edm chr\u00e1nila.<br \/> N\u011bkter\u00e9 prot\u00e9zy upevn\u011bn\u00e9 na implant\u00e1tech jsou lepen\u00e9 a toto lepidlo m\u016f\u017ee povolit n\u00e1sledkem opakovan\u00fdch zm\u011bn tlaku. St\u00e1v\u00e1 se to v\u0161ak jen v\u00fdjime\u010dn\u011b. N\u011bkte\u0159i dentist\u00e9 rad\u011bj\u00ed p\u0159ipev\u0148uj\u00ed fin\u00e1ln\u00ed korunky a m\u016fstky na implant\u00e1ty pomoci m\u011bk\u010d\u00edch a do\u010dasn\u00fdch lepidel. To toti\u017e umo\u017e\u0148uje snadn\u00e9 odstran\u011bn\u00ed n\u00e1hrady v p\u0159\u00edpad\u011b pot\u0159eby. <\/p>\n<p style=\"text-align: justify;\">Jin\u00ed dentist\u00e9 p\u0159istupuj\u00ed k nalepen\u00ed prot\u00e9z na implant\u00e1ty, jako kdyby se jednalo o p\u016fvodn\u00ed zuby a pou\u017e\u00edvaj\u00ed k tomu trval\u00e9 pojivo\/lepidlo. Jejich filozofie je n\u00e1sleduj\u00edc\u00ed: &ldquo;Kdy\u017e se neboj\u00edm pou\u017e\u00edt trval\u00e9 lepidlo na zuby, pro\u010d bych se toho m\u011bl b\u00e1t v p\u0159\u00edpad\u011b implant\u00e1t\u016f?&rdquo; Sami byste m\u011bli v\u011bd\u011bt, jestli v\u00e1\u0161 zuba\u0159 pou\u017eil pro upevn\u011bn\u00ed prot\u00e9zy na implant\u00e1t do\u010dasn\u00e9 nebo trval\u00e9 lepidlo. I kdy\u017e je pravd\u011bpodobnost uvoln\u011bn\u00ed prot\u00e9zy upevn\u011bn\u00e9 do\u010dasn\u00fdm lepidlem mal\u00e1, p\u0159esto je t\u0159eba si uv\u011bdomovat, \u017ee se to m\u016f\u017ee. V\u0161eobecn\u011b plat\u00ed: Jestli\u017ee implant\u00e1t a na n\u011bm nasazen\u00e1 prot\u00e9za dr\u017e\u00ed d\u00e9le ne\u017e rok, pak z\u0159ejm\u011b ji\u017e n\u00e1sledkem nedostate\u010dn\u00e9 osseointegrace nesel\u017ee. Prot\u00e9zy v\u0161ak mohou selhat z jin\u00e9ho d\u016fvodu, ne\u017e jen kv\u016fli proveden\u00e9mu chirurgick\u00e9ho z\u00e1kroku, um\u00edst\u011bn\u00ed implant\u00e1tu a v\u00fdsledku jeho hojen\u00ed.<br \/>&nbsp;<\/p>\n<p style=\"text-align: justify;\">I kdy\u017e se to st\u00e1v\u00e1 z\u0159\u00eddka, p\u0159esto existuj\u00ed p\u0159\u00edpady zlomen\u00ed implant\u00e1tu, zlomen\u00ed ochrany, nebo se lh\u00e1n\u00ed pou\u017eit\u00e9ho \u0161roubu. Zpravidla to souvis\u00ed s velmi siln\u00fdm skousnut\u00edm, s nevhodn\u011b napl\u00e1novanou l\u00e9\u010dbou, nebo s vadou materi\u00e1lu. Pot\u00e1p\u011bn\u00ed p\u0159\u00ed\u010dinou takov\u00e9ho selh\u00e1n\u00ed neb\u00fdv\u00e1. St\u00e1le \u010dast\u011bj\u0161\u00ed pou\u017e\u00edv\u00e1n\u00ed zubn\u00edch implant\u00e1t\u016f zvy\u0161uje pravd\u011bpodobnost, \u017ee se n\u011bkte\u0159\u00ed pot\u00e1p\u011b\u010di budou v\u011bnovat p\u0159\u00edstrojov\u00e9mu pot\u00e1p\u011bn\u00ed i s takto \u0159e\u0161en\u00fdmi zubn\u00edmi n\u00e1hradami. I kdy\u017e postupy pou\u017e\u00edvan\u00e9 p\u0159i obnov\u011b chrupu pomoci zubn\u00edch implant\u00e1t\u016f a na nich upevn\u011bn\u00fdch prot\u00e9z mohou n\u011bkomu p\u0159\u00edstrojov\u00e9 pot\u00e1p\u011bn\u00ed do\u010dasn\u011b vylou\u010dit nebo omezit, ur\u010dit\u011b plat\u00ed, \u017ee lidem, kte\u0159\u00ed maj\u00ed \u00fasp\u011b\u0161n\u011b aplikovan\u00e9 a dob\u0159e vyhojen\u00e9 zubn\u00ed implant\u00e1ty, p\u0159\u00edstrojov\u00e9 pot\u00e1p\u011bn\u00ed zak\u00e1z\u00e1no nen\u00ed. D\u016fkladn\u00e9 prodiskutov\u00e1n\u00ed t\u00e9to z\u00e1le\u017eitosti se sv\u00fdm zuba\u0159em by v\u00e1m m\u011blo zajistit \u00fasp\u011b\u0161n\u00e9 pou\u017e\u00edv\u00e1n\u00ed implant\u00e1t\u016f i bezpe\u010dn\u00e9 pot\u00e1p\u011bn\u00ed.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>St\u00e1le v\u00edce lid\u00ed si nech\u00e1v\u00e1 nahradit nezdrav\u00e9 nebo chyb\u011bj\u00edc\u00ed zuby zubn\u00edmi implant\u00e1ty. Tradi\u010dn\u00ed \u0159e\u0161en\u00ed pro chyb\u011bj\u00edc\u00ed zuby jsou n\u00e1sleduj\u00edc\u00ed implant\u00e1ty: M\u016fstky, vyj\u00edmateln\u00e9 \u010d\u00e1sti chrupu nebo&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[384],"tags":[],"authors":[1296],"class_list":["post-11385567","post","type-post","status-publish","format-standard","hentry","category-clanky","authors-laurence-stein-cs_cz"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>P\u0159\u00edstrojov\u00e9 pot\u00e1p\u011bn\u00ed a zubn\u00ed implant\u00e1ty - Alert Diver<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/pristrojove-potapeni-a-zubni-implantaty\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"P\u0159\u00edstrojov\u00e9 pot\u00e1p\u011bn\u00ed a zubn\u00ed implant\u00e1ty - Alert Diver\" \/>\n<meta property=\"og:description\" content=\"St\u00e1le v\u00edce lid\u00ed si nech\u00e1v\u00e1 nahradit nezdrav\u00e9 nebo chyb\u011bj\u00edc\u00ed zuby zubn\u00edmi implant\u00e1ty. Tradi\u010dn\u00ed \u0159e\u0161en\u00ed pro chyb\u011bj\u00edc\u00ed zuby jsou n\u00e1sleduj\u00edc\u00ed implant\u00e1ty: M\u016fstky, vyj\u00edmateln\u00e9 \u010d\u00e1sti chrupu nebo...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/pristrojove-potapeni-a-zubni-implantaty\/\" \/>\n<meta property=\"og:site_name\" content=\"Alert Diver\" \/>\n<meta property=\"article:published_time\" content=\"2009-07-14T22:00:00+00:00\" \/>\n<meta name=\"author\" content=\"microfilla\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Napsal(a)\" \/>\n\t<meta name=\"twitter:data1\" content=\"microfilla\" \/>\n\t<meta name=\"twitter:label2\" content=\"Odhadovan\u00e1 doba \u010dten\u00ed\" \/>\n\t<meta name=\"twitter:data2\" content=\"13 minut\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/pristrojove-potapeni-a-zubni-implantaty\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/pristrojove-potapeni-a-zubni-implantaty\/\"},\"author\":{\"name\":\"microfilla\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/person\/9ba7cb3f05522d75bf215ab2cf40b01b\"},\"headline\":\"P\u0159\u00edstrojov\u00e9 pot\u00e1p\u011bn\u00ed a zubn\u00ed implant\u00e1ty\",\"datePublished\":\"2009-07-14T22:00:00+00:00\",\"dateModified\":\"2009-07-14T22:00:00+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/pristrojove-potapeni-a-zubni-implantaty\/\"},\"wordCount\":2528,\"publisher\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#organization\"},\"articleSection\":[\"Clanky\"],\"inLanguage\":\"cs\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/pristrojove-potapeni-a-zubni-implantaty\/\",\"url\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/pristrojove-potapeni-a-zubni-implantaty\/\",\"name\":\"P\u0159\u00edstrojov\u00e9 pot\u00e1p\u011bn\u00ed a zubn\u00ed implant\u00e1ty - 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