{"id":8696,"date":"2018-08-08T08:23:36","date_gmt":"2018-08-08T08:23:36","guid":{"rendered":"http:\/\/localhost\/projects\/solar\/?p=8665"},"modified":"2021-04-20T23:37:43","modified_gmt":"2021-04-20T21:37:43","slug":"zasto-vam-krvari-zubno-meso-ubrzo-nakon-postavljanja-protetskih-radova","status":"publish","type":"post","link":"https:\/\/dentaloffice.ba\/en\/zasto-vam-krvari-zubno-meso-ubrzo-nakon-postavljanja-protetskih-radova\/","title":{"rendered":"Za\u0161to vam krvari zubno meso ubrzo nakon postavljanja protetskih radova?"},"content":{"rendered":"

Stavili ste prekrasne nove navlake (krunice ili mostove), imate blistav bijel osmijeh ali veoma brzo po\u010dinju vam se javljati problem sa desnima.<\/strong><\/p>\n

Uo\u010dili ste krv pri \u010detkanju, zubno meso je tamno crvene boje, upaljeno, ote\u010deno i javlja vam se lo\u0161 zadah iz usta. \u00a0Da li vam ovaj scenarij zvu\u010di poznato?<\/p>\n

Ova pojava je izuzetno \u010desta a javlja se iz dva jednostavna razloga:<\/strong><\/p>\n

Nije napravljena pred-protetska priprema zubnog mesa prije stavljanja protetskih radova. Do\u0161lo je do \u2018povrede\u2019 biolo\u0161ke dimenizija zubnog mesa nakon postavljanja protetskih radova.<\/p>\n

\u0160ta je to pred-protetska hirurgija ili priprema zubnog mesa i kome je potrebna?<\/strong><\/p>\n

Zubno meso i kost su potporne strukture zuba koje \u010dine zube \u010dvrstim i stabilnim. To su temelji svakog protetskog rada i nadogradnje ali veoma \u010desto temelji bivaju zaboravljeni i zanemareni. Tako se \u010desto de\u0161ava da kod pacjenata koji imaju postoje\u0107i problem sa parodontozom (krvarenje, upaljene desni, itd), veliki protetski radovi (ciruklarni mostovi-mostovi koje se prote\u017eu du\u017e cijele jedne vilice) se postavljaju bez lije\u010denja parodontoze i saniranja upale desni. U najboljem slu\u010daju, skine se zubni kamenac, pacjentu je prividno bolje ali proces bolesti se nastavlja i kad se postave mostovi. Nakon postavljanja protetike, pacjentu je te\u017ee odr\u017eavati oralnu higijenu i ve\u0107 postoje\u0107i parodontalni d\u017eepovi se sve vi\u0161e produbljuju i gubitak kosti je sve ve\u0107i. Krvarenje desni, upale i otoci postaju sve u\u010destaliji. Vremenom, gubitak kosti i duboki d\u017eepovi mogu dovesti do gubitka nekih od nosa\u010da protetskog rada ili gubitka svih zuba i kompletnog mosta.<\/p>\n

Jedini ispravan tretman kod ovakvih pacijenata bi se sastojao od pred-protetskog tretmana (mikrohirur\u0161kih intervencija) koji bi sanirao upalu, umanjio ili u potpunosti uklonio parodontalne d\u017eepove i zaustavio progresiju parodontalne bolesti prije postavljanja mostova.\u00a0\u00a0 Pred-protetska hirurugija je potrebna svim pacjentima sa parodontitisima i gingivitisima.<\/p>\n

\u0160ta je to \u2018povreda\u2019 biolo\u0161ke dimenizija zubnog mesa?<\/strong><\/p>\n

U drugom scenariju, pacijent nema nikakve problem sa zubnim mesom prije postavljanja mostova ili krunica. Upale, krvarenje i otoci zubnog mesa se javljaju nakon postavljanja protetskih radova. Za\u0161to se ovo de\u0161ava? U zadnje vrijeme vidim veliki broj ovakvih pacijenata. Kad gledamo njihov radiografski snimak, nema gubitka kosti ni naznaka problema sa parodontom. Me\u0111utim, na radiografima i klini\u010dki mogu se vidjeti navlake\/krunice sa rubovima duboko ispod zubnog mesa.<\/p>\n

Ovi rubovi predstavljaju iritaciju desni jer dolazi do povrede biolo\u0161ke \u0161irine zubnog mesa. Zubno meso ima svoju dimenziju koja je odprilike 3 mm. Svaki put kad je zub obru\u0161en za krunicu tako da je rub ispod zubnog mesa i blizu kosti, zubno meso nema dovoljno prostora, njegova biolo\u0161ka dimenzija je povrije\u0111ena i kao rezultat dolazi do upale, otoka i krvarenja. Ova upala je iatrogeni faktor, tj. faktor koji je uzrokovao doktor stomatolog zbog nepravilnog stomatolo\u0161kog rada.<\/p>\n

Zubno meso i protetski radovi su blisko vezani. Samo ako postoji harmonija izme\u0111u jednog i drugog, pacjent mo\u017ee imate kvalitetno dugoro\u010dno rjesenje.<\/p>\n","protected":false},"excerpt":{"rendered":"

Stavili ste prekranse nove navlake (krunice ili mostove), imate blistav bijel osmijeh ali veoma brzo po\u010dinju vam se javljati problem sa desnima.
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