{"id":4036,"date":"2024-10-01T09:30:17","date_gmt":"2024-10-01T09:30:17","guid":{"rendered":"https:\/\/dentalcentar-motusic.com\/apikotomija\/"},"modified":"2025-02-18T13:29:40","modified_gmt":"2025-02-18T13:29:40","slug":"apikotomija","status":"publish","type":"post","link":"https:\/\/dentalcentar-motusic.com\/it\/apikotomija\/","title":{"rendered":"Apicectomia"},"content":{"rendered":"

L’apicectomia \u00e8 un intervento chirurgico utilizzato per trattare i granulomi dentali che non possono essere guariti tramite una semplice devitalizzazione.<\/p>\n

L’intervento prevede due fasi principali:<\/p>\n

    \n
  1. Rimozione della punta della radice infetta da batteri.<\/li>\n
  2. Riempimento della cavit\u00e0 radicolare con un materiale biocompatibile (sigillatura retrograda della radice).<\/li>\n<\/ol>\n<\/div>

    Terminologia<\/h3><\/div>
      \n
    • Granuloma dentale<\/b>: Infiammazione cronica all’apice della radice di un dente.<\/li>\n
    • Radice dentale<\/b>: Parte del dente inserita nell’osso alveolare, contenente la polpa dentale.<\/li>\n
    • Apice radicolare<\/b>: Punto in cui entrano i nervi e i vasi sanguigni nel dente.<\/li>\n
    • Canale radicolare<\/b>: Canale nella radice del dente attraversato da fibre nervose e vasi sanguigni.<\/li>\n<\/ul>\n

      L’apicectomia si esegue per chiudere definitivamente il canale radicolare e prevenire infezioni. Sebbene sia un intervento invasivo, non \u00e8 particolarmente doloroso e viene eseguito sempre in anestesia locale.<\/p>\n<\/div>

      Perch\u00e9 si esegue?<\/h3><\/div>

      L\u2019apicectomia \u00e8 indicata nei casi di infezioni gravi come granulomi o ascessi dentali, quando il dente non pu\u00f2 essere devitalizzato per motivi anatomici o patologici.<\/p>\n<\/div>

      <\/span><\/div>

      Fasi della Devitalizzazione:<\/h3><\/div>
        \n
      1. Dente malato o danneggiato.<\/li>\n
      2. Perforazione e pulizia.<\/li>\n
      3. Rimozione di nervi e vasi sanguigni.<\/li>\n
      4. Riempimento con guttaperca e copertura con una corona.<\/li>\n<\/ol>\n

        Se il dente non pu\u00f2 essere devitalizzato, l\u2019unica alternativa \u00e8 l\u2019apicectomia. In casi estremi, quando n\u00e9 l\u2019apicectomia n\u00e9 la devitalizzazione sono possibili, l\u2019estrazione del dente \u00e8 l\u2019ultima opzione.<\/p>\n<\/div>

        \u010cesto postavljana pitanja<\/h3><\/div>

        Indikacije<\/b><\/p>\n

        Osim za lije\u010denje granuloma i zubnih apscesa, apikotomija se mo\u017ee izvesti u slu\u010daju:<\/p>\n

          \n
        • Puknu\u0107a\/ozbiljne traume korijena zuba<\/li>\n
        • Dentalnih cista<\/li>\n
        • Perforacije korijena<\/li>\n
        • Nepodno\u0161ljive zubobolje koja se ne mo\u017ee izlije\u010diti drugim endodontskim tretmanima<\/li>\n
        • Upornim zubnim simptomima koji ne pokazuju nikakve patolo\u0161ke promjene na rendgenskim snimkama<\/li>\n<\/ul>\n

          Na kojim zubima se mo\u017ee izvesti?<\/b><\/p>\n

          Suprotno uvrije\u017eenom mi\u0161ljenju, apikotomija se mo\u017ee izvesti i na prednjim zubima i na kutnjacima. Jasno je da je ovaj zahvat na sjekuti\u0107ima ili o\u010dnjacima br\u017ei i jednostavniji jer ti zubi imaju samo jedan korijenski kanal. Apikotomija na kutnjacima, me\u0111utim, predstavlja ve\u0107i izazov zbog ve\u0107eg broja korijenskih kanala. Ako je granulom zahvatio umnjak, preporu\u010duje se va\u0111enje zuba.<\/span><\/p>\n

          Je li apikotomija bolna?<\/b><\/p>\n

          Zahvat apikotomije izvodi se ambulantno, uz lokalnu anesteziju. Zahvaljuju\u0107i napretku u anesteziolo\u0161kim postupcima, uklanjanje granuloma apikotomijom gotovo je bezbolno. Naravno, s obzirom na to da se radi o kirur\u0161kom zahvatu, zub mo\u017ee biti osjetljiviji u danima nakon zahvata, osobito na temperaturne promjene, u usporedbi s ostalim zdravim zubima.<\/p>\n

          Priprema za apikotomiju<\/b><\/p>\n

          Prije apikotomije, konzultacija i specijalisti\u010dki pregled kod stomatologa od povjerenja su neizbje\u017eni. Kako bi se utvrdilo je li apikotomija potrebna, lije\u010dnik mora procijeniti zdravstveno stanje zuba i pa\u017eljivo procijeniti leziju uz pomo\u0107 radiolo\u0161kih studija (rendgenskih snimaka).<\/p>\n

          Du\u017enost lije\u010dnika je objasniti pacijentu to\u010dan postupak zahvata, te ga upoznati s mogu\u0107im rizicima i komplikacijama. Preporu\u010duje se uvijek obavijestiti lije\u010dnika o eventualnim alergijama na lijekove ili materijale (npr. alergija na lateks, alergija na nikal), bolestima (prethodnim ili postoje\u0107im) te o mogu\u0107oj trudno\u0107i (sumnji na trudno\u0107u ili potvr\u0111enoj trudno\u0107i). Tako\u0111er, izuzetno je va\u017eno obavijestiti stomatologa ako pacijent uzima lijekove za lije\u010denje odre\u0111ene bolesti.<\/p>\n

          Nekoliko dana prije apikotomije, pacijent bi trebao slijediti odre\u0111ene mjere opreza kako bi se smanjili rizici nakon zahvata.<\/p>\n

          Standardne smjernice koje treba primijeniti prije zahvata:<\/b><\/p>\n

            \n
          • Izvr\u0161avati redovitu oralnu higijenu ispiranjem usne \u0161upljine dezinficijensima (npr. klorheksidin). Zapo\u010deti tretman 3-4 dana prije apikotomije.<\/li>\n
          • Uzimanje antibiotika dan prije (ili dva dana prije) apikotomije mo\u017ee sprije\u010diti mogu\u0107e infekcije neposredno nakon zahvata. Antibiotik se izdaje isklju\u010divo uz lije\u010dni\u010dki recept.<\/li>\n
          • Uzimanje protuupalnog lijeka barem nekoliko sati prije apikotomije mo\u017ee pomo\u0107i u smanjenju boli i upale koja se mo\u017ee javiti nakon zahvata, \u010dim anestezija prestane djelovati.<\/li>\n<\/ul>\n

            Prije po\u010detka apikotomije, uvijek je potrebno \u2013 i neophodno \u2013 postaviti stomatologu sva pitanja, iznijeti sve sumnje, zabrinutosti i nesigurnosti.<\/p>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"

            Rimozione chirurgica della punta della radice infetta per trattare infezioni.<\/p>\n","protected":false},"author":1,"featured_media":3813,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[164],"tags":[],"class_list":["post-4036","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-usluge-it"],"acf":[],"yoast_head":"\nApicectomia - Motu\u0161i\u0107<\/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:\/\/dentalcentar-motusic.com\/it\/apikotomija\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Apicectomia - Motu\u0161i\u0107\" \/>\n<meta property=\"og:description\" content=\"Rimozione chirurgica della punta della radice infetta per trattare infezioni.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/dentalcentar-motusic.com\/it\/apikotomija\/\" \/>\n<meta property=\"og:site_name\" content=\"Motu\u0161i\u0107\" \/>\n<meta property=\"article:published_time\" content=\"2024-10-01T09:30:17+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-02-18T13:29:40+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/dentalcentar-motusic.com\/wp-content\/uploads\/2024\/09\/Dr_Motusic_Apicectomia_1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1280\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"swebart\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Scritto da\" \/>\n\t<meta name=\"twitter:data1\" content=\"swebart\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tempo di lettura stimato\" \/>\n\t<meta name=\"twitter:data2\" content=\"12 minuti\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/dentalcentar-motusic.com\\\/it\\\/apikotomija\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/dentalcentar-motusic.com\\\/it\\\/apikotomija\\\/\"},\"author\":{\"name\":\"swebart\",\"@id\":\"https:\\\/\\\/dentalcentar-motusic.com\\\/#\\\/schema\\\/person\\\/e24d1df426f624179c110df6101c232e\"},\"headline\":\"Apicectomia\",\"datePublished\":\"2024-10-01T09:30:17+00:00\",\"dateModified\":\"2025-02-18T13:29:40+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/dentalcentar-motusic.com\\\/it\\\/apikotomija\\\/\"},\"wordCount\":2309,\"publisher\":{\"@id\":\"https:\\\/\\\/dentalcentar-motusic.com\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/dentalcentar-motusic.com\\\/it\\\/apikotomija\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/dentalcentar-motusic.com\\\/wp-content\\\/uploads\\\/2024\\\/09\\\/Dr_Motusic_Apicectomia_1.jpg\",\"articleSection\":[\"Servizi\"],\"inLanguage\":\"it-IT\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/dentalcentar-motusic.com\\\/it\\\/apikotomija\\\/\",\"url\":\"https:\\\/\\\/dentalcentar-motusic.com\\\/it\\\/apikotomija\\\/\",\"name\":\"Apicectomia - 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