{"id":4544,"date":"2024-10-01T09:30:17","date_gmt":"2024-10-01T09:30:17","guid":{"rendered":"https:\/\/dentalcentar-motusic.com\/apikotomija\/"},"modified":"2025-03-14T12:29:54","modified_gmt":"2025-03-14T12:29:54","slug":"apikotomija","status":"publish","type":"post","link":"https:\/\/dentalcentar-motusic.com\/sl\/apikotomija\/","title":{"rendered":"Apikotomija"},"content":{"rendered":"

Apikotomija<\/b> je kirur\u0161ki poseg, ki se primarno uporablja za zdravljenje dentalnih granulomov, ki jih ni mogo\u010de pozdraviti s preprosto devitalizacijo (polnjenjem koreninskega kanala).<\/p>\n

Apikotomija vklju\u010duje dva klju\u010dna koraka:<\/p>\n

    \n
  1. Odstranitev vrha korenine zoba, ki je mo\u010dno oku\u017een z bakterijami.<\/li>\n
  2. Polnjenje odprte votline korenine z biokompatibilnim materialom (retrogradno zobno tesnjenje).<\/li>\n<\/ol>\n<\/div>

    Terminologija<\/h3><\/div>
      \n
    • Dentalni granulom:<\/b> kroni\u010dno vnetje vrha korenine zoba.<\/li>\n
    • Korenina zoba:<\/b> del zoba, ki je vstavljen v alveolarno kost in vsebuje zobno pulpo (vitalni del zoba).<\/li>\n
    • Vrh korenine:<\/b> to\u010dka, skozi katero \u017eivci in krvne \u017eile vstopajo v zob.<\/li>\n
    • Koreninski kanal:<\/b> kanal znotraj korenine, skozi katerega potekajo \u017eiv\u010dna vlakna in krvne \u017eile.<\/li>\n<\/ul>\n

      Apikotomija se izvaja predvsem za trajno zaprtje koreninskega kanala na vrhu, s \u010dimer se prepre\u010di vsakr\u0161en mo\u017een dostop bakterij. \u010ceprav gre za razmeroma invaziven poseg, apikotomija ni posebej bole\u010da in se vedno izvaja pod lokalno anestezijo.<\/p>\n<\/div>

      Zakaj se izvaja?<\/h3><\/div>

      Apikotomija se izvaja v izjemno zahtevnih primerih za zdravljenje kroni\u010dnih vnetij na vrhu korenine zoba (npr. granulomi) in zobnih abscesov. Za popolno ozdravitev granuloma je potrebno kirur\u0161ko zdravljenje: obi\u010dajno je devitalizacija zadostna za popolno odpravo oku\u017ebe. Vendar pa je apikotomija nujna, kadar zoba zaradi anatomskih ali patolo\u0161kih razlogov ni mogo\u010de devitalizirati.<\/p>\n<\/div>

      <\/span><\/div>

      Faze devitalizacije zoba<\/h3><\/div>
        \n
      1. Oboleli ali po\u0161kodovani zob.<\/li>\n
      2. Vrtanje in \u010di\u0161\u010denje.<\/li>\n
      3. Odstranitev krvnih \u017eil in \u017eivcev do vrha zoba z endodontskimi iglami.<\/li>\n
      4. Polnjenje kanala z gutaper\u010do in prekrivanje s krono (kapico).<\/li>\n<\/ol>\n

        Bolezni zoba se ne more devitalizirati v naslednjih primerih:<\/p>\n

          \n
        • Oku\u017een zob je \u017ee bil devitaliziran in ga ni mogo\u010de ponovno zdraviti.<\/li>\n
        • Koreninski kanal po\u0161kodovanega zoba je blokiran s fiksnim klinom.<\/li>\n
        • Onemogo\u010den dostop do koreninskega kanala s standardnimi kirur\u0161kimi instrumenti med devitalizacijo.<\/li>\n
        • Zob, ki ga prizadene granulom, je \u017ee inkapsuliran.<\/li>\n
        • Koreninski kanal je zelo zavit in ukrivljen.<\/li>\n<\/ul>\n

          Edina alternativa devitalizaciji za zdravljenje granuloma je torej apikotomija. Le v izjemno te\u017ekih primerih, ko oku\u017eenega zoba ni mogo\u010de pozdraviti niti z apikotomijo niti z devitalizacijo, postane ekstrakcija zoba edina (in skrajna) re\u0161itev.<\/p>\n<\/div>

          Pogosto zastavljena vpra\u0161anja<\/h3><\/div>

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

          Poleg zdravljenja granulomov in zobnih abscesov se apikotomija lahko izvede tudi v naslednjih primerih:<\/p>\n

            \n
          • zlom\/te\u017eka po\u0161kodba korenine zoba,<\/li>\n
          • dentalne ciste,<\/li>\n
          • perforacija korenine,<\/li>\n
          • neznosen zobobol, ki ga ni mogo\u010de pozdraviti z drugimi endodontskimi postopki,<\/li>\n
          • vztrajni zobni simptomi, ki ne ka\u017eejo nobenih patolo\u0161kih sprememb na rentgenskih slikah.<\/li>\n<\/ul>\n

            Na katerih zobeh se lahko izvede?<\/b><\/p>\n

            V nasprotju s splo\u0161nim prepri\u010danjem se apikotomija lahko izvaja tako na sprednjih zobeh kot tudi na ko\u010dnikih. Jasno je, da je poseg na sekalcih ali podo\u010dnikih hitrej\u0161i in enostavnej\u0161i, saj imajo ti zobje le en koreninski kanal. Apikotomija na ko\u010dnikih pa predstavlja ve\u010dji izziv zaradi ve\u010djega \u0161tevila koreninskih kanalov. \u010ce granulom prizadene modrostni zob, se obi\u010dajno priporo\u010da ekstrakcija zoba.<\/p>\n

            Ali je apikotomija bole\u010da?<\/b><\/p>\n

            Postopek apikotomije se izvaja ambulantno in pod lokalno anestezijo. Zahvaljujo\u010d napredku v anesteziolo\u0161kih tehnikah je odstranjevanje granuloma z apikotomijo skoraj nebole\u010de. Seveda pa, ker gre za kirur\u0161ki poseg, je zob lahko v dneh po posegu bolj ob\u010dutljiv, zlasti na temperaturne spremembe, v primerjavi z drugimi zdravimi zobmi.<\/p>\n

            Priprava na apikotomijo<\/b><\/p>\n

            Pred apikotomijo sta nujna posvet in specialisti\u010dni pregled pri zobozdravniku, ki mu zaupate. Da bi ugotovili, ali je apikotomija potrebna, mora zdravnik oceniti zdravstveno stanje zoba in skrbno preu\u010diti lezijo s pomo\u010djo radiolo\u0161kih preiskav (rentgenskih slik).<\/p>\n

            Dol\u017enost zdravnika je, da pacientu pojasni natan\u010den postopek posega ter ga seznani z mo\u017enimi tveganji in zapleti. Priporo\u010dljivo je, da zdravnika vedno obvestite o morebitnih alergijah na zdravila ali materiale (npr. alergija na lateks, alergija na nikelj), boleznih (preteklih ali obstoje\u010dih) ter o morebitni nose\u010dnosti (sum na nose\u010dnost ali potrjena nose\u010dnost). Prav tako je izjemno pomembno obvestiti zobozdravnika, \u010de pacient jemlje zdravila za zdravljenje dolo\u010dene bolezni.<\/p>\n

            Nekaj dni pred apikotomijo bi moral pacient upo\u0161tevati dolo\u010dene previdnostne ukrepe, da zmanj\u0161a tveganja po posegu.<\/p>\n

            Standardne smernice pred posegom:<\/b><\/p>\n

              \n
            • Redno izvajanje ustne higiene z izpiranjem ustne votline z dezinfekcijskimi sredstvi (npr. klorheksidin). Z zdravljenjem za\u010dnite 3\u20134 dni pred apikotomijo.<\/li>\n
            • Jemanje antibiotika dan pred (ali dva dni pred) apikotomijo lahko prepre\u010di morebitne oku\u017ebe takoj po posegu. Antibiotik je na voljo le na recept.<\/li>\n
            • Jemanje protivnetnega zdravila vsaj nekaj ur pred apikotomijo lahko pomaga zmanj\u0161ati bole\u010dino in vnetje, ki se lahko pojavita po posegu, ko anestetik preneha delovati.<\/li>\n<\/ul>\n

              Pred za\u010detkom apikotomije je vedno pomembno \u2013 in nujno \u2013 zastaviti zobozdravniku vsa vpra\u0161anja ter izraziti morebitne dvome, skrbi in negotovosti.<\/p>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"

              Kirur\u0161ka odstranitev oku\u017eenega vrha korenine zoba za zdravljenje infekcij.<\/p>\n","protected":false},"author":1,"featured_media":4545,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[180],"tags":[],"class_list":["post-4544","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-usluge-sl"],"acf":[],"yoast_head":"\nApikotomija - 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\/sl\/apikotomija\/\" \/>\n<meta property=\"og:locale\" content=\"sl_SI\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Apikotomija - Motu\u0161i\u0107\" \/>\n<meta property=\"og:description\" content=\"Kirur\u0161ka odstranitev oku\u017eenega vrha korenine zoba za zdravljenje infekcij.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/dentalcentar-motusic.com\/sl\/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=\"2025-03-14T12:29:54+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=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"swebart\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minut\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/dentalcentar-motusic.com\\\/sl\\\/apikotomija\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/dentalcentar-motusic.com\\\/sl\\\/apikotomija\\\/\"},\"author\":{\"name\":\"swebart\",\"@id\":\"https:\\\/\\\/dentalcentar-motusic.com\\\/#\\\/schema\\\/person\\\/e24d1df426f624179c110df6101c232e\"},\"headline\":\"Apikotomija\",\"datePublished\":\"2024-10-01T09:30:17+00:00\",\"dateModified\":\"2025-03-14T12:29:54+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/dentalcentar-motusic.com\\\/sl\\\/apikotomija\\\/\"},\"wordCount\":2611,\"publisher\":{\"@id\":\"https:\\\/\\\/dentalcentar-motusic.com\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/dentalcentar-motusic.com\\\/sl\\\/apikotomija\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/dentalcentar-motusic.com\\\/wp-content\\\/uploads\\\/2024\\\/09\\\/Dr_Motusic_Apicectomia_1.jpg\",\"articleSection\":[\"Storitve\"],\"inLanguage\":\"sl-SI\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/dentalcentar-motusic.com\\\/sl\\\/apikotomija\\\/\",\"url\":\"https:\\\/\\\/dentalcentar-motusic.com\\\/sl\\\/apikotomija\\\/\",\"name\":\"Apikotomija - 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