{"id":627,"date":"2024-05-19T22:14:19","date_gmt":"2024-05-19T20:14:19","guid":{"rendered":"https:\/\/dental-office.cz\/?p=627"},"modified":"2024-08-26T22:46:55","modified_gmt":"2024-08-26T20:46:55","slug":"botulotoxin-ve-stomatologii","status":"publish","type":"post","link":"https:\/\/dental-office.cz\/en\/botulotoxin-ve-stomatologii\/","title":{"rendered":"Rozhovor: Botulotoxin ve stomatologii"},"content":{"rendered":"

Mo\u017en\u00e1 jste o botulotoxinu sly\u0161eli v souvislosti s estetick\u00fdmi z\u00e1kroky na obli\u010deji, ale jeho vyu\u017eit\u00ed je mnohem \u0161ir\u0161\u00ed. V oblasti stomatologie m\u016f\u017ee botulotoxin p\u0159in\u00e9st \u00falevu pacient\u016fm trp\u00edc\u00edm bruxismem (sk\u0159\u00edp\u00e1n\u00ed zub\u016f), myofasci\u00e1ln\u00ed bolest\u00ed, \u010di probl\u00e9my spojen\u00fdmi s \u010delistn\u00edmi klouby. Zaj\u00edm\u00e1 v\u00e1s, jak p\u0159esn\u011b tento postup prob\u00edh\u00e1, jak\u00e9 jsou jeho v\u00fdhody a pro koho je vhodn\u00fd? To a mnohem v\u00edce se dozv\u00edte v n\u00e1sleduj\u00edc\u00edm rozhovoru s na\u0161\u00ed expertkou MDDr. Kamilou Cm\u00edralovou.<\/p>\n

    \n
  1. Jak se botulotoxin stal sou\u010d\u00e1st\u00ed va\u0161\u00ed stomatologick\u00e9 praxe?
    \nBotulotoxin jsme za\u010dali u na\u0161ich pacient\u016f vyu\u017e\u00edvat p\u0159ed n\u011bkolika lety. Roz\u0161\u00ed\u0159ili jsme t\u00edm spektrum nab\u00edzen\u00fdch slu\u017eeb na na\u0161\u00ed klinice.<\/strong><\/li>\n
  2. Jak\u00e9 jsou hlavn\u00ed p\u0159\u00ednosy aplikace botulotoxinu ve stomatologii?
    \nKrom\u011b \u010dist\u011b estetick\u00fdch z\u00e1krok\u016f jako je vyhlazen\u00ed nebo zm\u011bl\u010den\u00ed vr\u00e1sek na \u010dele, mezi obo\u010d\u00edm atd. lze vyu\u017e\u00edt aplikaci botulotoxinu p\u0159i z\u00e1kroc\u00edch specifick\u00fdch pro stomatologii – p\u0159i \u00faprav\u011b gummy smile neboli d\u00e1s\u0148ov\u00e9ho \u00fasm\u011bvu a pro zm\u00edrn\u011bn\u00ed bruxismu, tedy sk\u0159\u00edp\u00e1n\u00ed zuby.<\/strong><\/li>\n
  3. Mohla byste o tom \u0159\u00edct n\u011bco bli\u017e\u0161\u00edho?
    \nGummy smile je stav, kdy pacient p\u0159i \u00fasm\u011bvu nadm\u011brn\u011b odhaluje d\u00e1sn\u011b. Do ur\u010dit\u00e9 m\u00edry je to specifikum dan\u00e9ho \u010dlov\u011bka, jsme rozmanit\u00e1 stvo\u0159en\u00ed a byla by \u0161koda to nutn\u011b m\u011bnit. Ale jsou situace, kdy je odhalen\u00ed d\u00e1sn\u00ed p\u0159i \u00fasm\u011bvu opravdu velmi v\u00fdrazn\u00e9 a pacient vn\u00edm\u00e1 sv\u016fj \u00fasm\u011bv jako neestetick\u00fd. D\u016fvod\u016f pro vznik gummy smile je v\u00edce, mnohdy se kombinuj\u00ed. Jedn\u00edm z nich m\u016f\u017ee b\u00fdt hypermobiln\u00ed ret a pr\u00e1v\u011b tehdy m\u016f\u017eeme vyu\u017e\u00edt aplikaci mal\u00e9ho mno\u017estv\u00ed botulotoxinu nad horn\u00ed ret, aby do\u0161lo k jeho ochromen\u00ed a ret p\u0159i \u00fasm\u011bvu nadm\u011brn\u011b nevyj\u00ed\u017ed\u011bl nahoru.<\/strong><\/li>\n
  4. A u sk\u0159\u00edp\u00e1n\u00ed zuby se vyu\u017e\u00edv\u00e1 botulotoxin jak p\u0159esn\u011b?
    \nNadm\u011brn\u00e9 st\u0159\u00edp\u00e1n\u00ed nebo zat\u00edn\u00e1n\u00ed zub\u016f v noci nebo ve dne je multifaktori\u00e1ln\u00ed probl\u00e9m, zd\u00e1 se, \u017ee jde o civiliza\u010dn\u00ed onemocn\u011bn\u00ed. M\u016f\u017ee souviset s celkov\u00fdm dr\u017een\u00edm t\u011bla, sp\u00e1nkovou apnoe, stresem, p\u0159\u00edjmem alkoholu, kofeinu, kou\u0159en\u00edm a mnoho dal\u0161\u00edmi faktory. N\u011bkter\u00e9 z nich pravd\u011bpodobn\u011b je\u0161t\u011b nezn\u00e1me. Pacientovi m\u016f\u017ee zp\u016fsobovat bolesti hlavy, \u017ev\u00fdkac\u00edch sval\u016f, \u010delistn\u00edho kloubu a m\u016f\u017ee doch\u00e1zet k po\u0161kozov\u00e1n\u00ed zub\u016f nebo protetiky na zubech nebo implant\u00e1tech. V l\u00e9\u010db\u011b vyu\u017e\u00edv\u00e1me v prvn\u00ed \u0159ad\u011b re\u017eimov\u00e1 opat\u0159en\u00ed, no\u010dn\u00ed dlahy, fyzioterapii, psychoterapii atd., ale p\u0159i v\u00fdrazn\u00e9m bruxismu m\u016f\u017eeme vyu\u017e\u00edt pr\u00e1v\u011b i aplikaci botulotoxinu do velk\u00e9ho \u017ev\u00fdkac\u00edho svalu. Jde sp\u00ed\u0161e o jednor\u00e1zovou pomoc, nem\u011blo by rozhodn\u011b j\u00edt o jedin\u00fd zp\u016fsob terapie!<\/strong><\/li>\n
  5. Jak dlouho trv\u00e1 \u00fa\u010dinek aplikace botulotoxinu ve stomatologii a jak \u010dasto je t\u0159eba proceduru opakovat?
    \nObvykl\u00e1 doba \u00fa\u010dinku jsou asi 4 m\u011bs\u00edce, \u00fa\u010dinek pak postupn\u011b sl\u00e1bne. Po opakovan\u00e9m pod\u00e1n\u00ed se prodlu\u017euje.<\/strong><\/li>\n
  6. Existuj\u00ed n\u011bjak\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky nebo rizika spojen\u00e1 s aplikac\u00ed botulotoxinu ve stomatologii?
    \nBolest a zarudnut\u00ed v m\u00edst\u011b vpichu.\u00a0 A d\u00e1le nadm\u011brn\u00fd efekt po aplikaci, tedy \u017ee nap\u0159\u00edklad po aplikaci na velk\u00fd \u017ev\u00fdkac\u00ed sval p\u0159i v\u00fdrazn\u00e9m bruxismu m\u00e1 pacient n\u011bjakou dobu probl\u00e9m rozkousat tvrdou potravu.<\/strong><\/li>\n
  7. Jak\u00e1 je va\u0161e zku\u0161enost s aplikac\u00ed botulotoxinu ve stomatologii u va\u0161ich pacient\u016f?
    \n\u0158ekn\u011bme velmi dobr\u00e1. Z\u00a0v\u00fd\u0161e uveden\u00e9ho je jasn\u00e9, \u017ee tzv. \u201estomatologick\u00e9 aplikace\u201c jsou v\u00fdkony, kter\u00e9 pot\u0159ebuje opravdu jen zlomek pacient\u016f. Jsem moc r\u00e1da, \u017ee jsme p\u0159ipraveni i na tyto specifick\u00e9 p\u0159\u00edpady.<\/strong><\/li>\n<\/ol>","protected":false},"excerpt":{"rendered":"

    V dne\u0161n\u00edm rozhovoru se zam\u011b\u0159\u00edme na t\u00e9ma, kter\u00e9 mo\u017en\u00e1 mnoho z v\u00e1s p\u0159ekvap\u00ed \u2013 vyu\u017eit\u00ed botulotoxinu ve stomatologii. Na\u0161e zku\u0161en\u00e1 l\u00e9ka\u0159ka MDDr. Kamila Cm\u00edralov\u00e1,, kter\u00e1 se specializuje na aplikaci botulotoxinu, n\u00e1m p\u0159ibl\u00ed\u017e\u00ed, jak\u00e9 mo\u017enosti a p\u0159\u00ednosy tato metoda nab\u00edz\u00ed v oblasti zubn\u00ed medic\u00edny.<\/p>","protected":false},"author":1,"featured_media":620,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-627","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-magazin"],"acf":[],"_links":{"self":[{"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/posts\/627","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/comments?post=627"}],"version-history":[{"count":5,"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/posts\/627\/revisions"}],"predecessor-version":[{"id":632,"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/posts\/627\/revisions\/632"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/media\/620"}],"wp:attachment":[{"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/media?parent=627"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/categories?post=627"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/tags?post=627"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}