{"id":20894,"date":"2020-04-03T11:26:11","date_gmt":"2020-04-03T09:26:11","guid":{"rendered":"https:\/\/www.apolonija.hr\/zobni-vsadki\/"},"modified":"2026-10-28T13:20:22","modified_gmt":"2026-10-28T12:20:22","slug":"zobni-vsadki","status":"publish","type":"page","link":"https:\/\/www.apolonija.hr\/sl\/zobni-vsadki\/","title":{"rendered":"Zobni vsadki"},"content":{"rendered":"<section class=\"l-section wpb_row height_auto width_full\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h2>Varna vstavitev zobnih vsadkov<\/h2>\n<\/p>\n<p><span style=\"font-weight: 400\">Varna vstavitev zobnih vsadkov, po kateri boste lahko spet brezskrbno jedli in se svobodno smejali.<\/span><\/p>\n<\/p>\n<p><span style=\"font-weight: 400\">Zobni vsadek je <strong>v obliki vijaka<\/strong>, ki se vgradi v \u010deljustno kost. Izdelan je iz <strong>titana<\/strong>, ki je bioinerten material. To pomeni, da <strong>ne povzro\u010da \u0161kodljivih reakcij<\/strong> ali vnetij v telesu in ne zavira sposobnosti regeneracije kostnega tkiva. Zobni vsadki se uporabljajo \u017ee ve\u010d kot 50 let in danes so preizku\u0161ena, zanesljiva in cenovno dostopna re\u0161itev za izgubljen zob.   <\/span><\/p>\n<\/p>\n<p><span style=\"font-weight: 400\">Zobne vsadke vgrajujemo \u017ee 25 let. Na\u0161e izku\u0161nje smo prenesli v ta e-priro\u010dnik z dragocenimi informacijami o vstavitvi vsadkov. Pomagal vam bo, da se informirate in sprejmete odlo\u010ditev, v katero ste lahko popolnoma prepri\u010dani.  <\/span><\/p><\/p>\n<\/div><\/div><section class=\"l-section wpb_row us_custom_887a049b height_small width_full\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container us_custom_606460ee has_bg_color\"><div class=\"vc_column-inner\"><div class=\"w-image us_custom_366c358f align_center\"><div class=\"w-image-h\"><img decoding=\"async\" width=\"300\" height=\"137\" src=\"https:\/\/www.apolonija.hr\/wp-content\/uploads\/2024\/12\/25-godina-iskustva-ugradnje-implantata.png\" class=\"attachment-full size-full\" alt=\"25 godina iskustva ugradnje zubnih implantata\" loading=\"lazy\" \/><\/div><\/div><div class=\"w-text us_custom_d44d8758 has_text_color\"><span class=\"w-text-h\"><span class=\"w-text-value\">E-priro\u010dnik za paciente<\/span><\/span><\/div><h4 class=\"w-text us_custom_81344d0e has_text_color\"><span class=\"w-text-h\"><span class=\"w-text-value\">ZOBNI VSADKI:<\/span><\/span><\/h4><div class=\"w-text us_custom_e35f635b has_text_color\"><span class=\"w-text-h\"><span class=\"w-text-value\">Kateri, zakaj in koliko?<\/span><\/span><\/div>\n<div class=\"wpcf7 no-js us_custom_0d89c9ec jc-form-white-privacy-txt w-form layout_ver for_cform\" id=\"wpcf7-f20824-o1\" lang=\"sl-SI\" dir=\"ltr\" data-wpcf7-id=\"20824\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/sl\/wp-json\/wp\/v2\/pages\/20894#wpcf7-f20824-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Kontaktni obrazec\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"20824\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"sl_SI\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f20824-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"w-form-h\">\n\n\n<div class=\"w-form-row for_text required has_label move_label with_icon\">\n  <div class=\"w-form-row-label\">  \n    <span>Va\u0161 e-po\u0161tni naslov*<\/span>\n  <\/div>\n  <div class=\"w-form-row-field\">\n    <i class=\"fal fa-envelope\"><\/i>  \n    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n  <\/div>\n<\/div>\n\n<div class=\"w-form-row for_agreement required\">\n  <div class=\"w-form-row-field\">\n S prenosom e-priro\u010dnika sprejemate <a href=\"\/sl\/pogoji-uporabe\/\" target=\"_blank\">politiko zasebnosti.<\/a>\n  <\/div>\n<\/div>\n\n<div class=\"w-form-row for_submit\">\n  <div class=\"w-form-row-field\">\n    <input class=\"wpcf7-form-control wpcf7-submit has-spinner w-btn us-btn-style_29\" type=\"submit\" value=\"PRENESI\" \/>\n  <\/div>\n<\/div>\n\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"17\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<div class=\"w-tabs jc-ezbirka accordion toggle_style_1 remove_indents\" style=\"--sections-title-size:inherit;--sections-gap:0.5rem;\"><div class=\"w-tabs-sections titles-align_none icon_chevron cpos_right\"><div class=\"w-tabs-section has_text_color\" id=\"be0e\" style=\"color:#ffffff;\"><button type=\"button\" class=\"w-tabs-section-header\" aria-controls=\"content-be0e\" aria-expanded=\"false\"><div class=\"w-tabs-section-title\">Oglejte si, kaj boste izvedeli v tem e-priro\u010dniku<\/div><div class=\"w-tabs-section-control\"><\/div><\/button><div  class=\"w-tabs-section-content\" id=\"content-be0e\"><div class=\"w-tabs-section-content-h i-cf\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><ul>\n<li><em>Katere vrste zobnih vsadkov obstajajo<\/em><\/li>\n<li><em>Razlika med kovinskimi titanovimi in brezkovinskimi cirkonijevimi zobnimi vsadki<\/em><\/li>\n<li><em>Razlika med premium in drugimi zobnimi vsadki<\/em><\/li>\n<li><em>Katere diagnosti\u010dne slike so potrebne pri vstavitvi zobnih vsadkov<\/em><\/li>\n<li><em>Kako poteka na\u010drtovanje vstavitve zobnega vsadka<\/em><\/li>\n<li><em>Ali obstaja alergija na zobne vsadke<\/em><\/li>\n<li><em>Odgovori na najpogostej\u0161e strahove pacientov pred posegom<\/em><\/li>\n<li><em>in drugo \u2026<\/em><\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n<div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p><span style=\"font-weight: 400\"><strong>Vgradnja zobnih vsadkov<\/strong> v Polikliniki Apolonija poteka po protokolu in smernicah mednarodnih implantolo\u0161kih institucij (Evropsko zdru\u017eenje za osteointegracijo (EAO)).<\/span><\/p>\n<\/p>\n<p><span style=\"font-weight: 400\">Vstavitev vsadka se izvaja <strong>v lokalni anesteziji in je popolnoma nebole\u010da<\/strong>. Postopek in garancije za vsadke so podrobno dokumentirani v implantolo\u0161ki knji\u017eici. <strong>Implantolo\u0161ka knji\u017eica<\/strong> je dokument, ki ga pacient v Apoloniji prejme po namestitvi zobnih vsadkov. Slu\u017ei kot zapis vseh pomembnih informacij, povezanih z vsadkom.  <\/span><\/p>\n<\/p>\n<h2>Ali imate dovolj kostne mase za vstavitev zobnega vsadka?<\/h2>\n<\/p>\n<p><span style=\"font-weight: 400\">Za uspe\u0161no vstavitev vsadka sta klju\u010dnega pomena vi\u0161ina in \u0161irina kostnega grebena. <strong>Resorpcija \u010deljustne kosti<\/strong> je naraven proces izgube kostne mase, ki se obi\u010dajno pojavi v \u010deljustni kosti po izgubi zoba. Ko manjkajo zobje, \u010deljustne kosti med \u017eve\u010denjem ne prejemajo ve\u010d dovolj stimulacije, kar vodi do postopne izgube kosti, ki je videti takole: <\/span><\/p>\n<\/p>\n<p><a ref=\"magnificPopup\" href=\"https:\/\/www.apolonija.hr\/wp-content\/uploads\/2025\/03\/gubitakkosti-450x210.jpg\"><img decoding=\"async\" class=\"aligncenter size-medium wp-image-19896\" src=\"https:\/\/www.apolonija.hr\/wp-content\/uploads\/2025\/03\/gubitakkosti-450x210.jpg\" alt=\"Izguba \u010deljustne kosti po izgubi zoba\" width=\"450\" height=\"210\" srcset=\"https:\/\/www.apolonija.hr\/wp-content\/uploads\/2025\/03\/gubitakkosti-450x210.jpg 450w, https:\/\/www.apolonija.hr\/wp-content\/uploads\/2025\/03\/gubitakkosti-800x373.jpg 800w, https:\/\/www.apolonija.hr\/wp-content\/uploads\/2025\/03\/gubitakkosti.jpg 825w\" sizes=\"(max-width: 450px) 100vw, 450px\" \/><\/a><\/p>\n<\/p>\n<p><span style=\"font-weight: 400\">1) Vi\u0161ina kostnega grebena ob prisotnosti zob.<\/span><\/p>\n<\/p>\n<p><span style=\"font-weight: 400\">2) <strong>V prvem letu<\/strong> po izgubi zoba se lahko izgubi pribli\u017eno 25 % vi\u0161ine kosti. Izguba kosti je v tej fazi najhitrej\u0161a, ker \u010deljustna kost ne prejema ve\u010d mehanske stimulacije zaradi \u017eve\u010denja. <\/span><\/p>\n<\/p>\n<p><span style=\"font-weight: 400\">3) <strong>Po enem letu<\/strong> se izguba kostne mase upo\u010dasni, vendar se nadaljuje. V prvih dveh do treh letih se lahko izgubi 40\u201360 % kostne mase. To povzro\u010da te\u017eave pri prihodnjih proteti\u010dnih posegih, saj zmanj\u0161anje volumna kosti ote\u017euje namestitev zobnih vsadkov.  <\/span><\/p>\n<\/p>\n<p><span style=\"font-weight: 400\"><strong>Po petih letih ali ve\u010d<\/strong> postane izguba kostne mase kroni\u010dna, kostna masa pa se z leti \u0161e naprej resorbira in zmanj\u0161uje, \u010deprav po\u010dasneje kot na za\u010detku.<\/span><\/p>\n<\/p>\n<p><span style=\"font-weight: 400\">Izguba kosti v \u010deljusti ni nujno ovira za vstavitev vsadka. Nadgradnja kosti je postopek, ki nadomesti izgubljeno kostno maso in ustvari trdno in stabilno podlago za zobne vsadke. Ve\u010d o nadgradnji kosti in pripravi na vstavitev vsadkov si lahko preberete v na\u0161em e-priro\u010dniku.  <\/span><\/p>\n<\/p>\n<h2>Pogosta vpra\u0161anja<\/h2>\n<\/p>\n<p><span><strong>Ali vstavitev vsadka boli?<\/strong> \u2014 Poseg se izvaja v lokalni anesteziji in je nebole\u010d. Nelagodje po posegu je blago in prehodno.<\/span><\/p>\n<\/p>\n<p><span><strong>Kako dolgo zdr\u017ei vsadek?<\/strong> \u2014 Ob dobri ustni higieni in rednih kontrolah lahko vsadek zdr\u017ei desetletja. Najve\u010dje tveganje ni sam vsadek, temve\u010d vnetje tkiva okoli njega.<\/span><\/p>\n<\/p>\n<p><span><strong>Ali lahko dobim vsadek, \u010de mi manjka kosti?<\/strong> \u2014 Pogosto da, z nadgradnjo kosti. Oceno naredimo na podlagi <a href=\"https:\/\/www.apolonija.hr\/digitalna-stomatologija\/3d-cbct-dijagnostika\/\">3D-posnetka<\/a>.<\/span><\/p>\n<\/p>\n<p><span><strong>Ali obstaja starostna omejitev?<\/strong> \u2014 Pri odraslih ne. Pri mladih po\u010dakamo, da se rast \u010deljusti zaklju\u010di.<\/span><\/p>\n<\/p>\n<p><span><strong>Kaj, \u010de imam parodontitis?<\/strong> \u2014 Vsadek vstavimo \u0161ele, ko je <a href=\"https:\/\/www.apolonija.hr\/sl\/zobozdravstveno-zdravljenje\/zdravljenje-parodontitisa\/\">parodontitis<\/a> saniran, saj ista bolezen lahko prizadene tudi tkivo okoli vsadka.<\/span><\/p>\n<\/div><\/div><div class=\"w-tabs accordion type_togglable toggle_style_1 has_scrolling\" style=\"--sections-title-size:inherit;--sections-gap:0.5rem;\"><div class=\"w-tabs-sections titles-align_none icon_chevron cpos_right\"><div class=\"w-tabs-section\" id=\"k9aa\"><button type=\"button\" class=\"w-tabs-section-header\" aria-controls=\"content-k9aa\" aria-expanded=\"false\"><h2 class=\"w-tabs-section-title\">Viri<\/h2><div class=\"w-tabs-section-control\"><\/div><\/button><div  class=\"w-tabs-section-content\" id=\"content-k9aa\"><div class=\"w-tabs-section-content-h i-cf\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h3>Smernice, konsenzi in uradna stali\u0161\u010da strokovnih zdru\u017eenj<\/h3>\n<\/p>\n<p><strong>Schwarz F in sod. (2026). First global consensus for clinical guidelines: structured recommendations (S2k-level guideline framework) for the rehabilitation of the edentulous maxilla based on core outcome sets. Clin Oral Implants Res.<\/strong> Prva globalna konsenzna smernica, ki so jo skupaj pripravili Evropsko zdru\u017eenje za osteointegracijo (EAO), ITI in Osteology Foundation. Priporo\u010dila zajemajo celoten potek zdravljenja, od izbire pacienta do dolgoro\u010dnega vzdr\u017eevanja, s poudarkom na individualnem pouku ustne higiene in rednih kontrolah za zgodnje odkrivanje zapletov. <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/clr.70084\" target=\"_blank\" rel=\"noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/clr.70084<\/a><\/p>\n<\/p>\n<p><strong>Morton D in sod. (2023). Group 5 ITI Consensus Report: implant placement and loading protocols. Clin Oral Implants Res.<\/strong> Poro\u010dilo 7. konsenzne konference Mednarodne skupine za implantologijo (ITI) o protokolih vstavitve in obremenitve vsadkov ter o merilih za izbiro pacientov za takoj\u0161njo in zgodnjo obremenitev. Poudarja primarno stabilnost kot klju\u010dni pogoj za predvidljivo osteointegracijo. <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/clr.14137\" target=\"_blank\" rel=\"noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/clr.14137<\/a><\/p>\n<\/p>\n<p><strong>Herrera D in sod. (2023). Prevention and treatment of peri-implant diseases \u2014 the EFP S3 level clinical practice guideline. J Clin Periodontol.<\/strong> Smernica najvi\u0161je ravni Evropske federacije za parodontologijo. Prepre\u010devanje periimplantatnih bolezni se za\u010dne \u017ee pri na\u010drtovanju: vklju\u010duje sanacijo parodontitisa pred vstavitvijo, polo\u017eaj vsadka, ki omogo\u010da \u010di\u0161\u010denje, obliko nadomestka, dostopno za higieno, ter stalen program profesionalnega vzdr\u017eevanja. <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jcpe.13823\" target=\"_blank\" rel=\"noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jcpe.13823<\/a><\/p>\n<\/p>\n<h3>Pre\u017eivetje vsadkov in dolgoro\u010dni izidi<\/h3>\n<\/p>\n<p><strong>Howe MS in sod. (2019). Long-term (10-year) dental implant survival: a systematic review and sensitivity meta-analysis. J Dent.<\/strong> Osemnajst prospektivnih raziskav s sodobnimi sistemi vsadkov s hrapavo povr\u0161ino. Zdru\u017eena ocena desetletnega pre\u017eivetja na ravni vsadka je bila 96,4 %, s predikcijskim intervalom od 91,5 % do 99,4 %. Referen\u010dni podatek za pogovor s pacientom o pri\u010dakovani \u017eivljenjski dobi vsadka. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30904559\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/30904559\/<\/a><\/p>\n<\/p>\n<p><strong>Derks J in sod. (2015). Effectiveness of implant therapy analyzed in a Swedish population: early and late implant loss. J Dent Res.<\/strong> Analiza 11.311 vsadkov pri 2765 naklju\u010dno izbranih pacientih iz ve\u010d kot 800 ordinacij, torej podatki iz vsakdanje prakse in ne iz izbranih vzorcev specializiranih centrov. Ugotovljena je bila pomembna razlika v poznih izgubah vsadkov med razli\u010dnimi proizvajalci. <a href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/0022034514563077\" target=\"_blank\" rel=\"noopener\">https:\/\/journals.sagepub.com\/doi\/10.1177\/0022034514563077<\/a><\/p>\n<\/p>\n<h3>Zna\u010dilnosti vsadkov \u2013 kaj lo\u010di bolj\u0161e re\u0161itve od slab\u0161ih<\/h3>\n<\/p>\n<p><strong>Atieh MA in sod. (2025). Peri-implantitis and survival outcomes of tissue level versus bone level dental implants: a systematic review and meta-analysis. Clin Exp Dent Res.<\/strong> Pet randomiziranih raziskav s 501 vsadkom pri 241 pacientih. Transmukozni (tissue-level) vsadki so imeli ni\u017eje stopnje periimplantitisa in neuspeha ter manj\u0161e spremembe globine sondiranja kot kostni (bone-level) vsadki, vendar razlike niso bile statisti\u010dno zna\u010dilne. V enem do petih letih spremljanja sta obe vrsti pokazali primerljivo pre\u017eivetje. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC12529224\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC12529224\/<\/a><\/p>\n<\/p>\n<p><strong>Reis I in sod. (2025). The prevalence of peri-implant mucositis and peri-implantitis based on the World Workshop criteria: a systematic review and meta-analysis. J Dent.<\/strong> Prve zanesljive svetovne ocene po standardiziranih merilih iz leta 2017. Pribli\u017eno dve od treh odraslih oseb z vsadki imata periimplantatni mukozitis, ena od \u0161tirih pa periimplantitis. Najmo\u010dnej\u0161i argument za obvezen program rednih kontrol po vstavitvi. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40523497\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/40523497\/<\/a><\/p>\n<\/p>\n<h3>Transmukozni abutmenti in vi\u0161ina transmukoznega dela<\/h3>\n<\/p>\n<p><strong>Galindo-Moreno P in sod. (2014). Prosthetic abutment height is a key factor in peri-implant marginal bone loss. J Dent Res.<\/strong> 131 pacientov in 315 vsadkov z notranjo koni\u010dno povezavo. Vi\u0161ina abutmenta je bila glavni dejavnik izgube robne kosti 6 in 18 mesecev po obremenitvi, ob dodatnem vplivu podlage (nativna ali nadgrajena kost), parodontitisa in kajenja. Izguba kosti ni bila linearna \u2013 najve\u010dja je bila v prvih \u0161estih mesecih. <a href=\"https:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/0022034513519800\" target=\"_blank\" rel=\"noopener\">https:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/0022034513519800<\/a><\/p>\n<\/p>\n<p><strong>Chen Z in sod. (2019). Influence of abutment height on peri-implant marginal bone loss: a systematic review and meta-analysis. J Prosthet Dent.<\/strong> \u0160tirinajst raziskav, od tega osem v metaanalizi. Pri kostnih (bone-level) vsadkih dolg abutment pomembno zmanj\u0161a zgodnjo izgubo robne kosti v primerjavi s kratkim. Dokazi ne zado\u0161\u010dajo za oceno u\u010dinka na pozno izgubo kosti in za transmukozne vsadke. <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0022391318309193\" target=\"_blank\" rel=\"noopener\">https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0022391318309193<\/a><\/p>\n<\/p>\n<p><strong>Mu\u00f1oz in sod. (2023). Influence of the abutment height on marginal bone level changes around two-piece dental implants: meta-analysis and trial sequential analysis of randomized clinical trials. Clin Oral Implants Res.<\/strong> Metaanaliza randomiziranih poskusov z dodatno sekven\u010dno analizo. Prednost visokih abutmentov (vsaj 2 mm) pred kratkimi je najizrazitej\u0161a zgodaj in se s\u010dasoma izravna, vendar je prav zgodnja izguba kosti tista, ki napoveduje nadaljnje propadanje. Sekven\u010dna analiza ka\u017ee, da za dolgoro\u010dni sklep \u0161e ni dovolj pacientov. <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/clr.14025\" target=\"_blank\" rel=\"noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/clr.14025<\/a><\/p>\n<\/p>\n<p><strong>Linkevicius T in sod. (2015). Influence of vertical soft tissue thickness on crestal bone changes around implants with platform switching: a comparative clinical study. Clin Implant Dent Relat Res.<\/strong> Vertikalna debelina mehkega tkiva na mestu vstavitve vpliva na spremembe robne kosti. Pri tanki sluznici je bila izguba kosti ve\u010dja, in to celo ob platform switchingu, kar je osnova za priporo\u010dilo, da se tanka sluznica nadgradi ali izbere ve\u010dja vi\u0161ina transmukoznega dela. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24673875\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/24673875\/<\/a><\/p>\n<\/p>\n<h3>Oddaljenost roba krone od kosti in oblika izstopnega profila<\/h3>\n<\/p>\n<p><strong>Derks J in sod. (2016). Effectiveness of implant therapy analyzed in a Swedish population: prevalence of peri-implantitis. J Dent Res.<\/strong> 588 naklju\u010dno izbranih pacientov, pregledanih devet let po terapiji. Periimplantitis je bil ugotovljen pri 45 %, zmeren do hud pa pri 14,5 %. Pomembno ve\u010dje tveganje so imeli vsadki z robom krone, postavljenim 1,5 mm ali manj od kostnega grebena, vsadki v spodnji \u010deljusti, pacienti s parodontitisom in s \u0161tirimi ali ve\u010d vsadki, vsadki nekaterih proizvajalcev ter primeri, pri katerih je protetiko izdelal splo\u0161ni zobozdravnik. Vir meje 1,5 mm, ki se danes uporablja pri oceni tveganja. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26701919\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/26701919\/<\/a><\/p>\n<\/p>\n<p><strong>Katafuchi M in sod. (2018). Restoration contour is a risk indicator for peri-implantitis: a cross-sectional radiographic analysis. J Clin Periodontol.<\/strong> 83 pacientov in 168 vsadkov s povpre\u010dnim spremljanjem 10,9 leta. Izstopni kot nadomestka, ve\u010dji od 30 stopinj, je pomemben kazalnik tveganja za periimplantitis pri kostnih vsadkih, konveksen profil pa tveganje \u0161e pove\u010da. Pri transmukoznih vsadkih te povezave niso ugotovili. Priporo\u010dilo je manj\u0161i izstopni kot z ravnim ali konkavnim profilom v aproksimalnih predelih. <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jcpe.12829\" target=\"_blank\" rel=\"noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jcpe.12829<\/a><\/p>\n<\/p>\n<p><strong>Yi Y in sod. (2020). Association of prosthetic features and peri-implantitis: a cross-sectional study. J Clin Periodontol.<\/strong> Neodvisna potrditev povezave med zna\u010dilnostmi proteti\u010dnega nadomestka \u2013 izstopnim kotom in profilom, dostopnostjo za higieno in vrsto retencije \u2013 ter pojavom periimplantitisa. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31912511\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/31912511\/<\/a><\/p>\n<\/p>\n<p><strong>Chan D in sod. (2019). The depth of the implant mucosal tunnel modifies the development and resolution of experimental peri-implant mucositis: a case-control study. J Clin Periodontol.<\/strong> Globina mukoznega tunela okoli vsadka vpliva na razvoj in na sposobnost ozdravitve eksperimentalno povzro\u010denega periimplantatnega mukozitisa. Globlji tunel ote\u017euje okrevanje, kar povezuje proteti\u010dno zasnovo z biolo\u0161kim izidom. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30638273\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/30638273\/<\/a><\/p>\n<\/p>\n<h3>Potreba po nadgradnji kosti<\/h3>\n<\/p>\n<p><strong>ITI (International Team for Implantology) \u2014 konsenzne izjave: Bone augmentation procedures in localized alveolar ridge defects.<\/strong> Stopnje pre\u017eivetja vsadkov, vstavljenih v regenerirano kost po zdravljenju lokaliziranih defektov grebena, so primerljive s stopnjami pre\u017eivetja vsadkov v nativni kosti. Premo\u010di ene tehnike nadgradnje nad drugo na podlagi pre\u017eivetja vsadkov ni bilo mogo\u010de dokazati. <a href=\"https:\/\/academy.iti.org\/academy\/consensus-database\/consensus-statement\/-\/consensus\/bone-augmentation-procedures-in-localized-alveolar-ridge-defects\/1210\" target=\"_blank\" rel=\"noopener\">https:\/\/academy.iti.org\/academy\/consensus-database\/consensus-statement\/-\/consensus\/bone-augmentation-procedures-in-localized-alveolar-ridge-defects\/1210<\/a><\/p>\n<\/p>\n<p><strong>ITI (International Team for Implantology) \u2014 konsenzne izjave: Bone augmentation procedures in extended alveolar ridge defects.<\/strong> Pri obse\u017enih defektih grebena so stopnje pre\u017eivetja vsadkov nekoliko ni\u017eje kot v nativni kosti. Dvig sinusnega dna z lateralnim pristopom je predvidljiv za nadgradnjo v zadnjem delu zgornje \u010deljusti, razli\u010dni materiali \u2013 avtologni, alogeni, ksenogeni in sinteti\u010dni \u2013 pa se lahko varno uporabljajo samostojno ali v kombinaciji. Koli\u010dina in kakovost preostale kosti vplivata na pre\u017eivetje ne glede na vrsto nadgradnje. <a href=\"https:\/\/academy.iti.org\/academy\/consensus-database\/consensus-statement\/-\/consensus\/bone-augmentation-procedures-in-extended-alveolar-ridge-defects\/1211\" target=\"_blank\" rel=\"noopener\">https:\/\/academy.iti.org\/academy\/consensus-database\/consensus-statement\/-\/consensus\/bone-augmentation-procedures-in-extended-alveolar-ridge-defects\/1211<\/a><\/p>\n<\/p>\n<p><strong>Uehara PN in sod. (2018). Short dental implants (\u22647 mm) versus longer implants in augmented bone area: a meta-analysis of randomized controlled trials. Open Dent J.<\/strong> Sedem randomiziranih poskusov. Kratki vsadki v atrofi\u010dnem grebenu so imeli primerljivo pre\u017eivetje kot dalj\u0161i vsadki v nadgrajeni kosti, izguba robne kosti pa je bila v skupini s kratkimi vsadki statisti\u010dno zna\u010dilno manj\u0161a. Klju\u010dni \u010dlanek za pogovor s pacientom o tem, kdaj se je nadgradnji mogo\u010de izogniti. Prosti dostop. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5958294\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5958294\/<\/a><\/p>\n<\/p>\n<p><strong>Lee SA in sod. (2014). Systematic review and meta-analysis of randomized controlled trials for the management of limited vertical height in the posterior region: short implants (5 to 8 mm) vs longer implants (&gt;8 mm) in vertically augmented sites. Int J Oral Maxillofac Implants.<\/strong> Kratki vsadki so lahko predvidljiva alternativa dalj\u0161im vsadkom z vertikalno nadgradnjo, z manj kirur\u0161kimi zapleti in manj\u0161o obremenitvijo za pacienta. Sklep je treba jemati z zadr\u017ekom, saj temelji na \u0161tirih raziskavah s tveganjem pristranskosti. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25216134\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/25216134\/<\/a><\/p>\n<\/p>\n<h3>PRF (s trombociti bogat fibrin)<\/h3>\n<\/p>\n<p><strong>Strauss FJ in sod. (2018). The use of platelet-rich fibrin to enhance the outcomes of implant therapy: a systematic review. Clin Oral Implants Res.<\/strong> Sistemati\u010dni pregled, pripravljen za konsenzno konferenco Evropskega zdru\u017eenja za osteointegracijo (EAO). Ugotavlja, da PRF ka\u017ee obetavne rezultate v implantologiji, vendar je raven dokazov omejena zaradi velike raznolikosti protokolov priprave, majhnih vzorcev in kratkega spremljanja. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30306698\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/30306698\/<\/a><\/p>\n<\/p>\n<p><strong>Miron RJ in sod. (2025). Periodontal regeneration using platelet-rich fibrin. Furcation defects: a systematic review with meta-analysis. Periodontol 2000.<\/strong> Ustrezen pregled za furkacijske defekte, s primerjavo PRF samostojno in v kombinaciji s kostnimi nadomestki ter statini, z analizo vertikalnega in horizontalnega pridobitka pripenjanja in kosti. <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/prd.12583\" target=\"_blank\" rel=\"noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/prd.12583<\/a><\/p>\n<\/p>\n<p><strong>Miron RJ in sod. (2020). Use of platelet-rich fibrin for the treatment of gingival recessions: a systematic review and meta-analysis. Clin Oral Investig.<\/strong> Metaanaliza uporabe PRF pri pokrivanju gingivnih recesij, v primerjavi z vezivnotkivnim presadkom kot zlatim standardom. Pomembno za pri\u010dakovanja pacientov: PRF skraj\u0161a poseg in se izogne drugemu operativnemu mestu, vendar ne dose\u017ee nujno enakega pokritja korenine. <a href=\"https:\/\/doi.org\/10.1007\/s00784-020-03400-7\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1007\/s00784-020-03400-7<\/a><\/p>\n<\/p>\n<p><strong>Castro AB in sod. (2017). Regenerative potential of leucocyte- and platelet-rich fibrin. Part B: sinus floor elevation, alveolar ridge preservation and implant therapy. A systematic review. J Clin Periodontol.<\/strong> \u0160tirinajst \u010dlankov, razdeljenih v tri skupine. Pri dvigu sinusnega dna, tako z lateralnim kot s transalveolarnim pristopom, je dodajanje L-PRF ksenogenim nadomestkom histolo\u0161ko pospe\u0161ilo celjenje kosti. Samostojni L-PRF je bolje ohranil \u0161irino grebena in zmanj\u0161al bukalno resorpcijo v primerjavi s spontanim celjenjem. Pri implantolo\u0161ki terapiji so opazili bolj\u0161o stabilnost vsadkov skozi \u010das in manj\u0161o izgubo robne kosti. <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jcpe.12658\" target=\"_blank\" rel=\"noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jcpe.12658<\/a><\/p>\n<\/p>\n<p><strong>Pan J in sod. (2019). Effect of platelet-rich fibrin on alveolar ridge preservation: a systematic review. J Am Dent Assoc.<\/strong> Sistemati\u010dni pregled uporabe PRF pri ohranjanju alveolarnega grebena po puljenju zoba, s podatki o ohranjeni \u0161irini in vi\u0161ini grebena ter o manj\u0161ih pooperativnih te\u017eavah. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31439204\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/31439204\/<\/a><\/p>\n<\/p>\n<p><strong>Estrin NE in sod. (2025). Analgesic effects of platelet-rich fibrin (PRF): a systematic review. Periodontol 2000.<\/strong> Pregled protibole\u010dinskega delovanja PRF pri razli\u010dnih posegih, vklju\u010dno s puljenjem tretjih molarjev. Zdru\u017euje podatke o jakosti bole\u010dine, porabi analgetikov, otekanju in trizmusu ter jih povezuje s protivnetnimi lastnostmi fibrinske mre\u017ee. <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/prd.70014\" target=\"_blank\" rel=\"noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/prd.70014<\/a><\/p>\n<\/p>\n<h3>Vitamin D in osteointegracija<\/h3>\n<\/p>\n<p><strong>Miron RJ in sod. (2025). Relationship between vitamin D deficiency and early implant failure and osseointegration. Periodontol 2000.<\/strong> Najnovej\u0161i in najobse\u017enej\u0161i pregled \u2013 43 raziskav, od tega 16 na \u017eivalih in 27 na ljudeh. Dokazi iz obeh skupin mo\u010dno nakazujejo, da pomanjkanje vitamina D slab\u0161a nastajanje nove kosti in stik kosti z vsadkom. Nadome\u0161\u010danje, zlasti pri pacientih s sistemskimi boleznimi, lahko izbolj\u0161a osteointegracijo, zato avtorji priporo\u010dajo predoperativno testiranje in korekcijo ravni vitamina D. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41163589\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/41163589\/<\/a><\/p>\n<\/p>\n<p><strong>Mangano F in sod. (2016). Is low serum vitamin D associated with early dental implant failure? A retrospective evaluation on 1625 implants placed in 822 patients. Mediators Inflamm.<\/strong> Najve\u010dja posamezna raziskava na to temo \u2013 1625 vsadkov pri 822 pacientih, z analizo povezave med nizko ravnjo vitamina D v serumu in zgodnjo izgubo vsadkov. <a href=\"https:\/\/doi.org\/10.1155\/2016\/5319718\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1155\/2016\/5319718<\/a><\/p>\n<\/p>\n<p><strong>Alsulaimani L in sod. (2022). The relationship between low serum vitamin D level and early dental implant failure: a systematic review. Cureus.<\/strong> Sistemati\u010dni pregled razpolo\u017eljivih klini\u010dnih podatkov o ravni vitamina D in zgodnji izgubi vsadkov. Uporabljene referen\u010dne vrednosti: pomanjkanje pod 20 ng\/mL, nezadostnost 20 do 30 ng\/mL, zadostna raven nad 30 ng\/mL. <a href=\"https:\/\/doi.org\/10.7759\/cureus.21264\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.7759\/cureus.21264<\/a><\/p>\n<\/p>\n<h3>Drugi dejavniki tveganja<\/h3>\n<\/p>\n<p><strong>Mustapha AD in sod. (2021). Smoking and dental implants: a systematic review and meta-analysis. Medicina.<\/strong> Kajenje je povezano z bistveno ve\u010djim tveganjem izgube vsadkov v primerjavi z nekadilci, kar upravi\u010duje svetovanje o prenehanju kajenja pred posegom. Prosti dostop. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35056347\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/35056347\/<\/a><\/p>\n<\/p>\n<p><strong>H\u00e4ggman-Henrikson B in sod. (2024). Bruxism and dental implants: a systematic review and meta-analysis. J Oral Rehabil.<\/strong> Vsadki, vstavljeni pri pacientih z bruksizmom, imajo ve\u010dje tveganje neuspeha kot pri tistih brez bruksizma, kar upravi\u010duje izdelavo za\u0161\u010ditne no\u010dne opornice in skrbnej\u0161e na\u010drtovanje okluzije. <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/joor.13567\" target=\"_blank\" rel=\"noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/joor.13567<\/a><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"w-html\"><div class=\"jc-cta cta-prvi-pregled\">\n\t<p style=\"\">Pregled v polikliniki Apolonija rezervirajte po telefonu, prek WhatsAppa ali s kontaktnim obrazcem.<\/p>\n\t<a class=\"telefon w-btn us-btn-style_29 icon_atleft\" href=\"tel:+385 1 4883 800\"><i class=\"fas fa-phone-rotary\"><\/i><span class=\"w-btn-label\">+385 1 4883 800<\/span><\/a>\n\t<a class=\"whatsapp w-btn us-btn-style_29 icon_atleft\" href=\"https:\/\/wa.me\/385914883800\"><i class=\"fab fa-whatsapp\"><\/i><span class=\"w-btn-label\">+385 91 4883 800<\/span><\/a>\n\t<\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":15,"featured_media":9240,"parent":0,"menu_order":96,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-20894","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Zobni vsadki v Zagrebu | Apolonija<\/title>\n<meta name=\"description\" content=\"\u017de ve\u010d kot 25 let vgrajujemo visokokakovostne zobne vsadke, kot je Nobel Biocare, z uporabo najsodobnej\u0161ih metod in sodobne tehnologije.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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