{"id":20902,"date":"2020-04-01T00:09:00","date_gmt":"2020-03-31T22:09:00","guid":{"rendered":"https:\/\/www.apolonija.hr\/lepsi-nasmeh\/zalivke-in-popravilo-zob\/"},"modified":"2026-10-28T13:15:12","modified_gmt":"2026-10-28T12:15:12","slug":"zalivke-in-popravilo-zob","status":"publish","type":"page","link":"https:\/\/www.apolonija.hr\/sl\/lepsi-nasmeh\/zalivke-in-popravilo-zob\/","title":{"rendered":"Zalivke in popravilo zob"},"content":{"rendered":"<section class=\"l-section wpb_row height_small\"><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\"><p><span style=\"font-weight: 400\">Popravilo zob je najpogostej\u0161i zobozdravstveni poseg. Sestavljen je iz odstranitve kariesa in rekonstrukcije zoba s trajnim in estetskim materialom. <\/span><\/p>\n<\/p>\n<h2>Kako nastane karies?<\/h2>\n<\/p>\n<p><span style=\"font-weight: 400\">Karies je danes ena najpogostej\u0161ih bolezni. Gre za nalezljivo bolezen, ki jo povzro\u010da delovanje kariogenih bakterij v ustni votlini.   <\/span><span style=\"font-weight: 400\"><br \/><\/span><span style=\"font-weight: 400\">Presnovni produkt kariogenih bakterij je kislina, ki uni\u010di sklenino in dentin ter prodre v sredi\u0161\u010de zoba, kar povzro\u010di njegovo popolno propadanje.<\/span><\/p>\n<figure id=\"attachment_26813\" aria-describedby=\"caption-attachment-26813\" style=\"width: 450px\" class=\"wp-caption aligncenter\"><a ref=\"magnificPopup\" href=\"https:\/\/www.apolonija.hr\/wp-content\/uploads\/2025\/03\/karijes-post-450x280.jpg\"><img decoding=\"async\" class=\"size-medium wp-image-19859\" src=\"https:\/\/www.apolonija.hr\/wp-content\/uploads\/2025\/03\/karijes-post-450x280.jpg\" alt=\"Faze kariesa: sklenina, dentin in zobni \u017eivec\" width=\"450\" height=\"280\" srcset=\"https:\/\/www.apolonija.hr\/wp-content\/uploads\/2025\/03\/karijes-post-450x280.jpg 450w, https:\/\/www.apolonija.hr\/wp-content\/uploads\/2025\/03\/karijes-post-1024x638.jpg 1024w, https:\/\/www.apolonija.hr\/wp-content\/uploads\/2025\/03\/karijes-post-800x498.jpg 800w, https:\/\/www.apolonija.hr\/wp-content\/uploads\/2025\/03\/karijes-post.jpg 1485w\" sizes=\"(max-width: 450px) 100vw, 450px\" \/><\/a><figcaption id=\"caption-attachment-26813\" class=\"wp-caption-text\">1) karies v zobni sklenini; 2) karies je dosegel dentin; 3) karies je dosegel zobni \u017eivec<\/figcaption><\/figure>\n<h2>Kompozitne zalivke &#8211; bele zalivke<\/h2>\n<\/p>\n<p><span style=\"font-weight: 400\">Zalivka se uporablja za nadomestitev izgubljenega dela zoba po odstranitvi kariesa. S tem se povrne funkcionalnost in estetski videz zob.   <\/span><\/p>\n<\/p>\n<p><span style=\"font-weight: 400\">Kompozitna zalivka:<\/span><\/p>\n<\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">povrne zobu polno funkcijo<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">posnema naravno barvo zob<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">omogo\u010da posnemanje naravnih zna\u010dilnosti in oblik zob<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Dana\u0161nji kompoziti spadajo med tehnolo\u0161ko zelo napredne materiale, ker temeljijo na nanodelcih.<\/span><\/p>\n<\/p>\n<h2>Kerami\u010dne zalivke &#8211; proteti\u010dne estetske zalivke<\/h2>\n<\/p>\n<p><b>Inlay, onlay ali overlay<\/b><\/p>\n<\/p>\n<p><span style=\"font-size: 12pt\"><a ref=\"magnificPopup\" href=\"https:\/\/www.apolonija.hr\/wp-content\/uploads\/2025\/02\/inlay-onlay-overlay-apolonija-450x185.jpg\"><img decoding=\"async\" class=\"size-medium wp-image-19376 alignnone aligncenter\" src=\"https:\/\/www.apolonija.hr\/wp-content\/uploads\/2025\/02\/inlay-onlay-overlay-apolonija-450x185.jpg\" alt=\"Kerami\u010dne zalivke: inlay, onlay in overlay\" width=\"450\" height=\"185\" srcset=\"https:\/\/www.apolonija.hr\/wp-content\/uploads\/2025\/02\/inlay-onlay-overlay-apolonija-450x185.jpg 450w, https:\/\/www.apolonija.hr\/wp-content\/uploads\/2025\/02\/inlay-onlay-overlay-apolonija-800x330.jpg 800w, https:\/\/www.apolonija.hr\/wp-content\/uploads\/2025\/02\/inlay-onlay-overlay-apolonija.jpg 1000w\" sizes=\"(max-width: 450px) 100vw, 450px\" \/><\/a><\/span><\/p>\n<\/p>\n<p><span style=\"font-weight: 400\">Inlayi, onlayi in overlayi so danes eden najbolj\u0161ih na\u010dinov za obnovo zob, ki jih je prizadel karies, zlasti ve\u010djih delov zoba. Gre za kerami\u010dne vlo\u017eke, ki bodo popolnoma nadomestili manjkajo\u010di del zoba. <\/span><\/p>\n<\/p>\n<p><span style=\"font-weight: 400\">Inlay, onlay ali overlay zagotavljajo ve\u010djo vzdr\u017eljivost in trdnost zalivke.<\/span><\/p>\n<\/p>\n<p><span style=\"font-weight: 400\">Kerami\u010dne zalivke izdelujemo v laboratoriju po digitalnem protokolu<\/span> <b>CEREC<\/b><span style=\"font-weight: 400\"> z natan\u010dno CAD\/CAM tehnologijo. Dana\u0161nji digitalni procesi omogo\u010dajo izdelavo inlay, onlay ali overlay zalivk veliko hitreje kot prej, kar pomeni, da lahko imate v enem obisku pri zobozdravniku pripravljenih ve\u010d kerami\u010dnih zalivk.<\/span><\/p>\n<\/p>\n<h2>Endodontsko zdravljenje zob<\/h2>\n<\/p>\n<p><span style=\"font-weight: 400\">V primeru prizadetosti zobne pulpe bo poleg rekonstrukcije krone potrebno tudi endodontsko zdravljenje zoba.<\/span><\/p>\n<\/p>\n<p><span style=\"font-weight: 400\">Ker prizadetost zobne pulpe najpogosteje pomeni ve\u010djo izgubo zobne krone, pa tudi zaradi izgube vitalnosti zoba, je treba preostali del zobne krone za\u0161\u010dititi s proteti\u010dno <a href=\"https:\/\/www.apolonija.hr\/sl\/zobne-krone-in-mosticki\/\">zobno krono<\/a>.<\/span><\/p>\n<\/p>\n<p><span style=\"font-weight: 400\">Ve\u010d o tem si preberite na strani o <a href=\"https:\/\/www.apolonija.hr\/sl\/zobozdravstveno-zdravljenje\/endodontsko-zdravljenje-zobnih-korenin\/\"><strong>endodontskem zdravljenju zob<\/strong><\/a>.<\/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=\"caa3\"><button type=\"button\" class=\"w-tabs-section-header\" aria-controls=\"content-caa3\" 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-caa3\"><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><strong>Dhar V in sod. (2023). Evidence-based clinical practice guideline on restorative treatments for caries lesions: a report from the American Dental Association. J Am Dent Assoc.<\/strong> Smernica Ameri\u0161kega zobozdravni\u0161kega zdru\u017eenja s 16 priporo\u010dili za zdravljenje zmernih in napredovalih kariesnih lezij na vitalnih, endodontsko nezdravljenih zobeh. <a href=\"https:\/\/www.ada.org\/resources\/research\/science\/evidence-based-dental-research\/caries-management-clinical-practice-guidelines\/evidence-based-clinical-practice-guideline-on-restorative-treatments-for-caries-lesions\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ada.org\/resources\/research\/science\/evidence-based-dental-research\/caries-management-clinical-practice-guidelines\/evidence-based-clinical-practice-guideline-on-restorative-treatments-for-caries-lesions\/<\/a><\/p>\n<p><strong>Schwendicke F in sod. (2016). Managing carious lesions: consensus recommendations on carious tissue removal. Adv Dent Res.<\/strong> Konsenz International Caries Consensus Collaboration. Vstop v restavrativni krog je treba odlo\u017eiti, kolikor je mogo\u010de, in ko je zalivka indicirana, so prednostne naloge ohranitev zdravega in remineralizacijsko sposobnega tkiva, doseganje tesnjenja, ohranitev zdravja pulpe in trajnost zalivke. <a href=\"https:\/\/doi.org\/10.1177\/0022034516639271\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1177\/0022034516639271<\/a><\/p>\n<h3>Sistemati\u010dni pregledi in metaanalize<\/h3>\n<p><strong>Fern\u00e1ndez E in sod. (2026). Clinical longevity of direct dental restorations: an umbrella review of systematic reviews. J Esthet Restor Dent.<\/strong> \u0160estnajst sistemati\u010dnih pregledov in metaanaliz, objavljenih med letoma 2012 in 2025, z ve\u010d kot 15.000 zalivkami in spremljanjem od 6 do 120 mesecev. Klasi\u010dni kompoziti so pokazali pre\u017eivetje nad 90 % po 5 letih, zlasti z ve\u010dstopenjskimi adhezivnimi sistemi. Bulk-fill kompoziti dajejo primerljive kratkoro\u010dne in srednjero\u010dne rezultate s stopnjo neuspeha pod 7 %, vendar dolgoro\u010dnih podatkov \u0161e ni dovolj. <a href=\"https:\/\/doi.org\/10.1111\/jerd.70052\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1111\/jerd.70052<\/a><\/p>\n<p><strong>Opdam NJM in sod. (2014). Longevity of posterior composite restorations: a systematic review and meta-analysis. J Dent Res.<\/strong> Analiza 2.816 zalivk iz 12 longitudinalnih raziskav s spremljanjem najmanj 5 let. Glavna razloga za neuspeh sta bila sekundarni karies in zlom, bistveno ve\u010dje tveganje za neuspeh pa so imeli pacienti z visokim tveganjem za karies in zalivke, ki zajemajo ve\u010d ploskev zoba. Referen\u010dno delo, ki pojasnjuje, zakaj je trajnost zalivke odvisna tudi od pacienta, ne le od materiala. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25048250\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/25048250\/<\/a><\/p>\n<p><strong>Lewis SR in sod. (2025). Restorative materials for the direct coronal restoration of permanent posterior dentition: an overview of systematic reviews. Cochrane Oral Health.<\/strong> Cochranov pregled dokazov o u\u010dinkovitosti in trajnosti materialov za neposredne zalivke v stalnih zadnjih zobeh, pripravljen v okviru postopnega opu\u0161\u010danja amalgama. Povzetek je bil objavljen leta 2025, celoten pregled pa izhaja v knji\u017enici Cochrane Library. <a href=\"https:\/\/oralhealth.cochrane.org\/news\/mercury-free-restoration-materials-summary-evidence\" target=\"_blank\" rel=\"noopener\">https:\/\/oralhealth.cochrane.org\/news\/mercury-free-restoration-materials-summary-evidence<\/a><\/p>\n<p><strong>Santos MJMC in sod. (2025). Clinical longevity of complex direct posterior resin composite and amalgam restorations: a systematic review and meta-analysis. Oper Dent.<\/strong> Pri obse\u017enih ve\u010dploskovnih zalivkah ni bilo statisti\u010dno zna\u010dilne razlike v stopnji neuspeha med kompozitom in amalgamom. Najpogostej\u0161a razloga za neuspeh kompozitnih zalivk sta bila sekundarni karies ter zlom zalivke ali zoba. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40458903\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/40458903\/<\/a><\/p>\n<p><strong>Tennert C in sod. (2024). Longevity of posterior direct versus indirect composite restorations: a systematic review and meta-analysis. Dent Mater.<\/strong> Pet randomiziranih raziskav in 627 nadomestkov. Letna stopnja neuspeha je bila 0 % do 5,4 % pri neposrednih in 0 % do 15,5 % pri posrednih kompozitnih nadomestkih, s statisti\u010dno zna\u010dilno ni\u017ejo stopnjo neuspeha neposrednih zalivk. Raven dokazov je zelo nizka. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39122602\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/39122602\/<\/a><\/p>\n<p><strong>Huang X in sod. (2025). The clinical performance of high-viscosity glass ionomer-based and bulk-fill resin-based restorations in permanent teeth with occlusal or proximal cavities: a systematic review and meta-analysis. Clin Oral Investig.<\/strong> Primerjava visokoviskoznih steklenoionomernih in bulk-fill kompozitnih zalivk v okluzalnih in aproksimalnih kavitetah stalnih zob. <a href=\"https:\/\/doi.org\/10.1007\/s00784-024-05371-3\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1007\/s00784-024-05371-3<\/a><\/p>\n<h3>Dejavniki, ki vplivajo na trajnost zalivk<\/h3>\n<p><strong>Santos MJMC in sod. (2024). Multifactorial contributors to the longevity of dental restorations: an integrated review of related factors. Dent J 12(9):291.<\/strong> Pregled dejavnikov, povezanih z zobom, pacientom in zobozdravnikom, ki vplivajo na \u017eivljenjsko dobo neposrednih zalivk. Navaja, da je pribli\u017eno polovica vseh zalivk v splo\u0161ni praksi pravzaprav zamenjava obstoje\u010dih, okvarjenih zalivk. <a href=\"https:\/\/doi.org\/10.3390\/dj12090291\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.3390\/dj12090291<\/a><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><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>\n","protected":false},"excerpt":{"rendered":"<p>Danes \u0161e vedno obstajajo \u0161tevilne zobozdravstvene ordinacije, ki uporabljajo amalgamske ali \u201e\u010drne\u201c zalivke. Neko\u010d so bile zelo raz\u0161irjene. Zaradi tega imajo mnogi ljudje \u0161e danes \u201e\u010drne\u201c zobe, v primeru amalgamskih zalivk na sprednjih zobeh pa sivkast odtenek nasmeha. To estetsko te\u017eavo je danes zelo enostavno re\u0161iti z zamenjavo starih, \u010drnih zalivk s sodobnimi, belimi zalivkami.   <\/p>\n","protected":false},"author":15,"featured_media":9144,"parent":20880,"menu_order":7,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-20902","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>Zalivke in popravilo zob - Stomatolo\u0161ka poliklinika Apolonija<\/title>\n<meta name=\"description\" content=\"Bele kompozitne zalivke ter kerami\u010dni inlayi, onlayi in overlayi, izdelani s tehnologijo CAD\/CAM v enem obisku. 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