{"id":29999,"date":"2018-01-15T21:02:18","date_gmt":"2018-01-15T20:02:18","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=29999"},"modified":"2018-01-15T21:02:18","modified_gmt":"2018-01-15T20:02:18","slug":"mohou-mit-tehotne-zubni-plomby-z-amalgamu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=29999","title":{"rendered":"Mohou m\u00edt t\u011bhotn\u00e9 zubn\u00ed plomby z amalg\u00e1mu?"},"content":{"rendered":"<p><strong>OT\u00c1ZKA : Domn\u00edvala jsem se, \u017ee se zubn\u00ed plomby u t\u011bhotn\u00fdch u\u017e nesm\u00ed d\u011blat z amalg\u00e1mu. M\u016fj zuba\u0159 mi ale amalg\u00e1movou doporu\u010dil. Jak to tedy je?<\/strong><!--more--><\/p>\n<p><strong>ODPOV\u011a\u010e:<\/strong><\/p>\n<p>Zubn\u00ed amalg\u00e1m nesm\u00ed b\u00fdt podle Na\u0159\u00edzen\u00ed Evropsk\u00e9ho parlamentu a Rady pou\u017e\u00edv\u00e1n p\u0159i stomatologick\u00e9m o\u0161et\u0159en\u00ed ml\u00e9\u010dn\u00fdch zub\u016f, u d\u011bt\u00ed do 15 let a u t\u011bhotn\u00fdch a koj\u00edc\u00edch \u017een, a to od 1. \u010dervence 2018, s v\u00fdjimkou p\u0159\u00edpad\u016f, kdy to zubn\u00ed l\u00e9ka\u0159 pova\u017euje za naprosto nezbytn\u00e9 z d\u016fvodu specifick\u00fdch zdravotn\u00edch pot\u0159eb dot\u010den\u00e9ho pacienta.<\/p>\n<p>Na\u0159\u00edzen\u00ed se musela p\u0159izp\u016fsobit i na\u0161e legislativa v\u010detn\u011b z\u00e1kona o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed. Dosud toti\u017e poji\u0161\u0165ovna v souladu se z\u00e1konem hradila (a nad\u00e1le hrad\u00ed) poji\u0161t\u011bnc\u016fm v\u00fdpln\u011b st\u00e1l\u00fdch a do\u010dasn\u00fdch zub\u016f z ned\u00f3zovan\u00e9ho amalg\u00e1mu v rozsahu cel\u00e9ho chrupu. D\u00e1le hrad\u00ed v rozsahu \u0161pi\u010d\u00e1k\u016f v\u010detn\u011b v\u00fdpln\u011b ze samopolymeruj\u00edc\u00edho kompozita, do 18 let v\u011bku i fotokompozitn\u00ed v\u00fdpln\u011b na st\u00e1l\u00fdch zubech v rozsahu \u0161pi\u010d\u00e1k\u016f v\u010detn\u011b. Jin\u00e9 typy v\u00fdpln\u011b nebo uvedenou v\u00fdpl\u0148 v jin\u00e9 lokalizaci si pacient hrad\u00ed v pln\u00e9 v\u00fd\u0161i s\u00e1m.<\/p>\n<p>V souvislosti se z\u00e1kazem pou\u017e\u00edv\u00e1n\u00ed amalg\u00e1mu u d\u011bt\u00ed, t\u011bhotn\u00fdch a koj\u00edc\u00edch \u017een musel b\u00fdt do \u00fahrad z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed za\u0159azen jin\u00fd materi\u00e1l pro zubn\u00ed v\u00fdpln\u011b u t\u011bchto skupin osob, aby i pro n\u011b st\u00e1le existovala alespo\u0148 jedna varianta o\u0161et\u0159en\u00ed zubn\u00edho kazu pln\u011b hrazen\u00e1 poji\u0161\u0165ovnou. Proto jsou (s \u00fa\u010dinnost\u00ed ji\u017e od 1. 1. 2018) v p\u0159\u00edloze \u010d. 1 z\u00e1kona o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed provedeny zm\u011bny u \u00fahrad v\u00fdpln\u00ed st\u00e1l\u00fdch a do\u010dasn\u00fdch zub\u016f \u2013 m\u00edsto ned\u00f3zovan\u00e9ho amalg\u00e1mu poji\u0161\u0165ovna hrad\u00ed p\u0159i o\u0161et\u0159en\u00ed do\u010dasn\u00fdch zub\u016f, u d\u011bt\u00ed do 15 let a u t\u011bhotn\u00fdch a koj\u00edc\u00edch \u017een skloionomern\u00ed cement; nen\u00ed-li pou\u017eit\u00ed skloionomern\u00edho cementu mo\u017en\u00e9 z hlediska zdravotn\u00edho stavu poji\u0161t\u011bnce, je hrazena v\u00fdpl\u0148 z d\u00f3zovan\u00e9ho amalg\u00e1mu. U \u00fahrady o\u0161et\u0159en\u00ed front\u00e1ln\u00edho \u00faseku chrupu do \u0161pi\u010d\u00e1k\u016f v\u010detn\u011b se nic nem\u011bn\u00ed.<\/p>\n<p>L\u00e9ka\u0159 tedy m\u016f\u017ee t\u011bhotn\u00e9 \u017een\u011b nab\u00eddnout plombu z amalg\u00e1mu (po 1. \u010dervenci 2018 ji v\u0161ak podle evropsk\u00e9ho Na\u0159\u00edzen\u00ed sm\u00ed pou\u017e\u00edt u\u017e jen v naprosto nezbytn\u00fdch p\u0159\u00edpadech \u2013 viz v\u00fd\u0161e). Z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed m\u016f\u017ee b\u00fdt od 1. 1. 2018 uhrazena p\u0159i pou\u017eit\u00ed d\u00f3zovan\u00e9ho amalg\u00e1mu a pouze ze zdravotn\u00ed indikace, kterou by l\u00e9ka\u0159 musel zd\u016fvodnit.<\/p>\n<p>Materi\u00e1l\u016f, jimi\u017e je mo\u017eno o\u0161et\u0159it zubn\u00ed kaz, je tedy v\u00edce. Z\u00e1le\u017e\u00ed na tom, co pacientovi l\u00e9ka\u0159 doporu\u010d\u00ed a co si pacient vybere, t\u0159eba i s ohledem na cenu. P\u0159ipom\u00edn\u00e1me, \u017ee l\u00e9ka\u0159, kter\u00fd m\u00e1 smlouvu s pacientovou poji\u0161\u0165ovnou, je povinen v\u017edy mu nab\u00eddnout o\u0161et\u0159en\u00ed, kter\u00e9 je hrazeno z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/p>\n<p>Dal\u0161\u00ed omezen\u00ed amalg\u00e1mu ve stomatologii m\u00e1 n\u00e1sledovat od 1. 1. 2019 \u2013 bude mo\u017eno pou\u017e\u00edvat u\u017e jen d\u00f3zovan\u00fd amalg\u00e1m. I tomu se bude muset \u010desk\u00e1 legislativa p\u0159izp\u016fsobit.<\/p>\n<p>Mgr. Old\u0159ich Tich\u00fd vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>OT\u00c1ZKA : Domn\u00edvala jsem se, \u017ee se zubn\u00ed plomby u t\u011bhotn\u00fdch u\u017e nesm\u00ed d\u011blat z amalg\u00e1mu. M\u016fj zuba\u0159 mi ale amalg\u00e1movou doporu\u010dil. Jak to tedy <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=29999\" title=\"Mohou m\u00edt t\u011bhotn\u00e9 zubn\u00ed plomby z amalg\u00e1mu?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29616,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-29999","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29999","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=29999"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29999\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29616"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29999"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29999"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29999"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}