{"id":17234,"date":"2024-05-16T12:01:56","date_gmt":"2024-05-16T10:01:56","guid":{"rendered":"https:\/\/clinicapadros.com\/?p=17234"},"modified":"2024-05-17T14:59:08","modified_gmt":"2024-05-17T12:59:08","slug":"prevencio-diagnostic-i-tractament-de-caries","status":"publish","type":"post","link":"https:\/\/clinicapadros.com\/ca\/noticies\/prevencio-diagnostic-i-tractament-de-caries\/","title":{"rendered":"Prevenci\u00f3, diagn\u00f2stic i tractament de c\u00e0ries"},"content":{"rendered":"\n

Prevenci\u00f3, diagn\u00f2stic i tractament de c\u00e0ries<\/h1>\n\n\n\n

Tens c\u00e0ries dentals o tend\u00e8ncia a tenir-les?<\/h2>\n\n\n\n

Podem solucionar-ho<\/h3>\n\n\n\n

La c\u00e0ries dental \u00e9s una lesi\u00f3 que apareix a les dents com a conseq\u00fc\u00e8ncia dels \u00e0cids alliberats pels bacteris presents a la boca. Aquests bacteris s’alimenten de sucres, i alliberen \u00e0cids que dissolen les estructures dentals, generant destruccions importants en les dents. At\u00e8s que les dents no tenen capacitat de regenerar-se com passa amb altres teixits de el cos, cada petit avan\u00e7 d’aquestes lesions ja no t\u00e9 marxa enrere.<\/p>\n\n\n\n

Per aix\u00f2 \u00e9s tan important que seguim un bon pla de prevenci\u00f3 i de control de la nostra dentadura.<\/p>\n\n\n\n

En primer lloc conv\u00e9 que seguim uns bons h\u00e0bits d’higiene oral. Cal rentar-se les dents 3 vegades a el dia i esbandir amb col\u00b7lutoris desinfectants i remineralitzants. Aix\u00f2 redueix molt la quantitat de bacteris en la nostra boca i refor\u00e7a l’esmalt dental, de manera que, si fem un bon manteniment, \u00e9s molt dif\u00edcil que apareguin noves lesions de c\u00e0ries.<\/p>\n\n\n\n

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Tamb\u00e9 \u00e9s essencial que realitzem les revisions peri\u00f2diques a la cl\u00ednica dental. En aquestes revisions repassarem com s’est\u00e0 realitzant el manteniment, netejarem les dents, els remineralitzarem i ens assegurarem que no hagin aparegut c\u00e0ries noves.<\/p>\n\n\n\n

Els sistemes de diagn\u00f2stic de c\u00e0ries per l\u00e0ser de fluoresc\u00e8ncia Diagnodent<\/a>\u00ae i els sistemes de Radiovisiografia<\/a> digital ens permeten detectar lesions incipients i amagades. Aix\u00ed, podem tractar-les de forma molt c\u00f2moda i m\u00e9s econ\u00f2mica que si esperem a que les lesions siguin grans. El tractament d’una c\u00e0ries inicial pot dur-se a terme en pocs minuts, sense necessitat d’anest\u00e8sia, sense cap mol\u00e8stia i, sobretot, deixant molta proporci\u00f3 de dent sana. Per aix\u00f2, aquestes obturacions duren molt m\u00e9s temps, i son m\u00e9s segures i econ\u00f2miques que si esperem a que la c\u00e0ries creixi i ens veiem obligats a dur a terme una gran reconstrucci\u00f3.<\/p>\n\n\n\n

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Les petites lesions de c\u00e0ries tamb\u00e9 poden eliminar-se amb microabrasi\u00f3<\/a>, de manera que el tractament encara \u00e9s m\u00e9s c\u00f2mode.<\/p>\n\n\n\n

Alguns dels aven\u00e7os de major import\u00e0ncia que s\u2019han divulgat en odontologia en els \u00faltims anys s\u2019han produ\u00eft a l\u2019\u00e0rea espec\u00edfica dels empastaments dentals i de l\u2019adhesi\u00f3 per evitar la c\u00e0ries<\/strong>. Aix\u00f2 ens ha perm\u00e8s realitzar tractaments d\u2019odontologia conservadora m\u00e9s est\u00e8tics, m\u00e9s duradors i molt menys invasius.<\/p>\n\n\n\n

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Hem millorat en el tractament:<\/h2>\n\n\n\n

 Els procediments de diagn\u00f2stic (microscopi<\/a> digital, transil\u00b7luminaci\u00f3, diagnodent<\/a>, etc.)
 Les t\u00e8cniques d\u2019anest\u00e8sia, (ara gaireb\u00e9 imperceptibles, anest\u00e8sia electr\u00f2nica, anest\u00e8sia t\u00f2pica, etc.)
 Els sistemes d\u2019a\u00efllament de les dents amb els nous dics de goma de nitril (m\u00e9s el\u00e0stics, ia m\u00e9s aptes per a al\u00b7l\u00e8rgics al l\u00e0tex)
 Els sistemes d\u2019eliminaci\u00f3 i de preparaci\u00f3 (veure per exemple els apartats de l\u00e0ser<\/a>, microabrasi\u00f3<\/a>, ozonoter\u00e0pia<\/a>, camsight<\/a> i carisolv<\/a>)
 Els sistemes d\u2019adhesi\u00f3 d\u2019\u00faltima generaci\u00f3. Aquest pas ha estat i \u00e9s tan important que justifica que h\u00e0gim publicat un llibre sencer que tracta sobre adhesi\u00f3
 Tamb\u00e9 escollim la combinaci\u00f3 dels m\u00e9s avan\u00e7ats materials restauradors que hi ha per aconseguir resultats encara millors, com els composites el\u00e0stics d\u2019interfase, els composites h\u00edbrids de quars en les capes interm\u00e8dies o els composites de nanopart\u00edcules fluorescents i altament pulibles per a la zona externa.<\/p>\n\n\n\n

Reempla\u00e7ament d’un empastament dental defectu\u00f3s per un nou estratificat de llarga durada. La reconstrucci\u00f3 resulta gaireb\u00e9 imperceptible.<\/p>\n\n\n\n

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Abans<\/h3>\n\n\n\n
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Despr\u00e9s<\/h3>\n\n\n\n

Hi ha moltes formes de reconstruir una dent afectat amb. Diferents t\u00e8cniques, combinaci\u00f3 de materials i procediments. La nostra filosofia de treball consisteix a disposar de totes les possibilitats i coneixements necessaris per poder oferir el millor procediment aplicat en cada cas. Per aix\u00f2 els nostres empastaments dentals i reconstruccions dentals s\u00f3n m\u00e9s est\u00e8tics, duradors i amb menor risc de produir sensibilitat dental que la majoria de empastaments realitzats amb les t\u00e8cniques convencionals i especialment que els duts a terme en centres low cost, m\u00fatues i franqu\u00edcies<\/em>.<\/p>\n\n\n\n

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Substituci\u00f3 d’un empastament filtrat, (realitzat en una coneguda franqu\u00edcia un any abans) per una reconstrucci\u00f3 multicapes de llarga durada a Cl\u00ednica Dental Padr\u00f3s<\/p>\n\n\n\n

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Empastament realitzat en l’any 1997<\/h2>\n\n\n\n

a Cl\u00ednica Dental Padr\u00f3s (Aquest \u00e9s un cas del Dr. Jos\u00e9 Luis Padr\u00f3s)<\/p>\n\n\n\n

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Empastament 18 anys m\u00e9s tard…<\/h2>\n\n\n\n

El mateix empastament fotografiat 18 anys m\u00e9s tard. L’excel\u00b7lent resultat a llarg termini es deu a l’aplicaci\u00f3 acurada de t\u00e8cniques i materials adequats.<\/p>\n\n\n\n

Preguntes habituals sobre la c\u00e0ries i l\u2019empastament:<\/h2>\n\n\n\n

Qu\u00e8 \u00e9s la c\u00e0ries?<\/h3>\n\n\n\n

Es produeix quan l\u2019esmalt i la dentina d\u2019una dent s\u00f3n atacats per l\u2019\u00e0cid despr\u00e9s d\u2019haver menjat qualsevol cosa que contingui sucre. Amb el temps, l\u2019\u00e0cid fa una cavitat (buit) en la dent.<\/p>\n\n\n\n

Quina \u00e9s la causa?<\/h3>\n\n\n\n

\u00c9s causada pels \u00e0cids a la boca que dissolen gradualment l\u2019esmalt i la dentina de la dent. La c\u00e0ries provoca danys en les teves dents.<\/p>\n\n\n\n

Qu\u00e8 \u00e9s l\u2019esmalt dental?<\/h3>\n\n\n\n

L\u2019esmalt \u00e9s la capa externa, protectora de la dent, i \u00e9s la part m\u00e9s dura de la dent. No cont\u00e9 cap nervi o vas sanguini i no \u00e9s sensible al dolor.<\/p>\n\n\n\n

Qu\u00e8 \u00e9s la dentina?<\/h3>\n\n\n\n

La dentina es troba sota de l\u2019esmalt i pot ser molt sensible al dolor. La dentina cobreix el \u2018polpa\u2019 central de la dent.<\/p>\n\n\n\n

Qu\u00e8 \u00e9s la polpa?<\/h3>\n\n\n\n

La polpa \u00e9s un teixit tou que cont\u00e9 vasos sanguinis i nervis i est\u00e0 al mig de la dent.<\/p>\n\n\n\n

Qu\u00e8 \u00e9s la placa dental?<\/h3>\n\n\n\n

La placa \u00e9s una pel\u00b7l\u00edcula prima i enganxosa que es forma a les dents. Cont\u00e9 molts tipus de bacteris.<\/p>\n\n\n\n

Per qu\u00e8 es produeix o apareix?<\/h3>\n\n\n\n

La c\u00e0ries en les dents apareix quan els sucres dels aliments i begudes reaccionen amb els bacteris de la placa, formant \u00e0cids. Cada vegada que menges o beus una cosa que cont\u00e9 sucres, aquests \u00e0cids ataquen les dents i comencen a estovar i dissoldre l\u2019esmalt.
Els atacs poden durar fins a una hora despr\u00e9s de menjar o beure, abans que les sals naturals en la teva saliva fan que l\u2019esmalt es remineralice i s\u2019endureixi de nou. No nom\u00e9s els sucres s\u00f3n perjudicials: altres tipus d\u2019aliments i begudes riques en carbohidrats reaccionen amb la placa i formen \u00e0cid. (Aquests s\u00f3n els hidrats de carboni fermentables: per exemple, sucres ocults, sucres naturals com els de les fruites i midons cuits.) Comprova sempre els ingredients. En general, qualsevol cosa amb \u201c\u00f3ssa\u201d en el nom \u00e9s un sucre, per exemple: sacarosa, maltosa i aix\u00ed successivament.<\/p>\n\n\n\n

Prendre aperitius i begudes ensucrades o \u00e0cides entre els menjars pot augmentar el risc, a causa de que les teves dents s\u00f3n objecte d\u2019atacs constants i no tenen temps per recuperar-se.<\/p>\n\n\n\n

Moltes vegades es creu que aquest tipus de problemes nom\u00e9s apareix en els nadons o nens a causa dels bacteris provocades pels sucres de les llaminadures o al poc cura de la seva salut oral o bucal. La veritat \u00e9s que tamb\u00e9 apareixen en adults.<\/p>\n\n\n\n

Quins s\u00f3n els s\u00edmptomes de la c\u00e0ries?<\/h3>\n\n\n\n

En les primeres etapes no hi ha s\u00edmptomes, per\u00f2 el teu dentista pot ser capa\u00e7 de detectar una cavitat en les seves primeres etapes o durant un examen de raigs X a les dents. Per aquesta ra\u00f3, has de visitar el teu dentista de manera regular, les petites cavitats s\u00f3n molt m\u00e9s f\u00e0cils de tractar que la descomposici\u00f3 avan\u00e7ada.<\/p>\n\n\n\n

Qu\u00e8 passa si tinc una cavitat?<\/h3>\n\n\n\n

Una vegada que la cavitat ha assolit la dentina, el teu dent pot arribar a ser molt sensible, sobretot quan es prenen aliments i begudes dolces, i aliments \u00e0cids o calents.
A mesura que la c\u00e0ries s\u2019acosta a la polpa pots patir mal de queixal. Si el mal de queixal \u00e9s causat pels aliments calents o dol\u00e7os aix\u00f2 pot durar nom\u00e9s uns segons. Quan la c\u00e0ries ja ha arribat a la polpa, el dolor pot durar m\u00e9s temps i \u00e9s molt probable que hagis de prendre analg\u00e8sics (paracetamol o ibuprof\u00e8n) per controlar el dolor. Quan aix\u00f2 passi, has de visitar el teu dentista de seguida, ja que significa que la dent s\u2019est\u00e0 morint i pot desenvolupar-se un absc\u00e9s dental si no \u00e9s tractat.<\/p>\n\n\n\n

Qu\u00e8 passa si no reps tractament a temps?<\/h3>\n\n\n\n

El mal de queixal \u00e9s un senyal que has de visitar el teu dentista immediatament, ja que \u00e9s una advert\u00e8ncia que alguna cosa est\u00e0 malament. Si no fas res al respecte, la qual cosa sol empitjorar les coses, pots perdre una dent que d\u2019altra manera podria haver estat salvat.<\/p>\n\n\n\n

Quines \u00e0rees de les dents s\u00f3n m\u00e9s propenses a les c\u00e0ries?<\/h3>\n\n\n\n

La superf\u00edcie de masticaci\u00f3 de les dents i les superf\u00edcies entre les dents s\u00f3n les m\u00e9s propenses a la c\u00e0ries, ja que les restes de menjar i la placa es poden encallar en aquestes \u00e0rees. No obstant aix\u00f2, qualsevol part de la dent pot estar en risc.<\/p>\n\n\n\n

Quin tractament necessitar\u00e9?<\/h3>\n\n\n\n

Si la c\u00e0ries no \u00e9s massa greu, el doctor, la eliminar\u00e0 tota i reparar\u00e0 la dent amb un empastament. A vegades, el nervi al centre de la dent pot quedar malm\u00e8s. Si \u00e9s aix\u00ed, haur\u00e0 de portar a terme un proc\u00e9s de conducte radicular mitjan\u00e7ant l\u2019eliminaci\u00f3 del nervi i despr\u00e9s reparar\u00e0 la dent amb un empastament o una corona. Si la dent est\u00e0 tan malament que no es pot reparar, el dentista pot haver d\u2019extreure la dent.<\/p>\n\n\n\n

Sempre \u00e9s necessari un empastament?<\/h3>\n\n\n\n

No. En les primeres etapes de c\u00e0ries, el teu equip dental pot aplicar un vern\u00eds de fluor a la zona. Aix\u00f2 pot ajudar a aturar la c\u00e0ries alhora que ajuda a remineralitzar la dent. No obstant aix\u00f2, \u00e9s important seguir la rutina de neteja dental que el teu odont\u00f2leg et suggereixi, usant una pasta amb fluor per evitar que la c\u00e0ries aparegui de nou i aconseguir una correcta higiene bucal.<\/p>\n\n\n\n

Hi ha res que pugui fer per protegir les dents contra la c\u00e0ries?<\/h3>\n\n\n\n

El segellador \u00e9s un recobriment de pl\u00e0stic que omple totes les petites esquerdes a la superf\u00edcie de la dent, creant una superf\u00edcie plana que \u00e9s m\u00e9s f\u00e0cil de netejar. Els adults tamb\u00e9 poden sotmetre a aquest procediment, tot i que les dents estiguin lliures de c\u00e0ries. El teu dentista t\u2019informar\u00e0 de si aix\u00f2 \u00e9s adequat per a tu. Els nens tamb\u00e9 poden aplicar-se un vern\u00eds de fluorur sobre les seves dents dues vegades a l\u2019any, el que ajudar\u00e0 a reduir les possibilitats d\u2019agafar c\u00e0ries.<\/p>\n\n\n\n

Qu\u00e8 puc fer per prevenir les c\u00e0ries?<\/h3>\n\n\n\n

La millor manera de prevenir la c\u00e0ries dental \u00e9s raspallant les dents a fons a \u00faltima hora de la nit i almenys en un altre moment durant el dia, amb una pasta dental amb fluorur. Assegura\u2019t rentar-les superf\u00edcies interiors, exteriors i de masticaci\u00f3 de les dents. L\u2019\u00fas de raspalls interdentals, o la seda dental, tamb\u00e9 t\u2019ajudar\u00e0 a eliminar la placa i el menjar d\u2019entre les dents i on es troben les genives. Aquestes s\u00f3n les \u00e0rees on \u00e9s com\u00fa que el raspall de dents no arriba a assolir. Recorda que mantenir una bona salut oral \u00e9s molt important per ajudar a prevenir c\u00e0ries i qualsevol altre tipus de problemes.<\/p>\n\n\n\n

Hi ha alguna cosa m\u00e9s que pugui fer?<\/h3>\n\n\n\n

Visita al teu dentista 2 cops l\u2019any com a m\u00ednim o amb la freq\u00fc\u00e8ncia que ells et recomanin.
Prendre menjar i begudes ensucrades i \u00e0cides amb menys freq\u00fc\u00e8ncia.
Evitar menjar aperitius entre \u00e0pats, per limitar el nombre de vegades que les teves dents estan sota l\u2019atac de l\u2019\u00e0cid.
Mastegar xiclets sense sucre un m\u00e0xim de vint minuts despr\u00e9s d\u2019un menjar pot ajudar a que la teva boca produeixi m\u00e9s quantitat de saliva, aquesta ajuda a neutralitzar els \u00e0cids que s\u2019han format.<\/p>\n\n\n\n

Com pot el dentista ajudar a prevenir la c\u00e0ries?<\/h3>\n\n\n\n

El teu dentista et mostrar\u00e0 quines s\u00f3n les \u00e0rees en qu\u00e8 cal prendre major cura en la neteja bucal. Tamb\u00e9 et mostrar\u00e0 com raspallar-te correctament i netejar entre les dents amb raspalls interdentals o fil dental per millorar la teva salut oral o bucal.<\/p>\n","protected":false},"excerpt":{"rendered":"

Prevenci\u00f3, diagn\u00f2stic i tractament de c\u00e0ries Tens c\u00e0ries dentals o tend\u00e8ncia a tenir-les? Podem solucionar-ho La c\u00e0ries dental \u00e9s una lesi\u00f3 que apareix a les dents com a conseq\u00fc\u00e8ncia dels \u00e0cids alliberats pels bacteris presents a la boca. Aquests bacteris s’alimenten de sucres, i alliberen \u00e0cids que dissolen les estructures dentals, generant destruccions importants en … Read more<\/a><\/p>\n","protected":false},"author":7,"featured_media":8056,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-17234","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticies"],"yoast_head":"\nPrevenci\u00f3, diagn\u00f2stic i tractament de c\u00e0ries - Cl\u00ednica Dental Padr\u00f3s<\/title>\n<meta name=\"description\" content=\"Prevenci\u00f3 i diagn\u00f2stic de c\u00e0ries a Cl\u00ednica Padr\u00f3s: Tecnologies avan\u00e7ades per detectar i prevenir la c\u00e0ries dental.\" \/>\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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