{"id":2064,"date":"2016-07-01T10:00:09","date_gmt":"2016-07-01T08:00:09","guid":{"rendered":"http:\/\/www.clinicalopezgimenez.com\/?p=2064\/"},"modified":"2017-02-25T20:39:41","modified_gmt":"2017-02-25T19:39:41","slug":"consideracions-i-maneig-del-pacient-oncologic","status":"publish","type":"post","link":"https:\/\/www.clinicalopezgimenez.com\/ca\/consideracions-i-maneig-del-pacient-oncologic\/","title":{"rendered":"Consideracions i maneig del pacient oncol\u00f2gic"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:left top;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:40px;--awb-padding-bottom:0px;--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_3_5 3_5 fusion-three-fifth fusion-column-first\" style=\"--awb-padding-top:0px;--awb-padding-right:40px;--awb-padding-bottom:0px;--awb-padding-left:40px;--awb-bg-color:#ffffff;--awb-bg-color-hover:#ffffff;--awb-bg-size:cover;--awb-border-color:#dddddd;--awb-border-style:solid;width:58.4%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-1\"><p>El pacient que acudeix a la consulta i refereix que pateix o ha patit un trastorn neopl\u00e0sic, es converteix per a nosaltres en un pacient especial.<\/p>\n<p><strong>El tractament tant de quimioter\u00e0pia com radioter\u00e0pia afecta la cavitat oral<\/strong>, per la qual cosa cal seguir certes recomanacions.<\/p>\n<p><strong>A la primera visita<\/strong>, ja sigui abans, durant o despr\u00e9s del tractament, <strong>es necessita<\/strong>:<\/p>\n<\/div><ul style=\"--awb-size:17px;--awb-line-height:28.9px;--awb-icon-width:28.9px;--awb-icon-height:28.9px;--awb-icon-margin:11.9px;--awb-content-margin:40.8px;--awb-circlecolor:#6587b8;--awb-circle-yes-font-size:14.96px;\" class=\"fusion-checklist fusion-checklist-1 fusion-checklist-default type-icons\"><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Hist\u00f2ria cl\u00ednica<\/strong>.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Exploraci\u00f3 oral<\/strong>.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Radiografies periapicals<\/strong>, d&#8217;aleta de mossegada i panor\u00e0mica.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">Tamb\u00e9, en segons quins casos, s&#8217;hauria de demanar una <strong>anal\u00edtica<\/strong>.<\/div><\/li><\/ul><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_2_5 2_5 fusion-two-fifth fusion-column-last\" style=\"--awb-padding-top:0px;--awb-padding-right:30px;--awb-padding-bottom:0px;--awb-padding-left:30px;--awb-bg-color:#ffffff;--awb-bg-color-hover:#ffffff;--awb-bg-size:cover;--awb-border-color:#dddddd;--awb-border-top:0px;--awb-border-right:0px;--awb-border-bottom:0px;--awb-border-left:0px;--awb-border-style:solid;width:37.6%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-2\"><p><img decoding=\"async\" src=\"http:\/\/www.clinicalopezgimenez.com\/wp-content\/uploads\/2017\/01\/paciente-en-el-dentista.jpg\" alt=\"Paciente en el dentista\" width=\"500\" height=\"350\" class=\"alignnone size-full wp-image-1509\" srcset=\"https:\/\/www.clinicalopezgimenez.com\/wp-content\/uploads\/2017\/01\/paciente-en-el-dentista-200x140.jpg 200w, https:\/\/www.clinicalopezgimenez.com\/wp-content\/uploads\/2017\/01\/paciente-en-el-dentista-300x210.jpg 300w, https:\/\/www.clinicalopezgimenez.com\/wp-content\/uploads\/2017\/01\/paciente-en-el-dentista-400x280.jpg 400w, https:\/\/www.clinicalopezgimenez.com\/wp-content\/uploads\/2017\/01\/paciente-en-el-dentista.jpg 500w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:left top;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:0px;--awb-padding-bottom:10px;--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-padding-top:0px;--awb-padding-right:40px;--awb-padding-bottom:0px;--awb-padding-left:40px;--awb-bg-color:#ffffff;--awb-bg-color-hover:#ffffff;--awb-bg-size:cover;--awb-border-color:#dddddd;--awb-border-style:solid;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:-10px;width:100%;max-width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-3\"><h3><span style=\"color: #00609d;\">PAUTES A SEGUIR ABANS, DURANT I DESPR\u00c9S DEL TRACTAMENT<\/span><\/h3>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;width:100%;max-width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-4\"><p><span style=\"color: #00609d;\"><strong>1) <u>ABANS DEL TRACTAMENT ONCOL\u00d2GIC<\/u>:<\/strong><\/span><\/p>\n<p><strong>Tot el tractament dental hauria de completar-se abans que la quimioter\u00e0pia s&#8217;inici\u00ef, per minimitzar aix\u00ed les complicacions en el pacient<\/strong>.<\/p>\n<p>S&#8217;haur\u00e0 de procedir de la mateixa manera en el cas dels pacients que seran tractats amb bisfosfonats o radioter\u00e0pia a causa del risc d&#8217;osteonecrosi.<\/p>\n<p>Si totes les necessitats dentals no poden tractar-se abans de l&#8217;inici de la quimioter\u00e0pia, les prioritats han de ser: infeccions, extraccions, tractament periodontal b\u00e0sic, eliminaci\u00f3 de factors d&#8217;irritaci\u00f3 tissular, endod\u00f2ncia de peces permanents i reempla\u00e7ament d&#8217;obturacions defectuoses.<\/p>\n<p><strong>\u00c9s molt important educar el pacient ressaltant la import\u00e0ncia d&#8217;una cura oral \u00f2ptima per a minimitzar els problemes bucodentals abans, durant i despr\u00e9s de la quimioter\u00e0pia<\/strong>.<\/p>\n<p><span style=\"color: #00609d;\"><strong>2) <u>DURANT EL TRACTAMENT ONCOL\u00d2GIC<\/u>:<\/strong><\/span><\/p>\n<p>En aquests moments <strong>el tractament anir\u00e0 encaminat a solucionar els efectes secundaris de la quimioter\u00e0pia, radioter\u00e0pia o bifosfonats<\/strong>:<\/p>\n<\/div><ul style=\"--awb-size:17px;--awb-line-height:28.9px;--awb-icon-width:28.9px;--awb-icon-height:28.9px;--awb-icon-margin:11.9px;--awb-content-margin:40.8px;--awb-circlecolor:#6587b8;--awb-circle-yes-font-size:14.96px;\" class=\"fusion-checklist fusion-checklist-2 fusion-checklist-default type-icons\"><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Mantenir una bona higiene oral<\/strong> per reduir el risc de complicacions.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>No fumar<\/strong>.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Aplicaci\u00f3 de fluor i col\u00b7lutoris antis\u00e8ptics<\/strong>.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">Portar una <strong>dieta no cariog\u00e8nica i poc irritant<\/strong>.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Si el pacient porta dentadura postissa, ha d&#8217;evitar el seu \u00fas continuat<\/strong>, ja que pot danyar m\u00e9s la mucosa.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Tractament de les mucositis<\/strong>, , inflamaci\u00f3 de la mucosa oral que apareix als 4-7 dies en forma de lesions eritematoses que causen cert dolor i evolucionen a \u00falceres o aftes i duren 14-21 dies. Com a mesures generals:<br \/>\n<strong>\u00b7<\/strong> Evitar productes que continguin alcohol, glicerina o llimona, dent\u00edfrics d&#8217;acci\u00f3 abrasiva.<br \/>\n<strong>\u00b7<\/strong> Es recomana dieta tova, incrementar l&#8217;aportaci\u00f3 de l\u00edquids freds i nutritius i abstenir-se de irritants com l&#8217;alcohol i tabac.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Tractar la xerostomia (disminuci\u00f3 de la quantitat de saliva)<\/strong>. S&#8217;apliquen solucions mineralitzants, antis\u00e8ptics que no continguin alcohol, aliments que estimulin la salivaci\u00f3 i ingesta d&#8217;abundant l\u00edquid.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Tractar les infeccions que puguin apar\u00e8ixer<\/strong> (mic\u00f2tiques, virals o bacterianes) ja que es pot fer cr\u00f2nic depenent de la immunodepressi\u00f3.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Tractament de la disg\u00e8usia (alteraci\u00f3 en el sentit del gust)<\/strong>.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Evitar exod\u00f2ncies i endod\u00f2ncies<\/strong>.<\/div><\/li><\/ul><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;width:100%;max-width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-5\"><p><span style=\"color: #00609d;\"><strong>3) <u>DESPR\u00c9S DEL TRACTAMENT ONCOL\u00d2GIC<\/u>:<\/strong><\/span><\/p>\n<p><strong>Les complicacions que poden apar\u00e8ixer s\u00f3n les mateixes que durant el tractament oncol\u00f2gic, per la qual cosa el tractament anir\u00e0 encaminat a<\/strong>:<\/p>\n<\/div><ul style=\"--awb-size:17px;--awb-line-height:28.9px;--awb-icon-width:28.9px;--awb-icon-height:28.9px;--awb-icon-margin:11.9px;--awb-content-margin:40.8px;--awb-circlecolor:#6587b8;--awb-circle-yes-font-size:14.96px;\" class=\"fusion-checklist fusion-checklist-3 fusion-checklist-default type-icons\"><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Higiene oral exhaustiva i fluor<\/strong>, durant un any com a m\u00ednim, per part del pacient.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Realitzar tartrectomies (neteges) sempre que sigui necessari<\/strong>.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Evitar pr\u00f2tesis mal adaptades<\/strong>.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Aines i\/o corticoides en cas d&#8217;inflamacions i\/o dolor<\/strong>.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Solucionar la xerostomia<\/strong>.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Tractar les c\u00e0ries existents<\/strong>.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Segellat de fissures en nens i adolescents<\/strong>.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>No realitzar extraccions en un any<\/strong> i si no queda m\u00e9s remei, fer cobertura antibi\u00f2tica 48h. abans i durant 7 o 15 dies despr\u00e9s.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Evitar les endod\u00f2ncies<\/strong>, encara que s\u00f3n preferibles a les extraccions.<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa fa-check\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\"><strong>Realitzar revisions al pacient cada sis (6) mesos<\/strong>, aproximadament.<\/div><\/li><\/ul><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:left top;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:0px;--awb-padding-bottom:10px;--awb-background-color:rgba(164,183,215,0.8);--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first\" style=\"--awb-padding-top:35px;--awb-padding-right:20px;--awb-padding-bottom:0px;--awb-padding-left:40px;--awb-bg-size:cover;--awb-border-color:#dddddd;--awb-border-style:solid;width:30.6666%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:15px;width:100%;max-width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-6\"><p><img decoding=\"async\" src=\"http:\/\/www.clinicalopezgimenez.com\/wp-content\/uploads\/2017\/01\/dra-ana-veloso.jpg\" alt=\"Dra. Ana Veloso Dur\u00e1n\" width=\"250\" height=\"195\" class=\"alignnone size-full wp-image-1510\" srcset=\"https:\/\/www.clinicalopezgimenez.com\/wp-content\/uploads\/2017\/01\/dra-ana-veloso-200x156.jpg 200w, https:\/\/www.clinicalopezgimenez.com\/wp-content\/uploads\/2017\/01\/dra-ana-veloso.jpg 250w\" sizes=\"(max-width: 250px) 100vw, 250px\" \/><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_2_3 2_3 fusion-two-third fusion-column-last\" style=\"--awb-padding-top:35px;--awb-padding-right:40px;--awb-padding-bottom:0px;--awb-bg-size:cover;--awb-border-color:#dddddd;--awb-border-style:solid;width:65.3333%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:8px;width:100%;max-width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-7\"><p style=\"font-size: 24px; line-height: 36px;\"><span style=\"color: #00609d;\"><strong>Dra. Ana Veloso Dur\u00e1n<\/strong><\/span><\/p>\n<\/div><div class=\"fusion-text fusion-text-8\"><p><strong>ODONT\u00d2LOGA<\/strong><br \/>\n<em>N\u00fam. Col\u00b7legiat: 5.362<\/em><\/p>\n<p style=\"font-size: 15px;\"><em><strong>Cl\u00ednica L\u00f3pez Gim\u00e9nez<\/strong><\/em><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-bg-parallax\" data-bg-align=\"center center\" data-direction=\"left\" data-mute=\"false\" data-opacity=\"100\" data-velocity=\"-0.5\" data-mobile-enabled=\"false\" data-break_parents=\"0\" data-bg-image=\"http:\/\/www.clinicalopezgimenez.com\/wp-content\/uploads\/2015\/12\/make-an-appointment.jpg\" data-bg-repeat=\"false\" ><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-parallax-left nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-equal-height-columns\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:130px;--awb-padding-bottom:110px;--awb-background-image:url(&quot;http:\/\/www.clinicalopezgimenez.com\/wp-content\/uploads\/2015\/12\/make-an-appointment.jpg&quot;);--awb-background-size:cover;--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_3_5 3_5 fusion-three-fifth fusion-column-first\" style=\"--awb-bg-size:cover;width:58.4%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-9\"><h2 style=\"text-align: left; color: #fff;\">Vol demanar una cita amb nosaltres?<\/h2>\n<\/div><div class=\"fusion-text fusion-text-10\"><h3 style=\"color: #fcfcfc; text-align: left;\">Demanar una cita amb el seu especialista \u00e9s molt senzill. Indiqui&#8217;ns quan vol que li atenguem i li contestarem tan aviat com puguem.<\/h3>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_2_5 2_5 fusion-two-fifth fusion-column-last\" style=\"--awb-bg-size:cover;width:37.6%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-align-block\"><a class=\"fusion-button button-flat button-xlarge button-default fusion-button-default button-1 fusion-button-default-span fusion-button-default-type\" style=\"width:calc(100%);\" target=\"_self\" href=\"http:\/\/www.clinicalopezgimenez.com\/ca\/demanar-cita\/\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">DEMANAR CITA ONLINE<\/span><\/a><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":1509,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[28],"tags":[],"class_list":["post-2064","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.2 - 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