{"id":2485,"date":"2017-02-01T10:00:19","date_gmt":"2017-02-01T09:00:19","guid":{"rendered":"http:\/\/www.clinicalopezgimenez.com\/?p=2485\/"},"modified":"2017-04-09T17:58:18","modified_gmt":"2017-04-09T15:58:18","slug":"causes-tractaments-hipersensibilitat-dentinaria","status":"publish","type":"post","link":"https:\/\/www.clinicalopezgimenez.com\/ca\/causes-tractaments-hipersensibilitat-dentinaria\/","title":{"rendered":"Causes i tractaments per a la hipersensibilitat dentin\u00e0ria"},"content":{"rendered":"

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M\u00e9s del 30% dels pacients adults han presentat hipersensibilitat dentin\u00e0ria<\/strong> en algun moment de les seves vides.<\/p>\n

Per a alguns d’ells, aquesta hipersensibilitat pot representar un problema de poca import\u00e0ncia, per\u00f2 per a molts altres el grau d’incomoditat i l’angoixa emocional provocada pot ser aclaparadora.<\/p>\n

A m\u00e9s, les mol\u00e8sties ocasionades per la hipersensibilitat dentin\u00e0ria ens porten a modificar el nostre car\u00e0cter, canviar la nostra dieta i raspallar inadequadament<\/strong>.<\/p>\n

Tot aix\u00f2, pot implicar que al no tenir una bona higiene oral es puguin produir m\u00e9s c\u00e0ries, inflamacions gingivals i problemes periodontals.<\/p>\n<\/div>

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\"Zumos<\/p>\n<\/div>

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QU\u00c8 \u00c9S LA HIPERSENSIBILITAT DENTIN\u00c0RIA?<\/span><\/h3>\n<\/div>

\u00c9s una reacci\u00f3 exagerada dolorosa davant un est\u00edmul sensitiu banal<\/strong>. El dolor dental pot ser de moderat a intens i est\u00e0 provocat per est\u00edmuls orals habituals, ben localitzat pel pacient i que cedeix en cessar l’est\u00edmul.<\/p>\n<\/div>

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PER QU\u00c8 APAREIX LA HIPERSENSIBILITAT?<\/span><\/h3>\n<\/div>

La seva aparici\u00f3 \u00e9s deguda a una p\u00e8rdua de l’esmalt o ciment radicular comportant a una exposici\u00f3 de la dentina<\/strong>. Es produeix llavors una obertura dels t\u00fabuls dentinaris al medi oral.<\/p>\n<\/div>

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POSSIBLES CAUSES<\/span><\/h3>\n<\/div>

Hi ha m\u00faltiples causes que poden donar lloc a una hipersensibilitat dentin\u00e0ria<\/strong> i per tant a una exposici\u00f3 al mitj\u00e0 oral dels t\u00fabuls dentinaris.<\/p>\n

Les m\u00e9s freq\u00fcents s\u00f3n el realitzar un mal raspallat dental deixant bacteris a la zona sensible<\/strong> o fins i tot realitzar un raspallat dental amb excessiva for\u00e7a i intensitat.<\/p>\n

El consum excessiu de begudes i menjars \u00e0cids tamb\u00e9 pot ser un altre factor a tenir en compte<\/strong>, ja que el ingerir en exc\u00e9s sucs c\u00edtrics, sucs molt freds, begudes carb\u00f2niques, iogurts, vi blanc o vi negre… pot donar lloc a la p\u00e8rdua de l’esmalt.<\/p>\n

Altres causes a tenir presents s\u00f3n els mals h\u00e0bits o moviments del sistema masticatori<\/strong> que no tenen un sentit \u00fatil, com estr\u00e8nyer molt les dents, menjar pipes, tallar fils al cosir, mossegar les ungles, etc.<\/p>\n<\/div>

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QUIN \u00c9S EL PROCEDIMENT?<\/span><\/h3>\n<\/div>

Normalment el pacient<\/strong> que presenta hipersensibilitat dentin\u00e0ria, sol cursar amb un dolor exagerat davant un est\u00edmul sensitiu lleu<\/strong>. La durada del dolor sol estar limitada en el temps que dura l’est\u00edmul.<\/p>\n

Hi ha una perfecta localitzaci\u00f3 de la dent i de la zona dolorosa de la dent<\/strong>; \u00e9s a dir, el pacient sap localitzar amb el dit el lloc exacte de la mol\u00e8stia.<\/p>\n

A m\u00e9s, el pacient notar\u00e0 que presenta hipersensibilitat en el raspallat; en menjars \u00e0cids, freds i dol\u00e7os; al tocar-se el coll de la dent, etc.<\/p>\n

La disminuci\u00f3 de la simptomatologia succeir\u00e0 amb el temps (sol cedir en 45 dies).<\/p>\n<\/div>

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COM HEM DE TRACTAR LA HIPERSENSIBILITAT?<\/span><\/h3>\n<\/div>

Sempre haurem de valorar la intensitat del dolor segons el pacient, les vegades que es presenta el dolor al dia i l’evoluci\u00f3 del dolor i la seva tend\u00e8ncia natural de curaci\u00f3.<\/p>\n

Els tractaments que existeixen s\u00f3n:<\/p>\n

1. Tractament preventiu<\/u><\/span><\/strong>:<\/p>\n

Consells per evitar la seva aparici\u00f3 i cronificaci\u00f3<\/strong>.<\/p>\n

Aquest tipus de tractament \u00e9s el m\u00e9s important ja que evita les causes que produeixen l’exposici\u00f3 de la dentina<\/strong> i l’obertura dels t\u00fabuls al medi oral.<\/p>\n

Millora l’efic\u00e0cia del tractament ambulatori i permet que es produeixi el segellat natural dels t\u00fabuls per la saliva, el que ajuda en la no cronificaci\u00f3 del proc\u00e9s i la seva veritable cura.<\/p>\n

Consisteix principalment en donar un consell diet\u00e8tic adequat al pacient<\/strong>; \u00e9s a dir, aconsellar que elimini de la seva dieta el consum de begudes i aliments \u00e0cids tenint en compte aquells que no identifica com \u00e0cids.<\/p>\n

\u00c9s important tamb\u00e9 aconsellar que el pacient elimini l’exposici\u00f3 de medicaments \u00e0cids com l’\u00e0cid acetilsalic\u00edlic i prevenir la pres\u00e8ncia d’\u00e0cid a la boca.<\/p>\n

Un altre dels factors a tenir en compte s\u00f3n les instruccions d’higiene oral<\/strong>. S’ha d’utilitzar un raspall adequat de consist\u00e8ncia mitjana (ni dur ni tou), una pasta dent\u00edfrica no abrasiva i 30 minuts despr\u00e9s de la ingesta.<\/p>\n

2. Tractament ambulatori<\/u><\/span><\/strong>:<\/p>\n

Consisteix en un tractament on el pacient pot aplicar a casa uns productes que principalment contenen fluor i derivats del potassi<\/strong> (nitrat pot\u00e0ssic, compostos de fosfat c\u00e0lcic, clorur pot\u00e0ssic\u2026).<\/p>\n

Es comercialitzen en gels, dentifricis, solucions, esprais i col\u2022lutoris; i el pacient haur\u00e0 de rentar-se, col\u00b7locar el gel o esprai despr\u00e9s de cada raspallat intentant no menjar ni beure durant 30 minuts. Com a m\u00ednim haur\u00e0 de realitzar el tractament durant 3 setmanes.<\/p>\n

3. Tractament en cl\u00ednica<\/u><\/span><\/strong>:<\/p>\n

Consisteix en un tractament on es requereix que els productes s’apliquin per part del professional dental<\/strong>.<\/p>\n

En aquest cas els vernissos, laques, gels, etc. solen contenir components de fluor, fluorur de sodi, fosfat c\u00e0lcic, glutaraldehid, entre altres, i a concentracions m\u00e9s elevades que en els tractaments ambulatoris.<\/p>\n

Un tractament, en cl\u00ednica, on es pot utilitzar tamb\u00e9 el l\u00e0ser com a m\u00e8tode transitori per eliminar la sensibilitat dentin\u00e0ria<\/strong>; i fins i tot podem utilitzar resines adhesives que cre\u00efn una capa segelladora per tancar aquests t\u00fabuls dentinaris.<\/p>\n<\/div>

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\"Dra.<\/p>\n<\/div>

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Dra. Beatriz Acacio Vidal<\/strong><\/span><\/p>\n<\/div>

ODONT\u00d2LOGA<\/strong>
\nN\u00fam. Col\u00b7legiat: 5.411<\/em><\/p>\n

Cl\u00ednica L\u00f3pez Gim\u00e9nez<\/strong><\/em><\/p>\n<\/div>

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Vol demanar una cita amb nosaltres?<\/h2>\n<\/div>

Demanar una cita amb el seu especialista \u00e9s molt senzill. Indiqui’ns quan vol que li atenguem i li contestarem tan aviat com puguem.<\/h3>\n<\/div>
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DEMANAR CITA ONLINE<\/span><\/a><\/div><\/div><\/div>
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