{"id":2315,"date":"2017-07-12T12:00:44","date_gmt":"2017-07-12T10:00:44","guid":{"rendered":"http:\/\/www.fundacionendeu.org\/?p=2315\/"},"modified":"2020-05-04T09:52:17","modified_gmt":"2020-05-04T07:52:17","slug":"tabaquisme-salut-oral","status":"publish","type":"post","link":"https:\/\/centremedic.fundacionendeu.org\/tabaquisme-salut-oral\/","title":{"rendered":"Tabaquisme i salut oral"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.fundacionendeu.org\/wp-content\/uploads\/2016\/10\/fumar.jpg\" alt=\"Fumar pejudica tu salud oral\" width=\"500\" height=\"394\" class=\"alignright size-full wp-image-2195\" srcset=\"https:\/\/centremedic.fundacionendeu.org\/wp-content\/uploads\/2016\/10\/fumar-200x158.jpg 200w, https:\/\/centremedic.fundacionendeu.org\/wp-content\/uploads\/2016\/10\/fumar-300x236.jpg 300w, https:\/\/centremedic.fundacionendeu.org\/wp-content\/uploads\/2016\/10\/fumar-400x315.jpg 400w, https:\/\/centremedic.fundacionendeu.org\/wp-content\/uploads\/2016\/10\/fumar.jpg 500w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><strong>El consum de tabac \u00e9s un dels h\u00e0bits m\u00e9s perjudicials per a la salut<\/strong>. Est\u00e0 relacionat amb diferents tipus de c\u00e0ncer i patologies cardiopulmonars de diferent \u00edndole, entre altres malalties greus.<\/p>\n<p>El mecanisme d\u2019acci\u00f3 del tabac \u00e9s tant a nivell local, a causa de la irritaci\u00f3 de les mucoses produ\u00efdes pel fum, com a nivell sist\u00e8mic, a causa de l\u2019alteraci\u00f3 de les defenses de l\u2019individu.<\/p>\n<p><strong>Les lesions que es produeixen s\u00f3n degudes a la seva composici\u00f3 de m\u00e9s de 4.000 toxines<\/strong> entre les que s\u2019inclou la nicotina, el mon\u00f2xid de carboni, nitrosamines, benzens, aldehids i cianur d\u2019hidrogen.<\/p>\n<p><strong>Aquestes subst\u00e0ncies tamb\u00e9 produeixen alteracions dels teixits de la cavitat oral<\/strong>:<\/p>\n<p>\u00b7 <strong>Lesions orals precanceroses<\/strong>: Leucopl\u00e0sia, eritropl\u00e0sia o queratosis.<br \/>\n\u00b7 <strong>C\u00e0ncer oral<\/strong>: carcinoma de c\u00e8l\u00b7lules escamoses o carcinoma berrug\u00f3s.<br \/>\n\u00b7 <strong>Malalties periodontals<\/strong>: augment del dip\u00f2sit de placa i c\u00e0lcul, isqu\u00e8mia, recessi\u00f3 gingival o p\u00e8rdua \u00f2ssia alveolar.<br \/>\n\u00b7 <strong>C\u00e0ries radicular<\/strong>.<br \/>\n\u00b7 <strong>Periimplantitis i mucositis<\/strong>.<br \/>\n\u00b7 <strong>Halitosi<\/strong>.<br \/>\n\u00b7 <strong>Alteracions del gust<\/strong>.<br \/>\n\u00b7 <strong>Tincions de dents i restauracions<\/strong>.<\/p>\n<p><strong>El tabaquisme influeix en la salut oral de l\u2019individu<\/strong>, afectant negativament el resultat de gaireb\u00e9 tots els procediments terap\u00e8utics realitzats en la cavitat oral.<\/p>\n<p>A m\u00e9s, el seu efecte \u00e9s dosi depenent, ja que l\u2019efecte produ\u00eft dep\u00e8n de la quantitat de tabac consumida.<\/p>\n<p><u><strong>ALTERACIONS ORALS PRODU\u00cfDES PEL CONSUM DE TABAC<\/strong><\/u><\/p>\n<p>A) <u>MALALTIA PERIODONTAL O PERIODONTITIS<\/u> (anomenada vulgarment &#8220;Piorrea&#8221;)<\/p>\n<p><strong>La malaltia periodontal \u00e9s una patologia de la cavitat oral que cursa amb una inflamaci\u00f3 de les genives normalment causada per acumulaci\u00f3 de placa que va associada a una p\u00e8rdua irreversible de l\u2019os de suport de la dent<\/strong>.<\/p>\n<p><strong>A causa de l\u2019efecte del consum de tabac<\/strong> en les defenses de l\u2019individu, <strong>un pacient fumador t\u00e9 molt m\u00e9s risc de patir periodontitis i p\u00e8rdues dentals<\/strong> que uno no fumador. <\/p>\n<p>A m\u00e9s, est\u00e0 demostrat que en els pacients fumadors <strong>es produeix un major acumulaci\u00f3 de carrall o &#8220;tosca&#8221;<\/strong>.<\/p>\n<p>La nicotina disminueix el sagnat de les genives a causa del seu efecte d\u2019estrenyiment dels vasos sanguinis, la qual cosa pot emmascarar la patologia i fer creure al pacient que les seves genives estan sanes, encara que no sigui aix\u00ed.<\/p>\n<p>B) <u>PERIIMPLANTITIS I P\u00c8RDUA DE L\u2019IMPLANT DENTAL<\/u><\/p>\n<p><strong>La periimplantitis \u00e9s una inflamaci\u00f3 de la geniva que cursa amb p\u00e8rdua irreversible d\u2019os de suport al voltant de l\u2019implant dental<\/strong>.<\/p>\n<p><strong>Els pacients fumadors i amb mala higiene oral tenen m\u00e9s risc de patir aquesta malaltia<\/strong> per la qual cosa hem de ser conscients que l\u2019implant s\u2019ha de cuidar encara m\u00e9s que la dent.<br \/>\n\u2003<br \/>\nA m\u00e9s, est\u00e0 demostrat que els pacients fumadors tenen m\u00e9s risc de perdre preco\u00e7ment un implant dental ja que el proc\u00e9s d\u2019integraci\u00f3 de l\u2019os a l\u2019implant es pot veure alterat. Aquesta alteraci\u00f3 pot estar relacionada amb la deficient cicatritzaci\u00f3 que produeix el tabac despr\u00e9s de qualsevol cirurgia. <\/p>\n<p>C) <u>C\u00c0NCER ORAL I LESIONS PRECANCEROSES<\/u><\/p>\n<p><strong>El consum de tabac est\u00e0 relacionat amb el carcinoma de c\u00e8l\u00b7lules escamoses o c\u00e0ncer oral. Els pacients fumadors tenen de 3 a 5 vegades m\u00e9s risc de patir c\u00e0ncer oral<\/strong> que els que no ho s\u00f3n. Aquest risc \u00e9s encara m\u00e9s gran si va associat a un consum abusiu d\u2019alcohol.<\/p>\n<p>Les lesions precanceroses solen ser blanquinoses i poden apar\u00e8ixer en diferents parts de la cavitat oral com poden ser la llengua, els llavis, el s\u00f2l de la boca, la cara interna de la galta, la geniva o el paladar.<\/p>\n<p>Espanya \u00e9s el pa\u00eds d\u2019Europa amb major incid\u00e8ncia d\u2019aquest tipus de c\u00e0ncer pel que \u00e9s realment necessari estar alerta a la <strong>detecci\u00f3 preco\u00e7<\/strong> d\u2019aquest tipus de patologies.<\/p>\n<p><u><strong>CONSIDERACIONS FINALS<\/strong><\/u><\/p>\n<p><strong>El millor consell que se li pot donar al pacient \u00e9s deixar de fumar<\/strong>. <\/p>\n<p>Aix\u00ed doncs, el paper d\u2019<strong>un bon odont\u00f2leg<\/strong> \u00e9s de vital import\u00e0ncia per a <strong>tractar de motivar els seus pacients a reduir i\/o abandonar de forma definitiva el consum de tabac<\/strong>.<\/p>\n<p><strong>Dr. Pol Abellaneda P\u00e9rez<\/strong><br \/>\n<em>Odont\u00f2leg &#8211; col. 7.211<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>El consum de tabac \u00e9s un dels h\u00e0bits m\u00e9s perjudicials per a la salut. Est\u00e0 relacionat amb diferents tipus de c\u00e0ncer i patologies cardiopulmonars de [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":2195,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[88],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Tabaquisme i salut oral - Centre M\u00e8dic Nen D\u00e9u<\/title>\n<meta name=\"description\" content=\"Tabaquisme i salut oral\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/centremedic.fundacionendeu.org\/tabaquisme-salut-oral\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tabaquisme i salut oral - Centre M\u00e8dic Nen D\u00e9u\" \/>\n<meta property=\"og:description\" content=\"Tabaquisme i salut oral\" \/>\n<meta property=\"og:url\" content=\"https:\/\/centremedic.fundacionendeu.org\/tabaquisme-salut-oral\/\" \/>\n<meta property=\"og:site_name\" content=\"Centre M\u00e8dic Nen D\u00e9u\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Centre-M%c3%a8dic-Nen-D%c3%a9u-114145493627385\/\" \/>\n<meta property=\"article:published_time\" content=\"2017-07-12T10:00:44+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-05-04T07:52:17+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/centremedic.fundacionendeu.org\/wp-content\/uploads\/2016\/10\/fumar.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"500\" \/>\n\t<meta property=\"og:image:height\" content=\"394\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Fundaci\u00f3 Nen D\u00e9u\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrit per\" \/>\n\t<meta name=\"twitter:data1\" content=\"Fundaci\u00f3 Nen D\u00e9u\" \/>\n\t<meta name=\"twitter:label2\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minuts\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/centremedic.fundacionendeu.org\/tabaquisme-salut-oral\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/centremedic.fundacionendeu.org\/tabaquisme-salut-oral\/\"},\"author\":{\"name\":\"Fundaci\u00f3 Nen D\u00e9u\",\"@id\":\"https:\/\/centremedic.fundacionendeu.org\/#\/schema\/person\/b0f450186a1a7134f3cc2d6aa8ff6ac3\"},\"headline\":\"Tabaquisme i salut oral\",\"datePublished\":\"2017-07-12T10:00:44+00:00\",\"dateModified\":\"2020-05-04T07:52:17+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/centremedic.fundacionendeu.org\/tabaquisme-salut-oral\/\"},\"wordCount\":702,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/centremedic.fundacionendeu.org\/#organization\"},\"articleSection\":[\"Articles Centre M\u00e8dic Nen D\u00e9u\"],\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/centremedic.fundacionendeu.org\/tabaquisme-salut-oral\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/centremedic.fundacionendeu.org\/tabaquisme-salut-oral\/\",\"url\":\"https:\/\/centremedic.fundacionendeu.org\/tabaquisme-salut-oral\/\",\"name\":\"Tabaquisme i salut oral - 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