{"id":1110,"date":"2024-01-18T13:35:42","date_gmt":"2024-01-18T12:35:42","guid":{"rendered":"https:\/\/abcdentalsants.com\/tratamientos\/endodoncia\/"},"modified":"2024-04-17T14:47:37","modified_gmt":"2024-04-17T12:47:37","slug":"endodoncia","status":"publish","type":"tratamiento","link":"https:\/\/abcdentalsants.com\/ca\/tratamientos\/endodoncia\/","title":{"rendered":"Endod\u00f2ncia"},"content":{"rendered":"<h2><strong>Endod\u00f2ncia, qu\u00e8 \u00e9s?<\/strong><\/h2>\n<p>Quan la c\u00e0ries \u00e9s molt gran, o el nervi queda exposat per un traumatisme, el tractament d&#8217;elecci\u00f3 \u00e9s per definici\u00f3 l&#8217;endod\u00f2ncia (matar nervi). \u00c9s un tractament que es realitza per evitar l&#8217;extracci\u00f3, ja que si la polpa est\u00e0 afectada ja no n&#8217;hi ha prou amb obturar (empastar). En aquest cas, procedirem, mitjan\u00e7ant anest\u00e8sia local, a l&#8217;eliminaci\u00f3 del teixit polpar (nervi) malalt que trobem a l&#8217;interior de la dent o molar. A continuaci\u00f3 s&#8217;emplenen els conductes amb un material d&#8217;obturaci\u00f3 espec\u00edfic anomenat gutaperxa. Posteriorment i despr\u00e9s de comprovar que ja no t\u00e9 dolor, es fa una reconstrucci\u00f3, corona o pr\u00f2tesi.<\/p>\n<h2><strong>Endod\u00f2ncia pas a pas<\/strong><\/h2>\n<p>Com es fa? \u00c9s un tractament que se sol fer en una sessi\u00f3. Aquesta varia entre 30 i 50 minuts, per\u00f2 depenent de l&#8217;estat de la dent pot necessitar 2 o 3 sessions. Primer hem de diagnosticar correctament la necessitat d&#8217;endodonciar una dent o molar, tant amb radiografies com amb proves de vitalitat. Hem d&#8217;assegurar-nos de quina \u00e9s la dent que causa dolor i tamb\u00e9 del seu pron\u00f2stic a llarg termini. Si creiem que la dent est\u00e0 molt destru\u00efda i la reconstrucci\u00f3 no aguantar\u00e0 gaire, cal plantejar altres alternatives. El seg\u00fcent pas \u00e9s fer l&#8217;anest\u00e8sia local de la zona a tractar per assegurar-nos que no fa mal. Aix\u00f2 ens d\u00f3na una finestra de 2 hores per poder treballar-hi, encara que el pacient pot notar sensaci\u00f3 de dormit unes 4 hores. Seguidament es fa un orifici a la dent que permet accedir a la c\u00e0mera polpar ia les arrels. Amb lajuda dun aparell es pot mesurar la longitud de larrel sense fer m\u00e9s radiografies. De manera mec\u00e0nica, es va eliminant mitjan\u00e7ant llimes tot el nervi fins arribar a la punta de l&#8217;arrel. L&#8217;interior de l&#8217;arrel s&#8217;ha d&#8217;emplenar amb gutaperxa, un material que segella l&#8217;arrel i permet veure&#8217;l en radiografies posteriors. Finalment es realitza la reconstrucci\u00f3 de la dent o molar perqu\u00e8 pugui ser usat en la masticaci\u00f3. Gr\u00e0cies a l&#8217;endod\u00f2ncia podem mantenir en boca dents que altrament s&#8217;haurien d&#8217;extreure. Cal valorar b\u00e9 el pron\u00f2stic, quant calculem que durar\u00e0. Remarquem que si la dent no es podr\u00e0 fer servir per a una masticaci\u00f3 efica\u00e7 potser l&#8217;endod\u00f2ncia no \u00e9s el tractament d&#8217;elecci\u00f3. En general la intenci\u00f3 \u00e9s sempre conservar les dents el m\u00e0xim temps possible i aquest tractament \u00e9s molt bo a nivell preu \u2013 benefici. Tot i que no \u00e9s el m\u00e9s habitual, la gent pot sentir una mica de dolor despr\u00e9s de l&#8217;endod\u00f2ncia que desapareixer\u00e0 en 1-2 dies. Es va perfectament suportant amb analg\u00e8sics antiinflamatoris.<\/p>\n<h2><strong>Qu\u00e8 passa si una endod\u00f2ncia fa mal passat un temps?<\/strong><\/h2>\n<p>Si despr\u00e9s d&#8217;un temps sense dolor, una dent amb endod\u00f2ncia fa mal, \u00e9s possible que s&#8217;hagi esquerdat la dent o molar o b\u00e9 que la reconstrucci\u00f3 filtri. Cal una nova reavaluaci\u00f3 que inclour\u00e0 exploraci\u00f3 i radiografies per veure&#8217;n el motiu real, ja que pot tenir una soluci\u00f3 senzilla si es detecta a temps.<\/p>\n<h2><strong>Instrumental i aparatologia<\/strong><\/h2>\n<p>Part de l&#8217;aparell que utilitzem per fer l&#8217;endod\u00f2ncia \u00e9s un localitzador apical, que permet con\u00e8ixer la longitud de l&#8217;arrel sense necessitat de fer radiografies, disminuint la quantitat de radiaci\u00f3 que rep el pacient.<\/p>\n<div id=\"attachment_317\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-317\" class=\"wp-image-317 size-full\" src=\"https:\/\/abcdentalsants.com\/wp-content\/uploads\/2024\/01\/apical.webp\" alt=\"\" width=\"300\" height=\"232\" \/><p id=\"caption-attachment-317\" class=\"wp-caption-text\"><em>El localitzador apical redueix la necessitat de fer radiografies<\/em><\/p><\/div>\n<p>\u00a0 Web de la Asociaci\u00f3n Espa\u00f1ola de Endodoncia AEDE<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Quan la c\u00e0ries \u00e9s molt gran, o el nervi queda exposat per un traumatisme, el tractament d&#8217;elecci\u00f3 \u00e9s per definici\u00f3 l&#8217;endod\u00f2ncia (matar nervi). \u00c9s un tractament que es realitza per evitar l&#8217;extracci\u00f3, ja que si la polpa est\u00e0 afectada ja no n&#8217;hi ha prou amb obturar (empastar).<\/p>\n","protected":false},"featured_media":1286,"parent":0,"menu_order":7,"template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-1110","tratamiento","type-tratamiento","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Endod\u00f2ncia | ABCDental Sants<\/title>\n<meta name=\"description\" content=\"A 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