{"id":2685,"date":"2017-11-06T10:00:35","date_gmt":"2017-11-06T09:00:35","guid":{"rendered":"http:\/\/www.fundacionendeu.org\/?p=2685\/"},"modified":"2019-10-28T14:02:22","modified_gmt":"2019-10-28T13:02:22","slug":"consells-basics-mantenir-boca-sana-pacients-discapacitats","status":"publish","type":"post","link":"https:\/\/www.fundacionendeu.org\/ca\/consells-basics-mantenir-boca-sana-pacients-discapacitats\/","title":{"rendered":"Consells b\u00e0sics per mantenir una boca sana en pacients discapacitats"},"content":{"rendered":"<p><img fetchpriority=\"high\" decoding=\"async\" src=\"http:\/\/www.fundacionendeu.org\/wp-content\/uploads\/2017\/11\/boca-sana.jpg\" alt=\"Consells b\u00e0sics per mantenir una boca sana en pacients discapacitats\" width=\"500\" height=\"330\" class=\"alignright size-full wp-image-2683\" srcset=\"https:\/\/www.fundacionendeu.org\/wp-content\/uploads\/2017\/11\/boca-sana.jpg 500w, https:\/\/www.fundacionendeu.org\/wp-content\/uploads\/2017\/11\/boca-sana-300x198.jpg 300w, https:\/\/www.fundacionendeu.org\/wp-content\/uploads\/2017\/11\/boca-sana-200x132.jpg 200w, https:\/\/www.fundacionendeu.org\/wp-content\/uploads\/2017\/11\/boca-sana-400x264.jpg 400w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><strong>1.-<\/strong> L\u2019ideal, per a qualsevol persona, \u00e9s fer una dieta dura, com m\u00e9s dura millor. Ara b\u00e9, en els pacients discapacitats cal valorar les limitacions individuals.<\/p>\n<p><strong>2.-<\/strong> Agrupar el \u00e0pats. Gaudeixen d\u2019una millor salut oral els pacients que viuen en institucions que els que viuen a casa seva. Aquests \u00faltims augmenten el nombre d\u2019ingestes, \u00e9s a dir, fan m\u00e9s visites a la nevera. N\u2019hi ha prou amb esmorzar, dinar, berenar i sopar.<\/p>\n<p><strong>3.-<\/strong> Suprimir el sucre refinat i els seus derivats. Per endolcir es pot optar per sacarina (substituir la cola per una de \u201clight\u201d&#8230;). En els pacients discapacitats, seria bo deixar totalment de banda el sucre a partir de mitja tarda.<\/p>\n<p><strong>4.-<\/strong> Intentar mantenir una higiene oral suficient. Si el pacient s\u2019oposa a la manipulaci\u00f3 es pot comen\u00e7ar raspallant suaument les dents de davant y exteriorment i, mica en mica, anar ampliant el camp d\u2019acci\u00f3. Tamb\u00e9 es pot comen\u00e7ar la neteja amb unes gases i anar guanyant terreny, emprant pastes de dents infantils de gustos agradables&#8230; en qualsevol cas, es pot consultar a l\u2019especialista. Si es fa b\u00e9, un raspallat al dia de les dents es suficient. En alguns casos pot ajudar l\u2019\u00fas del raspall el\u00e8ctric (m\u00e9s acceptat en el cas dels nois, acostumats a l\u2019afaitadora el\u00e8ctrica). Sigui con sigui, i malgrat les retic\u00e8ncies, cal insistir en el raspallat ja que, sovint, despr\u00e9s de diverses manipulacions, el noi o la noia es mostren m\u00e9s disposats  a deixar-se raspallar perqu\u00e8 han comprovat que el raspall \u00e9s inofensiu.<\/p>\n<p><strong>5.-<\/strong> Quan es forma c\u00e0lcul (tosca) perqu\u00e8 no s\u2019ha eliminat b\u00e9 la placa, cal anar a l\u2019especialista. Un s\u00edmptoma d\u2019acumulaci\u00f3 \u00e9s el sagnat de la geniva. A banda de tractament amb antibi\u00f2tic, cal eliminar aquesta placa amb una neteja m\u00e9s profunda d\u2019aquella zona.<\/p>\n<p><strong>6.-<\/strong> Una m\u00ednima aportaci\u00f3 de fluor.<\/p>\n<p><strong>7.-<\/strong> Visites peri\u00f2diques a un especialista, en funci\u00f3 del grau de col\u2022laboraci\u00f3 del pacient, aproximadament cada sis mesos en el cas dels discapacitats, i tractament de les incid\u00e8ncies que puguin sorgir.<\/p>\n<p>El tractament odontol\u00f2gic de persones amb discapacitats es basa en dues fases. La primera, \u00e9s deixar aquella boca sana. La segona es mantenir la boca sana, i per aconseguir-ho s\u2019han d\u2019implicar familiars i educadors. El m\u00e9s efectiu, econ\u00f2mic i que perdurar\u00e0 en el temps \u00e9s la prevenci\u00f3.<\/p>\n<p><strong>Dr. Juli\u00e1n L\u00f3pez Jim\u00e9nez<\/strong><br \/>\n<strong>Dra. M\u00aa Jos\u00e9 Gim\u00e9nez Prats<\/strong><br \/>\n<em>Servei d\u2019Odontologia. Hospital del Nen D\u00e9u.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>1.- L\u2019ideal, per a qualsevol persona, \u00e9s fer una dieta dura, com m\u00e9s dura millor. Ara b\u00e9, en els pacients discapacitats cal valorar les limitacions individuals. 2.- Agrupar el \u00e0pats. Gaudeixen d\u2019una millor salut oral els pacients que viuen en institucions que els que viuen a casa seva. Aquests \u00faltims augmenten el nombre d\u2019ingestes, \u00e9s [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":2683,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[86,1],"tags":[],"class_list":["post-2685","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles","category-sin-categorizar"],"_links":{"self":[{"href":"https:\/\/www.fundacionendeu.org\/ca\/wp-json\/wp\/v2\/posts\/2685"}],"collection":[{"href":"https:\/\/www.fundacionendeu.org\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.fundacionendeu.org\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.fundacionendeu.org\/ca\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fundacionendeu.org\/ca\/wp-json\/wp\/v2\/comments?post=2685"}],"version-history":[{"count":1,"href":"https:\/\/www.fundacionendeu.org\/ca\/wp-json\/wp\/v2\/posts\/2685\/revisions"}],"predecessor-version":[{"id":2686,"href":"https:\/\/www.fundacionendeu.org\/ca\/wp-json\/wp\/v2\/posts\/2685\/revisions\/2686"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.fundacionendeu.org\/ca\/wp-json\/wp\/v2\/media\/2683"}],"wp:attachment":[{"href":"https:\/\/www.fundacionendeu.org\/ca\/wp-json\/wp\/v2\/media?parent=2685"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.fundacionendeu.org\/ca\/wp-json\/wp\/v2\/categories?post=2685"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.fundacionendeu.org\/ca\/wp-json\/wp\/v2\/tags?post=2685"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}