{"id":7646,"date":"2022-11-23T13:12:13","date_gmt":"2022-11-23T12:12:13","guid":{"rendered":"https:\/\/www.asssa.es\/ca\/?p=7646"},"modified":"2022-11-23T13:12:13","modified_gmt":"2022-11-23T12:12:13","slug":"halitosi","status":"publish","type":"post","link":"https:\/\/www.asssa.es\/ca\/halitosi\/","title":{"rendered":"Halitosi"},"content":{"rendered":"<p>L\u2019halitosi, tamb\u00e9 coneguda com a \u00abmal al\u00e8\u00bb, \u00e9s un problema que s\u2019acostuma a associar a una mala higiene bucal o a malalties de la cavitat bucal, per\u00f2 tamb\u00e9 pot indicar malalties sist\u00e8miques greus que requereixen un diagn\u00f2stic i un tractament.<\/p>\n<p><!--more--><\/p>\n<p>En general, el mal al\u00e8 <strong>es deu a l\u2019acci\u00f3 dels bacteris localitzats, principalment, al dors de la llengua i al solc gingival.<\/strong> L\u2019estructura papil\u00b7lar de la llengua fa que es retinguin restes d\u2019aliments que es descompondran a causa de l\u2019acci\u00f3 de la poblaci\u00f3 microbiana present, la qual cosa produeix compostos vol\u00e0tils de sulfur (CVS), que s\u00f3n responsables, en gran mesura, de la mala olor i que deriven de la degradaci\u00f3 de les prote\u00efnes.<\/p>\n<p>La saliva lubrifica i oxigena la cavitat oral i t\u00e9 propietats antimicrobianes, de manera que <strong>la quantitat i la qualitat de la saliva s\u00f3n importants<\/strong>. Els pacients amb xerostomia (poca saliva) produeixen m\u00e9s CVS i aix\u00f2 provoca la mala olor.<\/p>\n<p>El mal al\u00e8 tamb\u00e9 es relaciona amb la densitat i les caracter\u00edstiques dels bacteris presents a la llengua i a la cavitat oral. S\u2019ha vist que als pacients amb halitosi hi ha una proporci\u00f3 superior d\u2019anaerobis i inferior de flora protectora.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>TIPUS D\u2019HALITOSI<\/strong><\/p>\n<p><strong><em><u>Halitosi FISIOL\u00d2GICA<\/u><\/em><\/strong>. Factors orals no patol\u00f2gics.<\/p>\n<ul>\n<li>Al\u00e8 matut\u00ed: a la nit disminueix la secreci\u00f3 de saliva.<\/li>\n<li>Edat: l\u2019al\u00e8 de les persones grans acostuma a ser intens a causa de les gl\u00e0ndules salivals.<\/li>\n<li>Pr\u00f2tesis dentals: acumulaci\u00f3 de restes d\u2019aliments.<\/li>\n<li>Saliva: com m\u00e9s flux de saliva hi ha, menys halitosi. La masticaci\u00f3 n\u2019augmenta el flux.<\/li>\n<li>Tabac: al\u00e8 t\u00edpic de fumador.<\/li>\n<li>Gana: el dejuni en pot ser la causa.<\/li>\n<li>Aliments: despr\u00e9s de l\u2019absorci\u00f3 gastrointestinal i el seu pas cap a la sang, els metab\u00f2lits arriben als pulmons i s\u2019expulsen per via a\u00e8ria.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong><em><u>Halitosi PATOL\u00d2GICA<\/u><\/em><\/strong><\/p>\n<p>Halitosi ORAL. 90\u00a0% dels casos. A la cavitat bucal.<\/p>\n<ul>\n<li>Malaltia periodontal: estomatitis, faringitis, tumors.<\/li>\n<li>Higiene oral deficient: c\u00e0ries, placa dental (tosca), restes d\u2019aliments&#8230;<\/li>\n<li>Reconstruccions dentals deteriorades: ponts, dentadures postisses, pr\u00f2tesis&#8230;<\/li>\n<li>Malaltia cr\u00f2nica periodontal i gingivitis: n\u2019\u00e9s la causa m\u00e9s freq\u00fcent.<\/li>\n<li>Absc\u00e9s dental i f\u00edstula oroantral, gingivitis ulcerativa necrosant (malaltia de Vincent), estomatitis i glossitis.<\/li>\n<li>Candidiasi oral (micosi oral) afavorida pel canvi de flora.<\/li>\n<li>F\u00e0rmacs: hi ha medicaments que produeixen xerostomia (anticolin\u00e8rgics); d\u2019altres, candidiasi oral (antineopl\u00e0stics). Altres f\u00e0rmacs: antihipertensius, antihistam\u00ednics, ansiol\u00edtics, antidepressius&#8230;<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong><em><u>Halitosi EXTRAORAL<\/u><\/em><\/strong><\/p>\n<ul>\n<li>Causes periorals: nasals, paranasals, lar\u00edngies, sinusitis, ozenes, tumors&#8230;<\/li>\n<li>Malalties digestives: poc freq\u00fcent. Disp\u00e8psia, esofagitis, hemorr\u00e0gia&#8230;<\/li>\n<li>Malalties respirat\u00f2ries: infecci\u00f3 pulmonar o bronquial, tuberculosi, tumors.<\/li>\n<li>Malalties sist\u00e8miques: diabetis, insufici\u00e8ncia renal, disfunci\u00f3 hep\u00e0tica&#8230;<\/li>\n<li>Origen psiqui\u00e0tric: halitosi psicosom\u00e0tica, halitof\u00f2bia&#8230;<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>TRACTAMENT<\/strong><\/p>\n<p>Per comen\u00e7ar, cal <strong>realitzar una HIGIENE de boca correcta, raspallant les dents, passant la seda dental, i glopejant i gargaritzant amb clorhexidina a baixa concentraci\u00f3 dues vegades al dia.<\/strong><\/p>\n<p>Si no hi ha cap millora, s\u2019han de valorar estudis complementaris per descartar causes orals i extraorals.<\/p>\n<p>L\u2019odont\u00f2leg, amb ajuda del metge de cap\u00e7alera, ha de supervisar aquests procediments de manera regular.<\/p>\n<h6><strong><u><a href=\"https:\/\/www.asssa.es\/ca\/assegurances-salut\/\">ASSSA Assegurances de Salut<\/a><\/u><\/strong><\/h6>\n<h6><em>La informaci\u00f3 publicada en aquest mitj\u00e0 no substitueix ni complementa cap manera l\u2019atenci\u00f3 directa d\u2019un metge, ni el seu diagn\u00f2stic, ni el tractament que prescrigui; tampoc s\u2019ha d\u2019utilitzar per a l\u2019autodiagn\u00f2stic.<\/em><\/h6>\n<h6><em>L\u2019\u00fas que faci el lector d\u2019aquest servei es realitza sota la seva exclusiva responsabilitat.<\/em><\/h6>\n<h6><em>ASSSA recomana que per a qualsevol q\u00fcesti\u00f3 relacionada amb la seva salut consulti sempre amb un metge.<\/em><\/h6>\n","protected":false},"excerpt":{"rendered":"<p>L\u2019halitosi, tamb\u00e9 coneguda com a \u00abmal al\u00e8\u00bb, \u00e9s un problema que s\u2019acostuma a associar a una mala higiene bucal o a malalties de la cavitat bucal, per\u00f2 tamb\u00e9 pot indicar malalties sist\u00e8miques greus que requereixen un diagn\u00f2stic i un tractament.<\/p>\n","protected":false},"author":17,"featured_media":7699,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[32],"tags":[],"class_list":["post-7646","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-consells-de-salut"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - 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