{"id":1937,"date":"2021-11-15T11:35:16","date_gmt":"2021-11-15T11:35:16","guid":{"rendered":"https:\/\/pedrolmairal.noglen.com\/ca\/?p=2074"},"modified":"2023-02-09T15:19:05","modified_gmt":"2023-02-09T15:19:05","slug":"injerto-de-encia","status":"publish","type":"post","link":"https:\/\/www.pedrolmairal.com\/ca\/blog\/2021\/11\/15\/injerto-de-encia\/","title":{"rendered":"Empelt de genives. Qu\u00e8 \u00e9s un empelt de genives?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1937\" class=\"elementor elementor-1937\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1ac6989a elementor-section-height-min-height elementor-hidden-tablet elementor-hidden-mobile elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-items-middle\" data-id=\"1ac6989a\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-135a0a56\" data-id=\"135a0a56\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2b62f022 elementor-widget elementor-widget-heading\" data-id=\"2b62f022\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Empelt de genives\n<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-668c2cf7 elementor-section-height-min-height elementor-hidden-desktop elementor-hidden-tablet elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"668c2cf7\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7b3042ce\" data-id=\"7b3042ce\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-187248c2 elementor-widget elementor-widget-heading\" data-id=\"187248c2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Empelt de genives\n<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2949cf6e elementor-widget elementor-widget-spacer\" data-id=\"2949cf6e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2bb4d54d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2bb4d54d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3b0d0ad6\" data-id=\"3b0d0ad6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6001dac1 elementor-widget elementor-widget-text-editor\" data-id=\"6001dac1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2>Qu\u00e8 \u00e9s un empelt de genives?<\/h2><p>Un\u00a0<strong>empelt de genives<\/strong>\u00a0consisteix en una intervenci\u00f3 quir\u00fargica en la qual s\u2019extreu teixit del paladar del propi pacient o sint\u00e8tic i se li col\u00b7loca en el lloc en qu\u00e8 les arrels de les dents han quedat descoberts a causa de la reculada de la geniva. El dentista haur\u00e0 d\u2019utilitzar anest\u00e8sia local per a tractar la zona a intervenir, sobre aquesta col\u00b7locar\u00e0 una coberta protectora despr\u00e9s d\u2019haver realitzat l\u2019empelt, la qual es retirar\u00e0 en el transcurs de les seg\u00fcents dues setmanes.<br \/>Aquest tipus d\u2019intervenci\u00f3 es duu a terme en pacients que sofreixen d\u2019una recessi\u00f3 gingival notable. Les genives per si soles no tornen a cr\u00e9ixer en la majoria de casos, per aix\u00f2 \u00e9s important recobrir la zona de la dent amb un empelt de geniva ja que en cas contrari es podria arribar a perdre la pe\u00e7a dental amb el transcurs del temps.<br \/>Despr\u00e9s de l\u2019operaci\u00f3 el pacient pot notar mol\u00e8sties en la geniva o en la zona on es va extreure el teixit, normalment el dolor desapareix al cap d\u2019una o dues setmanes.<\/p><h2>Per qu\u00e8 es retreuen las genives?<\/h2><p>Les genives s\u00f3n la base que subjecta totes les peces dentals, i ja no solament aix\u00f2, tamb\u00e9 les protegeixen enfront d\u2019agents externs. La seva retracci\u00f3 pot ser conseq\u00fc\u00e8ncia de m\u00faltiples factors, entre ells es podrien destacar:<\/p><p>La pres\u00e8ncia activa de la malaltia periodontal.<br \/>Haver dut a terme t\u00e8cniques incorrectes quant al raspallat de les dents o haver utilitzat un raspall massa dur.<br \/>Aparici\u00f3 a posteriori d\u2019un tractament d\u2019ortod\u00f2ncia, ja que si no es controla correctament poden apar\u00e8ixer recessions.<br \/>Patir de bruxisme, \u00e9s un proc\u00e9s en el qual les dents perden el seu esmalt a causa de la pressi\u00f3 que s\u2019exerceix de la mand\u00edbula.<br \/>La susceptibilitat de cada pacient \u00e9s un factor que tamb\u00e9 el determinar\u00e0, depenent del teixit de la seva geniva ser\u00e0 m\u00e9s propens a sofrir recessions o problemes.<\/p><h2>Tipus d\u2019empelts de genives<\/h2><p>Depenent de l\u2019estat del pacient, ser\u00e0 el dentista qui determini el tipus de tractament que es dur\u00e0 a terme. No obstant aix\u00f2, dins dels diferents empelts de geniva que es puguin realitzar els m\u00e9s comuns s\u00f3n:<\/p><h3><strong>Empelt connectiu<\/strong><\/h3><p>L\u2019empelt de geniva connectiu consisteix a tallar un tros de paladar el qual se separa el teixit connectiu perqu\u00e8 aquest es pegui a la geniva que envolta la dent exposada. A continuaci\u00f3 el teixit extret del paladar es torna a col\u00b7locar en el seu lloc inicial.<\/p><h3><strong>Empelt gingival lliure<\/strong><\/h3><p>Consisteix a aplicar una cirurgia periodontal pl\u00e0stica amb l\u2019objectiu de retornar la salut a la geniva i fer que es detingui la seva recessi\u00f3. Aquest tipus d\u2019empelts s\u2019apliquen quan les genives del pacient s\u00f3n massa fines i requereixen de teixit addicional.<\/p><h3><strong>Empelt gingival pediculat<\/strong><\/h3><p>En aquesta mena d\u2019intervenci\u00f3 s\u2019agafa teixit de la geniva que envolta la dent que sofreix la recessi\u00f3. El teixit anomenat\u00a0pediculat\u00a0es talla parcialment i posteriorment es cus. \u00c9s una t\u00e8cnica que nom\u00e9s s\u2019utilitza en aquells pacients amb bastant material al voltant de la dent.<\/p><h2>Precaucions a tenir en compte<\/h2><p>Les\u00a0<strong>causes per les quals un empelt de geniva<\/strong>\u00a0poden ser v\u00e0ries, no obstant aix\u00f2, la m\u00e9s comuna sol ser la necrosi del teixit per falta de vascularitzaci\u00f3, per aix\u00f2 \u00e9s molt important evitar fumar despr\u00e9s de realitzar l\u2019empelt i es recomana als pacients que abans de sotmetre\u2019s a la cirurgia hagin deixat de consumir tabac.<br \/>La segona causa m\u00e9s freq\u00fcent per la qual un empelt de geniva falli \u00e9s per sofrir un traumatisme durant la cicatritzaci\u00f3, per aix\u00f2 hem d\u2019evitar qualsevol activitat que impliqui un cop o accident que impacti de ple en la zona afectada.<\/p><p>Finalment per a garantir que l\u2019empelt s\u2019adhereixi correctament, hem de tenir la precauci\u00f3 de raspallar-nos correctament la zona, ja que en cas contrari podr\u00edem perdre estabilitat en la zona tractada i la cicatritzaci\u00f3 versi afectada. Sempre \u00e9s recomanable utilitzar raspalls quir\u00fargics per a aquesta zona.<\/p><h2>Cures per despr\u00e9s d\u2019un empelt de genives<\/h2><p>Els\u00a0<a href=\"https:\/\/www.pedrolmairal.com\/ca\/tractaments-dentals\/estetica-dental\/\"><strong>empelts de geniva<\/strong><\/a>\u00a0no solen ser dolorosos, ja que es tracta d\u2019una cirurgia que nom\u00e9s compromet teixit tou pel que no genera un gran dolor. Aix\u00ed i tot el protocol despr\u00e9s de la cirurgia inclou un tractament amb corticoides i analg\u00e8sics.<br \/>L\u2019empelt ha de mantenir-se el m\u00e9s net possible, per aix\u00f2 es recomana fer \u00fas de raspalls quir\u00fargics per a la seva neteja aix\u00ed com no esbandir-se fins transcorregudes les primeres\u00a048h\u00a0des de la intervenci\u00f3.<\/p><p>Una vegada s\u2019hagi cicatritzat correctament l\u2019empelt, el pacient pot reprendre la seva higiene habitual i fer \u00fas de col\u00b7lutoris per a esbandir-se.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Empelt de genives Empelt de genives Qu\u00e8 \u00e9s un empelt de genives? Un\u00a0empelt de genives\u00a0consisteix en una intervenci\u00f3 quir\u00fargica en la qual s\u2019extreu teixit del paladar del propi pacient o sint\u00e8tic i se li col\u00b7loca en el lloc en qu\u00e8 les arrels de les dents han quedat descoberts a causa de la reculada de la [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1938,"comment_status":"closed","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","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":"","ast-disable-related-posts":"","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":[1],"tags":[],"class_list":["post-1937","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categoria"],"_links":{"self":[{"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/posts\/1937","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/comments?post=1937"}],"version-history":[{"count":8,"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/posts\/1937\/revisions"}],"predecessor-version":[{"id":4944,"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/posts\/1937\/revisions\/4944"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/media\/1938"}],"wp:attachment":[{"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/media?parent=1937"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/categories?post=1937"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/tags?post=1937"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}