{"id":7354,"date":"2021-10-05T19:13:53","date_gmt":"2021-10-05T17:13:53","guid":{"rendered":"https:\/\/minimclinic.com\/per-que-es-produeix-lapilotonament-dental\/"},"modified":"2026-06-23T12:00:39","modified_gmt":"2026-06-23T10:00:39","slug":"per-que-es-produeix-lapilotonament-dental","status":"publish","type":"post","link":"https:\/\/minimclinic.com\/ca\/per-que-es-produeix-lapilotonament-dental\/","title":{"rendered":"Per qu\u00e8 es produeix l’apilotonament dental"},"content":{"rendered":"\n

Els ortodoncistes entenem l’apilotonament dental com aquella maloclusi\u00f3 que es caracteritza per una manca d’espai<\/strong> a l’arcada dental. <\/p>\n\n

Quan aix\u00f2 passa, les dents es troben mal posicionades i disposades de manera irregular, \u00e9s a dir, algunes dents es troben girades i\/o despla\u00e7ades fora de l’arc dental ideal, de vegades \u00e9s un apilotonament dental lleu o de vegades \u00e9s sever.<\/p>\n\n

Per aix\u00f2, l’apilotonament dental produeix desgasts irregulars a les dents<\/strong>, ja que aquestes no contacten de manera adequada. <\/p>\n\n

A m\u00e9s, l’apilotonament complica molt la higiene dental<\/strong>, especialment dels punts de contacte, per la qual cosa, normalment, s’acompanya de gingivitis o fins i tot malaltia periodontal.<\/p>\n\n

Precisament per evitar aquest tipus de complicacions \u00e9s important intentar corregir l’apilotonament dental com m\u00e9s aviat millor<\/strong>, generalment a l’adolesc\u00e8ncia.<\/p>\n\n

Quina \u00e9s la causa de l’apilotonament?<\/h2>\n\n

Per norma general l’apilotonament dental es produeix per dos\nmotius principals:<\/p>\n\n

  • Quan existeix una discrep\u00e0ncia entre la mida\ndels ossos maxil\u00b7lars i les dents<\/li>
  • Quan les pressions existents a la boca\ncomprimeixen l’arc dental i fan que es produeixi espai.<\/li><\/ul>\n\n

    1) Discrep\u00e0ncies de mida entre les dents i els ossos maxil\u00b7lars<\/h3>\n\n

    Pot passar que la mida de les dents sigui massa gran<\/strong> perqu\u00e8 aquestes c\u00e0piguen ben alineades als ossos maxil\u00b7lars. <\/p>\n\n

    Podem heretar dels nostres pares uns ossos petits i unes dents grans, per exemple.<\/p>\n\n

    En ser de causa gen\u00e8tica, aix\u00f2 es fa evident molt aviat, tan bon punt es recanvien les dents de llet per les definitives o fins i tot abans, es pot detectar entre els 6 i 8 anys d’edat<\/strong>.<\/p>\n\n

    2) Apilotonament dental per compressi\u00f3 de l’arcada dental<\/h3>\n\n

    L’apilotonament dental per compressi\u00f3 ens sol passar a la majoria de la poblaci\u00f3<\/strong> i es produeix perqu\u00e8 a l’entorn oral les forces predominants solen ser compressives.<\/p>\n\n

    \u00c9s a dir, sobre les dents predominen les forces de fora\na dins. Per exemple, la pressi\u00f3 que exerceix la musculatura de la masticaci\u00f3\no els llavis. <\/p>\n\n

    Aquest tipus d’apilotonament es pot donar en combinaci\u00f3 amb l’anterior, cosa que agreujaria la situaci\u00f3. I sol fer-se evident m\u00e9s tard que l’anterior,<\/strong> ja a la vida adulta, i especialment entre els ullals inferiors. <\/p>\n\n

    Qu\u00e8 passa amb les queixals del seny? Causen apilotonament? <\/h3>\n\n

    Tot i que la saviesa popular sempre acaba atribuint a l’\nerupci\u00f3 de les queixals del seny l’apilotonament, la veritat \u00e9s que l’evid\u00e8ncia\ncient\u00edfica al respecte no \u00e9s concloent.<\/p>\n\n

    Nosaltres no recomanem l’extracci\u00f3 de les cordals (o queixals) nom\u00e9s per aquest motiu<\/strong> perqu\u00e8 l’apilotonament pot i de fet es produeix igualment per les raons descrites anteriorment.<\/p>\n\n

    Tractament de l’apilotonament dental<\/h2>\n\n

    Un cop coneixem les causes de l’apilotonament podem introduir\nmillor com ho tractem. <\/p>\n\n

    Independentment de la mec\u00e0nica (alineadors transparents,\nbrackets, etc.) els ortodoncistes sovint incorporarem al nostre\ntractament m\u00e8todes per:<\/p>\n\n

    • Guanyar espai a l’arcada, generalment\nmitjan\u00e7ant expansi\u00f3<\/li>
    • Reduir la quantitat de material dentari<\/li><\/ul>\n\n

      Expansi\u00f3 dels arcs dentals<\/h3>\n\n

      La majoria de tractaments d’ortod\u00f2ncia incorporen, en\nmajor o menor mesura, l’expansi\u00f3 dels arcs dentals per obtenir espai. <\/p>\n\n

      Aix\u00f2 es pot fer a la inf\u00e0ncia i a l’adolesc\u00e8ncia de\nmanera m\u00e9s predictible, per\u00f2 tamb\u00e9, en menor mesura, a l’adult.<\/p>\n\n

      Mitjan\u00e7ant l’expansi\u00f3 contrarrestem els efectes que les\nforces compressives de la musculatura hagin tingut a les nostres arcades i\nguanyem mil\u00b7l\u00edmetres d’espai que podem aprofitar per alinear les dents a\nqualsevol edat.<\/p>\n\n

      Reducci\u00f3 del contorn de les dents o extraccions<\/h3>\n\n

      Tot i que intentarem evitar-ho sempre que sigui possible, de\nvegades \u00e9s necessari realitzar extraccions dentals per solucionar els casos m\u00e9s\ngreus (generalment de premolars o un incisiu inferior).<\/p>\n\n

      A la gran majoria de casos ens bastar\u00e0 amb realitzar una reducci\u00f3\ndel contorn de la dent o ‘stripping’<\/strong>. D’aquesta manera, repartint el\ndesgast d’unes d\u00e8cimes de mil\u00b7l\u00edmetre entre diverses dents podem guanyar\nl’espai necessari per col\u00b7locar de manera correcta les dents. <\/p>\n\n

      Els dos procediments (expansi\u00f3 i stripping) se solen utilitzar de manera combinada, depenent de les caracter\u00edstiques individuals de cada cas, per solucionar la majoria de maloclusions amb apilotonament.<\/p>\n\n

      Qu\u00e8 puc fer si tinc les dents apilotonades?<\/h2>\n\n

      Et recomanem que vagis al teu dentista de confian\u00e7a o si ets per Barcelona demana cita gratu\u00efta a MINIM, La Teva Ortod\u00f2ncia Invisible i farem una revisi\u00f3 exhaustiva en la qual podr\u00e0s veure el resultat final de com et quedaran les dents despr\u00e9s del tractament.<\/p>\n\n

      <\/p>\n","protected":false},"excerpt":{"rendered":"

      Els ortodoncistes entenem l’apilotonament dental com aquella maloclusi\u00f3 que es caracteritza per una manca d’espai a l’arcada dental. Quan aix\u00f2 passa, les dents es troben mal posicionades i disposades de manera irregular, \u00e9s a dir, algunes dents es troben girades i\/o despla\u00e7ades fora de l’arc dental ideal, de vegades \u00e9s un apilotonament dental lleu o […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[23],"tags":[],"class_list":["post-7354","post","type-post","status-publish","format-standard","hentry","category-el-que-has-de-saber"],"acf":[],"yoast_head":"\nPer qu\u00e8 es produeix l'apilotonament dental - Minim<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/minimclinic.com\/ca\/per-que-es-produeix-lapilotonament-dental\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Per qu\u00e8 es produeix l'apilotonament dental - Minim\" \/>\n<meta property=\"og:description\" content=\"Els ortodoncistes entenem l’apilotonament dental com aquella maloclusi\u00f3 que es caracteritza per una manca d’espai a l’arcada dental. 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