{"id":1,"date":"2021-04-19T16:27:07","date_gmt":"2021-04-19T16:27:07","guid":{"rendered":"http:\/\/ibclinicadental.com\/?p=1"},"modified":"2024-02-17T19:02:39","modified_gmt":"2024-02-17T19:02:39","slug":"saps-que-son-les-ferules-del-ronc-o-ferules-davancament-mandibular","status":"publish","type":"post","link":"https:\/\/ibclinicadental.com\/ca\/saps-que-son-les-ferules-del-ronc-o-ferules-davancament-mandibular","title":{"rendered":"Saps qu\u00e8 s\u00f3n les f\u00e8rules del ronc o f\u00e8rules d’avan\u00e7ament mandibular?"},"content":{"rendered":"\n
\n
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F\u00e8rules del ronc o f\u00e8rules d’avan\u00e7ament mandibular<\/h2>\n<\/div>\n
\n

Les f\u00e8rules del ronc<\/a> o dispositius d’avan\u00e7ament mandibular (DAM) redueixen els roncs i les apnees del son lleus i moderades, contribuint a un somni de qualitat i reparadora.<\/p>\n

\"\"<\/p>\n

Es tracta d’una f\u00e8rula<\/a> doble, maxil\u00b7lar i mandibular, que avan\u00e7a la mand\u00edbula uns mil\u00b7l\u00edmetres, aix\u00ed com la llengua i els teixits tous, aconseguint que la via a\u00e8ria sigui m\u00e9s ampla i permeable i resolent el ronc i la s\u00edndrome d’apnea del son lleu i moderada.<\/p>\n

<\/h3>\n

El Ronc<\/h3>\n

El ronc \u00e9s un soroll que es produeix en passar l’aire pel nas o la boca als pulmons. Aquest soroll es produeix quan les vies a\u00e8ries es troben col\u00b7lapsades o semi-col\u00b7lapsades.<\/p>\n

A m\u00e9s del soroll molest que provoca el ronc, tamb\u00e9 hi ha altres conseq\u00fc\u00e8ncies, com \u00e9s la S\u00edndrome de l’Apnea o Hipo-apnea del son.<\/p>\n

<\/p>\n

\"\"<\/p>\n

<\/p>\n

L’acci\u00f3 de roncar pot arribar a ser molesta i fins i tot insuportable per a les persones que conviuen amb nosaltres, provocant problemes de parella ia m\u00e9s provoca que el descans durant el son no sigui l’adequat i un augment del cansament
di\u00fcrn.<\/p>\n

Aquesta s\u00edndrome es produeix quan, a causa del col\u00b7lapse de les vies a\u00e8ries, l’aire no penetra de forma adequada als pulmons, originant una mala respiraci\u00f3 i manca d’oxigen a tots els \u00f2rgans del nostre cos.<\/p>\n

<\/h3>\n

<\/h3>\n

Qu\u00e8 noten els pacients que ronquen? Com afecta la vida di\u00e0ria?<\/h3>\n

Els pacients que ronquen tenen una pitjor qualitat de vida, ja que la resist\u00e8ncia provocada pels teixits tous a l’entrada d’aire fa que els seus \u00f2rgans estiguin pitjor oxigenats.<\/p>\n

Els s\u00edmptomes dels pacients que ronquen i presenten apnees i hipo-apnees durant el son s\u00f3n:<\/p>\n

    \n
  • Ofecs nocturns<\/li>\n
  • Somnol\u00e8ncia durant el dia<\/li>\n
  • Mal de cap al mat\u00ed<\/li>\n
  • Malsons<\/li>\n
  • Sequedat de gola<\/li>\n
  • P\u00e8rdua de capacitat intel\u00b7lectual<\/li>\n<\/ul>\n

    <\/p>\n<\/div>\n

    \"\"<\/p>\n

    \n

    <\/h3>\n

    <\/h3>\n

    Les apnees o hipoapnees del son<\/h3>\n

    Les apnees s\u00f3n un col\u00b7lapse de la via a\u00e8ria alta, almenys d’un 90% que dura almenys 10 segons.<\/p>\n

    Una hipoapnea es considera un col\u00b7lapse m\u00e9s gran del 30%, associat a una dessaturaci\u00f3 d’oxigen del 3-4%.<\/p>\n

    <\/h3>\n

    Quines conseq\u00fc\u00e8ncies tenen les apnees o hipo-apnees del son?<\/h3>\n
    \n
    \n

    Les conseq\u00fc\u00e8ncies s\u00f3n variades i podem ser fins i tot greus:<\/p>\n

      \n
    • Excessiva somnol\u00e8ncia di\u00fcrna, ja que durant la nit no es descansa adequadament<\/li>\n
    • Baix rendiment laboral<\/li>\n
    • Augment d’accidents de tr\u00e0nsit<\/li>\n
    • Hipertensi\u00f3 arterial<\/li>\n
    • Accidents cerebrovasculars<\/li>\n
    • Miocardiopaties<\/li>\n
    • Hipertensi\u00f3 pulmonar<\/li>\n<\/ul>\n<\/div>\n<\/div>\n
      \n
      \n

      <\/h3>\n

      El DAM o ferula d’avan\u00e7ament mandibular<\/h3>\n<\/div>\n<\/div>\n
      \n
      \n

      El DAM \u00e9s un dispositiu que avan\u00e7a la mand\u00edbula uns mil\u00b7l\u00edmetres, impedint el col\u00b7lapse de les vies a\u00e8ries. S’utilitzen durant la nit, mentre s’adorm, es col\u00b7loquen a la boca i modifiquen la posici\u00f3 de la mand\u00edbula, llengua i altres estructures de la via a\u00e8ria superior.<\/p>\n

      Estan indicats per al tractament del ronc, apnea lleu i pacients que no tolerin la CPAP.<\/p>\n

      El CPAP \u00e9s un compressor d’aire que produeix una pressi\u00f3 positiva i constant i mant\u00e9 oberta la via a\u00e8ria, mitjan\u00e7ant una m\u00e0scara i un arn\u00e8s que s’adapta a la boca i el cap del pacient.<\/p>\n

      El DAM \u00e9s petit i de f\u00e0cil transport, aix\u00ed que molts pacients que viatgen sovint tamb\u00e9 l’utilitzen com a alternativa al CPAP.<\/p>\n

      El DAM ha de ser realitzat per un dentista, format en medicina oral del son, i en el cas de les apnees que treballi en coordinaci\u00f3 amb la Unitat del Son. Abans d’iniciar el tractament, s’aconsella tenir un diagn\u00f2stic de certesa mitjan\u00e7ant una polisomnografia per determinar si l’apnea \u00e9s lleu, moderada o greu.<\/p>\n

      En casos d’apnees del son lleus i moderades, \u00e9s molt millor tolerat que el CPAP.<\/p>\n

      Les apnees greus s’han de tractar amb un CPAP.<\/p>\n<\/div>\n<\/div>\n

      \n
      \n

      <\/h3>\n

      Com es fan els DAM?<\/h3>\n<\/div>\n<\/div>\n
      \n
      \n

      El disseny dels DAM \u00e9s molt senzill: el dentista pren unes impressions i registres al pacient del maxil\u00b7lar i la mand\u00edbula, simulant un aven\u00e7 mandibular. Es dissenyen i s’ajusten progressivament i de forma individualitzada. Els efectes secundaris s\u00f3n lleus i milloren amb el temps.<\/p>\n

      Abans d’iniciar el tractament, cal avaluar l’estat de l’articulaci\u00f3 temporomandibular, les dents, les genives, etc.<\/p>\n<\/div>\n<\/div>\n

      \n
      \n

      <\/h3>\n

      Com funcionen?<\/h3>\n<\/div>\n<\/div>\n
      \n
      \n

      El DAM es col\u00b7loca a la boca quan el pacient es fica al llit i la seva funci\u00f3 principal \u00e9s avan\u00e7ar la mand\u00edbula per aix\u00ed obrir les vies respirat\u00f2ries i que l’aire entri als pulmons amb la m\u00ednima resist\u00e8ncia. Amb aix\u00f2 aconseguim que arribi el nivell d’oxigen adequat a tots els \u00f2rgans ia m\u00e9s a m\u00e9s desapareix el soroll del ronc.<\/p>\n

      El DAM \u00e9s efica\u00e7 per a les persones que volen deixar de roncar i pretenen millorar el descans durant el son.<\/p>\n

      Amb aquest tipus de dispositius aconseguim millores a curt termini:<\/p>\n

        \n
      • Es redueixen les interrupcions del son i millora la qualitat de vida durant el dia<\/li>\n
      • La intensitat del ronc disminueix.<\/li>\n<\/ul>\n

        Aquest tractament millora tant l’\u00edndex d’apnees, la qualitat del son del pacient, aix\u00ed com els s\u00edmptomes di\u00fcrns i nocturns de l’apnea del son. Tamb\u00e9 \u00e9s molt efica\u00e7 per al ronc, millorant el somni del pacient roncador i sobretot el malestar de les seves parelles.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"

        F\u00e8rules del ronc o f\u00e8rules d’avan\u00e7ament mandibular Les f\u00e8rules del ronc o dispositius d’avan\u00e7ament mandibular (DAM) redueixen els roncs i les apnees del son lleus i moderades, contribuint a un somni de qualitat i reparadora. Es tracta d’una f\u00e8rula doble, maxil\u00b7lar i mandibular, que avan\u00e7a la mand\u00edbula uns mil\u00b7l\u00edmetres, aix\u00ed com la llengua i els…<\/p>\n","protected":false},"author":1,"featured_media":524,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[50],"tags":[],"class_list":["post-1","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tractaments-dentals"],"acf":[],"yoast_head":"\nF\u00e8rules avan\u00e7 mandibular: ad\u00e9u al ronc i apnea del son<\/title>\n<meta name=\"description\" content=\"F\u00e8rules avan\u00e7 mandibular: redueix el ronc i l'apnea del son. 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