{"id":7152,"date":"2026-05-05T06:00:00","date_gmt":"2026-05-05T06:00:00","guid":{"rendered":"https:\/\/www.belodonte.es\/?p=7152"},"modified":"2026-04-08T09:46:57","modified_gmt":"2026-04-08T09:46:57","slug":"malalties-ossies-afecten-maxillar","status":"publish","type":"post","link":"https:\/\/www.belodonte.es\/ca\/malalties-ossies-afecten-maxillar\/","title":{"rendered":"Malalties \u00f2ssies que afecten el maxil\u00b7lar"},"content":{"rendered":"\n

Les malalties \u00f2ssies que afecten el maxil\u00b7lar <\/strong>representen un grup de patologies que, amb freq\u00fc\u00e8ncia, passen desapercebudes fins que les seves conseq\u00fc\u00e8ncies s\u00f3n dif\u00edcils de revertir. En la Cl\u00ednica Belodonte, experts en Cirurgia Oral i Maxil\u00b7lofacial a Barcelona<\/a><\/strong>, ho sabem b\u00e9: l’os maxil\u00b7lar no \u00e9s sol suport dental, \u00e9s una estructura viva, din\u00e0mica i estretament connectada amb la salut general de l’organisme. Entendre qu\u00e8 pot compromete’l (i quan actuar) marca la difer\u00e8ncia entre conservar o perdre teixit ossi de manera irreversible.<\/p>\n\n\n\n

Per qu\u00e8 el maxil\u00b7lar \u00e9s especialment vulnerable?<\/h2>\n\n\n\n

L’os maxil\u00b7lar (tant el superior com l’inferior) forma part de l’esquelet craniofacial i est\u00e0 sotm\u00e8s a condicions \u00faniques: forces mec\u00e0niques constants per la masticaci\u00f3, exposici\u00f3 permanent a microorganismes de la cavitat oral i una irrigaci\u00f3 sangu\u00ednia molt activa. Aquesta combinaci\u00f3 ho converteix en una zona on les malalties \u00f2ssies sist\u00e8miques es manifesten de manera primerenca i, a vegades, m\u00e9s agressiva que en altres ossos del cos.<\/p>\n\n\n\n

Principals malalties \u00f2ssies amb afectaci\u00f3 maxil\u00b7lar<\/h2>\n\n\n\n

Osteoporosi maxil\u00b7lar<\/h3>\n\n\n\n

L’osteoporosi no es limita a malucs o v\u00e8rtebres. Quan afecta el maxil\u00b7lar, redueix la seva densitat mineral i compromet l’estabilitat dental, la osteointegraci\u00f3 d’implants i la cicatritzaci\u00f3 postquir\u00fargica. En Belodonte realitzem estudis de densitat \u00f2ssia previs a qualsevol intervenci\u00f3 per a garantir que el tractament triat sigui segur i durador.<\/p>\n\n\n\n

Displ\u00e0sia fibrosa dels maxil\u00b7lars<\/h3>\n\n\n\n

En aquesta patologia, el teixit ossi normal \u00e9s reempla\u00e7at progressivament per teixit fibr\u00f3s an\u00f2mal. El resultat: asimetries facials, despla\u00e7ament dental i alteracions funcionals de la mossegada. El seu diagn\u00f2stic en estadis primerencs permet un abordatge molt m\u00e9s conservador.<\/p>\n\n\n\n

Malaltia de Paget \u00f2ssia<\/h3>\n\n\n\n

El Paget ossi pot comprometre el crani i els maxil\u00b7lars, generant un engruiximent progressiu de l’os, dolor cr\u00f2nic i maloclusi\u00f3 intensa. Els pacients amb aquesta malaltia requereixen un seguiment odontol\u00f2gic especialitzat i coordinaci\u00f3 constant amb el seu equip m\u00e8dic.<\/p>\n\n\n\n

Osteonecrosi dels maxil\u00b7lars<\/h3>\n\n\n\n

\u00c9s una de les complicacions m\u00e9s serioses associades a l’\u00fas de bifosfonats i altres f\u00e0rmacs antirresortius, utilitzats habitualment en el tractament de l’osteoporosi i en oncologia. L’osteonecrosi provoca la mort del teixit ossi maxil\u00b7lar i pot prevenir-se amb una valoraci\u00f3 odontol\u00f2gica rigorosa abans d’iniciar qualsevol tractament farmacol\u00f2gic. En Belodonte realitzem aquest cribratge de manera sistem\u00e0tica.<\/p>\n\n\n\n

Tumors odontog\u00e8nics i lesions \u00f2ssies locals<\/h3>\n\n\n\n

Encara que d’origen local, lesions com l’ameloblastoma poden destruir os maxil\u00b7lar de manera silenciosa i progressiva. Requereixen diagn\u00f2stic diferencial prec\u00eds (habitualment mitjan\u00e7ant proves d’imatge avan\u00e7ada) i, en la majoria dels casos, intervenci\u00f3 quir\u00fargica especialitzada.<\/p>\n\n\n\n

Senyals d’alerta que no has d’ignorar<\/h2>\n\n\n\n

Moltes malalties \u00f2ssies que afecten el maxil\u00b7lar evolucionen sense dolor durant anys. Per\u00f2 hi ha senyals que han de portar-te a consulta sense demora:<\/p>\n\n\n\n

    \n
  • Mobilitat dental sense causa aparent<\/li>\n\n\n\n
  • Dolor persistent en mand\u00edbula, paladar o zona facial<\/li>\n\n\n\n
  • Asimetries facials que progressen amb el temps<\/li>\n\n\n\n
  • Ferides orals que no cicatritzen en m\u00e9s de dues setmanes<\/li>\n\n\n\n
  • Sensaci\u00f3 de pressi\u00f3, entumiment o canvis en la mossegada<\/li>\n<\/ul>\n\n\n\n

    El paper clau de l’odontologia especialitzada<\/h2>\n\n\n\n

    Una radiografia dental de rutina pot ser el primer pas en la detecci\u00f3 d’una malaltia \u00f2ssia sist\u00e8mica. En Belodonte treballem amb un enfocament diagn\u00f2stic integral: imatge avan\u00e7ada, coordinaci\u00f3 amb especialistes m\u00e8dics i plans de tractament individualitzats per a cada pacient.<\/p>\n\n\n\n

    Si est\u00e0s en tractament amb medicaments que afecten el metabolisme ossi, o tens antecedents familiars de malalties \u00f2ssies, comunica’l en la teva pr\u00f2xima visita. La informaci\u00f3 que comparteixes amb el teu equip cl\u00ednic pot ser determinant per a la teva salut.<\/p>\n","protected":false},"excerpt":{"rendered":"

    Les malalties \u00f2ssies que afecten el maxil\u00b7lar representen un grup de patologies que, amb freq\u00fc\u00e8ncia, passen desapercebudes fins que les seves conseq\u00fc\u00e8ncies s\u00f3n dif\u00edcils de revertir. En la Cl\u00ednica Belodonte, experts en Cirurgia Oral i Maxil\u00b7lofacial a Barcelona, ho sabem […]<\/p>\n","protected":false},"author":3,"featured_media":7151,"comment_status":"open","ping_status":"open","sticky":false,"template":"","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":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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