{"id":7349,"date":"2026-08-04T06:00:00","date_gmt":"2026-08-04T06:00:00","guid":{"rendered":"https:\/\/www.belodonte.es\/?p=7349"},"modified":"2026-06-22T11:09:39","modified_gmt":"2026-06-22T11:09:39","slug":"lactancia-salut-oral-canvis-hormonals-cures-essencials","status":"publish","type":"post","link":"https:\/\/www.belodonte.es\/ca\/lactancia-salut-oral-canvis-hormonals-cures-essencials\/","title":{"rendered":"Lact\u00e0ncia i salut oral: canvis hormonals i cures essencials"},"content":{"rendered":"\n

La lact\u00e0ncia<\/strong> \u00e9s una etapa de profunds canvis hormonals que afecten a tot l’organisme, inclosa la cavitat oral. Moltes dones desconeixen que durant aquest per\u00edode la salut de les seves genives, les seves dents i els seus teixits orals pot veure’s compromesa per factors que van m\u00e9s enll\u00e0 de la higiene bucal habitual.<\/p>\n\n\n\n

Entendre qu\u00e8 ocorre en la boca durant la lact\u00e0ncia i quines mesures poden adoptar-se per a protegir-la \u00e9s tan important com qualsevol altre aspecte de la cura materna en aquesta etapa.<\/p>\n\n\n\n

Quins canvis hormonals afecten la salut oral durant la lact\u00e0ncia?<\/h2>\n\n\n\n

Durant la lact\u00e0ncia, els nivells d’estr\u00f2gens i progesterona cauen de manera brusca respecte als valors de l’embar\u00e0s, mentre que la prolactina (l’hormona responsable de la producci\u00f3 de llet) es mant\u00e9 elevada. Aquest nou perfil hormonal t\u00e9 conseq\u00fc\u00e8ncies directes sobre els teixits orals.<\/p>\n\n\n\n

La reducci\u00f3 d’estr\u00f2gens disminueix la densitat mineral \u00f2ssia de manera transit\u00f2ria, un fenomen documentat que pot afectar l’os alveolar i que es normalitza habitualment despr\u00e9s del deslletament.<\/p>\n\n\n\n

La prolactina elevada s’associa a una reducci\u00f3 del flux salival en algunes dones, la qual cosa afavoreix la xerostomia transit\u00f2ria (sequedat bucal), altera el pH oral i augmenta el risc de c\u00e0ries en reduir la capacitat antimicrobiana de la saliva.<\/p>\n\n\n\n

\u00c9s cert que l’embar\u00e0s i la lact\u00e0ncia danyen les dents?<\/h2>\n\n\n\n

La creen\u00e7a popular que \u00abper cada fill es perd una dent\u00bb t\u00e9 una base parcialment real, per\u00f2 est\u00e0 enormement exagerada. Durant l’embar\u00e0s i la lact\u00e0ncia no es produeix una transfer\u00e8ncia directa de calci des de les dents de la mare al fetus o al beb\u00e8 a trav\u00e9s de la llet: l’esmalt dental \u00e9s un teixit altament mineralitzat que no es reabsorbeix per a alliberar calci sist\u00e8mic.<\/p>\n\n\n\n

No obstant aix\u00f2, s\u00ed que existeix una p\u00e8rdua transit\u00f2ria de densitat mineral \u00f2ssia alveolar durant la lact\u00e0ncia, estimada en estudis longitudinals entorn del 3-5% en els primers mesos, que es recupera progressivament despr\u00e9s del deslletament.<\/p>\n\n\n\n

El risc real de deterioraci\u00f3 dental durant aquesta etapa prov\u00e9 d’altres factors: els v\u00f2mits freq\u00fcents de l’embar\u00e0s previ (que erosionen l’esmalt per l’\u00e0cid g\u00e0stric), el consum m\u00e9s gran de carbohidrats, la higiene oral descurada per fatiga i la xerostomia associada als canvis hormonals.<\/p>\n\n\n\n

Qu\u00e8 \u00e9s la gingivitis de l’embar\u00e0s i pot persistir durant la lact\u00e0ncia?<\/h2>\n\n\n\n

La gingivitis gestacional \u00e9s una inflamaci\u00f3 de les genives indu\u00efda pels canvis hormonals de l’embar\u00e0s, especialment l’augment de progesterona, que exacerba la resposta inflamat\u00f2ria gingival enfront de la placa bacteriana.<\/p>\n\n\n\n

Es manifesta amb genives enrogides, tumefactes i que sagnen amb facilitat al raspallat. Afecta entre el 60% i el 75% de les embarassades segons diferents estudis. Encara que la gingivitis gestacional tendeix a remetre de manera espont\u00e0nia despr\u00e9s del part a mesura que els nivells hormonals es normalitzen, en dones amb predisposici\u00f3 a la malaltia periodontal o amb una higiene oral deficient pot evolucionar cap a una periodontitis si no es tracta.<\/p>\n\n\n\n

Durant la lact\u00e0ncia, la revisi\u00f3 periodontal \u00e9s especialment recomanable per a confirmar la resoluci\u00f3 de la inflamaci\u00f3 gingival i descartar la pres\u00e8ncia de bosses periodontals actives.<\/p>\n\n\n\n

Pot la mare transmetre bacteris cariog\u00e8nics al beb\u00e8 durant la lact\u00e0ncia?<\/h2>\n\n\n\n

S\u00ed. La transmissi\u00f3 vertical de bacteris cariog\u00e8nics de la mare al beb\u00e8 \u00e9s un mecanisme ben documentat. El Streptococcus mutans (el bacteri m\u00e9s associat al desenvolupament de c\u00e0ries) pot transmetre’s a trav\u00e9s de la saliva materna en comportaments quotidians com bufar el menjar del beb\u00e8, compartir coberts o besar-li.<\/p>\n\n\n\n

Com m\u00e9s gran \u00e9s la c\u00e0rrega bacteriana cariog\u00e8nica en la boca de la mare, major \u00e9s el risc de transmissi\u00f3 al beb\u00e8 i de desenvolupament primerenc de c\u00e0ries en la dentici\u00f3 infantil. Aquesta troballa subratlla la import\u00e0ncia del control de c\u00e0ries matern durant la lact\u00e0ncia, no sols per la salut dental de la mare sin\u00f3 com a mesura de prevenci\u00f3 prim\u00e0ria de la c\u00e0ries infantil.<\/p>\n\n\n\n

El tractament de les lesions de c\u00e0ries actives en la mare durant aquest per\u00edode \u00e9s una intervenci\u00f3 amb benefici demostrat per a la salut oral del fill.<\/p>\n\n\n\n

\u00c9s segur el tractament dental durant la lact\u00e0ncia?<\/h2>\n\n\n\n

S\u00ed, amb matisos. La majoria dels procediments dentals habituals s\u00f3n completament segurs durant la lact\u00e0ncia.<\/p>\n\n\n\n

L’anest\u00e8sia local amb artica\u00efna o lidoca\u00efna t\u00e9 una biodisponibilitat sist\u00e8mica molt baixa i una excreci\u00f3 en la llet materna m\u00ednima i cl\u00ednicament irrellevant, per la qual cosa no requereix interrompre la lact\u00e0ncia.<\/p>\n\n\n\n

Els antiinflamatoris no esteroidals (ibuprof\u00e8n) s\u00f3n compatibles amb la lact\u00e0ncia a dosis habituals. El paracetamol \u00e9s l’analg\u00e8sic de primera elecci\u00f3 pel seu excel\u00b7lent perfil de seguretat. Els antibi\u00f2tics m\u00e9s utilitzats en odontologia (amoxicil\u00b7lina, amoxicil\u00b7lina-clavul\u00e0nic) s\u00f3n compatibles amb la lact\u00e0ncia, encara que poden alterar la microbiota intestinal del lactant. El metronidazole en dosi \u00fanica alta no es recomana durant la lact\u00e0ncia, encara que en pauta curta a dosis habituals es considera acceptable.<\/p>\n\n\n\n

Davant qualsevol dubte sobre la compatibilitat d’un f\u00e0rmac amb la lact\u00e0ncia, la base de dades e-lactancia.org \u00e9s la refer\u00e8ncia de consulta m\u00e9s actualitzada disponible en espanyol.<\/p>\n\n\n\n

Quines revisions orals s\u00f3n recomanables durant la lact\u00e0ncia?<\/h2>\n\n\n\n

La revisi\u00f3 oral durant la lact\u00e0ncia hauria de realitzar-se en el primer mes despr\u00e9s del part, especialment en dones que han presentat gingivitis gestacional, c\u00e0ries activa o malaltia periodontal durant l’embar\u00e0s.<\/p>\n\n\n\n

Aquesta visita permet avaluar la resoluci\u00f3 de la inflamaci\u00f3 gingival, detectar i tractar lesions de c\u00e0ries que poguessin haver-se iniciat o progressat durant l’embar\u00e0s, i realitzar una profilaxi professional que elimini el c\u00e0lcul acumulat.<\/p>\n\n\n\n

En Cl\u00ednica Belodonte recomanem a totes les pacients en per\u00edode de lact\u00e0ncia que no ajornin aquesta revisi\u00f3: \u00e9s el moment ideal per a restablir una salut oral \u00f2ptima abans que les demandes de la cura del beb\u00e8 facin m\u00e9s dif\u00edcil trobar temps per a la salut.<\/p>\n\n\n\n

La lact\u00e0ncia \u00e9s una etapa exigent per a l’organisme. La teva salut oral tamb\u00e9 mereix atenci\u00f3 en aquest per\u00edode. No la posposis. Si ets o ser\u00e0s mam\u00e0, no dubtis a consultar-nos<\/a><\/strong>, t’ajudarem a cuidar la teva salut oral en aquesta bonica etapa.<\/p>\n\n\n\n

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

La lact\u00e0ncia \u00e9s una etapa de profunds canvis hormonals que afecten a tot l’organisme, inclosa la cavitat oral. Moltes dones desconeixen que durant aquest per\u00edode la salut de les seves genives, les seves dents i els seus teixits orals pot […]<\/p>\n","protected":false},"author":3,"featured_media":7348,"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 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":[36],"tags":[],"class_list":["post-7349","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-odontologia-conservadora-2"],"yoast_head":"\nLact\u00e0ncia i salut oral: canvis hormonals i cures essencials - Cl\u00ednica Belodonte<\/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:\/\/www.belodonte.es\/salud-oral-durante-la-lactancia-cambios-hormonales-cuidados-esenciales\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Lact\u00e0ncia i salut oral: canvis hormonals i cures essencials - Cl\u00ednica Belodonte\" \/>\n<meta property=\"og:description\" content=\"La lact\u00e0ncia \u00e9s una etapa de profunds canvis hormonals que afecten a tot l’organisme, inclosa la cavitat oral. 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