{"id":644,"date":"2025-04-14T19:36:56","date_gmt":"2025-04-14T16:36:56","guid":{"rendered":"https:\/\/wiki.voka.io\/diseases\/uncategorized\/caries-dentaires\/"},"modified":"2026-07-13T13:59:29","modified_gmt":"2026-07-13T10:59:29","slug":"caries-dentaires","status":"publish","type":"diseases_post","link":"https:\/\/wiki.voka.io\/fr\/maladies\/odontologie\/caries-dentaires\/","title":{"rendered":"Carie dentaire : \u00e9tiologie, anatomie, classification, manifestations cliniques et traitement"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p class=\"wp-block-paragraph\">La carie dentaire est un processus infectieux de d\u00e9min\u00e9ralisation et de destruction des tissus durs des dents. <\/p>\n<h2 class=\"wp-block-heading\" id=\"etiologie\">\u00c9tiologie<\/h2>\n<p class=\"wp-block-paragraph\">Les caries dentaires se d\u00e9veloppent lorsque plusieurs facteurs se combinent\u00a0: la flore de la plaque dentaire, les glucides alimentaires facilement fermentescibles, une dent sensible et une dur\u00e9e d\u2019exposition prolong\u00e9e.<\/p>\n<p class=\"wp-block-paragraph\">Les micro-organismes colonisent les surfaces dentaires qui ne sont pas expos\u00e9es au frottement de la langue, des joues et des fibres alimentaires et forment un <span class=\"glossary-term\" data-title=\"D\u00e9p\u00f4t dentaire\" data-tooltip=\"Le d\u00e9p\u00f4t dentaire (du latin &lt;em&gt;placa dentalis&lt;\/em&gt;) est un d\u00e9p\u00f4t mou, collant et non-min\u00e9ralis\u00e9 qui adh\u00e8re fermement \u00e0 la surface de la dent. Il repr\u00e9sente une colonie complexe, organis\u00e9e et multi-esp\u00e8ces de micro-organismes int\u00e9gr\u00e9e dans une matrice polysaccharidique protectrice.\" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/plaque-dentaire\/\">biofilm<\/span> appel\u00e9 plaque dentaire. Les l\u00e9sions carieuses se d\u00e9veloppent dans les zones o\u00f9 la plaque dentaire s\u2019accumule.<\/p>\n<p class=\"wp-block-paragraph\">Ces micro-organismes sont capables de rapidement m\u00e9taboliser les glucides alimentaires pour former des acides organiques, ainsi que de survivre dans des conditions de faible pH. Il s\u2019agit principalement de <em>Streptococcus mutans<\/em> et de <em>Lactobacilli<\/em>, mais aussi de <em>Streptococcus sobrinus<\/em>, <em>Streptococcus oralis<\/em>, <em>Actinomyces israelii<\/em>, <em>Actinomyces gerencseriae<\/em>, <em>Bifidoba<\/em><em>cteria<\/em> et <em>Prevotella<\/em>. <em>Streptococcus mutans<\/em> synth\u00e9tise \u00e9galement des polysaccharides adh\u00e9sifs intra- et extracellulaires (glucanes et fructanes), qui contribuent \u00e0 la survie prolong\u00e9e des bact\u00e9ries \u00e0 la surface des dents.<\/p>\n<p class=\"wp-block-paragraph\">Les dents sont constamment baign\u00e9es de salive contenant des min\u00e9raux. La salive, gr\u00e2ce \u00e0 son pouvoir tampon, contribue \u00e0 maintenir un pH neutre dans la cavit\u00e9 orale. \u00c0 un pH neutre (environ 7), les processus de d\u00e9min\u00e9ralisation (dissolution des cristaux min\u00e9raux) et de <span class=\"glossary-term\" data-title=\"Remin\u00e9ralisation des dents\" data-tooltip=\"La remin\u00e9ralisation des dents (du latin &lt;em&gt;remineralisatio&lt;\/em&gt;) est un processus de restauration partielle de la densit\u00e9 min\u00e9rale de l&#039;\u00e9mail par l&#039;afflux d&#039;ions de calcium, de phosphore et de fluorure provenant de la salive ou de pr\u00e9parations sp\u00e9ciales dans la grille cristalline de l&#039;\u00e9mail. \" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/remineralisation-dentaire\/\">remin\u00e9ralisation<\/span> (<span class=\"glossary-term\" data-title=\"Restauration dentaire\" data-tooltip=\"La restauration dentaire (du latin &lt;em&gt;restauratio&lt;\/em&gt; \u2013 restauration) est un mat\u00e9riau biocompatible sp\u00e9cialis\u00e9 utilis\u00e9 pour le remplissage de cavit\u00e9s dans la dent r\u00e9sultant du traitement des caries ou d&#039;une blessure. L&#039;objectif principal de la restauration dentaire est de restaurer la forme anatomique et la fonction, et de sceller les tissus dentaires.\" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/restauration-dentaire\/\">restauration<\/span> partielle ou totale des cristaux min\u00e9raux) de l\u2019<span class=\"glossary-term\" data-title=\"\u00c9mail dentaire\" data-tooltip=\"L&#039;\u00e9mail dentaire (du latin &lt;em&gt;enamelum&lt;\/em&gt;) est la couche protectrice externe de la couronne dentaire. Il s&#039;agit du tissu le plus dur et le plus min\u00e9ralis\u00e9 du corps humain, compos\u00e9 de 96 \u00e0 97&nbsp;% de substances inorganiques, principalement de cristaux d&#039;hydroxyapatite.\" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/email-dentaire\/\">\u00e9mail<\/span> et de la <span class=\"glossary-term\" data-title=\"Dentine\" data-tooltip=\"La dentine (du latin &lt;em&gt;dentinum&lt;\/em&gt;) est un tissu dur et calcifi\u00e9 constituant le volume principal de la dent. Elle est situ\u00e9e sous l\u2019\u00e9mail dans la r\u00e9gion de la couronne et sous le c\u00e9ment dans la zone racinaire, entourant la chambre pulpaire et les canaux radiculaires. En termes de propri\u00e9t\u00e9s physiques, la dentine est plus r\u00e9sistante que l\u2019os mais plus \u00e9lastique que l\u2019\u00e9mail.\" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/dentine\/\">dentine<\/span> sont en \u00e9quilibre.<\/p>\n<p class=\"wp-block-paragraph\">Le m\u00e9tabolisme des glucides alimentaires (glucose, fructose, saccharose, maltose, etc.) par les bact\u00e9ries entra\u00eene une accumulation d\u2019acides et une diminution du pH. <\/p>\n<p class=\"wp-block-paragraph\">Lorsque le pH diminue suffisamment (5,2\u20135,5), les min\u00e9raux des tissus durs de la dent commencent \u00e0 se dissoudre. Cette perte progressive de min\u00e9raux par dissolution sous l\u2019action de l\u2019acide (d\u00e9min\u00e9ralisation) constitue le principal processus de d\u00e9veloppement de la carie.<\/p>\n<p class=\"wp-block-paragraph\">Plus les glucides p\u00e9n\u00e8trent dans la cavit\u00e9 orale avec les aliments et plus les r\u00e9sidus alimentaires restent longtemps \u00e0 la surface des dents, plus les bact\u00e9ries produisent de l\u2019acide, le pH diminue et la d\u00e9min\u00e9ralisation de l\u2019\u00e9mail progresse. Lorsque les bact\u00e9ries atteignent la dentine, en plus de continuer \u00e0 produire de l\u2019acide, elles commencent \u00e0 exercer une activit\u00e9 prot\u00e9olytique. Le processus entra\u00eene la d\u00e9gradation de la composante organique de la dentine, le collag\u00e8ne. <\/p>\n<p class=\"wp-block-paragraph\">La progression des caries peut \u00eatre ralentie ou arr\u00eat\u00e9e par la r\u00e9duction de la fr\u00e9quence et de la dur\u00e9e des attaques acides, par exemple en am\u00e9liorant l\u2019hygi\u00e8ne ou en limitant la consommation de sucre. Les compos\u00e9s fluor\u00e9s (fluorure) favorisent les processus de remin\u00e9ralisation et retardent la d\u00e9min\u00e9ralisation, ainsi que r\u00e9duisent la solubilit\u00e9 de l\u2019\u00e9mail et augmentent sa r\u00e9sistance aux attaques acides.<\/p>\n<h2 class=\"wp-block-heading\" id=\"classification-des-caries\">Classification des caries<\/h2>\n<h3 class=\"wp-block-heading\" id=\"selon-la-profondeur-de-la-lesion-classification-radiologique\">Selon la profondeur de la l\u00e9sion (classification radiologique) :<\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>E1<\/strong> \u2013 l\u00e9sion limit\u00e9e \u00e0 la moiti\u00e9 externe de l\u2019\u00e9mail\u00a0;<\/li>\n<li><strong>E2<\/strong> \u2013 l\u00e9sion de la couche enti\u00e8re de l\u2019\u00e9mail\u00a0;<\/li>\n<li><strong>D1<\/strong> \u2013 l\u00e9sion du tiers externe de la dentine (carie superficielle de la dentine) ;<\/li>\n<li><strong>D2<\/strong> \u2013 l\u00e9sion des tiers externe et moyen de la dentine (carie moyenne) ;<\/li>\n<li><strong>D3<\/strong> \u2013 l\u00e9sion des tiers externe, moyen et interne de la dentine sans p\u00e9n\u00e9tration dans la cavit\u00e9 dentaire (carie profonde).<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/catalog.voka.io\/en\/models\/3ed27118-f048-4865-b4ec-042c2caa7e2f\/77db459e-972a-4660-9f60-cf1397a94405\/f7361959-43dc-45f3-abc2-cd18e539c25c\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8les\u00a03D<\/a> des stades de la carie selon la classification radiologique\u00a0:<\/p>\n<div class=\"carousel-block\">\n<div class=\"swiper carousel-swiper carousel-swiper-block_6a659bb1bb2ed\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Dental%20caries%3A%20etiology%2C%20anatomy%2C%20classification%2C%20clinical%20picture%2C%20treatment\/1-E1.webp\" alt=\"Stade\u00a0E1\"><span class=\"small-text-article text-main-text-color\">Stade\u00a0E1<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Dental%20caries%3A%20etiology%2C%20anatomy%2C%20classification%2C%20clinical%20picture%2C%20treatment\/2-E2.webp\" alt=\"Stade\u00a0E2\"><span class=\"small-text-article text-main-text-color\">Stade\u00a0E2<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Dental%20caries%3A%20etiology%2C%20anatomy%2C%20classification%2C%20clinical%20picture%2C%20treatment\/3-D1.webp\" alt=\"Stade\u00a0D1\"><span class=\"small-text-article text-main-text-color\">Stade\u00a0D1<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Dental%20caries%3A%20etiology%2C%20anatomy%2C%20classification%2C%20clinical%20picture%2C%20treatment\/4-D2.webp\" alt=\"Stade\u00a0D2\"><span class=\"small-text-article text-main-text-color\">Stade\u00a0D2<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Dental%20caries%3A%20etiology%2C%20anatomy%2C%20classification%2C%20clinical%20picture%2C%20treatment\/5-D3.webp\" alt=\"Stade\u00a0D3\"><span class=\"small-text-article text-main-text-color\">Stade\u00a0D3<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-carousel__controls\">\n<div class=\"swiper-article-carousel__pagination-container swiper-article-carousel__pagination-container-block_6a659bb1bb2ed\"><\/div>\n<div class=\"swiper-article-carousel__arrows\"><button class=\"swiper__arrow swiper__arrow--prev carousel-swiper-button-prev swiper__arrow swiper__arrow--prev carousel-swiper-button-prev-block_6a659bb1bb2ed\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><button class=\"swiper__arrow swiper__arrow--next carousel-swiper-button-next swiper__arrow swiper__arrow--next carousel-swiper-button-next-block_6a659bb1bb2ed\" tabindex=\"0\" aria-label=\"Next slide\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const imagesCarouselSwiper = new Swiper('.carousel-swiper-block_6a659bb1bb2ed', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-carousel__pagination-container-block_6a659bb1bb2ed',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.carousel-swiper-button-next-block_6a659bb1bb2ed',\n                prevEl: '.carousel-swiper-button-prev-block_6a659bb1bb2ed',\n            },\n        })\n    })\n<\/script><\/p>\n<h3 class=\"wp-block-heading\" id=\"selon-la-localisation-de-la-lesion-classification-de-black\"><strong>Selon la localisation de la l\u00e9sion\u00a0(classification de Black)\u00a0:<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>Classe I<\/strong> \u2013 dans les sillons naturels (puits et fissures sur la face occlusale des pr\u00e9molaires et molaires, trous borgnes sur les incisives et les canines) ;<\/li>\n<li><strong>Classe II<\/strong> \u2013 sur les faces lat\u00e9rales (proximales) des pr\u00e9molaires et molaires ;<\/li>\n<li><strong>Classe III<\/strong> \u2013 sur les faces lat\u00e9rales (proximales) des dents ant\u00e9rieures sans implication du bord incisif ;<\/li>\n<li><strong>Classe IV<\/strong> \u2013 sur les faces lat\u00e9rales (proximales) des dents ant\u00e9rieures avec implication du bord incisif ;<\/li>\n<li><strong>Classe V<\/strong> \u2013 au niveau du collet des dents.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/catalog.voka.io\/en\/models\/3ed27118-f048-4865-b4ec-042c2caa7e2f\/77db459e-972a-4660-9f60-cf1397a94405\/8b58034b-660d-45ed-b918-dad64ba752cb\/a925c233-3474-45f5-acb9-74aefd0b6ea8\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8les\u00a03D<\/a> des localisations des cavit\u00e9s carieuses selon la classification de Black\u00a0:<\/p>\n<div class=\"carousel-block\">\n<div class=\"swiper carousel-swiper carousel-swiper-block_6a659bb1c32f3\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Dental%20caries%3A%20etiology%2C%20anatomy%2C%20classification%2C%20clinical%20picture%2C%20treatment\/6-Class1.webp\" alt=\"Cavit\u00e9 de classe\u00a0I \"><span class=\"small-text-article text-main-text-color\">Cavit\u00e9 de classe\u00a0I <\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Dental%20caries%3A%20etiology%2C%20anatomy%2C%20classification%2C%20clinical%20picture%2C%20treatment\/7-Class_II.webp\" alt=\"Cavit\u00e9 de classe\u00a0II \"><span class=\"small-text-article text-main-text-color\">Cavit\u00e9 de classe\u00a0II <\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Dental%20caries%3A%20etiology%2C%20anatomy%2C%20classification%2C%20clinical%20picture%2C%20treatment\/8-Class_III.webp\" alt=\"Cavit\u00e9 de classe\u00a0III \"><span class=\"small-text-article text-main-text-color\">Cavit\u00e9 de classe\u00a0III <\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Dental%20caries%3A%20etiology%2C%20anatomy%2C%20classification%2C%20clinical%20picture%2C%20treatment\/9-Class_IV.webp\" alt=\"Cavit\u00e9 de classe\u00a0IV \"><span class=\"small-text-article text-main-text-color\">Cavit\u00e9 de classe\u00a0IV <\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Dental%20caries%3A%20etiology%2C%20anatomy%2C%20classification%2C%20clinical%20picture%2C%20treatment\/10-Class_V.webp\" alt=\"Cavit\u00e9 de classe\u00a0V \"><span class=\"small-text-article text-main-text-color\">Cavit\u00e9 de classe\u00a0V <\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-carousel__controls\">\n<div class=\"swiper-article-carousel__pagination-container 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l\u00e9sions carieuses de classe I de Black<\/span><\/div>\n<div class=\"swiper-slide\"><video controls class=\"carousel-video\"><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/dentistry\/caries\/carious-lesion-class-ii-by-gv-black.webm\" type=\"video\/webm\"><\/source><\/video><span class=\"small-text-article text-main-text-color\">Animation 3D\u00a0\u2013 l\u00e9sions carieuses de classe II de Black<\/span><\/div>\n<div class=\"swiper-slide\"><video controls class=\"carousel-video\"><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/dentistry\/caries\/carious-lesion-class-iii-by-gv-black.webm\" type=\"video\/webm\"><\/source><\/video><span class=\"small-text-article text-main-text-color\">Animation 3D\u00a0\u2013 l\u00e9sions carieuses de classe III de Black<\/span><\/div>\n<div class=\"swiper-slide\"><video controls class=\"carousel-video\"><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/dentistry\/caries\/carious-lesions-class-iv-by-gv-black.webm\" type=\"video\/webm\"><\/source><\/video><span class=\"small-text-article text-main-text-color\">Animation 3D\u00a0\u2013 l\u00e9sions carieuses de classe IV de Black<\/span><\/div>\n<div class=\"swiper-slide\"><video controls class=\"carousel-video\"><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/dentistry\/caries\/carious-lesions-class-v-by-gv-black.webm\" type=\"video\/webm\"><\/source><\/video><span class=\"small-text-article text-main-text-color\">Animation 3D\u00a0\u2013 l\u00e9sions carieuses de classe V de Black<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-video-carousel__controls\">\n<div class=\"swiper-article-video-carousel__pagination-container swiper-article-video-carousel__pagination-container-block_6a659bb1c4e97\"><\/div>\n<div 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spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-video-carousel__pagination-container-block_6a659bb1c4e97',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.video-carousel-swiper-button-next-block_6a659bb1c4e97',\n                prevEl: '.video-carousel-swiper-button-prev-block_6a659bb1c4e97',\n            },\n            on: {\n                slideChangeTransitionStart: function () {\n                    const videos = this.el.querySelectorAll('video');\n                    videos.forEach(video => {\n                        if (!video.paused) {\n                            video.pause();\n                            video.currentTime = 0;\n                        }\n                    });\n                },\n            }\n        })\n    })\n<\/script><\/p>\n<h3 class=\"wp-block-heading\" id=\"selon-le-type-de-tissu-dentaire-affecte-classification-histologique\"><strong><strong>Selon le type de tissu dentaire affect\u00e9<\/strong> (classification histologique)\u00a0:<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>Carie de la dentine ;<\/li>\n<li>Carie de l\u2019\u00e9mail ;<\/li>\n<li>Carie radiculaire.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"selon-le-mode-d-apparition\"><strong>Selon le mode d\u2019apparition :<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>Carie primaire<\/strong> \u2013 se d\u00e9veloppe sur des dents intactes sans restaurations ;<\/li>\n<li><strong>Carie secondaire<\/strong> \u2013 repr\u00e9sente une r\u00e9cidive du processus carieux apr\u00e8s un traitement dentaire.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"anatomie\">Anatomie<\/h2>\n<p class=\"wp-block-paragraph\">Les l\u00e9sions carieuses apparaissent toujours sur la surface de la dent qui est en contact direct avec la cavit\u00e9 orale : surface de l\u2019\u00e9mail, c\u00e9ment radiculaire expos\u00e9, dentine expos\u00e9e. Les caries se d\u00e9veloppent le plus souvent dans les zones typiques d\u2019accumulation de la plaque dentaire\u00a0: dans les puits et les fissures, sur les faces proximales et dans la r\u00e9gion cervicale des dents. En cas de processus carieux actif et d\u2019hygi\u00e8ne insuffisante, les caries peuvent affecter les \u00ab\u00a0zones immunes\u00a0\u00bb\u00a0: les surfaces lisses, l\u2019\u00e9quateur et les cuspides.<\/p>\n<h3 class=\"wp-block-heading\" id=\"carie-de-l-email\">Carie de l\u2019\u00e9mail<\/h3>\n<p class=\"wp-block-paragraph\">Au stade initial (E1), apr\u00e8s l\u2019\u00e9limination de la plaque et le s\u00e9chage de la dent, l\u2019\u00e9mail appara\u00eet macroscopiquement intact, avec une tache blanche opaque indiquant un foyer de d\u00e9min\u00e9ralisation. \u00c0 un stade ult\u00e9rieur (E2), la tache blanche est d\u00e9j\u00e0 visible sur la surface humide de l\u2019\u00e9mail. Cette tache peut \u00eatre color\u00e9e en diff\u00e9rentes nuances de brun avec des colorants alimentaires. Au sein de l\u2019\u00e9mail, la l\u00e9sion a l\u2019apparence d\u2019un c\u00f4ne dont le sommet pointe vers la jonction \u00e9mail-dentine (JED). Lorsque le processus atteint la JED et p\u00e9n\u00e8tre dans la dentine, la l\u00e9sion continue de se propager le long des tubules dentinaires.<\/p>\n<h3 class=\"wp-block-heading\" id=\"carie-de-la-dentine\">Carie de la dentine<\/h3>\n<p class=\"wp-block-paragraph\">L\u2019\u00e9mail d\u00e9min\u00e9ralis\u00e9 au niveau de la l\u00e9sion peut conserver son int\u00e9grit\u00e9 (\u00e9mail pseudo-intact), emp\u00eachant les bact\u00e9ries de p\u00e9n\u00e9trer dans le foyer de d\u00e9min\u00e9ralisation. Macroscopiquement, cette l\u00e9sion appara\u00eet comme une fissure ou une tache pigment\u00e9e \u00e0 la surface de l\u2019\u00e9mail, sous laquelle on peut discerner les contours plus fonc\u00e9s de la dentine affect\u00e9e. <br \/>Lorsque l\u2019\u00e9mail perd environ 30 \u00e0 40\u00a0% de ses min\u00e9raux au foyer de la l\u00e9sion, il devient si poreux et fragile qu\u2019il peut facilement se fracturer et former une cavit\u00e9. Sous l\u2019influence de prot\u00e9ases bact\u00e9riennes, la dentine d\u00e9min\u00e9ralis\u00e9e se n\u00e9crose (zone de p\u00e9n\u00e9tration bact\u00e9rienne), et la zone de d\u00e9min\u00e9ralisation s\u2019\u00e9tend plus profond\u00e9ment vers la pulpe. Autour du foyer de d\u00e9min\u00e9ralisation, une scl\u00e9rose r\u00e9actionnelle de la dentine se produit. Les tiers externe (D1), moyen (D2) et interne (D3) de la dentine sont ensuite successivement touch\u00e9s. Macroscopiquement, la l\u00e9sion active se pr\u00e9sente comme une cavit\u00e9 remplie d\u2019une dentine n\u00e9cros\u00e9e, molle, gluante, brun-jaun\u00e2tre, qui s\u2019enl\u00e8ve facilement par grattage. Dans la zone de l\u00e9sion stabilis\u00e9e, la dentine affect\u00e9e est plus dense et plus fonc\u00e9e.<\/p>\n<figure class=\"wp-block-video\" id=\"animation-3d-stades-radiologiques-de-la-carie\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/dentistry\/caries\/radiographic-stages-of-caries.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Animation 3D\u00a0\u2013 stades radiologiques de la carie<\/figcaption><\/figure>\n<h3 class=\"wp-block-heading\" id=\"carie-radiculaire\">Carie radiculaire<\/h3>\n<p class=\"wp-block-paragraph\">La carie du c\u00e9ment a l\u2019aspect d\u2019une cavit\u00e9 form\u00e9e d\u2019une dentine ramollie. Elle se d\u00e9veloppe sur la surface radiculaire de la dent en pr\u00e9sence d\u2019une r\u00e9cession gingivale et d\u2019une exposition du c\u00e9ment. Ce processus suit les m\u00eames m\u00e9canismes que la carie coronaire.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Dental%20caries%3A%20etiology%2C%20anatomy%2C%20classification%2C%20clinical%20picture%2C%20treatment\/11-Cement.webp\" alt=\"R\u00e9cession gingivale et carie du c\u00e9ment au niveau de la canine maxillaire\"><figcaption class=\"wp-element-caption\">R\u00e9cession gingivale et carie du c\u00e9ment au niveau de la canine maxillaire\u00a0\u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/3ed27118-f048-4865-b4ec-042c2caa7e2f\/77db459e-972a-4660-9f60-cf1397a94405\/ba06d575-0f94-4c25-927c-36a90a89af5e\/ebf8ec47-2f41-4e8a-8c6c-664d602361c3\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8le\u00a03D<\/a><\/figcaption><\/figure>\n<h3 class=\"wp-block-heading\" id=\"carie-dentaire-secondaire\">Carie dentaire secondaire<\/h3>\n<p class=\"wp-block-paragraph\">La carie secondaire se d\u00e9veloppe sous forme d\u2019une coloration lin\u00e9aire, d\u2019une tache ou d\u2019une cavit\u00e9 \u00e0 la fronti\u00e8re entre le tissu dentaire et la restauration, avec une perte d\u2019int\u00e9grit\u00e9 marginale. Ce type de l\u00e9sion est constitu\u00e9 d\u2019une zone superficielle de d\u00e9min\u00e9ralisation \u00e0 la limite entre l\u2019\u00e9mail et la restauration et d\u2019une l\u00e9sion \u00ab\u00a0pari\u00e9tale\u00a0\u00bb entre la restauration et la cavit\u00e9. Le foyer superficiel se propage le long des prismes d\u2019\u00e9mail vers la JED, puis le long des tubules dentinaires. La l\u00e9sion \u00ab\u00a0pari\u00e9tale\u00a0\u00bb se pr\u00e9sente sous forme d\u2019une cavit\u00e9 fissur\u00e9e \u00e9troite qui s\u2019\u00e9tend le long des tubules dentinaires et dans le sens lat\u00e9ral.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Dental%20caries%3A%20etiology%2C%20anatomy%2C%20classification%2C%20clinical%20picture%2C%20treatment\/12-Secondary.webp\" alt=\"Carie secondaire d'une molaire mandibulaire\"><figcaption class=\"wp-element-caption\">Carie secondaire d\u2019une molaire mandibulaire\u00a0\u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/3ed27118-f048-4865-b4ec-042c2caa7e2f\/77db459e-972a-4660-9f60-cf1397a94405\/47b359bf-78a8-4f05-8b63-9371292f05c7\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8le\u00a03D<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"diagnostic\"><strong>Diagnostic<\/strong><\/h2>\n<h3 class=\"wp-block-heading\" id=\"principales-methodes\"><strong>Principales m\u00e9thodes :<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>Examen visuel<\/strong>\u00a0: permet d\u2019identifier la pr\u00e9sence d\u2019une tache ou d\u2019une cavit\u00e9 visible sur les surfaces accessibles \u00e0 l\u2019inspection. Dans le cas d\u2019une carie interproximale, la l\u00e9sion peut \u00eatre observ\u00e9e sur la face occlusale sous forme d\u2019une ombre grise visible \u00e0 travers l\u2019\u00e9mail intact. Pour un meilleur diagnostic visuel, il est recommand\u00e9 d\u2019\u00e9liminer la plaque dentaire et de s\u00e9cher les dents.<\/li>\n<li><strong>Percussion<\/strong> de la dent affect\u00e9e\u00a0: indolore\u00a0;<\/li>\n<li><strong>Sondage<\/strong>\u00a0: d\u00e9termination de la profondeur et du relief de la l\u00e9sion. Cette m\u00e9thode est indolore dans les caries de l\u2019\u00e9mail, mais douloureuse dans les caries moyennes (sondage de la JED) et profondes (sondage du fond de la cavit\u00e9 carieuse).<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"methodes-supplementaires\"><strong>M\u00e9thodes suppl\u00e9mentaires :<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>Radiographie<\/strong> : pr\u00e9sence d\u2019une radio-clart\u00e9 au niveau de l\u2019\u00e9mail (E1, E2), du tiers externe, moyen ou interne de la dentine (D1\u2013D3). La radiographie intra-orale, la radiovisiographie, la radiographie r\u00e9tro-coronaire (bite-wing) pour le diagnostic des caries occlusales et interproximales, l\u2019orthopantomographie (OPT) et la tomographie volumique \u00e0 faisceau conique (TVFC) sont r\u00e9alis\u00e9es.<\/li>\n<li><strong>Test thermique<\/strong>\u00a0: un jet d\u2019air, un spray r\u00e9frig\u00e9rant ou des b\u00e2tonnets de gutta-percha chauff\u00e9e sont utilis\u00e9s. La r\u00e9action au stimulus thermique dispara\u00eet imm\u00e9diatement ou quelques secondes apr\u00e8s son arr\u00eat.<\/li>\n<li><strong>Transillumination par fibre optique (FOTI, Fiber-optic transillumination)<\/strong>\u00a0: transillumination des dents \u00e0 travers le point de contact. La l\u00e9sion carieuse appara\u00eet comme une tache sombre.<\/li>\n<li><strong>Fluorescence quantitative au laser<\/strong>\u00a0: expos\u00e9s \u00e0 la lumi\u00e8re du laser, les tissus dentaires sains et cari\u00e9s deviennent fluorescents en \u00e9mettant des ondes lumineuses de diff\u00e9rentes longueurs.<\/li>\n<li><strong>Mesure de l\u2019imp\u00e9dance \u00e9lectrique<\/strong>\u00a0: les tissus d\u00e9min\u00e9ralis\u00e9s ont une r\u00e9sistance \u00e9lectrique inf\u00e9rieure \u00e0 celle des tissus sains (cette m\u00e9thode est d\u2019un usage limit\u00e9 sur les faces occlusales).<\/li>\n<li><strong>S\u00e9paration temporaire des dents par \u00e9lastiques<\/strong>\u00a0: pour la visualisation des l\u00e9sions interproximales.<\/li>\n<li><strong>Coloration<\/strong>\u00a0: l\u2019\u00e9mail d\u00e9min\u00e9ralis\u00e9 et le collag\u00e8ne d\u00e9natur\u00e9 de la dentine absorbent le colorant, contrairement aux tissus sains.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"manifestations-cliniques\"><strong>Manifestations cliniques<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Les caries de l\u2019\u00e9mail (E1, E2) ne provoquent pas de plaintes, seul un d\u00e9faut esth\u00e9tique peut g\u00eaner les patients. Sur le plan clinique, une tache blanche ou pigment\u00e9e sur l\u2019\u00e9mail est constat\u00e9e.<\/p>\n<p class=\"wp-block-paragraph\">En cas de caries de la dentine (D1\u2013D3), caries du c\u00e9ment ou caries secondaires, les patients n\u2019expriment parfois aucune plainte. Ils peuvent \u00e9voquer la pr\u00e9sence d\u2019une cavit\u00e9 dans la dent ou d\u2019un d\u00e9faut esth\u00e9tique, une douleur dentaire localis\u00e9e de courte dur\u00e9e induite par des stimuli chimiques, thermiques ou m\u00e9caniques, le coincement d\u2019aliments ou des difficult\u00e9s \u00e0 utiliser le fil dentaire. Cliniquement, on constate\u00a0: une pigmentation du puits ou de la fissure, les limites de l\u2019ancienne restauration, le coincement de la sonde dans cette zone (classe\u00a0I de Black, carie secondaire), une ombre grise sous la cr\u00eate marginale, une inflammation de la papille gingivale adjacente \u00e0 la dent affect\u00e9e, des d\u00e9bris alimentaires dans l\u2019espace interdentaire (classe\u00a0II), des taches sombres \u00e0 la transillumination des dents (classes\u00a0II et III), des cavit\u00e9s carieuses visibles form\u00e9es d\u2019une dentine ramollie (classes\u00a0I\u2013V, carie du c\u00e9ment).<\/p>\n<div class=\"videos-carousel-block\">\n<div class=\"swiper video-carousel-swiper video-carousel-swiper-block_6a659bb2d25a7\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide\"><video controls class=\"carousel-video\"><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/dentistry\/caries\/cement-caries.webm\" type=\"video\/webm\"><\/source><\/video><span class=\"small-text-article text-main-text-color\">Animation 3D \u2013 carie du c\u00e9ment<\/span><\/div>\n<div class=\"swiper-slide\"><video controls class=\"carousel-video\"><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/dentistry\/caries\/secondary-caries.webm\" type=\"video\/webm\"><\/source><\/video><span class=\"small-text-article text-main-text-color\">Animation 3D \u2013 carie secondaire<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-video-carousel__controls\">\n<div class=\"swiper-article-video-carousel__pagination-container swiper-article-video-carousel__pagination-container-block_6a659bb2d25a7\"><\/div>\n<div class=\"swiper-article-video-carousel__arrows\"><button class=\"swiper__arrow swiper__arrow--prev video-carousel-swiper-button-prev swiper__arrow swiper__arrow--prev video-carousel-swiper-button-prev-block_6a659bb2d25a7\"><svg 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19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const videosCarouselSwiper = new Swiper('.video-carousel-swiper-block_6a659bb2d25a7', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-video-carousel__pagination-container-block_6a659bb2d25a7',\n                clickable: true,\n            },\n            navigation: 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class=\"banner-icons-wrapper\"><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h2 class=\"wp-block-heading\" id=\"traitement\"><strong>Traitement<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Carie de l\u2019\u00e9mail\u00a0: en cas de l\u00e9sions non cavitaires, on applique un traitement remin\u00e9ralisant, une technique d\u2019infiltration, une correction des soins d\u2019hygi\u00e8ne \u00e0 domicile, des recommandations sur l\u2019alimentation et un suivi clinique r\u00e9gulier.<\/p>\n<p class=\"wp-block-paragraph\">Carie de la dentine, carie du c\u00e9ment, carie secondaire\u00a0: on proc\u00e8de \u00e0 la pr\u00e9paration des tissus dentaires et \u00e0 l\u2019obturation de la cavit\u00e9 carieuse avec des mat\u00e9riaux de restauration dentaire.<\/p>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. Quels sont les micro-organismes qui provoquent des caries dentaires\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les principaux micro-organismes cariog\u00e8nes sont\u00a0: <em>Streptococcus mutans<\/em>, <em>Lactobacilli<\/em>, <em>Actinomyces<\/em>. Ils forment un biofilm (plaque dentaire) et sont capables de survivre dans des conditions de faible pH.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Quelle est la diff\u00e9rence entre la carie de l\u2019\u00e9mail et la carie de la dentine\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La carie de l\u2019\u00e9mail est le stade initial, qui appara\u00eet sous forme d\u2019une tache blanche ou pigment\u00e9e. La carie de la dentine se traduit par la destruction de la dentine et la formation d\u2019une cavit\u00e9.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Quelles sont les principales techniques de traitement des caries\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Au stade de la tache blanche\u00a0: la remin\u00e9ralisation\u00a0\u00ad;\u00a0en cas de l\u00e9sions de la dentine\u00a0: la pr\u00e9paration et l\u2019obturation\u00a0; en cas de carie compliqu\u00e9e (l\u00e9sion pulpaire)\u00a0: le traitement endodontique.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Carie et pulpite\u00a0: quelle est la diff\u00e9rence ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La carie est une l\u00e9sion des tissus durs de la dent (\u00e9mail et dentine), caus\u00e9e par l\u2019action des acides lib\u00e9r\u00e9s par les micro-organismes de la plaque dentaire. Dans les premiers stades, les caries peuvent \u00eatre asymptomatiques et, dans les stades plus avanc\u00e9s, elles peuvent provoquer une douleur passag\u00e8re due \u00e0 des stimuli (froid, chaud, sucr\u00e9). La pulpite est une complication de la carie, dans laquelle se produit une inflammation de la pulpe dentaire (faisceau vasculo-nerveux). La pulpite s\u2019accompagne d\u2019une douleur intense, souvent irradiante, qui peut survenir spontan\u00e9ment, sans stimulus externe.<\/p>\n<p>Principales diff\u00e9rences\u00a0:<\/p>\n<p>1. Localisation\u00a0:<br \/>\u2022 La carie affecte l\u2019\u00e9mail et la dentine\u00a0; <br \/>\u2022 La pulpite atteint la pulpe de la dent.<\/p>\n<p>2. Sympt\u00f4mes\u00a0:<br \/>\u2022 Carie : douleur de courte dur\u00e9e survenant uniquement lors de l\u2019exposition \u00e0 des stimuli (froid, chaud, sucr\u00e9)\u00a0; <br \/>\u2022 Pulpite\u00a0: douleur prolong\u00e9e (plus de 5\u00a0secondes) survenant en cas d\u2019exposition \u00e0 des stimuli thermiques\u00a0; une douleur spontan\u00e9e et une irradiation de la douleur sont possibles. <\/p>\n<p>3. Traitement\u00a0:<br \/>\u2022 Carie\u00a0: pr\u00e9paration et obturation, traitement remin\u00e9ralisant\u00a0; <br \/>\u2022 Pulpite\u00a0: traitement des canaux radiculaires (traitement endodontique).<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"references\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">R\u00e9f\u00e9rences<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>VOKA 3D Anatomy & Pathology \u2013 Atlas 3D complet d\u2019anatomie et de pathologie [Internet]. VOKA 3D Anatomy & Pathology (VOKA 3D Anatomie et Pathologie).<\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible depuis\u00a0: https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Toumba KJ, Twetman S, Splieth C, Parnell C, Van Loveren C, Lygidakis N\u0391. Guidelines on the use of fluoride for caries prevention in children: an updated EAPD policy document [Recommandations sur l\u2019utilisation du fluor pour la pr\u00e9vention de la carie chez l\u2019enfant\u00a0: mise \u00e0 jour du document d\u2019orientation de l\u2019EAPD]. European Archives of Paediatric Dentistry [Internet]. 2019 Oct 20;20(6):507-516. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse\u00a0: https:\/\/doi.org\/10.1007\/s40368-019-00464-2<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Meyer-Lueckel H. Caries management: Science and clinical practice [Gestion de la carie\u00a0: science et pratique clinique]. Stuttgart: Thieme Medical Publishers; 2013.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Li M. Contemporary approach to dental caries [Approche contemporaine de la carie dentaire]. Rijeka: IntechOpen; 2012.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Xuedong Z. Dental caries: Principles and management [Carie dentaire\u00a0: principes et prise en charge]. Berlin: Springer; 2016.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Kidd EAM, Fejerskov O. Essentials of dental caries [L\u2019essentiel de la carie dentaire]. Oxford: Oxford University Press; 2016.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Eden E. Evidence-based caries prevention [Pr\u00e9vention de la carie fond\u00e9e sur les donn\u00e9es probantes]. Cham: Springer; 2018.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">8.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>De Oliveira Carrilho MR. Root caries: From prevalence to therapy [Carie radiculaire\u00a0: de la pr\u00e9valence au traitement]. Basel: Karger Medical and Scientific Publishers; 2017.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">9.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Askar H, Krois J, G\u00f6stemeyer G, Bottenberg P, Zero D, Banerjee A, Schwendicke F. Secondary caries: what is it, and how it can be controlled, detected, and managed? [Carie secondaire\u00a0: qu\u2019est-ce que c\u2019est, et comment la contr\u00f4ler, la d\u00e9tecter et la prendre en charge\u00a0?]. Clinical Oral Investigations [Internet]. 2020 Apr 17;24(5):1869\u20131876.<\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse\u00a0: https:\/\/doi.org\/10.1007\/s00784-020-03268-7<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">10.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Askar H, Tu YK, Paris S, Yeh YC, Schwendicke F. Risk of caries adjacent to different restoration materials: Systematic review of in situ studies [Risque de carie adjacente \u00e0 diff\u00e9rents mat\u00e9riaux de restauration\u00a0: revue syst\u00e9matique des \u00e9tudes in situ]. Journal of Dentistry [Internet]. 2016 Oct 5;56:1\u201310.<\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse\u00a0: https:\/\/doi.org\/10.1016\/j.jdent.2016.09.011<\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>La carie dentaire est un processus infectieux de d\u00e9min\u00e9ralisation et de destruction des tissus durs des dents. \u00c9tiologie Les caries dentaires se d\u00e9veloppent lorsque plusieurs facteurs se combinent\u00a0: la flore de la plaque dentaire, les glucides alimentaires facilement fermentescibles, une dent sensible et une dur\u00e9e d&rsquo;exposition prolong\u00e9e. Les micro-organismes colonisent les surfaces dentaires qui ne [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"template":"","diseases_category":[231],"class_list":["post-644","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-odontologie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Carie dentaire\u00a0: d\u00e9finition, causes, sympt\u00f4mes, stades, classification et traitement<\/title>\n<meta name=\"description\" content=\"La carie dentaire est un processus infectieux de d\u00e9min\u00e9ralisation et de destruction des tissus durs des dents. 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