{"id":907,"date":"2025-04-14T19:36:56","date_gmt":"2025-04-14T16:36:56","guid":{"rendered":"https:\/\/wiki.voka.io\/diseases\/uncategorized\/karies\/"},"modified":"2026-03-02T16:11:34","modified_gmt":"2026-03-02T13:11:34","slug":"carie","status":"publish","type":"diseases_post","link":"https:\/\/wiki.voka.io\/pt\/doencas\/dentarias\/carie\/","title":{"rendered":"C\u00e1rie dent\u00e1ria: Etiologia, anatomia, classifica\u00e7\u00e3o, quadro cl\u00ednico, tratamento"},"content":{"rendered":"<p>A c\u00e1rie \u00e9 um processo infecioso de <span class=\"glossary-term\" data-title=\"Desmineraliza\u00e7\u00e3o dos dentes\" data-tooltip=\"A desmineraliza\u00e7\u00e3o dos dentes (em latim: &lt;em&gt;demineralisatio&lt;\/em&gt;) \u00e9 o processo de lixivia\u00e7\u00e3o de subst\u00e2ncias inorg\u00e2nicas (c\u00e1lcio, f\u00f3sforo) dos tecidos duros do dente sob a a\u00e7\u00e3o de \u00e1cidos. Este processo \u00e9 a fase inicial da destrui\u00e7\u00e3o do esmalte e da forma\u00e7\u00e3o de les\u00f5es cariosas.\" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/desmineralizacao-dos-dentes\/\">desmineraliza\u00e7\u00e3o<\/span> e destrui\u00e7\u00e3o dos tecidos duros dos dentes.<\/p>\n<h2 class=\"wp-block-heading\" id=\"a-etiologia\"><strong>A etiologia<\/strong><\/h2>\n<p>A c\u00e1rie desenvolve-se quando v\u00e1rios factores se combinam: a microflora da <span class=\"glossary-term\" data-title=\"Placa bacteriana\" data-tooltip=\"Placa bacteriana (em latim: &lt;em&gt;placa dentalis&lt;\/em&gt;) \u00e9 um dep\u00f3sito macio, pegajoso e n\u00e3o mineralizado que adere firmemente \u00e0 superf\u00edcie do dente. Representa uma col\u00f4nia complexa, organizada e de m\u00faltiplas esp\u00e9cies de microrganismos embebidos em uma matriz de polissacar\u00eddeo protetora.\" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/placa-bacteriana\/\">placa bacteriana<\/span>, os hidratos de carbono facilmente ferment\u00e1veis dos alimentos, um dente suscet\u00edvel e um tempo de exposi\u00e7\u00e3o prolongado.<\/p>\n<p>Os microrganismos colonizam as superf\u00edcies dent\u00e1rias que n\u00e3o est\u00e3o expostas \u00e0 fric\u00e7\u00e3o da l\u00edngua, das bochechas e das fibras alimentares e formam um biofilme conhecido como placa bacteriana. As les\u00f5es cariosas desenvolvem-se apenas em \u00e1reas onde a placa bacteriana se acumula.<\/p>\n<p>Com o consumo frequente e prolongado de hidratos de carbono facilmente ferment\u00e1veis, aumenta a propor\u00e7\u00e3o de microflora cariesog\u00e9nica no biofilme, que pode metabolizar rapidamente os hidratos de carbono dos alimentos para formar \u00e1cidos org\u00e2nicos e pode tamb\u00e9m sobreviver em condi\u00e7\u00f5es de pH baixo. Estas s\u00e3o principalmente <em>Streptococcus mutans<\/em> e <em>Lactobacilli<\/em>, mas tamb\u00e9m <em>Streptococcus sobrinus<\/em>, <em>Streptococcus oralis, Actinomyces israelii, Actinomyces gerencseriae, Bifidobacteria<\/em>, e <em>Prevotella. Streptococcus mutans<\/em> tamb\u00e9m sintetizam polissac\u00e1ridos adesivos intra e extracelulares (glucanos e frutanos) que promovem a reten\u00e7\u00e3o prolongada de bact\u00e9rias nas superf\u00edcies dent\u00e1rias. <\/p>\n<p>Os dentes s\u00e3o constantemente banhados com saliva, que cont\u00e9m minerais. A saliva ajuda a manter um pH neutro na cavidade oral devido \u00e0 sua capacidade tamp\u00e3o. Em valores de pH neutros (\u22487), os processos de desmineraliza\u00e7\u00e3o (dissolu\u00e7\u00e3o dos cristais dos componentes minerais) e <span class=\"glossary-term\" data-title=\"Remineraliza\u00e7\u00e3o dent\u00e1ria\" data-tooltip=\"A remineraliza\u00e7\u00e3o dent\u00e1ria (em latim: &lt;em&gt;remineralisatio&lt;\/em&gt;) \u00e9 um processo de restaura\u00e7\u00e3o parcial da densidade mineral do esmalte atrav\u00e9s do afluxo de \u00edons de c\u00e1lcio, f\u00f3sforo e fl\u00faor da saliva ou prepara\u00e7\u00f5es especiais para a grade cristalina do esmalte. \" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/remineralizacao-dentaria\/\">remineraliza\u00e7\u00e3o<\/span> (<span class=\"glossary-term\" data-title=\"Restaura\u00e7\u00e3o do dente\" data-tooltip=\"A restaura\u00e7\u00e3o do dente (em latim: &lt;em&gt;restauratio&lt;\/em&gt;) \u00e9 um material biocompat\u00edvel especializado usado para preencher cavidades no dente resultantes do tratamento de c\u00e1ries ou de les\u00f5es. O objetivo principal da restaura\u00e7\u00e3o do dente \u00e9 restaurar a forma anat\u00f4mica e a fun\u00e7\u00e3o, al\u00e9m de selar os tecidos dentais.\" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/restauracao-dental\/\">restaura\u00e7\u00e3o<\/span> parcial ou completa dos cristais dos componentes minerais) do <span class=\"glossary-term\" data-title=\"Esmalte dent\u00e1rio\" data-tooltip=\"Esmalte dent\u00e1rio (em latim: &lt;em&gt;enamelum&lt;\/em&gt;) \u00e9 o revestimento protetor externo da coroa do dente. \u00c9 o tecido mais duro e mais mineralizado do corpo humano, consistindo de 96 a 97% de subst\u00e2ncias inorg\u00e2nicas, principalmente cristais de hidroxiapatita.\" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/esmalte-dentario\/\">esmalte<\/span> e da <span class=\"glossary-term\" data-title=\"Dentina\" data-tooltip=\"Dentina (em latim: &lt;em&gt;dentinum&lt;\/em&gt;) \u00e9 um tecido duro e calcificado que constitui o volume principal do dente. Est\u00e1 localizada sob o esmalte na regi\u00e3o da coroa e sob o cimento na \u00e1rea da raiz, circundando a c\u00e2mara pulpar e os canais radiculares. Em termos de suas propriedades f\u00edsicas, a dentina \u00e9 mais forte que o osso, mas mais el\u00e1stica que o esmalte.\" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/dentina\/\">dentina<\/span> est\u00e3o em equil\u00edbrio. <\/p>\n<p>O metabolismo dos hidratos de carbono dos alimentos (glucose, frutose, sacarose, maltose e outros) pelas bact\u00e9rias leva \u00e0 acumula\u00e7\u00e3o de \u00e1cido e \u00e0 redu\u00e7\u00e3o do pH. <\/p>\n<p>Se o pH descer o suficiente (5,2-5,5), os minerais dos tecidos duros do dente come\u00e7am a dissolver-se. A perda gradual de minerais atrav\u00e9s da dissolu\u00e7\u00e3o pelo \u00e1cido (desmineraliza\u00e7\u00e3o) \u00e9 o principal processo no desenvolvimento da c\u00e1rie dent\u00e1ria.<\/p>\n<p>Quanto mais frequentemente os hidratos de carbono entram na cavidade oral com os alimentos e quanto mais tempo os alimentos permanecem na superf\u00edcie dos dentes, mais as bact\u00e9rias produzem \u00e1cido, o pH diminui e a desmineraliza\u00e7\u00e3o do esmalte progride. Ao chegarem \u00e0 dentina, para al\u00e9m de continuarem a produzir \u00e1cido, as bact\u00e9rias iniciam tamb\u00e9m uma atividade proteol\u00edtica. Como resultado, o componente org\u00e2nico (colag\u00e9nio) da dentina \u00e9 destru\u00eddo. <\/p>\n<p>A progress\u00e3o da c\u00e1rie pode ser retardada ou interrompida atrav\u00e9s da redu\u00e7\u00e3o da frequ\u00eancia e da dura\u00e7\u00e3o dos ataques \u00e1cidos, por exemplo, melhorando a higiene ou limitando a ingest\u00e3o de a\u00e7\u00facar. Os compostos fluoretados (fl\u00faor) promovem os processos de remineraliza\u00e7\u00e3o e retardam a desmineraliza\u00e7\u00e3o, reduzem a solubilidade do esmalte e aumentam a sua resist\u00eancia ao ataque \u00e1cido.<\/p>\n<h2 class=\"wp-block-heading\" id=\"classificacao-das-caries\"><strong>Classifica\u00e7\u00e3o das c\u00e1ries<\/strong><\/h2>\n<h3 class=\"wp-block-heading\" id=\"de-acordo-com-a-profundidade-da-lesao-classificacao-radiologica\"><strong>De acordo com a profundidade da les\u00e3o (classifica\u00e7\u00e3o radiol\u00f3gica):<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>E1 \u2013 a metade exterior do esmalte \u00e9 afetada;<\/li>\n<li>E2 \u2013 toda a camada de esmalte \u00e9 afetada;<\/li>\n<li>D1 \u2013 o ter\u00e7o exterior da dentina \u00e9 afetado (c\u00e1rie superficial da dentina);<\/li>\n<li>D2 \u2013 os ter\u00e7os exterior e m\u00e9dio da dentina s\u00e3o afectados (c\u00e1rie m\u00e9dia);<\/li>\n<li>D3 \u2013 o ter\u00e7o externo, m\u00e9dio e interno da dentina \u00e9 afetado sem penetra\u00e7\u00e3o na c\u00e2mara pulpar (c\u00e1rie profunda).<\/li>\n<\/ul>\n<p><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\">Modelos 3D<\/a> de c\u00e1ries por profundidade de les\u00e3o:<\/p>\n<div class=\"carousel-block\">\n<div class=\"swiper carousel-swiper carousel-swiper-block_69ec966e82617\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-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=\"Est\u00e1gios da c\u00e1rie de acordo com a classifica\u00e7\u00e3o radiol\u00f3gica - est\u00e1gio E1\"><span class=\"small-text-article text-main-text-color\">Est\u00e1gios da c\u00e1rie de acordo com a classifica\u00e7\u00e3o radiol\u00f3gica \u2013 est\u00e1gio E1<\/span><\/div>\n<div class=\"swiper-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=\"Est\u00e1dios da c\u00e1rie de acordo com a classifica\u00e7\u00e3o radiol\u00f3gica - est\u00e1dio E2\"><span class=\"small-text-article text-main-text-color\">Est\u00e1dios da c\u00e1rie de acordo com a classifica\u00e7\u00e3o radiol\u00f3gica \u2013 est\u00e1dio E2<\/span><\/div>\n<div class=\"swiper-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=\"Est\u00e1dios da c\u00e1rie de acordo com a classifica\u00e7\u00e3o radiol\u00f3gica - est\u00e1dio D1\"><span class=\"small-text-article text-main-text-color\">Est\u00e1dios da c\u00e1rie de acordo com a classifica\u00e7\u00e3o radiol\u00f3gica \u2013 est\u00e1dio D1<\/span><\/div>\n<div class=\"swiper-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=\"Est\u00e1dios da c\u00e1rie de acordo com a classifica\u00e7\u00e3o radiol\u00f3gica - est\u00e1dio D2\"><span class=\"small-text-article text-main-text-color\">Est\u00e1dios da c\u00e1rie de acordo com a classifica\u00e7\u00e3o radiol\u00f3gica \u2013 est\u00e1dio D2<\/span><\/div>\n<div class=\"swiper-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=\"Est\u00e1gios da c\u00e1rie de acordo com a classifica\u00e7\u00e3o radiol\u00f3gica - est\u00e1gio D3\"><span class=\"small-text-article text-main-text-color\">Est\u00e1gios da c\u00e1rie de acordo com a classifica\u00e7\u00e3o radiol\u00f3gica \u2013 est\u00e1gio D3<\/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_69ec966e82617\"><\/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_69ec966e82617\"><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_69ec966e82617\" 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_69ec966e82617', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-carousel__pagination-container-block_69ec966e82617',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.carousel-swiper-button-next-block_69ec966e82617',\n                prevEl: '.carousel-swiper-button-prev-block_69ec966e82617',\n            },\n        })\n    })\n<\/script><\/p>\n<h3 class=\"wp-block-heading\" id=\"classificacao-de-black-por-localizacao-da-lesao\"><strong>Classifica\u00e7\u00e3o de Black (por localiza\u00e7\u00e3o da les\u00e3o):<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>Classe I \u2013 em recessos naturais (fossas e fissuras na superf\u00edcie oclusal dos dentes de mastiga\u00e7\u00e3o, fossas cegas nos incisivos e caninos);<\/li>\n<li>Classe II \u2013 nas superf\u00edcies laterais (proximais) dos dentes mastigat\u00f3rios;<\/li>\n<li>Classe III \u2013 nas superf\u00edcies laterais (proximais) dos dentes anteriores sem envolvimento do bordo incisal;<\/li>\n<li>Classe IV \u2013 nas superf\u00edcies laterais (proximais) dos dentes anteriores com envolvimento do bordo incisal;<\/li>\n<li>Grau V \u2013 na regi\u00e3o vestibular dos dentes.<\/li>\n<\/ul>\n<p><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\">Modelos 3D<\/a> de c\u00e1ries por localiza\u00e7\u00e3o de les\u00f5es:<\/p>\n<div class=\"carousel-block\">\n<div class=\"swiper carousel-swiper carousel-swiper-block_69ec966e84273\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-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=\"Localiza\u00e7\u00e3o de cavidades cariosas de acordo com a classifica\u00e7\u00e3o de Black - classe I \"><span class=\"small-text-article text-main-text-color\">Localiza\u00e7\u00e3o de cavidades cariosas de acordo com a classifica\u00e7\u00e3o de Black \u2013 classe I <\/span><\/div>\n<div class=\"swiper-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=\"Localiza\u00e7\u00e3o de cavidades cariosas de acordo com a classifica\u00e7\u00e3o de Black - classe II\"><span class=\"small-text-article text-main-text-color\">Localiza\u00e7\u00e3o de cavidades cariosas de acordo com a classifica\u00e7\u00e3o de Black \u2013 classe II<\/span><\/div>\n<div class=\"swiper-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=\"Localiza\u00e7\u00e3o de cavidades cariosas de acordo com a classifica\u00e7\u00e3o de Black - classe III\"><span class=\"small-text-article text-main-text-color\">Localiza\u00e7\u00e3o de cavidades cariosas de acordo com a classifica\u00e7\u00e3o de Black \u2013 classe III<\/span><\/div>\n<div class=\"swiper-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=\"Localiza\u00e7\u00e3o de cavidades cariosas de acordo com a classifica\u00e7\u00e3o de Black - classe IV\"><span class=\"small-text-article text-main-text-color\">Localiza\u00e7\u00e3o de cavidades cariosas de acordo com a classifica\u00e7\u00e3o de Black \u2013 classe IV<\/span><\/div>\n<div class=\"swiper-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=\"Localiza\u00e7\u00e3o de cavidades cariosas de acordo com a classifica\u00e7\u00e3o de Black - classe V \"><span class=\"small-text-article text-main-text-color\">Localiza\u00e7\u00e3o de cavidades cariosas de acordo com a classifica\u00e7\u00e3o de Black \u2013 classe V <\/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_69ec966e84273\"><\/div>\n<div class=\"swiper-article-carousel__arrows\"><button class=\"swiper__arrow swiper__arrow--prev 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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_69ec966e84273\" tabindex=\"0\" aria-label=\"Next slide\"><svg 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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_69ec966e84273', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-carousel__pagination-container-block_69ec966e84273',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.carousel-swiper-button-next-block_69ec966e84273',\n                prevEl: '.carousel-swiper-button-prev-block_69ec966e84273',\n            },\n        })\n    })\n<\/script><\/p>\n<div class=\"videos-carousel-block\">\n<div class=\"swiper video-carousel-swiper video-carousel-swiper-block_69ec966e84646\">\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\/carious-lesions-class-i-by-gv-black.webm\" type=\"video\/webm\"><\/source><\/video><span class=\"small-text-article text-main-text-color\">Anima\u00e7\u00e3o 3D \u2013 Les\u00f5es cariosas da classe I de acordo com G.V.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\">Anima\u00e7\u00e3o 3D \u2013 Les\u00e3o cariosa de classe II de acordo com G.V.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\">Anima\u00e7\u00e3o 3D \u2013 Les\u00e3o cariosa de classe III de acordo com G.V.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\">Anima\u00e7\u00e3o 3D \u2013 Les\u00f5es cariosas classe IV de G.V.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\">Anima\u00e7\u00e3o 3D \u2013 Les\u00f5es cariosas da classe V de acordo com G.V.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_69ec966e84646\"><\/div>\n<div 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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 video-carousel-swiper-button-next swiper__arrow swiper__arrow--next 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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 videosCarouselSwiper = new Swiper('.video-carousel-swiper-block_69ec966e84646', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-video-carousel__pagination-container-block_69ec966e84646',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.video-carousel-swiper-button-next-block_69ec966e84646',\n                prevEl: '.video-carousel-swiper-button-prev-block_69ec966e84646',\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=\"classificacao-histologica-de-acordo-com-o-tipo-de-tecido-dentario-afetado\"><strong>Classifica\u00e7\u00e3o histol\u00f3gica (de acordo com o tipo de tecido dent\u00e1rio afetado):<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>C\u00e1ries do esmalte;<\/li>\n<li>C\u00e1ries dent\u00e1rias;<\/li>\n<li>C\u00e1ries de cimento.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"por-modo-de-ocorrencia\"><strong>Por modo de ocorr\u00eancia:<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>C\u00e1rie prim\u00e1ria \u2013 desenvolve-se em dentes intactos sem restaura\u00e7\u00f5es;<\/li>\n<li>A c\u00e1rie secund\u00e1ria \u00e9 uma recorr\u00eancia do processo carioso ap\u00f3s o tratamento dent\u00e1rio.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"anatomia\"><strong>Anatomia<\/strong><\/h2>\n<p>As les\u00f5es de c\u00e1rie come\u00e7am sempre na superf\u00edcie do dente que est\u00e1 em contacto direto com a cavidade oral: na superf\u00edcie do esmalte, no cemento radicular exposto, na dentina exposta. Mais frequentemente, a c\u00e1rie desenvolve-se em locais t\u00edpicos de acumula\u00e7\u00e3o de placa bacteriana \u2013 em fossas e fissuras, nas superf\u00edcies laterais dos dentes, na \u00e1rea vestibular. Em caso de elevada atividade do processo carioso e de higiene insuficiente, a c\u00e1rie pode afetar as \u201czonas imunes\u201d \u2013 superf\u00edcies lisas, zona equatorial e c\u00faspides.<\/p>\n<p>C\u00e1rie do esmalte: Na fase inicial, ap\u00f3s a remo\u00e7\u00e3o da placa bacteriana e secagem do dente, o esmalte apresenta-se macroscopicamente intacto, com uma desmineraliza\u00e7\u00e3o focal sob a forma de uma mancha branca mate (E1). Numa fase posterior (E2), a mancha branca j\u00e1 \u00e9 vis\u00edvel na superf\u00edcie h\u00famida do esmalte. A mancha pode ser colorida em v\u00e1rios tons de castanho com corante alimentar. No esmalte, a les\u00e3o tem a apar\u00eancia de um cone com o \u00e1pice apontando para a jun\u00e7\u00e3o esmalte-dentina (EDS). Quando o processo atinge a EDS e penetra na dentina, a dire\u00e7\u00e3o de propaga\u00e7\u00e3o da les\u00e3o segue o curso dos t\u00fabulos dentin\u00e1rios.<\/p>\n<p>C\u00e1rie dent\u00e1ria: o esmalte desmineralizado na \u00e1rea do defeito pode permanecer intacto (esmalte pseudo-intacto), impedindo a penetra\u00e7\u00e3o bacteriana na zona de desmineraliza\u00e7\u00e3o. Macroscopicamente, o defeito aparece como uma fissura ou mancha pigmentada na superf\u00edcie do esmalte, sob a qual podem ser vis\u00edveis os contornos mais escuros da dentina afetada. <\/p>\n<p>Quando cerca de 30-40% dos minerais na les\u00e3o s\u00e3o perdidos, o esmalte torna-se t\u00e3o poroso e quebradi\u00e7o que pode facilmente partir-se e formar um defeito na cavidade. As bact\u00e9rias penetram profundamente no defeito, sob a influ\u00eancia das suas proteases, a dentina desmineralizada necrosa (zona de penetra\u00e7\u00e3o bacteriana), a zona de desmineraliza\u00e7\u00e3o espalha-se mais profundamente em dire\u00e7\u00e3o \u00e0 polpa. A esclerose reactiva da dentina ocorre \u00e0 volta da zona de desmineraliza\u00e7\u00e3o. Os ter\u00e7os exterior (D1), m\u00e9dio (D2) e interior (D3) da dentina s\u00e3o afectados sucessivamente. Macroscopicamente, a les\u00e3o ativa aparece como uma cavidade preenchida com dentina necrosada macia, pegajosa, castanho-amarelada, facilmente remov\u00edvel por raspagem. Numa les\u00e3o suspensa, a dentina afetada \u00e9 mais densa e escura.     <\/p>\n<figure class=\"wp-block-video\" id=\"animacao-3d-fases-radiologicas-da-carie-dentaria\"><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\">Anima\u00e7\u00e3o 3D \u2013 Fases radiol\u00f3gicas da c\u00e1rie dent\u00e1ria<\/figcaption><\/figure>\n<p>A c\u00e1rie de cemento, sob a forma de uma cavidade formada por dentina amolecida, desenvolve-se na superf\u00edcie radicular do dente na presen\u00e7a de recess\u00e3o gengival e exposi\u00e7\u00e3o do cemento radicular. O seu desenvolvimento segue os mesmos mecanismos que a c\u00e1rie da coroa. <\/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=\"Recess\u00e3o gengival e c\u00e1rie de cemento na regi\u00e3o dos caninos do maxilar superior\"><figcaption class=\"wp-element-caption\">Recess\u00e3o gengival e c\u00e1rie de cemento na regi\u00e3o do canino da maxila \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\">Modelo 3D<\/a><\/figcaption><\/figure>\n<p>A c\u00e1rie secund\u00e1ria desenvolve-se como uma colora\u00e7\u00e3o linear, mancha ou cavidade na interface entre o tecido dent\u00e1rio e a restaura\u00e7\u00e3o com uma adapta\u00e7\u00e3o marginal anormal. Este tipo de les\u00e3o consiste numa \u00e1rea superficial de desmineraliza\u00e7\u00e3o na interface esmalte\/restaura\u00e7\u00e3o e uma les\u00e3o de \u201cparede\u201d entre a restaura\u00e7\u00e3o e a cavidade. A les\u00e3o superficial estende-se ao longo do curso dos prismas de esmalte em dire\u00e7\u00e3o ao EDS e depois ao longo do curso dos t\u00fabulos dentin\u00e1rios. A les\u00e3o da \u201cparede\u201d \u00e9 uma cavidade estreita, em forma de fenda, que se estende ainda mais ao longo dos t\u00fabulos dentin\u00e1rios e lateralmente.<\/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=\"C\u00e1rie secund\u00e1ria de um molar mandibular\"><figcaption class=\"wp-element-caption\">C\u00e1rie secund\u00e1ria de um molar mandibular \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\">Modelo 3D<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"diagnostico\"><strong>Diagn\u00f3stico<\/strong><\/h2>\n<h3 class=\"wp-block-heading\" id=\"principais-metodos\"><strong>Principais m\u00e9todos:<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>Inspe\u00e7\u00e3o visual \u2013 a presen\u00e7a de uma mancha ou cavidade vis\u00edvel nas superf\u00edcies acess\u00edveis \u00e0 inspe\u00e7\u00e3o. No caso de c\u00e1ries proximais, a les\u00e3o pode ser vis\u00edvel a partir da superf\u00edcie oclusal como uma sombra cinzenta que aparece atrav\u00e9s do esmalte intacto. Para um melhor diagn\u00f3stico visual, recomenda-se que os dentes sejam limpos da placa bacteriana e secos;<\/li>\n<li>A percuss\u00e3o do dente afetado \u00e9 indolor;<\/li>\n<li>Sondagem \u2013 determina a profundidade e o relevo da les\u00e3o, indolor nas c\u00e1ries do esmalte, dolorosa ao sondar o EDS nas c\u00e1ries m\u00e9dias e o fundo da cavidade cariada nas c\u00e1ries profundas.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"metodos-suplementares\"><strong>M\u00e9todos suplementares:<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>Radiografia \u2013 luc\u00eancia na radiografia no esmalte (E1,E2), no ter\u00e7o exterior, m\u00e9dio ou interior da dentina (D1-D3). S\u00e3o utilizadas a radiografia de contacto intra-oral, a radiovisiografia, a radiografia da asa da mordida (para o diagn\u00f3stico de c\u00e1ries oclusais e aproximais), a ortopantomografia (OPTG) e a tomografia computorizada de feixe c\u00f3nico (CBCT);<\/li>\n<li>Teste de temperatura \u2013 s\u00e3o utilizados jactos de ar, spray frio, bast\u00f5es de guta-percha aquecidos. A rea\u00e7\u00e3o ao est\u00edmulo de temperatura desaparece imediatamente ou alguns segundos depois de parar;<\/li>\n<li>Transilumina\u00e7\u00e3o por Fibra \u00d3tica (FOTI) \u2013 ao olhar para os dentes atrav\u00e9s do ponto de contacto, a les\u00e3o cariosa aparece como uma mancha escura;<\/li>\n<li>Fluoresc\u00eancia quantitativa a laser \u2013 os tecidos dent\u00e1rios saud\u00e1veis e cariados fluorescem com ondas de luz de diferentes comprimentos de onda quando expostos \u00e0 luz laser;<\/li>\n<li>Impedanciometria el\u00e9ctrica \u2013 o tecido desmineralizado tem uma imped\u00e2ncia el\u00e9ctrica mais baixa do que o tecido saud\u00e1vel (o m\u00e9todo \u00e9 de uso limitado para superf\u00edcies oclusais);<\/li>\n<li>Separa\u00e7\u00e3o tempor\u00e1ria dos dentes com an\u00e9is de borracha (para visualiza\u00e7\u00e3o de les\u00f5es proximais);<\/li>\n<li>Colora\u00e7\u00e3o \u2013 o esmalte desmineralizado e o colag\u00e9nio desnaturado da dentina absorvem o corante ao contr\u00e1rio do tecido saud\u00e1vel.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"manifestacoes-clinicas\"><strong>Manifesta\u00e7\u00f5es cl\u00ednicas<\/strong><\/h2>\n<p>A c\u00e1rie do esmalte (E1, E2) n\u00e3o causa quaisquer queixas, o paciente pode estar preocupado com o defeito est\u00e9tico. Uma mancha branca ou pigmentada no esmalte \u00e9 definida clinicamente.<\/p>\n<p>C\u00e1rie de dentina (D1-D3), c\u00e1rie de cemento, c\u00e1rie secund\u00e1ria: sem queixas, o paciente pode estar preocupado com uma cavidade no dente ou um defeito est\u00e9tico, dor de dente localizada a curto prazo devido a est\u00edmulos qu\u00edmicos, t\u00e9rmicos, mec\u00e2nicos, alimentos presos e dificuldade em usar o fio dental. Os achados cl\u00ednicos incluem pigmenta\u00e7\u00e3o da fossa ou fissura, bordas da restaura\u00e7\u00e3o antiga, sonda presa nelas (classe I de Black, c\u00e1rie secund\u00e1ria), sombra cinzenta sob o rolo marginal, inflama\u00e7\u00e3o da papila interdental, detritos alimentares no espa\u00e7o interdent\u00e1rio (classe II), manchas escuras nos dentes (classe II, III), cavidades cariosas vis\u00edveis feitas de dentina amolecida (classes I-V, c\u00e1ries do cemento). <\/p>\n<div class=\"videos-carousel-block\">\n<div class=\"swiper video-carousel-swiper video-carousel-swiper-block_69ec966e87d91\">\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\">Anima\u00e7\u00e3o 3D \u2013 C\u00e1ries de 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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_69ec966e87d91', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-video-carousel__pagination-container-block_69ec966e87d91',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.video-carousel-swiper-button-next-block_69ec966e87d91',\n                prevEl: 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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=\"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=\"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=\"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=\"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=\"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=\"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=\"tratamento\"><strong>Tratamento<\/strong><\/h2>\n<p>C\u00e1ries do esmalte \u2013 no caso de defeitos sem cavidades, aplica-se a terapia remineralizante, o m\u00e9todo de infiltra\u00e7\u00e3o, a corre\u00e7\u00e3o dos cuidados de higiene em casa, recomenda\u00e7\u00f5es sobre alimenta\u00e7\u00e3o racional e observa\u00e7\u00e3o din\u00e2mica.<\/p>\n<p>C\u00e1ries de dentina, c\u00e1ries de cemento, c\u00e1ries secund\u00e1rias \u2013 prepara\u00e7\u00e3o do tecido dent\u00e1rio e preenchimento da cavidade cariada com materiais de restaura\u00e7\u00e3o dent\u00e1ria.<\/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. Que microorganismos provocam o desenvolvimento de c\u00e1ries dent\u00e1rias?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Os principais microrganismos cariog\u00e9nicos s\u00e3o Streptococcus mutans, Lactobacilli e Actinomyces. Formam um biofilme (placa) e s\u00e3o capazes de sobreviver em condi\u00e7\u00f5es de pH baixo.<\/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. Qual \u00e9 a diferen\u00e7a entre a c\u00e1rie de esmalte e a c\u00e1rie de dentina?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">C\u00e1rie do esmalte \u2013 a fase inicial, que se manifesta por uma mancha branca ou pigmentada. C\u00e1rie da dentina \u2013 acompanhada da destrui\u00e7\u00e3o da dentina e da forma\u00e7\u00e3o de uma cavidade. <\/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. Quais s\u00e3o os principais m\u00e9todos de tratamento da c\u00e1rie dent\u00e1ria?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Na fase de mancha branca \u2013 remineraliza\u00e7\u00e3o; Em les\u00f5es de dentina \u2013 prepara\u00e7\u00e3o e obtura\u00e7\u00e3o; Em c\u00e1ries complicadas (les\u00f5es pulpares) \u2013 tratamento endod\u00f4ntico.<\/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. C\u00e1ries e pulpite: quais s\u00e3o as diferen\u00e7as?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A c\u00e1rie \u00e9 uma les\u00e3o dos tecidos duros do dente (esmalte e dentina) causada pela a\u00e7\u00e3o dos \u00e1cidos produzidos pelos microrganismos da placa bacteriana. A c\u00e1rie pode ser assintom\u00e1tica nas fases iniciais e pode causar dor de curta dura\u00e7\u00e3o a est\u00edmulos (frio, quente, doce) nas fases mais avan\u00e7adas. A pulpite \u00e9 uma complica\u00e7\u00e3o da c\u00e1rie dent\u00e1ria em que a polpa do dente (feixe nervoso e vascular) fica inflamada. A pulpite \u00e9 acompanhada por uma dor intensa, frequentemente irradiante, que pode ocorrer espontaneamente, sem est\u00edmulos externos.   <\/p>\n<p>Distin\u00e7\u00f5es fundamentais:<\/p>\n<p>1. Localiza\u00e7\u00e3o:<br \/>\u2022 A c\u00e1rie afecta o esmalte e a dentina;<br \/>\u2022 A pulpite afecta a polpa do dente.<\/p>\n<p>2. Sintomas:<br \/>\u2022 C\u00e1rie: dor de curta dura\u00e7\u00e3o que ocorre apenas quando exposta a est\u00edmulos (frio, quente, doce);<br \/>\u2022 Pulpite: dor prolongada (mais de 5 segundos) que ocorre quando exposta a est\u00edmulos de temperatura, dor espont\u00e2nea \u00e9 poss\u00edvel, irradia\u00e7\u00e3o da dor. <\/p>\n<p>3. Tratamento:<br \/>\u2022 C\u00e1ries: prepara\u00e7\u00e3o e obtura\u00e7\u00e3o, terapia remineralizante;<br \/>\u2022 Pulpite: tratamento do canal radicular (tratamento endod\u00f4ntico).<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<p><script type=\"application\/ld+json\">\n    {\n    \"@context\": \"https:\/\/schema.org\",\n    \"@type\": \"FAQPage\",\n    \"mainEntity\": [\n        {\n            \"@type\": \"Question\",\n            \"name\": \"Que microorganismos provocam o desenvolvimento de c\u00e1ries dent\u00e1rias?\",\n            \"acceptedAnswer\": {\n                \"@type\": \"Answer\",\n                \"text\": \"Os principais microrganismos cariog\u00e9nicos s\u00e3o Streptococcus mutans, Lactobacilli e Actinomyces. Formam um biofilme (placa) e s\u00e3o capazes de sobreviver em condi\u00e7\u00f5es de pH baixo.\"\n            }\n        },\n        {\n            \"@type\": \"Question\",\n            \"name\": \"Qual \u00e9 a diferen\u00e7a entre a c\u00e1rie de esmalte e a c\u00e1rie de dentina?\",\n            \"acceptedAnswer\": {\n                \"@type\": \"Answer\",\n                \"text\": \"C\u00e1rie do esmalte \u2013 a fase inicial, que se manifesta por uma mancha branca ou pigmentada. C\u00e1rie da dentina \u2013 acompanhada da destrui\u00e7\u00e3o da dentina e da forma\u00e7\u00e3o de uma cavidade. \"\n            }\n        },\n        {\n            \"@type\": \"Question\",\n            \"name\": \"Quais s\u00e3o os principais m\u00e9todos de tratamento da c\u00e1rie dent\u00e1ria?\",\n            \"acceptedAnswer\": {\n                \"@type\": \"Answer\",\n                \"text\": \"Na fase de mancha branca \u2013 remineraliza\u00e7\u00e3o; Em les\u00f5es de dentina \u2013 prepara\u00e7\u00e3o e obtura\u00e7\u00e3o; Em c\u00e1ries complicadas (les\u00f5es pulpares) \u2013 tratamento endod\u00f4ntico.\"\n            }\n        },\n        {\n            \"@type\": \"Question\",\n            \"name\": \"C\u00e1ries e pulpite: quais s\u00e3o as diferen\u00e7as?\",\n            \"acceptedAnswer\": {\n                \"@type\": \"Answer\",\n                \"text\": \"A c\u00e1rie \u00e9 uma les\u00e3o dos tecidos duros do dente (esmalte e dentina) causada pela a\u00e7\u00e3o dos \u00e1cidos produzidos pelos microrganismos da placa bacteriana. A c\u00e1rie pode ser assintom\u00e1tica nas fases iniciais e pode causar dor de curta dura\u00e7\u00e3o a est\u00edmulos (frio, quente, doce) nas fases mais avan\u00e7adas. A pulpite \u00e9 uma complica\u00e7\u00e3o da c\u00e1rie dent\u00e1ria em que a polpa do dente (feixe nervoso e vascular) fica inflamada. A pulpite \u00e9 acompanhada por uma dor intensa, frequentemente irradiante, que pode ocorrer espontaneamente, sem est\u00edmulos externos.   <\/p>\n<p>Distin\u00e7\u00f5es fundamentais:<\/p>\n<p>1. Localiza\u00e7\u00e3o:<br \/>\u2022 A c\u00e1rie afecta o esmalte e a dentina;<br \/>\u2022 A pulpite afecta a polpa do dente.<\/p>\n<p>2. Sintomas:<br \/>\u2022 C\u00e1rie: dor de curta dura\u00e7\u00e3o que ocorre apenas quando exposta a est\u00edmulos (frio, quente, doce);<br \/>\u2022 Pulpite: dor prolongada (mais de 5 segundos) que ocorre quando exposta a est\u00edmulos de temperatura, dor espont\u00e2nea \u00e9 poss\u00edvel, irradia\u00e7\u00e3o da dor. <\/p>\n<p>3. Tratamento:<br \/>\u2022 C\u00e1ries: prepara\u00e7\u00e3o e obtura\u00e7\u00e3o, terapia remineralizante;<br \/>\u2022 Pulpite: tratamento do canal radicular (tratamento endod\u00f4ntico).\"\n            }\n        }\n    ]\n}<\/script><\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"lista-de-fontes\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">Lista de fontes<\/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 Complete Anatomy and Pathology 3D Atlas [Internet]. VOKA 3D Anatomy & Pathology. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Dispon\u00edvel em: 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. European Archives of Paediatric Dentistry [Internet].   2019 Oct 20;20(6):507\u2013516. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Dispon\u00edvel em: 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. 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. 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. 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. 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. 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. 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? Clinical Oral Investigations [Internet]. 2020 Apr 17;24(5):1869\u20131876.  <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Dispon\u00edvel em: 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. Journal of Dentistry [Internet]. 2016 Oct 5;56:1\u201310.  <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Dispon\u00edvel em: 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>A c\u00e1rie \u00e9 um processo infecioso de desmineraliza\u00e7\u00e3o e destrui\u00e7\u00e3o dos tecidos duros dos dentes. A etiologia A c\u00e1rie desenvolve-se quando v\u00e1rios factores se combinam: a microflora da placa bacteriana, os hidratos de carbono facilmente ferment\u00e1veis dos alimentos, um dente suscet\u00edvel e um tempo de exposi\u00e7\u00e3o prolongado. Os microrganismos colonizam as superf\u00edcies dent\u00e1rias que n\u00e3o [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"template":"","diseases_category":[294],"class_list":["post-907","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-dentarias"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u00e1ries: O que \u00e9, causas, sintomas, fases, classifica\u00e7\u00e3o, tratamento<\/title>\n<meta name=\"description\" content=\"A c\u00e1rie \u00e9 um processo infecioso de desmineraliza\u00e7\u00e3o e destrui\u00e7\u00e3o dos tecidos duros dos dentes. 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