{"id":309,"date":"2026-11-10T10:12:51","date_gmt":"2026-11-10T09:12:51","guid":{"rendered":"https:\/\/adnacademy.yohanndeprez.fr\/?page_id=309"},"modified":"2026-11-10T17:01:55","modified_gmt":"2026-11-10T16:01:55","slug":"sensibilite-aux-caries","status":"publish","type":"page","link":"https:\/\/adn-academy.com\/en\/cas-cliniques\/sensibilite-aux-caries\/","title":{"rendered":"Sensibilit\u00e9 aux caries"},"content":{"rendered":"<div class=\"wp-block-group adn-hero is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-group adn-hero-inner is-layout-flow wp-block-group-is-layout-flow\">\n<nav class=\"breadcrumb\" aria-label=\"Breadcrumb\"><a href=\"\/en\/\">Home<\/a><span aria-hidden=\"true\">\/<\/span><a href=\"\/en\/ressources\/\">Resources<\/a><span aria-hidden=\"true\">\/<\/span><a href=\"\/en\/cas-cliniques\/\">Clinical cases<\/a><span aria-hidden=\"true\">\/<\/span><span aria-current=\"page\">Sensibilit\u00e9 aux caries<\/span><\/nav>\n\n\n<p class=\"adn-hero-eyebrow wp-block-paragraph\">Clinical case \u00b7 Dentistry<\/p>\n\n\n<h1 class=\"wp-block-heading\">Sensibilit\u00e9 aux caries<\/h1>\n\n\n<p class=\"adn-hero-description wp-block-paragraph\">Pourquoi certaines personnes d\u00e9veloppent-elles de nombreuses caries malgr\u00e9 une bonne hygi\u00e8ne bucco-dentaire, tandis que d&#x27;autres semblent naturellement prot\u00e9g\u00e9es ? Les pr\u00e9dispositions g\u00e9n\u00e9tiques peuvent-elles influencer la r\u00e9sistance des dents aux agressions du quotidien ?<\/p>\n\n\n<p class=\"adn-clinical-author wp-block-paragraph\">Auteure : <a href=\"\/en\/a-propos\/\">Dr Clotilde Neyra<\/a><\/p>\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"#etude\">Read the case<\/a><\/div>\n\n\n<\/div>\n\n<\/div>\n\n<\/div>\n\n\n<section id=\"etude\" class=\"wp-block-group adn-home-section adn-course-section adn-clinical-detail is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-group adn-home-inner is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-group adn-clinical-layout is-layout-flow wp-block-group-is-layout-flow\"><div class=\"wp-block-group adn-clinical-story is-layout-flow wp-block-group-is-layout-flow\"><figure class=\"wp-block-image size-full adn-clinical-image\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/adn-academy.com\/wp-content\/uploads\/2026\/11\/sensibilite-caries-visuel-equipe.png\" alt=\"Illustration : Sensibilit\u00e9 aux caries\" class=\"wp-image-346\" width=\"1432\" height=\"795\" srcset=\"https:\/\/adn-academy.com\/wp-content\/uploads\/2026\/11\/sensibilite-caries-visuel-equipe.png 1432w, https:\/\/adn-academy.com\/wp-content\/uploads\/2026\/11\/sensibilite-caries-visuel-equipe-300x167.png 300w, https:\/\/adn-academy.com\/wp-content\/uploads\/2026\/11\/sensibilite-caries-visuel-equipe-1024x568.png 1024w, https:\/\/adn-academy.com\/wp-content\/uploads\/2026\/11\/sensibilite-caries-visuel-equipe-768x426.png 768w, https:\/\/adn-academy.com\/wp-content\/uploads\/2026\/11\/sensibilite-caries-visuel-equipe-18x10.png 18w\" sizes=\"auto, (max-width: 1432px) 100vw, 1432px\" \/><\/figure>\n<h2 id=\"contexte\" class=\"wp-block-heading\">Contexte clinique<\/h2>\n<p class=\"wp-block-paragraph\">L\u00e9a, 22 ans, \u00e9tudiante, consulte pour la prise en charge de nouvelles l\u00e9sions carieuses. Depuis l&#x27;enfance, elle pr\u00e9sente un nombre de caries sup\u00e9rieur \u00e0 la moyenne malgr\u00e9 un brossage r\u00e9gulier, l&#x27;utilisation de dentifrices fluor\u00e9s et un suivi dentaire annuel. Son alimentation est globalement \u00e9quilibr\u00e9e et elle consomme peu de boissons sucr\u00e9es.<\/p>\n<p class=\"wp-block-paragraph\">Au cours de la consultation, elle indique que son p\u00e8re et sa s\u0153ur ont connu des probl\u00e8mes similaires. Elle s&#x27;interroge : \u00ab Pourquoi ai-je toujours des caries alors que je fais attention \u00e0 mes dents ? \u00bb<\/p>\n<h2 id=\"analyse\" class=\"wp-block-heading\">Le g\u00e8ne en cause : AMELX<\/h2>\n<p class=\"wp-block-paragraph\">L&#x27;histoire familiale conduit \u00e0 explorer une possible pr\u00e9disposition g\u00e9n\u00e9tique. Un variant du g\u00e8ne AMELX, impliqu\u00e9 dans la formation de l&#x27;\u00e9mail dentaire, est identifi\u00e9. L&#x27;\u00e9mail constitue la principale barri\u00e8re de protection de la dent face aux attaques acides et bact\u00e9riennes.<\/p>\n<p class=\"wp-block-paragraph\">Certaines variations g\u00e9n\u00e9tiques peuvent entra\u00eener un \u00e9mail l\u00e9g\u00e8rement plus fragile ou moins r\u00e9sistant \u00e0 la d\u00e9min\u00e9ralisation. Cette pr\u00e9disposition n&#x27;est pas une maladie \u00e0 elle seule, mais elle peut contribuer \u00e0 augmenter le risque carieux chez certains individus.<\/p>\n<h2 id=\"genetique\" class=\"wp-block-heading\">L\u2019int\u00e9r\u00eat de la g\u00e9n\u00e9tique et de l\u2019\u00e9pig\u00e9n\u00e9tique<\/h2>\n<p class=\"wp-block-paragraph\">La g\u00e9n\u00e9tique permet de mieux comprendre pourquoi tous les patients ne pr\u00e9sentent pas la m\u00eame susceptibilit\u00e9 aux caries. Cependant, l&#x27;apparition des l\u00e9sions r\u00e9sulte de l&#x27;interaction entre plusieurs facteurs : qualit\u00e9 de l&#x27;\u00e9mail (g\u00e9n\u00e9tique), microbiote buccal, alimentation, hygi\u00e8ne bucco-dentaire et habitudes de vie.<\/p>\n<p class=\"wp-block-paragraph\">L&#x27;\u00e9pig\u00e9n\u00e9tique rappelle que l&#x27;environnement peut moduler l&#x27;expression de certaines pr\u00e9dispositions. Cette vision globale permet d&#x27;\u00e9viter une approche uniquement centr\u00e9e sur l&#x27;hygi\u00e8ne et d&#x27;int\u00e9grer les diff\u00e9rences biologiques individuelles.<\/p>\n<h2 id=\"accompagnement\" class=\"wp-block-heading\">Une prise en charge personnalis\u00e9e<\/h2>\n<p class=\"wp-block-paragraph\">La prise en charge vise \u00e0 renforcer la protection de l&#x27;\u00e9mail et \u00e0 limiter le risque de nouvelles caries. Un protocole personnalis\u00e9 est mis en place associant pr\u00e9vention renforc\u00e9e, applications fluor\u00e9es r\u00e9guli\u00e8res, surveillance clinique rapproch\u00e9e et conseils nutritionnels adapt\u00e9s.<\/p>\n<p class=\"wp-block-paragraph\">L&#x27;objectif est de pr\u00e9server durablement la sant\u00e9 bucco-dentaire de L\u00e9a tout en lui permettant de comprendre les facteurs qui influencent sa susceptibilit\u00e9 individuelle aux caries.<\/p>\n<\/div>\n<aside class=\"wp-block-group adn-course-panel adn-clinical-aside is-layout-flow wp-block-group-is-layout-flow\"><p class=\"wp-block-paragraph\">In this clinical case<\/p>\n<nav class=\"adn-clinical-nav\" aria-label=\"In this clinical case\"><a href=\"#contexte\">Contexte clinique <span aria-hidden=\"true\">\u2192<\/span><\/a><a href=\"#analyse\">Le g\u00e8ne en cause : AMELX <span aria-hidden=\"true\">\u2192<\/span><\/a><a href=\"#genetique\">L\u2019int\u00e9r\u00eat de la g\u00e9n\u00e9tique et de l\u2019\u00e9pig\u00e9n\u00e9tique <span aria-hidden=\"true\">\u2192<\/span><\/a><a href=\"#accompagnement\">Une prise en charge personnalis\u00e9e <span aria-hidden=\"true\">\u2192<\/span><\/a><\/nav><p class=\"wp-block-paragraph\">D\u00e9couvrez notre formation G\u00e9n\u00e9tique &amp; Dentisterie pour approfondir ces sujets.<\/p>\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\"><div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"\/en\/formations\/genetique-dentisterie\/\">Explore the course<\/a><\/div><\/div><\/aside>\n<\/div>\n\n<\/div>\n\n<\/section>\n\n\n\n<section id=\"programme\" class=\"wp-block-group adn-home-section adn-course-section is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-group adn-home-inner is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-group adn-course-enquiry is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-group adn-course-copy is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-group adn-section-heading is-layout-flow wp-block-group-is-layout-flow\">\n<p class=\"adn-section-label wp-block-paragraph\">Explore further<\/p>\n\n\n<h2 class=\"wp-block-heading\"><mark style=\"background-color:rgba(0, 0, 0, 0);color:#2E4057\" class=\"has-inline-color\">Get<\/mark> <mark style=\"background-color:rgba(0, 0, 0, 0);color:#279D5E\" class=\"has-inline-color\">the detailed programme<\/mark><\/h2>\n\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">Explore these topics further with the <strong>Genetics &amp; Dentistry<\/strong>course. Discover its content and speak to the ADNAcademy team.<\/p>\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link wp-element-button\" href=\"\/en\/formations\/genetique-dentisterie\/\">Explore the course<\/a><\/div>\n\n<\/div>\n\n<\/div>\n\n\n<div class=\"wp-block-group adn-course-form is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"adn-form-consent\"><p>This form is provided by HubSpot. 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Les pr\u00e9dispositions g\u00e9n\u00e9tiques peuvent-elles influencer la r\u00e9sistance des dents aux agressions du quotidien ? Auteure : Dr Clotilde Neyra Contexte clinique L\u00e9a, 22 ans, \u00e9tudiante, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":346,"parent":21,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-309","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/adn-academy.com\/en\/wp-json\/wp\/v2\/pages\/309","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/adn-academy.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/adn-academy.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/adn-academy.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/adn-academy.com\/en\/wp-json\/wp\/v2\/comments?post=309"}],"version-history":[{"count":3,"href":"https:\/\/adn-academy.com\/en\/wp-json\/wp\/v2\/pages\/309\/revisions"}],"predecessor-version":[{"id":347,"href":"https:\/\/adn-academy.com\/en\/wp-json\/wp\/v2\/pages\/309\/revisions\/347"}],"up":[{"embeddable":true,"href":"https:\/\/adn-academy.com\/en\/wp-json\/wp\/v2\/pages\/21"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/adn-academy.com\/en\/wp-json\/wp\/v2\/media\/346"}],"wp:attachment":[{"href":"https:\/\/adn-academy.com\/en\/wp-json\/wp\/v2\/media?parent=309"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}