Journal of Contemporary Dentistry

Register      Login

VOLUME 8 , ISSUE 2 ( May-August, 2018 ) > List of Articles

ORIGINAL RESEARCH

Measurement of the Entire Spectrum of Dental Caries Using an Innovative Tool: CAST Index for Children Aged 11 to 14 Years of Udupi Taluk, India

Shashidhar Acharya, Shatakshi Srivastava, Deepak Singhal

Keywords : Adolescent, Child, Dental caries, Indices

Citation Information : Acharya S, Srivastava S, Singhal D. Measurement of the Entire Spectrum of Dental Caries Using an Innovative Tool: CAST Index for Children Aged 11 to 14 Years of Udupi Taluk, India. J Contemp Dent 2018; 8 (2):83-87.

DOI: 10.5005/jp-journals-10031-1227

License: CC BY-ND 3.0

Published Online: 01-03-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Introduction: One of the most prevalent known chronic diseases worldwide is dental caries. The caries assessment spectrum and treatment (CAST) index–Frencken JE et al. (2011) records all the clinical stages of caries spectrum under nine codes. Materials and methods: The prevalence of the entire spectrum of caries was assessed among children aged 11 to 14 years, of Udupi Taluk, via a cross-sectional study. 800 children were examined under natural light, with sterilized plane mouth mirrors and periodontal probe of 0.5 mm ball tip. The most severe condition was considered for each participant and was recorded. Results: Thirty-five percent had permanent teeth that were caries free. No children had preventive fillings in permanent teeth, and only 9% had restorations. Thirty percent of children had dental caries (codes 3–5) whereas 18% were suffering from after effects of severe untreated dental caries of permanent teeth (CAST code 6 or 7). Eight percent had at least one tooth removed due to caries. Discussion: The reported findings were higher than studies done on adults in an Asian population using CAST index. Conclusion: CAST index as a measurement tool, gives an accurate picture of the hidden iceberg of disease (dental caries) prevalent in Indian children.


PDF Share
  1. Selwitz RH, Ismail A, Nigel PH, Pitts B. Dental caries. Lancet. 2007 Jan 6;369 (9555):51-59
  2. Moynihan P and Petersen PK. Diet, nutrition and the prevention of dental diseases. Public Health Nutr. 2004 Feb;7(1A):201-26
  3. Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century–the approach of the WHO Global Oral Health Programme. Community Dentistry and Oral Epidemiology. 2003 Dec;31:3-24.
  4. Downer MC. Do we really need another system for recording caries? Thoughts on ICDAS. Community Dental Health. 2012; 29:258–259.
  5. World Health Organization. Oral health surveys: basic methods. World Health Organization;2013.
  6. Banting D, Eggertsson H, Ekstrand KR, Ferreira-Zandoná A, Ismail AI et al. Rationale and evidence for the international caries detection and assessment system (ICDAS II). Ann Arbor. 2005 Sep;1001:109-1078.
  7. Monse B, Heinrich-Weltzien R, Benzian H, Holmgren C, van Palenstein Helderman W. PUFA–an index of clinical consequences of untreated dental caries. Community Dentistry and Oral Epidemiology. 2010 Feb;38(1):77-82.
  8. Frencken JE, de Amorim RG, Faber J, Leal SC. The Caries Assessment Spectrum and Treatment (CAST) index: rational and development. International Dental Journal.2011 Jun;61(3):117-23.
  9. Baginska J, Rodakowska E, Milewski R, Kierklo A. Dental caries in primary and permanent molars in 7-8-year-old schoolchildren evaluated with Caries Assessment Spectrum and Treatment (CAST) index. BMC Oral Health. 2014 Dec; 14 (1):74.
  10. Srivastava S, Srii R, Acharya S. An Exploratory Study To Assess Prevalence Of Dental Caries Using An Innovative Index: Caries Assessment Spectrum And Treatment (CAST) Index In Slum Children, India. International Journal Of Scientific Research. 2017;6(7):208-209.
  11. Frencken, J. E., Souza, A. L., Sanden, W. J., Bronkhorst, E. M. & Leal, S. C. The caries assessment and treatment (CAST) instrument. Community Dentistry and Oral Epidemiology, 2013; 41(1):e71-e77.
  12. Malik A, Shauka MS, Qureshi A. Prevalence of Dental Caries Using Novel Caries Assessment Index-CAST. Journal of Dow University of Health Sciences. 2014 Apr 10;8(1).
  13. Phansopkar S, Hegde-Shetiya S, Devadiga A, Agrawal D, Mahuli A, Mittal-Mahuli S. Face and content validation of caries assessment spectrum and treatment index among few subject matter experts in India. International Journal of Dental Health Concerns. 2015 Jan;1(1):13-18.
  14. De Souza AL, Leal SC, Bronkhorst EM, Frencken JE. Assessing caries status according to the CAST instrument and WHO criterion in epidemiological studies. BMC Oral Health. 2014 Dec;14(1):119.
  15. Frencken JE, de Amorim RG, Faber J, Leal SC. The Caries Assessment Spectrum and Treatment (CAST) index: rational and development. International Dental Journal. 2011 Jun; 61(3):117-123.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.