The Caries Assessment Spectrum and Treatment (CAST) Instrument

Leal, Soraya Coelho; Ribeiro, Ana Paula Dias; Hilgert, Ana Luiza de Souza

doi:10.1007/978-3-030-16967-1_8

Cited by 1 publication

(4 citation statements)

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“…This concept of a reversible measure is employed in CAST. Upon calculating the disease prevalence, the authors [ 27 ] recommend considering filled teeth, those with sealants and those without signs of caries as healthy. Therefore, the CAST code values decrease as the population receives dental care, unlike the DMF, for which the mean value does not decrease after treatment.…”

Section: Discussionmentioning

confidence: 99%

“…CAST was used according to the recommendations of the method’s manual [ 27 ]. ICDAS was used as recommended on the ICDAS.org site at the time of the examination [ 25 ].…”

Section: Methodsmentioning

confidence: 99%

“…This indicator was used in the same way that prevalence calculations were performed by CAST [ 27 ]; that is, per individual, without considering the calculation of sealants, fillings and teeth extracted due to caries. A modification was incorporated relative to CAST, which was the inclusion of enamel caries lesions when calculating disease prevalence.…”

Section: Methodsmentioning

confidence: 99%

“…When using the tooth as the measurement unit, lesions found by each method were classified as pre-morbidity (enamel lesions), morbidity (non-cavitated dentine and cavitated dentine lesions), severe morbidity (dentine lesions that had reached the pulp) and mortality (extracted teeth) according to the CAST Manual classification [ 27 ].…”

Section: Methodsmentioning

confidence: 99%

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Comparison of caries lesion detection methods in epidemiological surveys: CAST, ICDAS and DMF

2018

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BackgroundAlthough dental caries is a globally widespread disease, there is no consensus regarding the method that should be used for their detection. In recent decades, a variety of new methods have been proposed for measuring caries in a population. Three caries detection methods, the decayed, missing and filled (DMF) index, the International Caries Detection and Assessment System (ICDAS) and the Caries Assessment Spectrum and Treatment (CAST), were compared to provide information to guide future method choices.MethodsThis was a descriptive, cross-sectional study in which three methods were used to measure caries in students, staff and their dependents at UNEB (State University of Bahia), Salvador, Brazil. We compared the mean application time of each method and the frequencies obtained by each method using the following indicators: the most severe caries lesion per individual; the mean number of missing, filled and decayed teeth; and the disease extent.ResultsThe mean time taken to apply the DMF was 3.8 min; for ICDAS, it took 8.9 min, and for CAST, 4.7 min. When calculating the indicator the most severe caries lesion per individual, the prevalence rates were as follows: 28.1% for DMF, 84.0% for ICDAS and 75.0% for CAST. The mean numbers of decayed, missing and filled teeth were 6.0 according to the DMF, 6.2 according to ICDAS and 5.9 according to CAST. When the disease extension indicator was used, the following percentages of teeth were affected by caries: DMF 22.12%, ICDAS 49.11% and CAST 33.2%.ConclusionsThe DMF underestimated the occurrence of caries lesions in individuals but was the fastest method to apply. ICDAS obtained detailed information regarding lesion severity, but it was a time-consuming method and difficult to analyse. CAST described disease distributions very well and identified lesion severities and preventive and curative needs in the examined group, and the time required to apply CAST was similar to that of the DMF.Electronic supplementary materialThe online version of this article (10.1186/s12903-018-0583-6) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

“…CAST was used according to the recommendations of the method’s manual [ 27 ]. ICDAS was used as recommended on the ICDAS.org site at the time of the examination [ 25 ].…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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