ArticleBMC oral health2014
Assessing caries status according to the CAST instrument and WHO criterion in epidemiological studies.
Article in BMC oral health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 48 citations in OpenAlex.
- Evaluating Artificial Intelligence in Full-Arch CBCT Caries Detection: A Comparative Analysis with Clinical Assessment.Journal of clinical medicine · 2026Article
- Caries Assessment Spectrum and Treatment Index as an Instrument to Advance, Apply, and Advocate Dental Health Across Healthcare Levels: A Scoping Review.International journal of clinical pediatric dentistry · 2025Article
- Estimation of Dental Caries in Adults coming to a Dental College in Himachal Pradesh (North-West India) using CAST Index: a Cross-Sectional Study.Journal of preventive medicine and hygiene · 2024Article
- ICDA-S-II index improves early-stage diagnosis of carious lesions among schoolchildren in northern Brazil.Acta odontologica latinoamericana : AOL · 2024Article
- Comparative evaluation of dental caries experience using CAST index and WHO criteria among 5 and 15-year-old schoolchildren.Medicine and pharmacy reports · 2023Article
- Article
- Assessment of caries diagnostic thresholds of DMFT, ICDAS II and CAST in the estimation of caries prevalence rate in first permanent molars in early permanent dentition-a cross-sectional study.BMC oral health · 2022Article
- SOS Teeth: Age and Sex Differences in the Prevalence of First Priority Teeth among a National Representative Sample of Young and Middle-Aged Adults.International journal of environmental research and public health · 2020Article
- Optical magnification has no benefits on the detection of occlusal caries lesions in permanent molars using different visual scoring systems: An in vitro study.Journal of clinical and experimental dentistry · 2020Article
- Dental caries diagnostic thresholds: Which one? Why? When?International journal of public health · 2020Article
- An assessment of three contemporary dental caries epidemiological instruments: a critical review.British dental journal · 2020Review
- The knowledge and use of population-based methods for caries detection.BMC oral health · 2018Article
- Comparison of caries lesion detection methods in epidemiological surveys: CAST, ICDAS and DMF.BMC oral health · 2018Article
- Caries assessment spectrum treatment: the severity score.International dental journal · 2018Article
- Assessment of Dental Caries Spectrum among 11 to 14-Year-Old School Going Children in India.Journal of clinical and diagnostic research : JCDR · 2017Article
- Clinical consequences of untreated dental caries in German 5- and 8-year-olds.BMC oral health · 2015Article
- Patterns of dental caries among school children assessed using Caries Assessment Spectrum and Treatment tool.European journal of dentistryArticle
- Impact of preventive care orientation on caries status among preschool children.European journal of dentistryArticle
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Caries Assessment Spectrum and Treatment (CAST) is a new epidemiological instrument for detection and treatment of dental caries. Worldwide, the WHO criterion constitutes the epidemiological tool most commonly used for caries detection. The objective of the present study is to determine the levels of similarity and difference between the CAST instrument and WHO criterion on the basis of caries prevalence, dmf/DMF counts, examination time and reporting of results.
methodsAn epidemiological survey was carried out in Brazil among 6-11-year-old schoolchildren. Time of examinations was recorded. dmft, dmfs, DMFT and DMFS counts and dental caries prevalence were obtained according to the WHO criterion and the CAST instrument, as well the correlation coefficient between the two instruments.
resultsFour hundred nineteen children were examined. dmft and dmfs counts were 1.92 and 5.31 (CAST), 1.99 and 5.34 (WHO) with correlation coefficients (r) of 0.95 and 0.93, respectively. DMFT and DMFS counts were 0.20 and 0.33 (CAST), 0.19 and 0.30 (WHO), with r = 0.78 and r = 0.72, respectively. Kappa coefficient values for intra-examiner consistency were CAST = 0.91-0.92; WHO = 0.95-0.96 and those for inter-examiner consistency were CAST = 0.90-0.96; WHO = 0.94-1.00. Mean time spent on applying CAST and WHO were 66.3 and 64.7 sec, respectively p = 0.26. The prevalence of dental caries using CAST (codes 2, 5-8) and the WHO criterion for the primary dentition were 63.0% and 65.9%, respectively, and for the permanent dentition they were 12.7% and 12.8%, respectively.
conclusionsThe CAST instrument provided similar prevalence of dental caries values and dmf/DMF counts as the WHO criterion in this age group. Time spent on examining children was identical for both caries assessment methods. Presentation of results from use of the CAST instrument, in comparison to WHO criterion, allowed a more detailed reporting of stages of dental caries, which will be useful for oral health planners.
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