Evidence map›Paper›PMID 29090464›Full record

ArticleInternational dental journal2018

Caries assessment spectrum treatment: the severity score.

Ana Paula D Ribeiro, Isadora P Maciel, Ana Luiza de Souza Hilgert, Ewald M Bronkhorst, Jo E Frencken, Soraya C Leal

Abstract read
In one paragraph

Article in International dental journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Association of clinical consequences of untreated caries in early childhood with oral health-related quality of life.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Comparative Assessment of Efficacy of Cranberry Extract Mouthwash and Fluoride Mouthwash onInternational journal of clinical pediatric dentistry · 2025
    Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ana Paula D RibeiroDepartment of Dentistry, School of Health Sciences, University of Brasília, Brasília, Brazil.
Isadora P MacielDepartment of Dentistry, School of Health Sciences, University of Brasília, Brasília, Brazil.
Ana Luiza de Souza HilgertPediatric Dental Clinic, Military Police of the Federal District, Brasília, Brazil.
Ewald M BronkhorstDepartment of Preventive and Restorative Dentistry, Radboud University Medical Centre, Nijmegen, The Netherlands.
Jo E FrenckenDepartment of Oral Function and Prosthetic Dentistry, Radboud University Medical Centre, Nijmegen, The Netherlands.
Soraya C LealDepartment of Dentistry, School of Health Sciences, University of Brasília, Brasília, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo appraise the feasibility of the caries assessment spectrum and treatment (CAST) severity score according to the formula (F) recommended in the CAST manual.

methodsData from an epidemiological survey of 680 schoolchildren (mean age ± standard deviation: 7.45 ± 0.91 years), living in a low-income area in Brasília, were used. The CAST instrument was used for assessing enamel carious lesions (CAST code = 3), dentine carious lesions (CAST codes = 4-7) and tooth loss from caries (CAST code = 8).

resultsThe prevalence of carious lesions including enamel and dentine in both deciduous and permanent dentitions was 49.41% and 69.12%, respectively. Calculating the CAST severity score per child using F was unsatisfactory because of the undiscriminating weight given for each CAST code. Modification of weights according to the accepted levels of disease severity for individual CAST codes resulted in a new formula (F1), in which the weight given to cavitated dentine lesions was quadrupled in relation to that given to enamel carious lesions; this was different from F, in which the weight given to such lesions was twofold. F1 was able to categorise satisfactorily the study children into one of three levels of dental caries severity: mild (34.1%); moderate (29.5%); or severe (36.4%).

conclusionAccording to the outcomes of the present appraisal, it was concluded that the numerical score provided by the CAST severity scores allows an overview of the severity of caries disease and the classification of individuals into mild, moderate or severe levels of dental caries when the new formula (F1) is used.

Indexed as

BrazilChildDental CariesFemaleHumansMalePrevalenceReproducibility of ResultsSeverity of Illness Indexcaries assessment spectrum treatmentcaries epidemiologyDental cariesepidemiological indexprevalence

Identifiers

PMID29090464
PMCPMC9378849

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.