ArticleBMC oral health2021
Caries incidence of the first permanent molars according to the Caries Assessment Spectrum and Treatment (CAST) index and its determinants in children: a cohort study.
Article in BMC oral health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- The prevalence of dental caries in the first permanent molars among individuals aged 6-18 years: a systematic review and meta-analysis of studies from Asia, Europe, Africa, and Latin America.BMC oral health · 2026Pooled it
- Impact of unhealthy food and beverage consumption on children's risk of dental caries: a systematic review.Nutrition reviews · 2024Pooled it
- Article
- Longitudinal assessment of factors associated with dental caries on the first permanent molars: a prospective clinical study in Brazilian children.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025Article
- 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
- Association of maternal oral health literacy with dental caries status of 6-9-year-old children according to the caries assessment spectrum and treatment (CAST) index.BMC oral health · 2025Article
- Caries Incidence in School-Based Prevention Programs in the Presence of Interval Censoring.Children (Basel, Switzerland) · 2024Article
- Effect of dietary patterns on dental caries among 12-15 years-old adolescents: a cross-sectional survey.BMC oral health · 2023Article
- The Assessment of Early Server Childhood Caries Status in Abandoned Institutionalized Children.International journal of environmental research and public health · 2022Article
- Caries prevalence of the first permanent molar and associated factors among second-grade students in Xiangyun of Yunnan, China: A cross-sectional study.Frontiers in pediatrics · 2022Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere are limited information on caries incidence, especially from developing countries, the aim of the present study was to explore caries incidence in the first permanent molar teeth according to the CAST index in 7- to 8-year-old-children and its socio-demographic, oral health related and diet determinants.
methodsA multi-stage cluster random sample of 7-8 years old children was applied in Tehran, Iran. The oral examination using the CAST index and the Oral Hygiene Index-Simplified (OHI-S) performed by trained dentists in 2017 and 2019 calibrated with an expert (Kappa of 0.89 and 0.76, respectively). A 3-day food record was used to record sugary snacks consumption. Oral health related knowledge of the parents was assessed using a valid and reliable self-administered questionnaire. The data were analyzed using the SPSS software version 23.0 and descriptive and analytical statistics including the negative binomial regression was applied.
resultsTwo hundred and ninety schoolchildren aged 7-8 years old were followed up for two years. All of them had complete data obtained via oral examination and questionnaires. The annual caries incidence rate was 0.16 and 53% (95% CI 47.4-58.9) of the children developed at least one new dental caries (enamel or dentine) during two years. Multi-variate analysis revealed that the children of mothers with high school education or diploma (IRR = 1.47, 95% CI 1.02-2.12; p = 0.04) and those with low socio-economic status (IRR = 1.86, 95% CI 1.27-2.73; p < 0.001) were more likely to develop caries. There was no significant association between gender, father's educational level, child birth order, housing area per person, OHI-S score, oral health knowledge of parents, and sugary snacks consumption per day and caries increment at an individual level.
conclusionThis 2-year longitudinal study on 7- to 8-year-old children showed that caries incidence according to the CAST index was associated with socio-economic status and mother education but not associated with having 2 or more sugary snack per day and oral hygiene status.
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