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The Caries Assessment Spectrum and Treatment (CAST) Instrument

  • Soraya Leal
  • Ana Paula Dias Ribeiro
  • Ana Luiza de Souza Hilgert
Chapter

Abstract

The Caries Assessment Spectrum and Treatment (CAST) instrument is a visual/tactile caries detection tool initially developed for global use in epidemiological surveys. As of now, the WHO criterion for caries detection is the most widespread, but it assesses only dentin cavities and restored and missing teeth. In many societies, the prevalence and severity of cavitated dentin carious lesions have decreased during the last four to five decades, emphasizing the need to develop a detection instrument that covers the total spectrum of dental caries. The CAST instrument includes the total spectrum of dental caries, from a sound tooth/surface through all stages of carious lesion development to abscessed/fistulated teeth, in addition to dental treatments (sealants and restorations). The CAST instrument has been validated, and high levels of intra- and inter-examiner agreement are reported in the literature. It provides more detailed information about the caries status of a population without increasing the examination time in comparison with the WHO criterion. Moreover, the organization of CAST codes in hierarchical order facilitates the categorization of the disease according to severity levels and provides a link to treatment needs. However, more research is still needed with respect to the applicability of CAST in different age groups and cultures.

Keywords

Dental caries CAST Dental epidemiology Caries diagnosis 

References

  1. 1.
    Casamassimo PS, Thikkurissy S, Edelstein BL, Maiorini E. Beyond the dmft: the human and economic cost of early childhood caries. J Am Dent Assoc. 2009;140:650–7.CrossRefGoogle Scholar
  2. 2.
    Monse B, Heinrich-Weltzien R, Benzian H, Holmgren C, van Palenstein Helderman WH. PUFA—an index of clinical consequences of untreated dental caries. Community Dent Oral Epidemiol. 2010;38:77–82.CrossRefGoogle Scholar
  3. 3.
    Cavavid AS, Lince CM, Jaramillo MC. Dental caries in the primary dentition of a Colombian population according to the ICDAS criteria. Braz Oral Res. 2010;24:211–6.CrossRefGoogle Scholar
  4. 4.
    de Amorim RG, Figueiredo MJ, Leal SC, Mulder J, Frencken JE. Caries experience in a child population in a deprived area of Brazil, using ICDAS II. Clin Oral Investig. 2012;16:513–20.CrossRefGoogle Scholar
  5. 5.
    World Health Organization (WHO). Oral health surveys. 5th ed. Geneva: World Health Organization; 2013. p. 125.Google Scholar
  6. 6.
    Klein H, Palmer CE. Studies on dental caries: VII. Sex differences in dental caries experience of elementary school children. Public Health Rep. 1938;53:1685–90.CrossRefGoogle Scholar
  7. 7.
    Lagerweij MD, van Loveren C. Declining caries trends: are we satisfied? Curr Oral Health Rep. 2015;2:212–7.CrossRefGoogle Scholar
  8. 8.
    Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, Pitts N. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol. 2007;35:170–8.CrossRefGoogle Scholar
  9. 9.
    Nyvad B, Machiulskiene V, Baelum V. Reliability of a new caries diagnostic system differentiating between active and inactive caries lesions. Caries Res. 1999;33:252–60.CrossRefGoogle Scholar
  10. 10.
    World Health Organization. The world health report 2008. Primary health care: now more than ever. Geneva: WHO; 2008.Google Scholar
  11. 11.
    Brazilian Ministry of Health: project oral health Brazil 2010—National Survey on Oral Health 2010. 2011. https://189.28.128.100/dab/docs/geral/apresentação_SB2010.pdf.
  12. 12.
    Shidara EK, McGlothlin JD, Kobayashi S. A vicious cycle in the oral health status of schoolchildren in a primary school in rural Cambodia. Int J Dent Hyg. 2007;5:165–73.CrossRefGoogle Scholar
  13. 13.
    Frencken JE, Amorim RG, Faber J, Leal SC. The Caries Assessment Spectrum and Treatment (CAST) index: rational and development. Int Dent J. 2011;61:117–23.CrossRefGoogle Scholar
  14. 14.
    de Souza AL, Sanden WJ, Leal SC, Frencken JE. The Caries Assessment Spectrum and Treatment (CAST) index: face and content validation. Int Dent J. 2012;62:270–6.CrossRefGoogle Scholar
  15. 15.
    de Souza AL, Bronkhorst EM, Creugers NHJ, Leal SC, Frencken JE. The Caries Assessment Spectrum and Treatment (CAST) instrument: its reproducibility in clinical studies. Int Dent J. 2014;64:187–94.CrossRefGoogle Scholar
  16. 16.
    Baginska J, Rodakowska E, Kierklo A. Status of occlusal surfaces of first permanent molars in 6-8-year-old children evaluated by the CAST and DMF indices. Eur J Paediatr Dent. 2014;2:107–12.Google Scholar
  17. 17.
    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;14:1–8.CrossRefGoogle Scholar
  18. 18.
    Malik A, Shaukat MS, Qureshi A. Prevalence of dental caries using novel caries assessment index—CAST. J Dow Univ Health Sci. 2014;8:7–10.Google Scholar
  19. 19.
    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;14:119.CrossRefGoogle Scholar
  20. 20.
    Medeiros PBV, Otero SAM, Frencken JE, Bronkhorst E, Leal SC. Effectiveness of an oral health program for mothers and their infants. Int J Paediatr Dent. 2014;7(25):29–34.Google Scholar
  21. 21.
    Anchala K, Challa R, Vadaganadham Y, Kamatham R, Deepak V, Nuvvula S. Assessment of dental caries in primary dentition employing caries assessment spectrum and treatment index. J Orofac Sci. 2016;8:115–9.CrossRefGoogle Scholar
  22. 22.
    Baginska J, Rodakowska E. Caries Assessment Spectrum and Treatment (CAST) index in the primary molars of 6- to 7-year-old polish children. Oral Health Prev Dent. 2016;14:85–92.PubMedGoogle Scholar
  23. 23.
    Kar S, Kundu G, Maiti S, Ghosh C, Bazmi B, Mukhopadhyay S. A comparative evaluation of dental caries status among hearing-impaired and normal children of Malda, West Bengal, evaluated with the Caries Assessment Spectrum and Treatment. J Indian Soc Pedod Prev Dent. 2016;34:306–9.CrossRefGoogle Scholar
  24. 24.
    Mwakayoka H, Masalu JR, Namakuka Kikwilu E. Dental Caries and associated factors in children aged 2–4 years old in Mbeya City, Tanzania. J Dent (Shiraz). 2017;18(2):104–11.Google Scholar
  25. 25.
    Doneria D, Thakur S, Singhal P, Chauhan D, Jayam C, Uppal A. Comparative evaluation of Caries status in primary and permanent molars in 7–8-year-old schoolchildren of Shimla using Caries Assessment Spectrum and Treatment Index. Contemp Clin Dent. 2017;8(1):128–33.CrossRefGoogle Scholar
  26. 26.
    Frencken JE, de Souza Hilgert AL, Bronkhorst EM, Leal SC. CAST Caries Assessment Spectrum and Treatment manual. 1st ed. Nijmegen: Radboud University Nijmegen; 2015. p. 48.Google Scholar
  27. 27.
    de Souza Hilgert AL. Caries Assessment Spectrum and Treatment (CAST): a new epidemiological instrument. Doctoral thesis. Nijmegen: Radboud University Nijmegen; 2015.Google Scholar
  28. 28.
    de Souza AL, Leal SC, Chaves SB, Bronkhorst E, Frencken JE, Creugers NHJ. The Caries Assessment Spectrum and Treatment (CAST) instrument: construct validation. Eur J Oral Sci. 2014;122:149–53.CrossRefGoogle Scholar
  29. 29.
    Davis FD. Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Q. 1989;13(3):319–40. https://doi.org/10.2307/249008.

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Soraya Leal
    • 1
  • Ana Paula Dias Ribeiro
    • 2
  • Ana Luiza de Souza Hilgert
    • 3
  1. 1.Department of Dentistry, Faculty of Health ScienceUniversity of BrasíliaBrasíliaBrazil
  2. 2.Department of Restorative Dental Sciences, College of DentistryUniversity of FloridaGainesvilleUSA
  3. 3.Department of DentistryPediatric Dentistry from the Military of Federal DistrictBrasíliaBrazil

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