Evaluation of Dental Caries in Primary and Permanent Molars of 6-8 Years Old Children Using Caries Assessment Spectrum & Treatment (CAST) Tool

Main Article Content

Madhumanti Karmakar
Pratik Kumar Lahiri
Sudipta Kar
Bhumi Sarvaiya
Shabnam Zahir
Biswaroop Chandra

Abstract

Evaluation of dental caries with an index that covers the whole spectrum of the disease is essential to understand the disease burden among a specific population.


Aim: Evaluation of dental caries using Caries Assessment Spectrum and Treatment (CAST) Index in the primary and permanent molars of 6-8 years old children of North 24 Parganas, West Bengal, India.


Methods and Material: A total of 214 children of 6-8 years old age group were examined clinically after taking consent from the parents and the caries score of permanent and primary molars were evaluated based on CAST scores. The statistical analysis was done using IBM SPSS statistics 23.0 (IBM Corporation, Armonk, NY, USA).


Results: Among the study population, the majority of the permanent first molars (84.1-90.2%) were scored as sound (code 0). For the primary molars, almost 32.7-41.1% of the teeth was scored as sound (code 1), and lowest number of teeth (0-0.5%) had fissure sealant (code 1). Moreover, males had higher risk of having dental caries compared to females and the age group 7-8 years was more caries prone than the 6 year old children.


Conclusion: In a highly populated country like India, the CAST index has been proven to take minimal armamentarium and lesser time comparing other indices. Moreover, it also records a restored tooth as sound and functioning tooth which helps better understanding of the treatment need. 


 

Article Details

How to Cite
Karmakar, M. ., Kumar Lahiri, P. ., Kar, S. ., Sarvaiya, B. ., Zahir, S. ., & Chandra, B. . (2023). Evaluation of Dental Caries in Primary and Permanent Molars of 6-8 Years Old Children Using Caries Assessment Spectrum & Treatment (CAST) Tool. Journal of Coastal Life Medicine, 11(1), 1076–1083. Retrieved from https://jclmm.com/index.php/journal/article/view/475
Section
Articles

References

Mount GJ, Hume WR. A revised classification of carious lesions by site and size. Quintessence Int. 1997;28:301–3.

Fisher J, Glick M. FDI world dental federation science committee. A new model for caries classification and management: the FDI world dental federation caries matrix. J Am Dent Assoc. 2012;143:546–51.

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.

Nyvad B. Diagnosis versus detection of caries. Caries Res. 2004;38:192–8.

Castro ALS, Vianna MIP, Reis SR de A. A new index for measuring dental caries: reversible dental caries index-IRCD. Rev FacOdontolUniv Fed Bahia. 1999;19:35–40.

Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, et al. The international caries detection and assessment system (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol. 2007;35:170–8.

Sheiham A, Maizels J, Maizels A. New composite indicators of dental health. Community Dent Health. 1987;4:407–14.

Monse B, Heinrich-Weltzien R, Benzian H, Holmgren C, Helderman WP.

PUFA–an index of clinical consequences of untreated dental caries. Community Dent Oral Epidemiol. 2010;38:77–8

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;14:74.

Frencken JE, de Amorim RG, Faber J, Leal SC. The Caries Assessment Spectrum and Treatment (CAST) index: Rational and development. Int Dent J 2011;61:117‑23

Das D, Misra J, Mitra M, Bhattacharya B, Bagchi A. Prevalence of dental caries and treatment needs in children in coastal areas of West Bengal. ContempClin Dent 2013; 4:482-7.

Honkala E, Behbehani JM. What’s new in the benefits of restoring primary teeth? Med PrincPract 2013; 22:207‑8.

Baginska J, Stokowska W. Pulpal involvement‑roots‑sepsis index: A new method for describing the clinical consequences of untreated dental caries. Med PrincPract 2013; 22:555‑60.

Monse B, Heinrich‑Weltzien R, Benzian H, Holmgren C, van PalensteinHelderman W. PUFA – An index of clinical consequences of untreated dental caries. Community Dent Oral Epidemiol 2010; 38:77‑82.

Zhang S, Liu J, Lo EC, Chu CH. Dental caries status of Bulang preschool children Southwest China. BMC Oral Health 2013;13:68

Elfrink ME, Veerkamp JS, Kalsbeek H. Caries pattern in primary molars in Dutch 5‑year‑old children. Eur Arch Paediatr Dent 2006; 7:236‑40.

Wyne AH. Caries prevalence, severity, and pattern in preschool children. J Contemp Dent Pract 2008; 9:24‑31.

Sharma A, Bansal P, Grover A, Sharma S, Sharma A. Oral health status and treatment needs among primary school going children in NagrotaBagwan block of Kangra, Himachal Pradesh. J Indian SocPeriodontol 2014; 18:762‑6

Berger S, Goddon I, Chen CM, Senkel H, Hickel R, Stösser L, et al. Are pit and fissure sealants needed in children with a higher caries risk? Clin Oral Investig 2010; 14:613‑20.

Oulis CJ, Berdouses ED, Mamai‑Homata E, Polychronopoulou A. Prevalence of sealants in relation to dental caries on the permanent molars of 12 and 15‑year‑old Greek adolescents. A national pathfinder survey. BMC Public Health 2011; 11:100.

Courson F, Velly AM, Droz D, Lupi‑Pégurier L, Muller‑Bolla M. Clinical decision on pit and fissure sealing according to the occlusal morphology. A descriptive study. Eur J Paediatr Dent 2011; 12:43‑9.

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; pubmed/25102457, 15:107–12. https://www.ncbi.nlm.nih.gov/

Shyam, R., Manjunath, B, Kumar, A, Narang, R.; Ghanghas, M. and Phogat, R. (2017): Newer Concept of Measuring Dental Caries - A Review. SJODR, 2: 192-196.

Kar, S.; Kundu, G.; Maiti, S.; Ghosh, C.; Ahamed, B. and Bazmi, S. (2015): A Comparative evaluation of dental caries status among visually impaired and normal children of Malda, West Bengal evaluated with caries assessment spectrum and treatment-A new caries assessment system. IJTA, 20:16-19

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. ContempClin Dent 2017;8:128-33.

Sheiham A, Sabbah W. Using universal patterns of caries for planning and evaluating dental care. Caries Res 2010; 44:141‑50

Burnside G, Pine CM, Williamson PR: Modelling the bilateral symmetry of caries incidence. Caries Res. 2008, 42: 291-296. 10.1159/000148161

Rafique, D.M., Hussain, D.U., Fatima, D.R., & Akbar, D.Z. (2020). Dental caries in primary molars in 7-8-year-old schoolchildren evaluated with caries assessment spectrum and treatment (cast) index.

Skeie MS, Raadal M, Strand GV, Espelid I. The relationship between caries in the primary dentition at 5 years of age and permanent dentition at 10 years of age – A longitudinal study. Int J Paediatr Dent 2006; 16:152‑60

Lynch RJ. The primary and mixed dentition, post‑eruptive enamel maturation and dental caries: A review. Int Dent J 2013;63Suppl 2:3‑13.

Stephenson J. A model for the analysis of caries occurrence in primary molar tooth surfaces. Caries Res 2012;46:452