The Caries Assessment Spectrum and Treatment (CAST) index: rational and development

被引:84
作者
Frencken, Jo E. [1 ]
de Amorim, Rodrigo G. [1 ]
Faber, Jorge [2 ]
Leal, Soraya C. [2 ]
机构
[1] Radboud Univ Nijmegen, Med Ctr, Coll Dent Sci, Dept Global Oral Hlth, NL-6525 ED Nijmegen, Netherlands
[2] Univ Brasilia, Dept Dent, Sch Hlth Sci, Brasilia, DF, Brazil
关键词
ICDAS; PUFA; DMF; CAST; caries epidemiology; caries index; Caries assessment Spectrum and Treatment; International Caries Detection and Assessment System; OCCLUSAL CARIES; ICDAS-II; RISK INDICATORS; SYSTEM; REPRODUCIBILITY; PREVALENCE; VALIDITY;
D O I
10.1111/j.1875-595X.2011.00022.x
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Serious difficulties in reporting results were encountered when using ICDAS II and PUFA separately in an epidemiological survey in a child population in Brazil. That necessitated the development of a comprehensive but pragmatic caries assessment index. This publication describes the rationale, development and content of a novel caries assessment index. Strengths and weaknesses of ICDAS II, PUFA and other indices were analysed. The novel caries index developed for use in epidemiological surveys is termed 'Caries Assessment Spectrum and Treatment' (CAST). 'Spectrum' indicates what is considered the main strength of the new index - its usefulness in describing the complete range of stages of carious lesion progression: from no carious lesion, through caries protection (sealant) and caries cure (restoration) to lesions in enamel and dentine, and the advanced stages of carious lesion progression in pulpal and tooth-surrounding tissue. CAST combines elements of the ICDAS II and PUFA indices, and the M- and F-components of the DMF index. A DMF score can easily be calculated from the CAST score, thereby enabling retention of the use of existing DMF scores. The CAST index for use in epidemiological surveys is very promising. It should be validated and its reliability and usefulness be tested in different age groups in different countries and cultures.
引用
收藏
页码:117 / 123
页数:7
相关论文
共 31 条
[1]   Caries prevalence of permanent teeth: a national survey of children in Iceland using ICDAS [J].
Agustsdottir, Helga ;
Gudmundsdottir, Holmfridur ;
Eggertsson, Hafsteinn ;
Jonsson, Stefan Hrafn ;
Gudlaugsson, Jon Oskar ;
Saemundsson, Sigurdur Runar ;
Eliasson, Sigfus T. ;
Arnadottir, Inga B. ;
Holbrook, W. Peter .
COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY, 2010, 38 (04) :299-309
[2]  
[Anonymous], 1997, ORAL HLTH SURVEYS BA, V4th
[3]   A global perspective on changes in the burden of caries and periodontitis: implications for dentistry [J].
Baelum, V. ;
Helderman, W. van Palenstein ;
Hugoson, A. ;
Yee, R. ;
Fejerskov, O. .
JOURNAL OF ORAL REHABILITATION, 2007, 34 (12) :872-906
[4]   Dental caries experience and association to risk indicators of remote rural populations [J].
Cook, Sean L. ;
Martinez-Mier, E. Angeles ;
Dean, Jeffrey A. ;
Weddell, James A. ;
Sanders, Brian J. ;
Eggertsson, Hafsteinn ;
Ofner, Susan ;
Yoder, Karen .
INTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, 2008, 18 (04) :275-283
[5]   Caries experience in a child population in a deprived area of Brazil, using ICDAS II [J].
de Amorim, Rodrigo Guedes ;
Figueiredo, Maria Jose ;
Leal, Soraya Coelho ;
Mulder, Jan ;
Frencken, Jo E. .
CLINICAL ORAL INVESTIGATIONS, 2012, 16 (02) :513-520
[6]   Reproducibility and accuracy of the ICDAS-II for occlusal caries detection [J].
Diniz, Michele Baffi ;
Rodrigues, Jonas Almeida ;
Hug, Isabel ;
Loiola Cordeiro, Rita de Cassia ;
Lussi, Adrian .
COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY, 2009, 37 (05) :399-404
[7]   THE RESULTS OF 6 1/2 YEARS OF ARTIFICIAL FLUORIDATION OF DRINKING WATER IN THE NETHERLANDS - THE TIEL CULEMBORG EXPERIMENT [J].
DIRKS, OB ;
HOUWINK, B ;
KWANT, GW .
ARCHIVES OF ORAL BIOLOGY, 1961, 5 (3-4) :284-300
[8]  
Eggertsson H, 2009, MONOGR ORAL SCI, V21, P102, DOI 10.1159/000224215
[9]   Detection, diagnosing, monitoring and logical treatment of occlusal caries in relation to lesion activity and severity: An in vivo examination with histological validation [J].
Ekstrand, KR ;
Ricketts, DNJ ;
Kidd, EAM ;
Qvist, V ;
Schou, S .
CARIES RESEARCH, 1998, 32 (04) :247-254
[10]  
Groeneveld A, 1990, J Dent Res, V69 Spec No, P751