Department of Conservative Dentistry and Endodontics, Sumandeep Vidyapeeth Deemed to be University, Piparia, Vadodara, Gujarat State, India.
Afr Health Sci. 2021 Dec;21(4):1898-1904. doi: 10.4314/ahs.v21i4.48.
Application of caries assessment spectrum and treatment (CAST) instrument for staging and evaluating treatment needs of an adult population suffering from dental carious lesion.
Study was conducted with aim of applying CAST instrument for staging adult urban Indian population according to severity of carious lesion and treatment needs required.
Cross-sectional descriptive study was conducted on 300 adult patients. After training session and calibration of examiner, all patients were examined for the caries experience and CAST codes were recorded on a structured proforma.
Of 300 adult patients, 18% (54) adults have healthy dentition denoted by codes 0,1, and 2. 12 % and 15.3% adults were in reversible premorbidity stage (code 3) and morbidity stage (codes 4 and 5) respectively. The largest number of adults 29.7% were seen in serious morbidity stage (codes 6 and 7) followed by 21.3% adults in mortality stage (code 8) requiring either root canal treatment or extraction and replacement of teeth as treatment needs.
CAST instrument has been found useful in staging adult population suffering with dental carious lesion and evaluating their treatment needs. Moreover, CAST is easy to apply for staging the carious lesion due its hierarchical structure and reporting results in an understandable manner.
龋病评估谱和治疗（CAST）工具在评估和分期患有牙龋病的成年人群的治疗需求中的应用。
本研究旨在应用 CAST 工具对印度城市成年人群进行分期，根据龋病的严重程度和所需的治疗需求进行分期。
对 300 名成年患者进行了横断面描述性研究。在进行了培训课程和检查者校准后，对所有患者的龋病经历进行了检查，并在结构化表格上记录了 CAST 编码。
在 300 名成年患者中，18%（54 名）的成年人拥有健康的牙齿，其编码为 0、1 和 2。12%和 15.3%的成年人分别处于可逆转的前期病变阶段（编码 3）和病变阶段（编码 4 和 5）。最大数量的成年人（29.7%）处于严重的病变阶段（编码 6 和 7），其次是 21.3%的成年人处于死亡阶段（编码 8），需要根管治疗或拔牙和牙齿替换作为治疗需求。
CAST 工具已被证明在分期患有牙龋病的成年人群和评估其治疗需求方面非常有用。此外，由于 CAST 具有分层结构，并且以易于理解的方式报告结果，因此易于应用于龋病的分期。
