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

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


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. 


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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://www.jclmm.com/index.php/journal/article/view/475


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