Estimation of Dental Caries in Adults coming to a Dental College in Himachal Pradesh (North-West India) using CAST Index: a Cross-Sectional Study.

Avasthi Avijit, Rathore Bhumika
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Abstract

Background: Decayed Missing Filled Index is the universal index of choice to record dental caries however, it is unable to estimate the severity of dental caries. The Caries Assessment Spectrum and treatment (CAST) Index is a new index which can be used to distinguish the intensity of caries.

Aim: To ascertain dental caries using CAST index and to compare the association of CAST index with DMF Index values attained using CAST index in adults.

Materials and methods: The cross-sectional survey recorded dental caries using CAST index in adults. 30.6% of adults experienced tooth loss and 32.3% recorded caries lesion advancing to dentin. 29.5% of adults had lesion attacking pulp but the gender predilection was insignificant. Caries severity in adults worsened with increasing age with significant association (p < 0.00). Scarcely 7.3% had undergone restorative care owing to dental caries.

Conclusions: The CAST index provides all-inclusive knowledge with regard to caries severity and transient shift in oral health in adults.

利用CAST指数估计喜马偕尔邦(印度西北部)牙科学院成人龋齿:一项横断面研究。
背景:龋缺补指数是记录龋病的通用指标,但它并不能反映龋病的严重程度。龋病评估光谱与治疗指数(CAST)是一种可以用来区分龋病强度的新指标。目的:应用CAST指数确定成人龋病,并比较CAST指数与使用CAST指数获得的DMF指数的相关性。材料与方法:采用CAST指数对成人龋病进行横断面调查。30.6%的成年人出现过牙齿脱落,32.3%的人有蛀牙进展到牙本质。29.5%的成人有攻击牙髓的病变,但性别差异不显著。成人龋病严重程度随年龄增加而加重,有显著相关性(p < 0.00)。只有不到7.3%的人因龋齿而接受了修复治疗。结论:CAST指数提供了关于成人口腔健康中龋病严重程度和短暂转移的全面知识。
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