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Table 1 Description of CAST codes

From: Dental caries in primary and permanent molars in 7-8-year-old schoolchildren evaluated with Caries Assessment Spectrum and Treatment (CAST) index

Characteristics

Code

Description

Concept of health

Sound

0

No visible evidence of a distinct carious lesion is present

Healthy

Sealed

1

Pits and/or fissures are at least partially sealed with a sealant material

Restored

2

A cavity is restored with a (in)direct restorative material

Enamel

3

Distinct visual change in enamel only. A clear caries discolouration is visible with or without localised enamel breakdown

Reversible premorbidity

Dentin

4

Internal caries-related discolouration in dentine. The discoloured dentine is visible through enamel which may or may not exhibit a visible localised breakdown of enamel

Morbidity

5

Distinct cavitation into dentine. The pulp chamber is intact

Pulp

6

Involvement of pulp chamber. Distinct cavitation reaching the pulp chamber or only root fragments are present

Serious morbidity

Abscess/Fistula

7

A pus containing swelling or a pus releasing sinus tract related to a tooth with pulpal involvement

Lost

8

The tooth has been removed because of dental caries

Mortality

Other

9

Does not correspond to any of the other categories

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