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Table 1 The codes and descriptions of the hierarchical CAST instrument

From: Assessing caries status according to the CAST instrument and WHO criterion in epidemiological studies

Characteristic

Code

Description

Sound

0

No visible evidence of a distinct carious lesion is present

Sealant

1

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

Restoration

2

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

Enamel

3

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

Dentine

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

 

5

Distinct cavitation into dentine. The pulp chamber is intact

Pulp

6

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

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

Other

9

Does not correspond to any of the other descriptions