Skip to main content

Table 1 Diagnostic criteria for ICDAS II and CAST indices

From: Assessment of caries diagnostic thresholds of DMFT, ICDAS II and CAST in the estimation of caries prevalence rate in first permanent molars in early permanent dentition—a cross-sectional study

ICDAS II caries detection system

Code

Description

0

Sound

1

Enamel opacity

2

District visual enamel cavity

3

Localised enamel breakdown

4

Underlying dark shadow from dentin

5

Dentine distinct cavity

6

Dentine extensive cavity

Code

 

Description

CAST diagnostic criteria

0

Sound

No visible evidence of a distinct carious lesion is present

1

Sealants

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

2

Restoration

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

3

Enamel

Distinct visual change in enamel only; a clear caries-related discoloration is visible, with or without localised enamel breakdown

4

Dentin

Internal caries-related discoloration in dentine; the discoloured dentine is visible through the enamel, which may or may not exhibit a visible localised breakdown

5

Dentin

Distinct cavitation into the dentine; the pulp chamber is intact

6

Pulp

Involvement of the pulp chamber; distinct cavitation reaching the pulp chamber, or only root fragments are present

7

Abscess/fistula

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

8

lost

The tooth has been removed because of dental caries

DMFT index

WHO criteria

Code

Description

Sound

If there is no evidence of treated or untreated clinical caries, a crown is categorized as sound tooth

 D

Decayed: carious lesion is clinically visible and obvious/filled tooth with recurrent decay/remaining roots/broken fillings/temporary fillings

 M

Missing: missing teeth due to caries/other cases should be excluded (un erupted teeth. congenital missing, orthodontic extractions etc.)

 Ft

Filled teeth: Permanent Filled teeth due to caries/a tooth has multiple restorations, it is counted as one tooth (F)

 

When a tooth has a restoration on one surface and caries on the other, it is considered decayed D

 

No tooth can be counted more than once in the D, M, F, or sound categories