Prevalence of Dental Caries Among a Group of Egyptian Children Using CAST Index

Prevalence of Dental Caries Among a Group of Egyptian Children Using Caries Assessment Spectrum and Treatment Index:A Cross Sectional Study

The aim of this study is to assess the prevalence of dental caries using CAST index among a group of Egyptian children in primary dentition stage.

Egyptian children aging from three to six years old attending the Outpatients' Clinic of both of Pediatric Dentistry Department, Faculty of Dentistry, Misr University for Science and Technology and the Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Cairo University will be examined using Caries Assessment Spectrum and Treatment

Study Overview

• Status: Unknown
• Conditions: Dental Caries in Children

Detailed Description

• A custom made examination chart (Appendix 1) will be filled for each child including date, name, age, address, gender, medical history and any previous dental treatment. Parents' data includes: level of education and oral hygiene level.
• Prior to performing dental examination, the child will be asked to rinse his mouth with tap water and the teeth will be cleaned with cotton.
• The examiner will carefully inspect all surfaces of the teeth.
• All the primary teeth will be evaluated using CAST index as shown in Table 1.
• Each child will be given two printed sheets translated into Arabic, of his diagnosed caries status, the oral hygiene measures needed to inform the parents about the oral health status and how to keep good oral health and to indicate the need for treatment for children diagnosed with dental caries, and dietary bad habits that should be avoided to prevent caries occurrence.

Examination chart

Date:

Personal information:

Name: Age: Gender:

Address:

Medical history:

Parents' level of education:

Dental history:

Clinical examination:

E D C B A A B C D E

E D C B A A B C D E

Table 1: Caries Assessment Spectrum and Treatment(CAST) index Cast codes characteristics Code Description Concept of Health Sound 0 No visible evidence of a distinct •carious lesion is present Healthy

• Sealant 1 Pits and/or fissures are at least partially covered with a sealant material
• Restored 2 A cavity is restored with an (in)direct restorative material
• Enamel 3 Distinct visual change in enamel only. A clear caries related discoloration is visible, with or without localized enamel breakdown Reversible premorbidity
• Dentin 4 Internal caries-related discoloration in dentine. The discolored dentine is visible through enamel which may or may not exhibit a visible localized breakdown of enamel Morbidity
• 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 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 descriptions ■Severity according to CAST index:

Comments:

Dental caries: Present Absent Severity: ……………………….. (Appendix 1)

• Study Type: Observational
• Enrollment (Anticipated): 500

Contacts and Locations

• Study Contact: Name: Aya Ad Hamza, Bds; Phone Number: 01062315566; Email: aya.adel@dentistry.cu.edu.eg
• Study Contact Backup: Name: Adel Hamza; Phone Number: 01006754301

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 3 years to 6 years (CHILD)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Children will be selected from Outpatients' clinic of both of Pediatric Dentistry Department, Faculty of Dentistry, Misr University for Science and Technology and the Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Cairo University according to the eligibility criteria

Description

Inclusion Criteria:

• Parental or guardian acceptance for participation in the study.
• Children who are medically free from any systemic diseases.
• Children with primary dentition aging from 3-6 years old.
• Both genders.

Exclusion Criteria:

• Uncooperative child.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Prevalence of dental caries using CAST index (Frencken et al., 2013)	Measuring device:CAST index (Frencken et al., 2013) Measuring unit: Score (0-9)	6 months

Collaborators and Investigators

• Sponsor: Cairo University
• Investigators: Study Director: Amr ezzat, professor, Cairo University

Study record dates

Study Major Dates

• Study Start (ANTICIPATED): July 1, 2018
• Primary Completion (ANTICIPATED): December 31, 2018
• Study Completion (ANTICIPATED): June 1, 2019

Study Registration Dates

• First Submitted: June 18, 2018
• First Submitted That Met QC Criteria: June 28, 2018
• First Posted (ACTUAL): June 29, 2018

Study Record Updates

• Last Update Posted (ACTUAL): June 29, 2018
• Last Update Submitted That Met QC Criteria: June 28, 2018
• Last Verified: June 1, 2018

More Information

Terms related to this study

• Keywords: CAST index, prevalence of caries, primary dentition caries
• Additional Relevant MeSH Terms: Stomatognathic Diseases; Tooth Demineralization; Tooth Diseases; Dental Caries
• Other Study ID Numbers: CEBD-CU-2018-06-68

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No