The correct spelling of the adjective that means "having the greatest number of cavities" is "most carious." The phonetic transcription is /məʊst ˈkɛərɪəs/. The word "most" means "the greatest amount or degree." Meanwhile, "carious" refers to the presence of decay, particularly in teeth. The word follows the regular comparative form of adjectives, adding "-est" to the end of "most" and "-ious" to the end of "car." Knowing the correct spelling allows for clear communication and prevents confusion.