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AAE Endodontic Case Difficulty Assessment (2020)

Risk-stratify root canal cases using the American Association of Endodontists (AAE) 2020 Case Difficulty Assessment Form — guides whether a general dentist should treat or refer to an endodontist (MDS Conservative Dentistry).

Score each criterion. The final tier is the highest level among all criteria — even a single “High” tag pushes the entire case to High Difficulty.

Patient — Medical history

Patient — Anesthesia history

Patient — Cooperation

Patient — Mouth opening

Patient — Gag reflex

Patient — Emergency status

Diagnostic — Pulpal / Periapical

Diagnostic — Radiographic interpretation

Tooth — Position in arch

Tooth — Isolation / rubber dam

Tooth — Crown morphology

Tooth — Canal & root morphology

Tooth — Canal calcification

Tooth — Root resorption

Tooth — Trauma history

Additional — Endodontic retreatment / surgery

Case Difficulty

MINIMAL DIFFICULTY

0 High × 0 Moderate criteria flagged

Recommendation

Predictable case. Suitable for general dentist with routine endodontic competency. Standard rotary system and digital radiographs sufficient.

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DoctorScribe ships with a built-in referral directory of endodontists, periodontists, OMFS and orthodontists — one tap sends imaging + AAE form via secure link or WhatsApp.

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Clinical Disclaimer: The AAE Case Difficulty Assessment Form is a risk-stratification aid, not a definitive treatment plan. The final tier is determined by the SINGLE highest-rated criterion. Use clinical judgement; consider patient preference and informed consent before treating or referring. Always verify against your local prescribing reference and apply clinical judgment.

Refer with confidence, treat with documentation

DoctorScribe auto-attaches AAE assessment, pre-op CBCT, and consent to every endo case — and one-tap refers to your trusted endodontists with a structured handover.

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