Referring Dentists > When to Refer

Assigning a Level of Difficulty to Cases

Levels of difficulty are sets of conditions that may not be controllable by you. Risk factors can influence the ability to provide care at a consistently predictable level and impact the appropriate provision of care and quality assurance.

Guidelines from the American Association of Endodontics (AAE) can help you with referral decision making.

Levels of Difficulty

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Low Difficulty

Preoperative condition indicates routine complexity (uncomplicated). These types of cases would exhibit only those factors listed in the LOW DIFFICULTY category. Achieving a favorable treatment outcome should be attainable by a competent practitioner with limited experience.

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Moderate Difficulty

Preoperative condition is complicated, exhibiting one or two factors listed in the MODERATE DIFFICULTY category. Achieving a favorable treatment outcome may be challenging for a competent, experienced practitioner.

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High Difficulty

Preoperative condition is exceptionally complicated, exhibiting three or more factors listed in the MODERATE DIFFICULTY category or at least one in the HIGH DIFFICULTY category. Achieving a favorable treatment outcome may be challenging for even the most experienced practitioner with an extensive history of favorable outcomes.

See a Complete List of Considerations

If the level of difficulty exceeds your experience and comfort, you might consider a referral to an endodontist.

Available for Consultation

If you have concerns about complicated conditions or treatment options for your patient, reach out to us for consultation.

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Referral Forms

Avoid handling paperwork, expedite care and share patient information all in one place.