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
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.
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.
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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