ECDA - Nemo Works

To submit cases for the AI platform collaboration in case collection, please follow the detailed instructions provided in the video tutorial.

Endodontic Difficulty Assessment

Please answer all questions below, then upload radiographs for Before, During, and After Treatment as applicable and submit your cases.

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Patient ID

Gender

Tooth #

A. Patient Considerations

Age

Less than 15 (Consider root development)
Between 15-55 (Standard protocols)
More than 55 (Consider medical factors)

Medical History

No medical problem (ASA Class 1 or 2)
One or more medical problem (ASA Class 3)
Complex medical history/serious illness/disability (ASA Class 4+)

Anesthesia

No history of anesthesia problems
Vasoconstrictor intolerance
Difficulty achieving/maintaining anesthesia

Patient Disposition

Cooperative and compliant
Anxious but cooperative
Uncooperative

Ability to Open Mouth

No limitation
Slight limitation
Significant limitation

Gag Reflex

None
Occasional (radiographs/treatment)
Extreme gag reflex (compromised past care)

brief (Rotation) or

Emergency Condition

Minimum pain/swelling
Moderate pain/swelling
Severe pain/swelling

B. Diagnostic & Treatment Considerations

Diagnosis

Signs/symptoms consistent with known pulpal condition
Extensive differential diagnosis required
Confusing/complex signs, chronic oral-facial pain

Radiographic Difficulties

Minimal difficulty obtaining/interpreting
Moderate difficulty (e.g., narrow palate)
Extreme difficulty (superimposed anatomy)

Position in Arch (Tooth Type)

Anterior/Premolar
1st Molar
2nd or 3rd Molar

Position in Arch (Inclination)

<10° (slight inclination)
>10°-30° (moderate inclination)
>30° (extreme inclination)

Position in Arch (Rotation)

<10° (slight rotation)
>10°-30° (moderate rotation)
>30° (extreme rotation)

Tooth Isolation

Routine rubber dam placement
Simple modification required
Extensive modification required

Crown Morphology

Normal original crown morphology
Full coverage/moderate deviation
Extensive coronal destruction/unusual anatomy

Canal Morphology

Slight or no curvature (<10°)
Moderate curvature (10°–30°)
Extreme curvature (>30°)

Canal Appearance

Canals/chamber visible, normal
Reduced canal size, pulp stones
Indistinct canal path, not visible

Proximity of Root Apices to Vital Structures

≥5 mm away (IAN, mental foramen)
>3–5 mm away
<3 mm away

Resorption

No resorption evident
Minimal apical resorption
Extensive or internal/external resorption

C. Additional Considerations

Trauma History

No trauma or uncomplicated fracture
Complicated fracture of mature teeth or subluxation
Complicated fracture of immature teeth, root fracture, luxation, avulsion

Endodontic History

No previous treatment
Previous access without issues
Complications or prior surgical/nonsurgical treatment

Periodontal-Endodontic Condition

Mild or moderate disease
Combined lesions
Severe disease, cracked teeth, or root amputation

Upload Pre-op and Bitewing (optional) radiographs

Click or drag files to this area to upload. You can upload up to 2 files.

Upload final or follow-up radiographs taken AFTER endodontic therapy.

Click or drag a file to this area to upload.

What is your definitive diagnosis and recommended treatment for this tooth? Kindly provide a brief explanation in one or two sentences.

Easy Complex
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D. Doctor Information

Name