Based on the AAE Endodontic Case Difficulty Assessment Form, 2022
ASA I (No medical problem) / ASA II (One or more) / ASA III+ (Medically compromised)
None / Epinephrine intolerance / Past difficulty achieving or maintaining anesthesia
Pain or swelling severity on presentation
Normal interincisal opening is >40mm
None / Occasional / Severe
Cooperative and compliant / Anxious / Uncooperative
Anterior / Premolar / Molar
Signs and symptoms consistent / Unusual / Paradoxical or chronic facial pain history
Consider angulation overlap and limited views due to anatomy
Greater than 5mm / 3-5mm / Less than 3mm
Visible canals and pulp chamber / Pulp stones or reduced size / Not visible or indistinct
Straight (<10º) / Moderate (10-30º) / Severe (>30º)
Closed (<1mm) / Apical opening (1-1.5mm) / Open apex (>1.5mm)
None / Retreatment / Previous procedural issues
Easy / Limited / Severely limited
None / Crown / Bridge-RPD or complex
<10º / 10-30º / >30º
Minimal obturation of access / Remake current restoration / Risky or not feasible
Healthy / Localized / Generalized involvement
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