Assessment of Case Complexity of Root Canal Treatments Using Contemporary Complexity Grading Systems: A Clinical Service Evaluation.

ABSTRACT:

Aim

To assess the complexity of root canal treatments allocated to Postgraduate Endodontology trainees at Cardiff University Dental Hospital (CUDH) using the English Clinical Standards for Restorative Dentistry (ECS) in comparison with the Dental Practicality Index (DPI), the EndoApp (EA), and the Endodontic Complexity Assessment Tool (E-CAT).

Material and methods

Two-hundred-and-one case records were evaluated by two calibrated examiners using each complexity assessment system. Inter-examiner and intra-examiner variability was calculated using Cohen's kappa coefficient. Statistical analyses compared the scores obtained for the same case using the different systems.

Results

Most cases were assigned level 3 complexity using ECS, EA and E-CAT (82%, 92% and 74.1%, respec

SUBMITTER: Ghazi N 

PROVIDER: S-EPMC12701745 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature