Evidence map›Paper›PMID 35367043›Full record

ArticleInternational dental journal2022

Significance of Endodontic Case Difficulty Assessment: A Retrospective Study.

Amal A Almohaimede, Bashayer M AlShehri, Amjad A Alaiban, Rana A AlDakhil

Abstract read
In one paragraph

Article in International dental journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Technical Quality and Students' Perception of Endodontic Preclinical Training Using Natural or LikeReal Artificial Teeth.European journal of dental education : official journal of the Association for Dental Education in Europe · 2026
    Article
  2. Observational
  3. Article
  4. Article
  5. Medico-legal considerations in endodontics.British dental journal · 2025
    Review
  6. Article
  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Amal A AlmohaimedeEndodontic Division, Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia. Electronic address: aalmohaimede@ksu.edu.sa.
Bashayer M AlShehriCollege of Dentistry, King Saud University, Riyadh, Saudi Arabia.
Amjad A AlaibanCollege of Dentistry, King Saud University, Riyadh, Saudi Arabia.
Rana A AlDakhilCollege of Dentistry, King Saud University, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe present study aimed to evaluate the significance of the American Association of Endodontics (AAE) Case Difficulty Assessment on the occurrence of endodontic mishaps in an undergraduate student clinic at the Dental College at King Saud University.

methodsAll teeth endodontically treated by undergraduate dental students in their fourth year at the College of Dentistry, Girls University Campus at King Saud University over 2 years (2018-2019) were selected. Four investigators (3 dental interns and 1 endodontist) recorded the AAE case difficulty level, mishap occurrence, number of treatment visits, type of teeth, and type of instrumentation technique. The associations amongst these variables were analysed. STATISTICAL ANALYSIS: A point-biserial correlation was used to determine the relationship between the number of visits and the AAE case difficulty and the instrumentation technique. Spearman's rank-order correlation was used to assess the relationship between the number of visits and mishaps. A Mann-Whitney U test was applied to determine any differences in mishaps amongst cases with different difficulty levels.

resultsA total of 586 teeth were included (54.1% moderate- to high-difficulty cases), and 34.98% of cases experienced mishaps. Molars were significantly more often found in the moderate- to high-difficulty category. The moderate- to high-difficulty cases experienced more mishaps (64.8%; P = .000) and a greater number of treatment visits (3.49 ± 1.27; P = .000) compared to minimal-difficulty cases (35.12%, 2.38 ± 1.24, respectively). The type of instrumentation technique was not associated with mishap occurrence.

conclusionsUndergraduate students should use the AAE case classification assessment tool to reduce the number of endodontic treatment mishaps and the number of visits.

Indexed as

EndodonticsRoot Canal TherapyFemaleHumansRetrospective StudiesStudentsUniversitiesAssessmentCase difficultyEndodonticsMishapsUndergraduate

Identifiers

PMID35367043
PMCPMC9485524

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.