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Article: Volume 48 Number 7 Page 556 - July/August 2021

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  Dental Update 491: 556-562

Endodontics:  Get smart – technological innovations in endodontics part 2: case-difficulty assessment and future perspectives

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Abstract: Given the importance of risk management to avoid mishaps, to achieve a quality result and to ensure a favourable outcome, challenging endodontic cases are best treated by clinicians with the appropriate level of training and experience. Digital and technological innovations in endodontics have led to the development of web-based and smartphone-compatible case-difficulty assessment tools that can help less-experienced dentists identify endodontic management complexities. These interactive tools may also be used for other applications, including primary and secondary care triage, research and dental education. Similarly, advances such as artificial intelligence and mixed reality technologies, are predicted to also benefit endodontics and help support dentists in the management of complex endodontic cases.

Clinical relevance: Digital and technological developments may help improve the management and treatment of endodontic cases.

Author notes: Pratik Kamalkant Shah, BDS, MJDF RCS Eng, MSc, MEndo RCS Edin, FHEA, Clinical Lecturer in Endodontics, Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London. Qianni Zhang, PhD, Senior Lecturer, School of Electronic Engineering and Computer Science, Queen Mary University of London. Bun San Chong, BDS, MSc, PhD, LDS, FDS RCS Eng, FDS RCS Edin, MFGDP (UK), MRD, FHEA, Professor of Restorative Dentistry/Honorary Consultant, Academic Endodontic Lead, Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London. email:

Objective: The reader will gain an understanding of advances in endodontic case-difficulty assessment, and appreciate potential future directions of technological developments to enhance care delivery.