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Categories Excellent Pretreatment Diagnosis and Treatment Plan Thorough medical and dental history was obtained Complete and thorough clinical findings were recorded Clinical procedures were performed at the highest level of skill There was an appropriate review of systems Appropriate diagnostic tests were performed and the results recorded All essential procedures were performed and in the appropriate sequence Appropriate medical consultations were obtained and documented Appropriate radiographs/images and interpretation Vital signs were recorded Medications were documented (including rationale for prescribing, dosages, and frequency of dosing The pulpal and periapical (periradicular) diagnosis was correct The treatment plan was appropriate Alternative treatment plans was appropriate Possible complications were considered Acceptable Lacking details Minor information omitted that does not significantly affect the treatment and prognosis Informed consent was obtained The pulpal and periapical (periradicular) diagnosis was correct despite the fact limited diagnostic tests were performed The radiographic examination was inadequate There is missing diagnostic information that does not affect the diagnosis, treatment plan, or prognosis The alternative treatment plans were incomplete Treatment Pharmacological management was appropriate and justified Treatment was modified in accordance with the medical and dental history Post-treatment Appropriate recall intervals were prescribed The clinical examination was complete and appropriate tests performed Results were consistent with the treatment Radiographs/images were appropriate and diagnostic The tooth was adequately restored Minor procedural deficiencies were evident that do not compromise the outcome Procedures were not sufficiently documented or demonstrated The narrative was complete, thorough, and readable with correct spelling and proper grammar Required highest level of knowledge and technical skill The terminology used was consistent with the Glossary of Endodontic Terms and abbreviations were adequately explained Treatment consultations were required Required the highest level of patient management The treatment sequence was a critical component The radiographic documentation was complete and of the highest quality Clinical photographs were of high quality and appropriate Application of biologic principles was demonstrated The treatment sequence was not appropriate but this did not affect the treatment outcome Complexity Procedures were justified and explained Radiographs/images were adequate and demonstrate quality treatment Procedures were performed at a satisfactory level Documentation The dates and treatment sequencing were accurate The clinical examination and data provided was adequate but not complete Results reported were consistent with the data provided The tooth was inadequately restored but noted in the narrative Minor errors not affecting the interpretation or understanding of the case High technical skill required Adequate patient management Treatment sequence important but not critical Categories Deficient Pretreatment Diagnosis and Treatment Plan Incomplete medical and dental history The clinical examination was incomplete Insufficient information that influences the prognosis Appropriate diagnostic tests were not performed Insufficient information that influences and/or affects the diagnosis, treatment, or prognosis Interpretation of the data/radiographs (images) was incorrect Alternative treatment plans were not appropriate or missing Unacceptable The medical and dental history was not provided Incorrect information was provided Appropriate consultations were not obtained Vital signs were not recorded Treatment Procedural errors were evident that may have affected the outcome Treatment performed was not consistent with the diagnosis and treatment plan as outlined Radiographs/images lack detail and proper interpretation Post-treatment Misinterpretation of radiographs/images Poor quality of radiographs/images Documentation Frequent narrative errors Poor grammar and spelling errors Complexity Routine diagnostic and technical difficulty requiring average skills Poor radiographs/images Incomplete clinical examination Processing errors Failure to recognize the lack of a permanent restoration Lack of medical consultation reports when indicated The lack of biopsy reports when indicated The prognosis was inaccurate No data to justify the pulpal and (periradicular) diagnosis Major procedural errors The pulpal and/or (periradicular) diagnosis was incorrect Inappropriate pharmacological management Inappropriate treatment Radiographs/images were improper or of poor quality Sequence of treatment adversely affects the prognosis The treatment plan was incorrect Radiographs/images are of poor quality or do not demonstrate adequate treatment Inappropriate application of biologic principles An appropriate clinical examination was not performed The radiographs/images were inadequate The radiographic interpretation was not correct Appropriate treatment/recall recommendations were not provided There was no recall at least one year following completion of treatment Incomplete information Information was presented that could not be interpreted The narrative and/or radiographic documentation was not representative of the case The knowledge and technical skills required were within the scope of the general dentist