MedCz Clinical Tool · medcz.net
Restorability Assessment Score Card
DHA Clinical Guidelines CG-01 v2 (eff. 01/03/2026) · Kamal et al. (2018) · Nunn et al. (2012)
Date:
| Patient ID | Clinician | ||
| Tooth No. / Type | Clinic / Hospital |
| # | Factor | Score 0 — Favourable | Score 1 — Ailing | Score 2 — Failing | Score |
|---|
| TOTAL SCORE | — | — |
| Referral / Action | |
| Clinical Notes |
|
Clinician Signature
Signature & Date
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Authorised By / Supervisor
Signature & Date
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MedCz Clinical Tools · medcz.net · Based on DHA CG-01 v2 (2025/2026) · Kamal et al. EC Dental Science 17.6 (2018) · Nunn ME et al. Periodontology 2000, 58 (2012)
Patient & Clinician Details
9-Factor Restorability Score
Select the clinical condition for each factor · Score 0 = Favourable · 1 = Ailing · 2 = Failing
1 Pocket Depth
2 Mobility (Miller Scale)
3 Recurrent Periodontal Abscess
4 Root Proximity
5 Root Anomalies
6 Root Canal Therapy Status
7 Faulty Restorations / Fractures
8 Extensive Caries
9 Crown:Root Ratio
📌 Score Reference — All 9 Factors
| # | Factor | Score 0 Favourable | Score 1 Ailing | Score 2 Failing |
|---|---|---|---|---|
| 1 | Pocket Depth | ≤4 mm | 5–7 mm | >7 mm |
| 2 | Mobility | Grade 0–1 | Grade 2 | Grade 3 |
| 3 | Recurrent Perio Abscess | No | Isolated | Yes |
| 4 | Root Proximity | No | — | Yes |
| 5 | Root Anomalies | No | — | Yes |
| 6 | Root Canal Therapy | Success / Not needed | Uncertain | Failed |
| 7 | Faulty Restorations / Fractures | None | Restorable | Non-restorable |
| 8 | Extensive Caries | No | Restorable | Bone crest / unrestorable |
| 9 | Crown:Root Ratio | ≥1:2 Favourable | 1:1 Borderline | >1:1 Unfavourable |
0–1
🟢 Conserve
Restore directly. Long-term prognosis favourable. Follow up at 3, 6, 12 months.
2–3
🟡 Treat / Refer
Identify failing factor(s). Refer to appropriate specialty. Stabilise before definitive treatment.
≥4
🔴 Extract
Survival unfavourable. Obtain informed consent. Plan prosthetic replacement. Document fully.
📚 Evidence Base & References
1
Dubai Health Authority. Clinical Guidelines for Restorative Dentistry, Version 2. Code: DHA/HRS/HPSD/CG-01. Issue date: 31/12/2025. Effective date: 01/03/2026. Dubai, UAE. The regulatory standard for all DHA-licensed dental practices. This tool is aligned with its restorability and treatment planning criteria.
2
Kamal N, et al. "Restorability of Teeth: A Numerical Simplified Restorative Decision-Making Chart." EC Dental Science 17.6 (2018): 1482–1491. Source of the 9-factor scoring methodology used in this tool. Validated for chair-side use by general and specialist dentists.
3
Nunn ME, et al. "Development of prognostic indicators using classification and regression trees for survival." Periodontology 2000, Vol. 58 (2012): 134–142. Provides the periodontal prognostic model underpinning pocket depth, mobility, furcation, and bone loss criteria in the scoring system.
4
Ávila G, et al. "A novel decision-making process for tooth retention or extraction." Journal of Periodontology 80.3 (2009): 476–491. Multifactorial framework informing the integration of periodontal, endodontic, and restorative factors in a single decision score.
5
Samet N & Jotkowitz A. "Classification and prognosis evaluation of individual teeth — a comprehensive approach." Quintessence International 40.5 (2009): 377–387. Classification system informing crown:root ratio and abutment prognosis criteria within the scoring framework.