Clinical reference · Endodontics

Endodontic Diagnosis Mapper

Check the signs and symptoms you've established. The panel returns a paired pulpal and apical diagnosis in both the classic AAE terminology and the proposed AAE–ESE 2025 system.

Decision support only — it does not replace clinical judgement, pulp testing, or radiographic interpretation. The 2025 terminology is a joint AAE–ESE proposal still in stakeholder review; wording may change before final adoption.

Findings

01 Symptoms reported

No pain / asymptomatic Sharp pain to cold or sweet, gone in seconds Pain lingers after thermal stimulus (>10s) Spontaneous / unprovoked pain Severe — disturbs sleep / needs analgesics Pain on biting or chewing Heat pain relieved by cold

02 Pulp sensibility test

Normal response (matches control) Heightened, not lingering Prolonged / lingering response No response (non-responsive)

03 Percussion & palpation

Not tender Tender to percussion Tender to palpation

04 Radiograph / imaging

Normal lamina dura & PDL Widened PDL / lamina dura loss Periapical radiolucency Periapical radiopacity (sclerotic bone) Caries / restoration close to pulp Caries / restoration into pulp (exposure)

05 Other findings

Exposed dentine / recession (non-carious) Rapid onset Sinus tract / draining stoma Localized intraoral swelling Facial swelling + systemic signs RCT started, not obturated Existing root canal filling

ClassicAAE 2009 / 2012

ModernAAE–ESE 2025

Pulpal

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Apical

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Findings driving this result

Select findings to generate a diagnosis.

Pulpal and apical diagnoses are reported together, as both systems intend. Source tables: AAE–ESE Pulpal & Pulp Space and Periapical diagnostic tables (Jul 2025). Definitions here are paraphrased; the official tables are © AAE & ESE and reproduced only on aae.org.