{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:06:10Z","timestamp":1789171570979,"version":"build-2803163510"},"reference-count":15,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int Endodontic J"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>\n                      To establish a novel comprehensive three\u2010dimensional coding system for the classification of teeth with\n                      <jats:italic>dens invaginatus<\/jats:italic>\n                      (DI) using cone beam computed tomography (CBCT) imaging.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>An initial draft classification of teeth with DI was developed by the project directors and steering group based on the interpretation of CBCT images. A group of 26 global experts then provided their perspectives on the classification via a consensus\u2010building online Delphi process. Following the achievement of consensus, six endodontists independently examined CBCT images of teeth with DI to evaluate the reliability of the draft classification. Inter\u2010rater reliability was employed to ascertain the agreement among the six assessors and intra\u2010rater reliability was assessed following the re\u2010evaluation of the identical CBCT images 3\u2009weeks later. The steering group then revised and finalized the classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The online Delphi process was completed in a single round with a 100% response rate. The inter\u2010rater reliability score of 0.89 and the intra\u2010rater reliability score of 0.88 revealed \u201calmost perfect\u201d agreement among and within the evaluators. The final CARES classification of teeth with DI includes five domains: Communication (C), cross\u2010sectional Anatomy (A), Root formation (R), vertical Extent (E), and Supplementary features (S).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The three\u2010dimensional CARES classification system provides stakeholders with a consistent and unambiguous method of categorizing teeth with DI. The system has the potential to enhance the precision of diagnosis and clinical decision\u2010making during the management of DI and ensures clinicians can communicate more accurately with patients and other healthcare professionals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iej.70201","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T09:30:31Z","timestamp":1781775031000},"page":"2095-2102","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["CARES\u2014A New Three\u2010Dimensional Coding System for Classifying Teeth With\n                    <i>Dens Invaginatus<\/i>"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3783-3156","authenticated-orcid":false,"given":"Venkateshbabu","family":"Nagendrababu","sequence":"first","affiliation":[{"name":"Department of Restorative Dentistry, College of Dental Medicine University of Sharjah  Sharjah UAE"},{"name":"Department of Conservative Dentistry and Endodontics Dr. D. Y. Patil Dental College &amp; Hospital, Dr. D. Y. Patil Vidyapeeth (Deemed to be University)  Pimpri, Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3049-653X","authenticated-orcid":false,"given":"Asiya Sameer","family":"Mujawar","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics Sinhgad Dental College and Hospital  Pune Maharashtra India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7870-1403","authenticated-orcid":false,"given":"Nandini","family":"Suresh","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Department of Conservative Dentistry and Endodontics Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research (MAHER)  Chennai Tamil Nadu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9798-3872","authenticated-orcid":false,"given":"Thilla Sekar","family":"Vinothkumar","sequence":"additional","affiliation":[{"name":"Department of Restorative Dental Sciences, College of Dentistry Jazan University  Jazan Saudi\u00a0Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1930-8625","authenticated-orcid":false,"given":"Sheela B.","family":"Abraham","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, College of Dental Medicine University of Sharjah  Sharjah UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3500-3039","authenticated-orcid":false,"given":"Francesc","family":"Abella Sans","sequence":"additional","affiliation":[{"name":"Department of Endodontics, Universitat International de Catalunya School of Dentistry  Sant Cugat del Valles, Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8962-0449","authenticated-orcid":false,"given":"Michael","family":"H\u00fclsmann","sequence":"additional","affiliation":[{"name":"Center\u00a0of Dental Medicine, Clinic for Preventive Dentistry, Periodontology and Cariology University of Z\u00fcrich  Z\u00fcrich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0834-1398","authenticated-orcid":false,"given":"Frank C.","family":"Setzer","sequence":"additional","affiliation":[{"name":"Department of Endodontics University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0726-7467","authenticated-orcid":false,"given":"Paul M. H.","family":"Dummer","sequence":"additional","affiliation":[{"name":"School of Dentistry, College of Biomedical and Life Sciences Cardiff University  Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/iej.70088"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-99258-0"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2014.12.001"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archoralbio.2023.105715"},{"key":"e_1_2_11_6_1","first-page":"28","article-title":"A Variant of the Current Dens Invaginatus Classification","volume":"17","author":"Gul M.","year":"2020","journal-title":"Frontiers in Dentistry"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2591.1997.00065.x"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.14744\/eej.2021.48303"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2024.07.004"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/iej.70035"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0030-4220(57)90077-4"},{"key":"e_1_2_11_13_1","first-page":"1","article-title":"Dens Invaginatus: Etiology Review","volume":"60","author":"Schulze C.","year":"1972","journal-title":"Zahn\u2010, Mund\u2010 Und Kieferheilkunde"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0300-5712(74)90024-4"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.14450"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12513"}],"container-title":["International Endodontic Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iej.70201","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/iej.70201","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iej.70201","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T23:12:11Z","timestamp":1789168331000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/iej.70201"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,18]]},"references-count":15,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/iej.70201"],"URL":"https:\/\/doi.org\/10.1111\/iej.70201","archive":["Portico"],"relation":{},"ISSN":["0143-2885","1365-2591"],"issn-type":[{"value":"0143-2885","type":"print"},{"value":"1365-2591","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,18]]},"assertion":[{"value":"2026-03-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}