{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:40:08Z","timestamp":1777880408199,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prim Dent J"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>\n                    This article describes a practical approach to assessing compromised teeth using a process called \u2018SHEEP scoring\u2019 which is an acronym based on the categories of\n                    <jats:bold>S<\/jats:bold>\n                    tructure,\n                    <jats:bold>H<\/jats:bold>\n                    istory,\n                    <jats:bold>E<\/jats:bold>\n                    ndodontic,\n                    <jats:bold>E<\/jats:bold>\n                    xpertise, and\n                    <jats:bold>P<\/jats:bold>\n                    eriodontal. Any compromised tooth is awarded marks out of ten under each of those five categories. Totalling those five scores (out of a maximum 50) and multiplying that number by two results in a patient-understandable \u2018percentage chance odds\u2019 for that compromised tooth. This pragmatic way of identifying the pre-existing problems first, before quantifying those in an intelligible way, helps to develop trust by making potential patients more aware of any existing problems with their tooth\/teeth. That analysis ought to be undertaken separately and well before offering any theoretically possible solutions.\n                  <\/jats:p>\n                  <jats:p>\n                    Only when both sides understand the significant problems that already exist, should a \u2018\n                    <jats:bold>B<\/jats:bold>\n                    enefits\n                    <jats:bold>R<\/jats:bold>\n                    isks\n                    <jats:bold>a<\/jats:bold>\n                    nd\n                    <jats:bold>N<\/jats:bold>\n                    othing (BRAN) analysis\u2019 be undertaken with the patient. This involves discussing the benefits and risks that might be involved in different approaches, compared with the option of doing nothing. The main objective is to help patients to evaluate their likely odds of some \u2018theoretically possible\u2019 treatment being successful in their particular case. Those explanations lead to outlining the time and costs that could be involved, as opposed to monitoring the situation while helping that patient to prevent further deterioration. Analysing and discussing existing problems first (separately to discussing potential treatments, and thereby avoiding availability bias and confirmation bias), means that patients can exercise their autonomy over how they would like to proceed with some treatment \u2013 or with none \u2013 which should help to ensure that their consent is likely to be valid for whatever decision they make.\n                  <\/jats:p>","DOI":"10.1177\/20501684251328184","type":"journal-article","created":{"date-parts":[[2025,5,3]],"date-time":"2025-05-03T08:13:29Z","timestamp":1746260009000},"page":"101-110","source":"Crossref","is-referenced-by-count":0,"title":["\u2018SHEEP scoring\u2019: A practical tool for evaluating the prognosis and restorability of compromised teeth"],"prefix":"10.1177","volume":"14","author":[{"given":"Martin G.","family":"Kelleher","sequence":"first","affiliation":[{"name":"Martin G. Kelleher BDS (Hons), MSc, FDSRCPS (Glasg), FDSRCS (Eng), FDSRCS (Edin), FCGD Consultant &amp; Specialist in Restorative Dentistry, King\u2019s College Hospital, London, UK"},{"name":"Reanna A. Craig BDS, MFDS RCS (Eng), FHEA Academic Clinical Fellow in Dental Core Training, King\u2019s College London, London, UK"},{"name":"Nagina Safi BDS, MFDS RCS (Eng) Specialty Dentist in Restorative Dentistry, King\u2019s College Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reanna A.","family":"Craig","sequence":"additional","affiliation":[{"name":"Martin G. Kelleher BDS (Hons), MSc, FDSRCPS (Glasg), FDSRCS (Eng), FDSRCS (Edin), FCGD Consultant &amp; Specialist in Restorative Dentistry, King\u2019s College Hospital, London, UK"},{"name":"Reanna A. Craig BDS, MFDS RCS (Eng), FHEA Academic Clinical Fellow in Dental Core Training, King\u2019s College London, London, UK"},{"name":"Nagina Safi BDS, MFDS RCS (Eng) Specialty Dentist in Restorative Dentistry, King\u2019s College Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nagina","family":"Safi","sequence":"additional","affiliation":[{"name":"Martin G. Kelleher BDS (Hons), MSc, FDSRCPS (Glasg), FDSRCS (Eng), FDSRCS (Edin), FCGD Consultant &amp; Specialist in Restorative Dentistry, King\u2019s College Hospital, London, UK"},{"name":"Reanna A. Craig BDS, MFDS RCS (Eng), FHEA Academic Clinical Fellow in Dental Core Training, King\u2019s College London, London, UK"},{"name":"Nagina Safi BDS, MFDS RCS (Eng) Specialty Dentist in Restorative Dentistry, King\u2019s College Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,3]]},"reference":[{"key":"e_1_3_1_2_2","unstructured":"The Supreme Court (UKSC). Montgomery (Appellant) v Lanarkshire Health Board (Respondent) (Scotland); UKSC 11. [Internet]. London: UKSC; 2015. Available at https:\/\/www.supremecourt.uk\/cases\/uksc-2013-0136 [Accessed Feb 2025]."},{"issue":"1","key":"e_1_3_1_3_2","first-page":"47","article-title":"175 CLR 479","volume":"67","author":"Australia High Court. Rogers v Whitaker","year":"1992","unstructured":"Australia High Court. Rogers v Whitaker. (1992) 175 CLR 479. Aust Law J. 1993;67(1):47-55.","journal-title":"Aust Law J"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.12968\/denu.2024.51.2.86"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.12968\/denu.2024.51.3.159"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.12968\/denu.2024.51.4.232"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2006.01.002"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1067\/mpr.2002.124094"},{"key":"e_1_3_1_9_2","first-page":"1009","article-title":"Long term effects of crown preparation on pulp vitality","volume":"68","author":"Felton D","year":"1989","unstructured":"Felton D, Madison S, Kanoy E, et al. Long term effects of crown preparation on pulp vitality. J Dent Res. 1989;68(special issue):1009.","journal-title":"J Dent Res"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0099-2399(89)80191-8"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.12968\/denu.2004.31.4.204"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1308\/205016819826439475"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dental.2015.02.011"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/iej.12340"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/20501684231156958"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2591.1995.tb00150.x"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2591.2007.01323.x"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/iej.13897"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2000.71.5.743"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-024-03635-1"},{"issue":"1","key":"e_1_3_1_21_2","first-page":"39","article-title":"Smoking and dental implants: A systematic review and meta-analysis","volume":"58","author":"Mustapha AD","year":"2021","unstructured":"Mustapha AD, Salame Z, Chrcanovic BR. Smoking and dental implants: A systematic review and meta-analysis. Medicine (Kaunas). 2021;58(1):39.","journal-title":"Medicine (Kaunas)"},{"key":"e_1_3_1_22_2","volume-title":"Six Thinking Hats","author":"de Bono E","year":"1985","unstructured":"de Bono E. Six Thinking Hats. London: Penguin Books; 1985."}],"container-title":["Primary Dental Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20501684251328184","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20501684251328184","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20501684251328184","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:10:34Z","timestamp":1777594234000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20501684251328184"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1177\/20501684251328184"],"URL":"https:\/\/doi.org\/10.1177\/20501684251328184","relation":{},"ISSN":["2050-1684","2050-1692"],"issn-type":[{"value":"2050-1684","type":"print"},{"value":"2050-1692","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3]]}}}