Periapical Index (PAI)

Periapical Index (PAI) 1 to 5 for up to four roots.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Root 1 PAI score
2: small changes in bone structure
Root 2 PAI score
4: periodontitis with a well-defined radiolucent area

Result: PAI 4: periodontitis with a well-defined radiolucent area. Apical periodontitis (PAI 3 to 5). Roots: root 1 PAI 2, root 2 PAI 4.

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Root 1 PAI score
  • Root 2 PAI score
  • Root 3 PAI score
  • Root 4 PAI score
How this is calculated

Citation

Ørstavik D, Kerekes K, Eriksen HM. The periapical index: a scoring system for radiographic assessment of apical periodontitis. Endod Dent Traumatol. 1986;2(1):20-34. Read the sources: Ørstavik 1986 ↗, Iran Endod J 2018 ↗, Int Endod J 2020 ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.